About the Workshops
The 2017 Putting Care at the Center workshops are designed to expose participants to a particular model, teach a specific skill, or discuss a particular topic. Conference attendees will have the ability to attend three workshops at the conference. Due to limited spaces, all workshops will be available on a first come, first serve basis.
2017 Workshops
The Value of Cross-Sector Collaboration in Addressing Complex Health and Social Needs: Lessons from Data-Driven Justice Initiative
Partnerships across the criminal justice and health care systems seek to improve outcomes for individuals with complex health and social needs experiencing high utilization of both systems. Many of these individuals struggle with homelessness, mental illness, and substance use, and are arrested frequently for low-level, non-violent offenses. This workshop features criminal justice professionals involved in cross-sector data sharing partnerships to implement alternatives to arrest and incarceration for individuals struggling with mental health, substance use disorders, and other complexities. Panelists will discuss why they turned to cross-sector partnerships to address the problem they were trying to solve, program successes and challenges, and individual and community outcomes.
Facilitator: Lynn Overmann
Organization: Laura and John Arnold Foundation
What’s Going On? From Understanding Social Determinants of Health to Local Direct Action Organizing
The health care system in its current state has made many assumptions about patients and consumers without hearing their voices. Too often determinations and judgments have been made by health care practitioners without truly understanding the root causes of conditions that may present in a provider’s office. Many of these root causes are the result of social determinants of health and lead to patients experiencing complex health and social needs. These root causes could be identified, in large part, by asking and including consumers, who have been admonishing the health care system to “talk to me, so you can see, what’s goin’ on.”
Facilitator: Soley Berrios
Organization: Camden Coalition of Healthcare Providers Community Advisory Council
Rock School 101: Herding Cats and Channeling Divas (or Talent) into Effective Collaboration
Creating effective community and provider collaborations requires the ability to navigate competition, balance diverse personalities, establish a compelling purpose and deliver outcomes that keep people coming back again and again for more. There’s no better training for success in these endeavors than a touring rock band. Shelly Mascari and Lauran Hardin, both experienced touring musicians with previous record deals, will share how the lessons they learned keeping a band together and creating great music apply to leading successful interprofessional case conferencing and community collaboratives.
Facilitator: Lauran Hardin
Organization: Camden Coalition of Healthcare Providers
The Integrated Primary Care and Community Supports (I-PaCS) Model: Partnering with MCOs to Target Funding to CHW Services to Address Complex Needs
Integrating community health workers (CHWs) into care teams can have a significant, positive impact on health outcomes, costs, and health disparities, especially for people with complex needs. Yet securing a sustainable funding source for the breadth of CHWs’ valuable work is extremely challenging. We will describe an exciting new primary care model focused on people with complex health and social needs built on the full integration of CHWs that is funded directly by Medicaid Managed Care organizations. As a result, not only did health outcomes improve, but $4 were saved for every $1 invested.
Facilitator: Sinsi Hernandez-Cancio
Organization: Families USA
Read: Diffusion Of Community Health Workers Within Medicaid Managed Care
Download: How States Can Fund Community Health Workers [brief]
Download: The Community Health Worker Sustainability Collaborative [brochure]
Visit: Community Health Worker Collaborative Resource Hub
Complex Care and the Opioid Epidemic: Unique Approaches to Care
The nation’s opioid epidemic is a public health emergency that is devastating communities and placing increasing demands on health care systems and social safety nets. As communities; state, local and federal government; and providers alike seek to address this issue, a number of complex care stakeholders are emerging as national leaders on this front. Through this panel, audience members will hear from several of these experts regarding innovative approaches to addressing this issue, discuss what challenges and successes they have experienced to date, and explore what more is needed at a policy level in order to effectively address this challenge.
Facilitator: Rachel Davis
Organization: Center for Health Care Strategies
Read: Providing A Safe Space And Medical Monitoring To Prevent Overdose Deaths
Building a Trauma-Informed Workforce and Culture: Lessons from the Front Lines
There is increasing agreement among health care professionals that exposure to traumatic events heightens patients’ health risks long afterward, and thus providers are realizing the value of trauma-informed approaches to care. Two key aspects of implementing a trauma-informed approach are (1) building a trauma-informed workforce; and (2) creating a trauma-informed organizational culture. This panel discussion will feature national leaders in trauma-informed care and offer insights from their diverse efforts to build a trauma-informed workforce and integrate the concept into their respective organizational cultures. Audience members will learn practical strategies for implementing these two key foundational aspects of a trauma-informed approach.
Facilitator: Christopher Menschner
Organization: Center for Health Care Strategies
Download: Key Ingredients for Successful Trauma-Informed Care Implementation [brief]
Download: Encouraging Staff Wellness [infographic]
Download: Key Ingredients for Trauma-Informed Care [FAQ sheet]
Download: Understanding the Effects of Trauma on Health [FAQ sheet]
Download: 10 Key Ingredients for Trauma Informed Care [infographic]
Download: Staff Wellness in Trauma-Informed Orgs [brief]
Download: 11th Street Family Health Services [slides]
Download: Montefiore Medical Center, Trauma Informed Care Program [slides]
Download: Trauma Informed Systems [slides]
Reducing Socio-Economic Barriers to Care for Vulnerable Populations
Financial concerns create barriers to health care access and often go unnoticed or insufficiently supported. Non-clinical Navigators screen patients for unmet social needs can connect patients with the information they need and increase the care team's skills around resource needs and cost concerns. Navigators can address patients' needs for cost estimation, community resources, financial assistance, benefits coordination, and external resources. By brokering a patient-centered prioritization of needs, Navigators increase patient satisfaction and decrease provider stress.
Facilitator: Nicole Friedman
Organization: Kaiser Permanente
Download: Reducing Socio-Economic Barriers [slides]
Download: Reducing Socio-Economic Barriers Questionnaire
Download: Diagnoses & Definitions
Customer as Expert: Harnessing the Power of Patients Through CoDesign
CoDesign is a mindset and a group of methods that bring together patients, families, staff, clinicians, performance improvement experts, and other stakeholders to design new care and service offerings or improve existing ones. Kaiser Permanente will share their CoDesign approach – rooted in human-centered design, patient centered care, and performance improvement – to teach how we can transform care through deep empathy, creative problem solving and focusing on outcomes that matter to end users. This experiential training will take participants through a full CoDesign cycle, partnered with real customers, to teach skills that participants can take back to improve their own work.
This workshop is a two part series on November 16. The first session will be from 10:00 am - 11:10 am and the second session will be from 11:20 am - 12:30 pm. Please be sure to attend both sessions.
Facilitator: Anna Davis
Organization: Kaiser Permanente
Politics, Policy, and Progress: What’s at Stake for the Care of Complex Populations?
The passage of the Affordable Care Act accelerated delivery system reform and offered significant improvements in improving care for millions of people with complex health and social needs. Recently proposed changes to the law, as well as to Medicaid, are projected to result in major reductions in coverage. This session will review the current policy and political landscape as it pertains to care for those with complex health and social needs. Speakers will review recent legislative and executive actions, describe the current political context and give their best predictions of what to watch for in 2018.
Facilitator: Carol Regan
Organization: Community Catalyst
Building the Business Case for High-Need, High-Cost Patient Programs
Organizations are increasingly implementing programs for High-Need, High-Cost (HNHC) patients, yet limited understanding and adoption of payment models to support effective care models impedes the development of a program business case and return-on investment (ROI). This work session engages attendees in defining new approaches to sustaining effective HNHC program by describing the most effective HNHC care model components, and sharing how to leverage successful reimbursement mechanisms such as payor contracting and pay for performance programs. The attendees will create their own business case framework, learning how to use an ROI Calculator Tool to convey their program’s bottom line to senior leadership and payors.
Facilitator: Margie Powers
Organization: Sharp Rees-Stealy Medical Group in San Diego
Download: Building the Business Case part 1 [slides]
Download: Building the Business Case part 2 [slides]
Improving Care Models by Design: An Interactive, Systems-Thinking Work Session
Come work out. Design your team’s new model of care, or help others design theirs. Learn an eclectic approach to care delivery design that incorporates a wide range of insights from; logic models, systems thinking, population health, Deming's system of profound knowledge, and implementation science. Bring an idea for a design you’d like to create, and start to frame it out during the workshop.
Facilitator: Kenneth Coburn
Organization: Health Quality Partners
A Graduation in Medicine: Deprescribing for Patients with Complex Needs
Overprescribing and polypharmacy are increasing concerns, especially in the aging complex needs population. Approximately, 14-27% of elderly patients take a medication on the Beers list of drugs not to use in older adults. There are currently no established and agreed-upon parameters have been standardized to systematically identify and deprescribe patients who may benefit from a reduction in their chronic medications. This workshop will highlight Kaiser Permanente’s approach to develop a new culture of deprescribing and facilitate a discussion among health care professionals and patients around opportunities to optimize medication therapy for patients with complex needs.
Facilitator: Lynn DeGuzman
Organization: Kaiser Permanente
Download: A Graduation in Medicine - Deprescribing [slides]
Using Randomized Evaluations to Build the Evidence Base for Complex Care Programs
The U.S. Healthcare Delivery Initiative (HCDI) at The Abdul Latif Jameel Poverty Action Lab (J-PAL), supports randomized evaluations of strategies that aim to make health care delivery in the United States more efficient and more effective. Through a case-based training, we will provide workshop participants with skills and knowledge on how to rigorously evaluate programs centered on complex health and social needs. Workshop participants will learn the fundamentals of randomized evaluations and practical skills for program evaluation.
Facilitator: Anna Spier
Organization: J-PAL, North America Poverty Action Lab
Download: Using Randomized Evaluations [slides]
Download: Impact evaluation methods [handout]
Download: Randomization Challenges & Solutions [handout]
Download: Using Randomized Evaluations [worksheet]
Design Thinking Meets Complex Care
What does it take to build a culture of innovation in an organization? How do you make it stick? And how can you create silo-busting, member-centered services when the silo walls are strong and the hand of regulation lies heavy? CareOregon, a nonprofit Medicaid health plan, worked with IDEO and Code Name Collective, California-based design firms, to leverage the power of design thinking to improve the health and happiness of its members – and to discover new business opportunities -- through immersive design thinking projects. Along the way, we modeled behaviors that boosted creativity, morale, and opened the door to structural change.
Facilitator: Andy Switky
Organization: Code Name Collective
Optimizing Primary Care Teams for Better Health Outcomes: Tools for Teams of Today (and Tomorrow)
Evidence suggests that team-based care within the medical home model leads to improved care coordination and patient outcomes. Yet, as the definition of the ‘team’ continues to grow to more effectively reach patients with complex medical and social needs, primary care practices must be nimble to create and manage interdisciplinary teams. The Harvard Medical School Center for Primary Care (CPC) works to strengthen health systems through the transformation of primary care leaders, care teams, and practice improvement teams. During this interactive session, the CPC will share learnings from a new initiative focused on building teams and facilitate discussion on best practices and tools for optimizing teams in today’s rapidly changing primary care landscape.
Facilitator: Lindsay Hunt
Organization: Center for Primary Care, Harvard University
Download: Optimizing Primary Care Teams [slides]
Download: CHA Practice Improvement Team (PIT) Toolkit
Evaluating Social & Economic Interventions for Complex Populations
Many complex care programs implemented in health care settings involve interventions that address patients’ social and economic needs as part of more comprehensive approaches to optimize health. However, program evaluations rarely focus on the effectiveness of addressing these social and economic needs elements or quantify their impact on program outcomes. This has limited the field’s ability to know how to most effectively implement interventions that address both health, social, and economic needs. This workshop will feature three researchers who study complex care interventions, each of whom will discuss opportunities and challenges to evaluating the health, financial, and social impacts of such programs.
Facilitator: Caroline Fitchtenberg
Organization: SIREN - University of California San Francisco
Integrated Behavioral Health for Complex Patients: Roadmap, Tools, and Technologies
The Inland Empire Health Plan, in response to devastating and costly hospital readmission and emergency room visit rates, has invested in the Behavioral Health Integration and Complex Care Initiative. The goal of the project is to significantly improve the health and well-being of the area’s residents, with complex needs arising from co-occurring chronic medical and behavioral health conditions. This workshop will provide tangible, hands-on training on the elements of this approach, with a focus on vision, leadership engagement, team constellation, practice coaching, data and outcomes monitoring, and the provision of useful resources.
Facilitator: Jeffrey Rings
Organization: Inland Empire Health Plan (IEHP)
Download: Integrated Behavioral Health for Complex Patients [slides]
Download: Integrated Behavioral Health for Complex Patients [handout]
Los Angeles County – A Perfect Storm
Representing local government and non-profit agencies, facilitators will explore the confluence of supportive housing, intensive case management services and public health through the Flexible Housing Subsidy Pool model, Whole Person Care LA, Drug Medi-Cal Organized Delivery System, and the LA Homeless Initiative (including Measure H and Proposition HHH). The workshop will discuss L.A. County investment in supportive housing and intensive case management services. WPC-LA, launching September 2017, funds a county-wide infrastructure to improve care to high-risk, high-need Medi-Cal beneficiaries that are "high-users" of multiple public systems. DMC ODS, launched July 2017, introduces payments for case management services for beneficiaries with substance use disorders, as well as payments for field-based substance abuse treatment services. The LA Homeless Initiative, launched in 2016, includes Proposition HHH, which will build 10,000 supportive housing units over 10 years, and Measure H, launching October 2017, which will generate $355 million annually for 10 years to fund outreach, services, and local subsidies.
Facilitator: Susan S. Lee
Organizations: Corporation for Supportive Housing
Additional Resources
LEARNING UPDATE: Improving Healthcare for High-Needs Patients - Peterson Center on Healthcare.
Workshops and Beehive Sessions Topics
Below are the topics for our workshops and beehive sessions.
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Data & Evaluation
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Advocacy & Policy Initiatives
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Program Design & Interventions
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Cross-Sector Collaboration
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Engagement & Action for Consumers
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Workforce Development & Leadership
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