Detailed Schedule

Detailed Schedule

(updated March 6)

9:00 AM – 5:00 PM MONDAY INTENSIVE WORKSHOP                                                             Meeting Room 1

jumpstart Water Management for Rural Healthcare Facilities

Patricia Montgomery, Washington State Department of Health
Vivian Hawkins, Washington State Department of Health
Sara Podczervinski, Washington State Department of Health
Kevin Wickersham, Washington State Department of Health
Elizabeth Gordon, Washington State Department of Health
Elisabeth Long, Washington State Department of Health
Larry Lee, Pacific Industrial Hygiene
Lisa Hannah, Morton General Hospital
Amy Abbott, Washington State Department of Social and Health Services
Jeff Robbins, Morton General Hospital
Alan VanBeek, Astria Sunnyside Hospital
Tyler Henning, Washington State Department of Health

Washington State Department of Health is pleased to offer a one-day intensive workshop on management and prevention of Legionella and other waterborne pathogens in Critical Access Hospitals and Long-term care facilities. Participants will learn about water management programs and Legionnaires’ disease case and cluster investigation.

Anticipated audience includes administrators, infection preventionists, facility managers from both hospitals and long-term facilities care along with environmental health and communicable disease epidemiology staff from local health jurisdictions.  At a minimum we recommend facilities send their infection preventionist and facilities manager who are usually the key personnel responsible for developing water management plans.

• Describe the epidemiology and the basic steps of Legionnaire’s disease case and outbreak investigations.
• Differentiate roles and responsibilities of key stakeholders in investigations and control of healthcare associated Legionnaires’ disease cases and outbreak
• Explain the importance of a water management program to reduce growth and spread of water-borne organisms
• Describe the components of a water management program
•  Identify resources available to begin to develop and implement, or improve upon, a water management program

9:00 AM-12:30 PM MONDAY INTENSIVE WORKSHOP                                                        Meeting Room 2

The Rural Workforce of the Future: Strategies to Innovate, Apply Data, and Develop Partnerships

Dan Ferguson, WA State Allied Health Center of Excellence
Ben Lindekugel, Association of Washington Public Hospital Districts
Alison Carl White, Better Health Together
Daniel Smith, SW Washington ACH
Suzanne Swadener, Washington State Health Care Authority
Susan Skillman, University of Washington Center for Health Workforce Studies
Jennifer Brackeen, CHOICE Regional Health Network


Join us as we open the Workforce Track, with a facilitated discussion including a panel of representatives from Accountable Communities of Health and the Center for Health Workforce Studies to provide an update on rural workforce development in delivering whole person care. This session will examine trends, new opportunities, and resources available to support rural providers as they keep pace with change. Facilitators bring collaboration to this session, where we will build partnerships to develop sustainable workforce solutions for our communities.

 9:00 AM – 5:00 PM MONDAY INTENSIVE WORKSHOP                                                          Meeting Room 3

Community Health Worker Core Competency Training

Debbie Spink, Washington State Department of Health, Office of Family and Community Health Improvement
Sonora Stampfly, Washington State Department of Health, Office of Family and Community Health Improvements

This training is a free eight week combination of online and in-person training designed to strengthen the common skills, knowledge and abilities of the Community Health Worker (CHW). We will cover CHW roles and boundaries, communication skills, cultural competency and prepare the class to complete the next six weeks of online learning.

 9:00 AM-12:30 PM MONDAY INTENSIVE WORKSHOP                                                        Meeting Room 10

Leading Change and Transition

Deb Curless, Washington Trust Bank
Natalie Keller, Washington Trust Bank
Jaclyn Nagata, Washington Trust Bank
Shelly Detrick, Washington Trust Bank

Change happens to all of us, personally and professionally.  Whether transition moves us in a positive direction, or not, there is still a process that we all go through. How we lead that change, is imperative. In this presentation we will focus on predicting and preparing for change,  how to lead your team through all the stages of change, and most importantly, how to make change worth it!

  8:00 AM-12:30 PM MONDAY INTENSIVE WORKSHOP                                                        Meeting Room 11

The ASAM Treatment of Opioid Use Disorder Course

Mary Catlin, Washington State Department of Health
Caleb Holtzer, Providence

The ASAM Treatment of Opioid Use Disorder Course covers the highest quality, evidence- based practices for treating patients with opioid use disorder.

This course covers all medications and treatments for opioid use disorder, and provides 8 hrs of the required education needed to obtain the waiver to prescribe buprenorphine.

 9:00 AM – 5:00 PM MONDAY INTENSIVE WORKSHOP                                                                  Birch Room

Dementia Care is Changing, Are You?

Lori La Bey, Alzheimer’s Speaks

We will review a variety of ideas for you to customize a plan of action for yourself, your organization and/or your community to become dementia friendly; which will start with reframing who should be involved and why. There will be a screening of the Hollywood dementia film “His Neighbor Phil” and a talk back regarding how dementia has a ripple effect in your communities, businesses and families; which will give insights as to needed support systems. We will also review and discuss the value of and how to start and maintain sustainable Memory Cafés, Dementia Caregiver Re-Entry programs and public educational programs.

1:30 PM – 5:00 PM MONDAY INTENSIVE WORKSHOP                                                          Meeting Room 2

Practice Transformers: Caring for Communities through Collaboration and Partnership Development

Rick Helms, Practice Transformation Support Hub at Qualis Health
Gwen Cox, Practice Transformation Support Hub at Qualis Health
Leslie Robison, Pullman Regional Hospital and Palouse Medical
Bridget Beachy, Community Health of Central WA
Becky Corson, Mid-Valley Medical Clinic
Gary Swan, Health Care Authority

Continue the Workforce Track as we take a closer look at how to implement workforce strategies in rural Washington communities. Learn from examples and explore the tools available to get your workforce plans on the ground. You’ll hear from a variety of providers’  about the behavioral health integration strategies in their clinic settings, and the innovative practice models and workforce practices they rely upon. A representative from the Health Care Authority will discuss Washington’s new value based payment options, which emphasize population health management and whole person care, providing incentives for quality. Facilitated discussion will again support audience engagement in moving forward to apply new knowledge.

1:30 PM – 5:30 PM MONDAY INTENSIVE WORKSHOP                                                        Meeting Room 10

Expanding Access to Financing & Telehealth for Rural Health

Marti Canatsey, USDA Rural Development
Rick Rose, USDA Rural Development
Peter McMillin, USDA Rural Development
Kirk Pearson, USDA Rural Development
Jason McGill, Govenor’s Office State of WA
Michael Cade, Thurston County EDC (Economic Development Council)
Craig Nolte, Federal Reserve Bank of San Francisco, Community Development
Pat Justus, Department of Health
Kim McCollim, HUD Seattle Regional Office
Steve Dunk, WA Department of Commerce
Josh Martin, Summit Pacific Medical Center
Lindy Vincent, Department of Health
Bonnie Burlingham, Department of Health

This session will offer participants information to assist in health care capital project decisions.  Presenters offer perspectives regarding the Health Care investment impacts on the community and economy, how and where to find funding, and a focus on an existing project.

NOTE: This session ends at 5:30 PM

9:45 AM-10:45 AM BREAKOUT A 1                                                                                         Meeting Room 1

Behavioral Health HIE: Best Practices for Networks

Joe Wivoda, Analysts International

This presentation will discuss some of the opportunities for health IT in behavioral health, including exchanging health information, HIT systems for behavioral health, and privacy concerns. Examples from networks that have implemented behavioral health IT systems and implemented health information exchange will be presented along with learnings and best practice examples.

9:45 AM-10:05 AM BREAKOUT A 2.1                                                                                      Meeting Room 2

Rural Insights from Washington’s Behavioral Health Workforce Assessment

Rachelle McCarty, UW Dept of Family Medicine, Center for Health Workforce Studies

The state Workforce Training and Education Coordinating Board completed an 18-month project to assess Washington’s behavioral health workforce in December, 2017.  We will briefly present key findings from the assessment related to rural behavioral health workforce needs as the state moves towards integrated behavioral and physical healthcare delivery.

10:05 AM-10:45 AM BREAKOUT A 2.2                                                                                      Meeting Room 2

Bi-directional Behavioral Health Integration Toolkit: Building Integrated Teams for Rural Communities

Anna Ratzliff, UW AIMS Center

There are exciting opportunities for new funding sources for behavioral health integration in Washington State. This session will introduce practical tools for clinics to use to create sustainable behavioral health integration services.

9:45 AM-10:45 AM BREAKOUT A 3                                                                                         Meeting Room 3

Data Sleuthing for Population Health: A Hands On Practicum Using Washington Tracking Network

Tina Echeverria, Washington State Department of Health

Bring your laptop and explore the Washington Tracking Network website, it is loaded with data. We will walk through navigation and content and then explore questions and scenarios from the audience. Bring ideas from your reporting needs, assessments , evaluations and other information you need. Some examples from local health and Accountable Communities of Health districts will start the ideas flowing.

9:45 AM-10:45 AM BREAKOUT A 4                                                                                       Meeting Room 10

Rural-Urban Disparities in Access to Medicaid Pharmacy Services in Washington State

Janessa Graves, Washington State University
Laura Forman, Washington State University

Access to pharmacy services for Medicaid enrollees is predicated upon contractual agreements between Medicaid health plans and individual pharmacies. In geographic areas with low population density, where community pharmacies are widely dispersed, the presence or absence of a Medicaid-contracted pharmacy can result in rural residents facing a greater burden in accessing timely, affordable medications than their urban counterparts. We will present data examining the variation in Medicaid pharmacy access across levels of rurality in Washington State.

9:45 AM-10:45 AM BREAKOUT A 5                                                                                       Meeting Room 11

Acute Stroke: Mimics and Widening Windows

Madeleine Geraghty, Multicare Rockwood Clinic

As the time available for acute stroke therapy increases, learning how to triage stroke patients on scene becomes even more important for emergency medical responders.  Come and sharpen your skills by learning some of the ins and outs of potential stroke mimics and hear more about the ever-improving options for stroke patients!

9:45 AM-10:15 AM BREAKOUT A 6.1                                                                                    Meeting Room 12

Risk Management and the Governing Board:  What You Need to Know

Sharon Gilmore, Coverys

This presentation will discuss the role and responsibilities of governing board members in the oversight of risk and quality in their organizations.

10:15 AM- 10:45 AM BREAKOUT A 6.2                                                                                    Meeting Room 12

Tips on Negotiating Value Based Contracts with Payers

Andrew Nelson, Molina Healthcare

During this session, Andrew Nelson from Molina HealthCare will discuss some of the major components of a value-based contract. Molina and other Managed Care Organizations are using data from claims or supplemental data submissions to provide primary care providers with information about utilization, medical cost, patient engagement/quality, and missing service metrics and lists. These metrics can be used by Population Management Experts to understand and project the healthiness of communities and regions within Washington, and to develop strategies to address the health issues of such communities. Molina is interested in engaging primary care clinics and hospitals in financial relationships that provide shared savings or shared risk relationships with a focus on quality/HEDIS and medical cost improvements. This session will be most relevant for Finance Teams, Quality Teams, and Decision Makers.

11:00 AM-11:30 AM BREAKOUT B 1.1                                                                                      Meeting Room 1

Community – Clinical Linkages: A Rural Health Sustainability Story

Lisa Packard, Qualis Health
Jamie Hunter-Mitchell, Qualis Health

We will discuss implementing and sustaining evidence-based chronic disease self-management workshops and diabetes self-management workshops as effective interventions in rural communities to reduce healthcare disparities and to foster the community – clinical linkages for overall improvement of rural health. The goal is to highlight the power of these workshops, rooted in principles of adult learning, to emphasize how they complement clinical self-management education with proven lifestyle skills development and skills mastery to sustain healthy living of rural residents and rural communities.

11:30 AM- 12:00 PM BREAKOUT B 1.2                                                                                      Meeting Room 1

Improving Chronic Conditions in Rural Eastern Washington Through Patient Home Visits

Kyle Frazier, Washington State University
Kim McKeirnan, Washington State University
Lisa Woodard, Washington State University

This presentation will describe a project utilizing an interdisciplinary pharmacist-led team to provide home visits to high-risk rural patients with chronic diseases.

11:00 AM-11:30 AM BREAKOUT B 2.1                                                                                      Meeting Room 2

Demystifying the Behavioral Health Assistant – Roles, Services, and Training

Connie Lieseke, Kitsap Mental Health

Creation of multidisciplinary outpatient treatment teams to provide integrated whole-person health services are essential to the welfare of our clients and communities. As an essential part of these teams, behavioral health assistants are cross trained to perform administrative and clinical tasks, anticipate the needs of providers and patients, collect and chart patient data and history, run EDIE reports, provide and document services, and coordinate care between primary care and behavioral health providers.  This presentation will describe how certified medical assistants have been integrated into the outpatient care teams at Kitsap Mental Health Services and how they have benefited the organization and clients we serve in support of treatment to target and patient referrals. We will cover scope of practice, tasks they currently perform in our organization, challenges, and how CMAs work effectively with other members of the organization to achieve excellence in patient care.

11:30 AM-12:00 PM BREAKOUT B 2.2                                                                                      Meeting Room 2

Overcoming Barriers to Providing Medication Assisted Treatment for Opioid Use Disorder and the Expanding Supply of Providers with a Waiver in the WWAMIO Region.

Holly Andrilla, WWAMI Rural Health Research Center

This presentation wll discuss implications in rural counties of the WWAMI and Oregon region of CARA legislation extending the ability to obtain a DEA waiver to prescribe buprenorphine to nurse practitioners and physician assistants. Share strategies to overcome commonly cited prescribing barriers of providers who are successfully using their waiver.

11:00 AM-11:30 AM BREAKOUT B 3.1                                                                                      Meeting Room 3

Foreign Medical Graduates: Alleviating Doctor Shortages in the Trump Era

Eamonn Roach, Roach & Bishop Law Offices

Given the serious shortage of physicians in the U.S., there are federal and state programs that allow facilities in underserved areas to sponsor foreign trained medical doctors to work in underserved areas. Immigration Attorney Eamonn Roach will explain how to get Foreign Trained Medical Doctors on the job in underserved areas of the Pacific Northwest using the Conrad 30 and HHS Programs. Additional topics include DACA, TPS, Green Cards, and the current immigration climate under President Trump.

11:30 AM-12:00 PM BREAKOUT B 3.2                                                                                      Meeting Room 3

Strategies for Recruiting and Retaining Healthcare Providers in Rural Settings

Andrew Dresback, Wilderness Medical Staffing
Mary Ellen Doty, Wilderness Medical Staffing
Doug Kelley, Wilderness Medical Staffing

This presentation discusses research on factors that make healthcare providers more likely to take or keep a position in a rural setting. We will discuss what factors attract providers to a rural clinic or hospital; what factors are detrimental to attracting and maintaining talent; suggestions for implementing changes that will improve attempts at permanent placement.

11:00 AM-12:00 PM BREAKOUT B 4                                                                                       Meeting Room 10

Integrating Oral Health into Primary Care

Madlen Caplow, Arcora – The Foundation of Delta Dental of Washington
Jill Dudik Bross, Parkview Medical Group

Oral disease is a leading chronic disease of childhood and is preventable. Medical providers see young children frequently and often look into their mouths. By adding a few extra steps during an exam and some focused comments during patient education clinic teams can help prevent this disease. Reinforcing healthy behaviors, encouraging Oral Health and providing referrals to dentist when needed can be easy changes to your team workflow. Come learn how easy it is for your practice to support good oral health in children and get paid for it. Madlen Caplow will outline the program, training, and support offered by her team at Arcora & pediatrician, Dr. Jill Bross, will talk about her experiences providing these services in clinic for many years.

11:00 AM-12:00 PM BREAKOUT B 5                                                                                       Meeting Room 11

Managing Medical Records as an EMS Provider

Brian Snure, Snure Law Office, PSC

This class will assist providers and managers in understanding how to properly manage medical records in an EMS setting.  The class will include hypotheticals and discussion focused on the rules that apply to disclosures of patient health information and under what circumstances disclosures can be made with patient consent and without patient consent.

11:00 AM-12:00 PM BREAKOUT B 6                                                                                       Meeting Room 12

Piloting through Rough Waters: Leadership Challenges and Opportunities

Ben Lindekugel, Association of Washington Public Hospital Districts
Tom Wilbur, Newport Hospital and Health Services
Tom Warren, Lake Chelan Community Hospital
Dean Gushee, Mason General Hospital and Family of Clinics

This section will define changes in the health care world and the leadership competencies needed to lead in uncertain times. Presenter will provide information and engage participants in a dialog about ways to improve leadership capacity

2:30 PM-3:30 PM BREAKOUT C 1                                                                                         Meeting Room 1

Setting Up a Telepalliative Care Program

Gregg VandeKiefte, Providence Health and Services, Southwest WA
Dana Lustbader, ProHEALTH Care
Michael Fratkin, ResolutionCare Network/ResolutionCare Institute

I will introduce and describe the ResolutionCare Network model as one example of program design that places the needs of the people receiving care AND the needs of dedicated professionals at the center of our efforts. By leveraging secure telemedicine technology to create strong relationships of trust over time, a mechanism to solve problems in real time, and the power of value based economics we are providing robust inter-professional and integrated team based care to people in their homes in rural Northern California.

2:30 PM-3:30 PM BREAKOUT C 2                                                                                         Meeting Room 2

Demystifying Community Health Workers – What Do They Do and How Can They Help Your Rural Community

Sarah Salomon, Foundation for Healthy Generations
Kathy Burgoyne, Foundation for Healthy Generations
Seth Doyle, Northwest Regional Primary Care Association/CHW Task Force

This session will give an overview of the important role Community Health Workers (CHWs) play in improving community health. We will cover national context including variation in state standards and policies related to CHWs, and the current status of CHW legislation in WA State. We will also share specific examples of what CHW work looks like at the community-level and in clinics throughout WA state.

2:30 PM-3:00 PM BREAKOUT C 3.1                                                                                      Meeting Room 3

Telehealth – Sustainable Access for Rural Healthcare

Zach Griffin, Providence St. Joseph Health

This presentation discusses how telehealth works in the context of the rural health setting. We will inform rural health stakeholders on the pros and cons of utilizing telehealth.

3:00 PM-3:30 PM BREAKOUT C 3.2                                                                                      Meeting Room 3

Using Virtual Technology to Fully Implement EHDDI (Early Hearing-loss Detection, Diagnosis and Intervention) in Rural Settings

Kim Hamren, Listen and Talk
Yoko Ishii, LIsten and Talk
Maura Berndsen, LIsten and Talk

This presentation describes how virtual services can enhance access to early intervention and audiology support services for children who are deaf/hard of hearing. Time will be allotted for audience sharing and brainstorming for their program enhancements.

2:30 PM-3:30 PM BREAKOUT C 4                                                                                       Meeting Room 10

Addressing the Opioid Epidemic: The Opioid Prescribing and Monitoring Project

Chris Baumgartner, Washington Department of Health
Blake Maresh, Washington Department of Health

The Department of Health will provide an overview and update on the progress of implementing House Bill 1427.  This bill requires the establishment of comprehensive opioid prescribing rules set by the licensing boards and commissions for prescribers and updates the Prescription Monitoring Program to provide overdose notification and prescriber feedback reports.

2:30 PM- 3:30 PM BREAKOUT C 5                                                                                       Meeting Room 11

The Workforce Pipeline: Creating the Health Workforce of the Future

Toby Keys, University of Washington School of Medicine, Office of Rural Programs, Dept of Family Medicine
David Evans, University of Washington School of Medicine
Kenley Unruh, University of Washington School of Medicine

Community based learning is a promising practice in rural workforce development. Hear from a variety of perspectives on how these educational programs have impacted students and inspired them to join the rural healthcare workforce. Opportunities in community based education continue to expand, especially as the roles of healthcare providers change with the integration of care through team based models. Learn how you can get involved!

2:30 PM-3:00 PM BREAKOUT C 6.1                                                                                    Meeting Room 12

Listening, Modeling, Coaching to Success

Kurt Kuykendall, Samaritan Healthcare

Nearly 60% of all improvement efforts fail to achieve desired outcomes. In this session we will discuss the importance of engaging and leading those closest to the work.

3:00 PM-3:30 PM BREAKOUT C 6.2                                                                                    Meeting Room 12

Lead With Your Heart:  A Success Story

Steve McNeece, Community Hospital of Anaconda
Laura Austin, Community Hospital of Anaconda

This presentation will discuss leading your team through turbulent times and discussing a pathway for positive change. The goal is to instill hope and inspiration for leaders.

4:00 PM-4:30 PM BREAKOUT D 1.1                                                                                      Meeting Room 1

Palliative Care

Jeannie Eylar, Pullman Regional Hospital
Pullman Regional Hospital Palliative Care

The evolution of palliative care in Pullman has been a 15-year journey. This session will highlight where we began, key accomplishments and our vision for the future.

4:30 PM-5:00 PM BREAKOUT D 1.2                                                                                      Meeting Room 1

Introducing Palliative Care in a Rural Health System: Lessons Learned

Lisa Holt, Jefferson Healthcare
Deborah Kaldahl, Jefferson Healthcare
Mary Fortman, Jefferson Healthcare

Jefferson Healthcare Home Health and Hospice is piloting a consultative approach to palliative care for home health patients-upstream from hospice care.  This is the first step in a longer range plan to identify patients for palliative care across their health system settings. The Jefferson team will share lessons learned and what they have discovered about the level of need for this service in their community.


4:00 PM-5:00 PM BREAKOUT D 2                                                                                         Meeting Room 2

Pathways 101 – Community-Based Care Coordination

Kathy Burgoyne, Foundation for Healthy Generations

Pathways Community-based Care Coordination is an evidence-based, community care coordination model aimed at improving population health outcomes at a lower cost by integrating outreach and engagement efforts with the alignment of systems and resources of care. In this presentation, we will explore the Pathways model which has been adopted by six Accountable Communities of Health (ACH) in Washington state including Better Health Together and North Central ACH and aligns systems-level population health strategies being pursued by these ACHs. Individuals, usually Community Health Workers are trained to provide community based care coordination services along 20 evidence-based “pathways.” Additionally, we will explore how the strategic changes and outcomes within the Medicaid Transformation Demonstration Project align with CHW workforce development and capacity building efforts.

4:00 PM-4:30 PM BREAKOUT D 3.1                                                                                      Meeting Room 3

Autism: How Early Diagnosis Makes a Difference in Your Community

Jill Dudik Bross, Parkview Medical Group

When children who are in the Autism Spectrum are identified early and receive appropriate treatment it can make a big impact for the child, the family and the community. During this presentation Dr. Bross, a Moses Lake Pediatrician, will discuss the prevalence, diagnosis, impact and treatment of Autism Spectrum Disorder. She will elaborate on her own experience in getting the Center Of Excellence designation from the Health Care Authority that is required for Primary Care Providers to give the diagnosis of Autism and order ABA therapy. Dr. Bross will share some of the tools, techniques, and approaches used at her clinic. She will also address the discrepancy in the DDA and HCA diagnostic criteria.

4:30 PM-5:00 PM BREAKOUT D 3.2                                                                                      Meeting Room 3

Telehealth Tools to Address the Behavioral Healthcare Crisis

Trevor Davis, Pacific Rehabilitation Centers

This interactive learning event is focused on identifying key solutions to increase mental health access in different communities. The participants will consider how various resources, including those available via telehealth services, can be implemented to address the access to care challenges. Our goal is to better understand how to integrate local and distance mental health services.

4:00 PM-5:00 PM BREAKOUT D 4                                                                                       Meeting Room 10

Just Between Us: The Math of an RHC

Krystal Guzman, Island Hospital
Katie Jo Raebel, Wipfli

During this informal interactive session, Katie Jo Raebel of Wipfli and Krystal Guzman from Island Hospital will discuss and outline some of the financial impact of the changing RHC payment environment. They will discuss the latest news on the full encounter rate at time of service, moving to value based arrangements – what metrics to watch, and is it time to submit our change in scope documentation. They will also highlight cost reporting items and reconciliation.

4:00 PM-4:30 PM BREAKOUT D 5.1                                                                                    Meeting Room 11

State Approval Process for Non-Medically Trained Ambulance Driver in Rural Areas

Catie Holstein, Washington State Department of Health, Emergency Services System

The Washington State Department Of Health EMS Manager will review the process for request and approval for use the of non-medically trained drivers on ambulances in rural areas.

4:30 PM – 5:00 PM BREAKOUT D 5.2                                                                                    Meeting Room 11

NREMT Initial Cognitive Exam Vouchers for EMS: A Pilot Project

Dawn Felt, Washington State Department of Health

The Department of Health Emergency Care System supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS), the Medicare Rural Hospital Flexibility Program to provide exam vouchers for National Registry initial cognitive exams for rural EMS providers in Washington State. The purpose of these vouchers is to reduce exam costs for initial certification for students testing at the Emergency Medical Responder (EMR), Emergency Medical Technicians (EMT), and Advanced Emergency Medical Technician (AEMT) levels.

4:00 PM – 4:30 PM BREAKOUT D 6.1                                                                                    Meeting Room 12

Steps Towards Sustainability with the Second Year of the Quality Payment Program

Deanna Graham, Qualis Health

This presentation will discuss how to prepare for the transition from the first to the second year of the Quality Payment Program. We will  provide an overview of the second year of the Quality Payment Program and describe the support and technical assistance available to clinicians and practices in rural and health professional shortage areas.

4:30 PM – 5:00 PM BREAKOUT D 6.2                                                                                    Meeting Room 12

Building Teams United By Place: Natural Communities of Care for Sustainable Health Equity

Maria Klemesrud, Qualis Health

This presentation will discuss whole person care to be achieved through building care teams in your neighborhood that address health equity.  Participants will learn about how the Natural Communities of Care (NCC) Model can address the social determinants of health in rural neighborhoods, and discuss the challenges of healthcare reform and the health equity through this lens.

9:45 AM-10:15 AM BREAKOUT E 1.1                                                                                      Meeting Room 1

Recent Research on Home Health Care for Rural Populations and Implications for Policy and Practice

Tracy Mroz, University of Washington
Susan Skillman, University of Washington
Davis Patterson, University of Washington

This session will include a presentation of findings from three recent research studies on home health care for rural populations and a facilitated discussion regarding implications for policy and practice.

10:15 AM-10:45 AM BREAKOUT E 1.2                                                                                      Meeting Room 1

Palliative Care in the Medicare Population: Opportunities for Rural Areas

Meghan Donohue, Qualis Health

We will explore variation in hospice/palliative care among rural communities in Washington State in order to identify high-performing areas and potential best practices.

9:45 AM-10:45 AM BREAKOUT E 2                                                                                         Meeting Room 2

Issues and Strategies to Improving Diversity and Access to Nursing Care in Rural Communities

Wendy Buenzli, Washington State University College of Nursing
Sofia Aragon, Washington Center for Nursing
Rhonda Martinez McFarland, USPHS, Centers for Medicare and Medicaid, Region X, Native American Contact
Anne Shields, UW AIMS Center
Cynthia Nelson, Ferry County Memorial Hospital

Washington is a leader in nursing education innovation. Join this panel of Washington nursing eaders to learn more about initiatives in our state aimed at improving nursing workforce in rural and tribal communities and developing new roles for nurses. Learn how you can “grow your own” nurses to meet the needs of your unique community and improve recruitment and retention. Explore educational models and industry partnerships that support a diverse workforce, reflective of these communities.

9:45 AM-10:15 AM BREAKOUT E 3.1                                                                                      Meeting Room 3

Engaging Local Tribal Community Members in Research and Outreach Efforts: What We Have Learned So Far for Success

Amiyonette Goodblanket, Indian Health Council, Inc.
Roland Moore, Pacific Institue for Research and Evaluation
David Gilder, The Scripps Research Institute

This presentation will highlight the research and outreach efforts of a National Institutes of Health-funded collaborative project to reduce or prevent underage drinking in a tribal community in Southern California. The goal is to highlight: 1) the importance of collaboration across several agencies 2) building relationships with community partners, including local Tribal Nations, Tribal afterschool programs, local schools, and community leaders, and 3) research (alcohol intervention study comparing Motivational Interviewing with Psychoeducation) and outreach efforts 4) how visible and effective the efforts were to mobilize action to reduce or prevent underage drinking.

10:15 AM-10:45 AM BREAKOUT E 3.2                                                                                      Meeting Room 3

Staying Safe and Healthy at Home: Using Photovoice to Document Native Elder Health in Rural Washington State

Anna Foucek Tresidder, Eastern Washington University
Nora Flett, Spokane Tribe of Indians
Tanya Gleson, EWU School of Social Work

Utilizing Photovoice to tell the story of rural elders, we approach rural aging in a way that highlights common issues in remaining safe at home.  The photos and stories collected are used to better understand successes and barriers that occur and assist those who provide care to these communities.  Safety, home adaptions, and health management are included in the stories.  The presentation is narrative, with photos and stories in the elder’s own words.

9:45 AM-10:15 AM BREAKOUT E 4.1                                                                                    Meeting Room 10

RHC Compliance and Risk Management

Pam Schlauderaff, Mason General Hospital & Family of Clinics

There are new rules that affect rural health clinics.  Learn of changes to the rural health clinic program in Washington State, new requirements, and the most common deficiencies.

10:15 AM-10:45 AM BREAKOUT E 4.2                                                                                    Meeting Room 10

RHC Manager New Certification Process

Pam Lowder, Shoshone Family Medical Center

Certified Rural Health Clinic Professional Certification Process -A first-hand experience of the certification process.

Review Syllabus

View online learning center

About the exam


9:45 AM-10:45 AM BREAKOUT E 5                                                                                       Meeting Room 11

From Silos to Square Dancing: Building a Network Together

Cindy Button, Aero Methow Rescue Service

Our network supports healthcare in a rural and remote community in North Central Washington. We are joining hands and striving to integrate our resources to best serve our patients. Our hope is we can share our story to help you build your network.

9:45 AM-10:45 AM BREAKOUT E 6                                                                                       Meeting Room 12

Demystifying Emergency Preparedness for Rural Hospitals

Erika Henry, Washington State Department of Health
Elizabeth Gordon, Washington State Department of Health
Alex Giel, Washington State Department of Health

What does it mean to be prepared for emergencies at your rural hospital? Does it mean following a checklist of regulatory requirements, or is a commitment to resiliency part of your hospital’s culture? What does doing it “right” look like, and how can you get there? Join representatives from Washington State Department of Health as we describe healthcare preparedness within your facility and in partnership with your community. You’ll pick up some tips about common compliance oversights and learn strategies to becoming a truly prepared rural hospital.

1:00 PM-1:30 PM BREAKOUT F 1.1                                                                                      Meeting Room 1

Promoting Telemedicine Adoption in Managed Medicaid: Use Case of a Statewide Virtual Care Program

Frances Gough, MD, Molina Healthcare

We will present MHW’s application of telemedicine as a successful use case and highlight the broader lessons learned in the areas of member communication and engagement strategies including social media, provider engagement, clinical service accuracy, and cost effectiveness. We will also address ongoing challenges experienced by MHW, including rural access and provider contracting in the new world of payment parity, and will solicit feedback and encourage dialogue across our healthcare peers, en route to fostering solutions.

1:30 PM-2:00 PM BREAKOUT F 1.2                                                                                      Meeting Room 1

Reaching Rural Diagnostic Parity and Interventional Radiology Competitiveness Through Urban Partnership – A Win,Win,Win

Kenneth Symington, MD, Director of Rural Imaging and Interventional Radiology-Inland Imaging
Christina Wagar, Director of Primary Care and Ancillary Services, Newport Health and Services

This presentation will discuss rural excellence in imaging and interventional procedures- building strong community hospitals and their bottom line. Objectives include: learn what a state of the art rural imaging program consists of; realize that such a program is within their reach and how to critically evauate a radiology service contract; understand how the community, the rural hospital/ service provider and the patient all win when an ideal contractual realtionship exists between the imaging facility and the radiology service provider.

1:00 PM-2:00 PM BREAKOUT F 2                                                                                         Meeting Room 2

Launching Rural Workforce Development Strategies: Facilitated Discussion

Dan Ferguson, WA State Allied Health Center of Excellence
Ben Lindekugel, Association of Washington Public Hospital Districts
Cori Garcia Hansen, Area Health Education Center for Western Washing

Close out the conference sessions with this engaging discussion on workforce themes presented throughout the conference. Facilitators will guide participants through a session aimed at practical application of new knowledge; network and identify partners to take actionable next steps. Don’t let information overload leave you numb – join us for this strategic wrap-up and return to work with a plan!

1:00 PM-1:30 PM BREAKOUT F 3.1                                                                                      Meeting Room 3

Finding Our Balance: Preventing Older Adult Falls in Rural Areas through Evidence-Based Tools

Carolyn Ham, Washington State Department of Health

In this presentation, participants will learn how to help their patients prevent falls by implementing evidence-based screening and intervention tools. The goal is to provide hands-on training in screening tools and improve knowledge of multi-factorial interventions through research-based case studies.

1:30 PM-2:00 PM BREAKOUT F 3.2                                                                                      Meeting Room 3

Field Thrombolytics in Jefferson County

Sandra Smith-Poling, MD, East Jefferson Fire and Rescue
Gordon Pomeroy, East Jefferson Fire and Rescue

This presentation will discuss saving lives and heart muscle with field thrombolytics. We will cover the protocol used in the field and consider how to use the field protocol.

1:00 PM – 2:00 PM BREAKOUT F 4                                                                                       Meeting Room 10

Rural Health Clinic Reconciliation

Madina Cavendish, Health Care Authority
Michaela Snook, Health Care Authority
Cindy Robertson, NorthShore Medical Group
Katie Jo Raebel, WIPFLI

Learn about the current status of WA state Medicaid reconciliation & Rural Health Clinics, including timeline and options for the reconciliation process for calendar years 2014-2017.

1:00 PM – 2:00 PM BREAKOUT F 5                                                                                       Meeting Room 11

Providing EMS with Volunteers or Employees –  Navigating the legal issues

Brian Snure, Snure Law Office, PSC

What is the difference between a volunteer and an employee? Can we pay volunteers?  What fringe benefits are required for volunteers and employees. This class will help answer these questions as we review the Fair Labor Standards Act as wellas recent developments in Washington Law affecting sick leave and family leave.

1:00 PM – 2:00 PM BREAKOUT F 6                                                                                       Meeting Room 12

Using Video for Rural Community Engagement and Action

Bonnie Burlingham, Washington State Dept of Health
Marilyn Freeman, Washington Technology Solutions

This session will discuss short videos that have been developed by DOH, with Washington Technology Solutions, that are available to be used by rural community leaders as community engagement tools.  Video topics to be shown and discussed include Rural Health Clinics, rural work force, and Emergency Medical Services.

3:45 PM – 5:45 PM RHC Workshop                                                                                         Birch Room

Rural Health Clinic Billing and Medicare Cost Reports

Katie Jo Raebel, WIPFLI

The benefit of rural health clinic status relies on the assumption that billing is being performed properly.  The Medicare cost report is a key component of reimbursement.  This workshop will help to ensure that your clinic is receiving correct reimbursement by reviewing common oversites on your Medicare Cost Report.  We will address Medicare billing complexities and best practices specific to Rural Health Clinics.  This  workshop is designed to be interactive;  attendees are encouraged to bring their cost report to review, ask questions and get clarifications that will benefit the full group.  Information in this workshop is relevant to independent and provider-based rural health clinic administrators, finance personnel, and billers.   Whether you are new or well established in your role there will be something for you in this workshop.

3:45 PM – 5:45 PM RHC Workshop                                                                                                Meeting Room 2

Building Industry Partnership to Address Nursing Education in Rural & Tribal Communities

Cori Garcia Hansen, Center Director of the AHECWW

The Area Health Education Center for Western Washington (AHECWW) is working in partnership with the Action Now Initiative in Washington to address the rural nursing shortage and improve diversity through education strategies.  Last year a work group of leaders in nursing was formed to investigate and create a model of education that can provide nursing education in rural and remote regions of Washington, including tribal communities.  We are primarily looking at “grow your own” models that allow communities to engage in the learning environment, based on the experiences from the Rural Outreach Nursing Education program (“RONE”).  An important element is to include strategies that recruit and retain community members from these communities that reflect the diversity of the community, can be more responsive to community needs, and improve quality of care.  Join us to discuss how industry partnership can support the development of this emerging program to serve rural communities and address the shortage of nurses.