Skip to main content
Off canvas
  • Home
  • Change Agents
  • Session Details
change agents logo

Plenary Session:

The Conversation: A Revolutionary Plan for End-of-Life Care

Angelo E. Volandes, MD, MPH, Co-Founder and President of Advance Care Planning Decisions

A key ingredient to informed patient-doctor discussions regarding end-of-life care includes the patient's ability to understand and imagine hypothetical disease states and medical interventions. However, studies suggest that there are numerous barriers to communication between doctors and patients. One innovation to surmount these barriers includes using video decision aids to reinforce end-of-life conversations. Dr. Volandes leads a group of internationally recognized researchers who create and study video decision aids to empower patients and families to make informed decisions at the end of life. www.ACPdecisions.org

Learning Objectives

  1. To define advance care planning and patient-clinician communication
  2. To discuss barriers to good communication
  3. To identify tools to surmount those barriers and improve the patient-clinician relationship

Sources provided by Angelo Volandes, M.D.

OpenNotes: A Patient’s Perspective and Health System Implementation Issues

Liz Salmi, Senior Multimedia Communications Manager, OpenNotes; John Santa, MD, MPH, Director of Dissemination, OpenNotes; Deborah Wachenheim, MPP, Manager of Stakeholder Engagement, OpenNotes

Patient advocate Liz Salmi will describe her inspiring journey battling brain cancer and her thoughts and recommendations on how to improve the health care delivery system. Dr. John Santa and Deb Wacenheim will present the OpenNotes national initiative and how this will improve patient engagement and the quality of health care in Utah.

Learning Objectives

  1. Learn more about the OpenNotes movement nationally and in Utah
  2. Learn how access to notes benefits patients
  3. Learn how health systems have implemented OpenNotes and issues a system must consider, including how to effectively inform patients and families about OpenNotes

Ethnodrama

Portrait of a Caregiver is a 45 minute dramatic presentation performed by professional actors and produced by Walk-Ons, Inc., a non-profit theatre company dedicated to bringing theatre to underserved audiences or for groups of people meeting specific social needs.

This presentation is an ethno drama researched and created by Jaqueline Eaton, PhD of the University of Utah College of Nursing. Dr. Eaton spent many hours interviewing caregivers and recording their experiences. The words of the script are the actual words of the people interviewed. It is a collage of the experiences, feelings, frustrations and joys of these caregivers.

The purpose of the project is to humanize the care giving experience and let people (those caring for loved ones and those who may do so in the future) realize that they are not alone and their feelings, even the negative ones are valid.

Lunch

The 2017 HealthInsight Physician Office Quality Awards will be presented during lunch.

Also happening during lunch with be a Patient and Family Advisory Council session that will include a presentation from the OpenNotes team, as well as networking opportunities for Patient and Family Advisory Council members.

Breakout Sessions

Our breakout sessions will feature two tracks, one for health care staff and providers, and one for our Patient and Family Advisory Council (PFAC) attendees. Some sessions will be open to both audiences.

Session #1

Strategies for Increasing Colorectal Cancer Screening in Utah (Health Care Provider Track)

More information to come.

Body, Mind & Spirit: Holistic Care in Health Care (Health Care Provider AND PFAC Track)

This breakout session will feature a diverse panel of local spiritual leaders and will include a group discussion on holistic perspectives, specifically success and challenges in our current health care system.

The Opioid Crisis: We Are All In This Together (Health Care Provider AND PFAC Track)

Participants will understand the scope of the opioid crisis in Utah, the role they play and what they can do to impact the epidemic.

MIPS and HIPAA: What You Should Know (Health Care Provider Track)

In this session we will review the Security Risk Analysis Transition Measure of the MIPS 2017 Advancing Care Information Performance Category.

Session #2

Addressing the Opioid Crisis: A Clinical Perspective (Health Care Provider Track)

Participants will learn clinical strategies to curbing the opioid epidemic: guideline implementation, alternate treatments for pain management, and opioid treatment services available in Utah.

Patient and Health Care Worker Safety- An Integrated Approach (Health Care Provider Track)

More information to come.

The ABCs of Using and Leveraging Patient Engagement Strategies in Your Organization (PFAC Track)

More information to come.

Telling Your Story in an Effective Manner to Different Audience (PFAC Track)

More information to come.

Welcome and Opening Remarks

Margy Wienbar, Executive Director HealthInsight New Mexico

The opening presentation will describe the changing New Mexico health care landscape and the need to focus on patient experience. In an uncertain environment it is comforting to remain committed to quality and improvement.

Learning Objectives

  1. Explain the role of HealthInsight in the New Mexico landscape
  2. Define the importance of the patient experience

Welcome Slides


The Conversation: A Revolutionary Plan for End-of-Life Care

Angelo E. Volandes, MD, MPH, Co-Founder and President of Advance Care Planning Decisions

A key ingredient to informed patient-doctor discussions regarding end-of-life care includes the patient's ability to understand and imagine hypothetical disease states and medical interventions. However, studies suggest that there are numerous barriers to communication between doctors and patients. One innovation to surmount these barriers includes using video decision aids to reinforce end-of-life conversations. Dr. Volandes leads a group of internationally recognized researchers who create and study video decision aids to empower patients and families to make informed decisions at the end of life. www.ACPdecisions.org

Learning Objectives

  1. To review advance care planning and patient-clinician communication
  2. To discuss barriers to good communication
  3. To explore tools to surmount those barriers and improve the patient-clinician relationship

Sources provided by Angelo Volandes, M.D.

More Information on Dr. Volandes' book, "The Conversation"


Joy in Work: A Path to Meaning, Purpose and Exceptional Outcomes

Barbara Balik, EdD, RN, Principal, Common Fire Healthcare Consulting; Senior Faculty, Institute for Healthcare Improvement

Barbara Balik uses a a human-centered co-design approach to work with health care leaders to generate flourishing cultures and exceptional outcomes by integrating patient and family experience, safety, quality and joy in work. This session will explore the true definition of joy in work – it's not simply the absence of burnout – and the links between joy in work and safety culture. The group will explore what we know about healthy work environments and what leaders can do to create and sustain them. Finally, we'll think about the connection between joy in work and outcomes: finding out what matters and taking practical lessons from the field into each of our work environments.

Learning Objectives

  1. Identify signals of burnout, describe joy in work, and articulate the link between burnout and joy in work to patient outcomes
  2. Describe why leaders in all roles need to nurture joy in work
  3. Identify and create three actions steps to impact joy in work to assure colleagues feel meaning, choice, camaraderie and equity

Joy in Work Slides


Why Won't They Change? Motivational Interviewing Theory and Skill Building

David Forman, LMSW, CASAC, Motivational Interviewing Expert; Doctoral Student, University of New Mexico Department of Psychology

Motivational interviewing is a goal oriented, client-centered counseling style for eliciting behavior change by helping clients explore and resolve ambivalence. In this session David Forman will describe the model to participants and allow experience of the four basic interaction skills necessary to evoke motivation and make positive changes.

Learning Objectives

  1. Answer the question, "What is Motivational Interviewing?" 
  2. Identify relevant areas of their own work where MI would be useful 
  3. Have an experience of the "spirit" of MI through direct participation 
  4. Identify some of the core concepts explaining MI's effectiveness 
  5. Have an overview of the four processes of MI 
  6. Have knowledge of next steps for pursuing further MI knowledge and skill 

 

Welcome and Opening Remarks

Mylia Christensen, Executive Director, HealthInsight Oregon

Plenary Session:

The Conversation: A Revolutionary Plan for End-of-Life Care

Angelo E. Volandes, MD, MPH, Co-Founder and President of Advance Care Planning Decisions

A key ingredient to informed patient-doctor discussions regarding end-of-life care includes the patient's ability to understand and imagine hypothetical disease states and medical interventions. However, studies suggest that there are numerous barriers to communication between doctors and patients. One innovation to surmount these barriers includes using video decision aids to reinforce end-of-life conversations. Dr. Volandes leads a group of internationally recognized researchers who create and study video decision aids to empower patients and families to make informed decisions at the end of life. www.ACPdecisions.org

Learning Objectives

  1. To review advance care planning and patient-clinician communication
  2. To discuss barriers to good communication
  3. To explore tools to surmount those barriers and improve the patient-clinician relationship

Sources provided by Angelo Volandes, M.D.

 

“Pitch Your Change” Competition

Facilitators: Kate Elliott, Senior Director of Engagement, HealthInsight Oregon
Rebekah Bally, MPH, CPH, Facilitation & Improvement Specialist, HealthInsight Oregon

HealthInsight is providing an opportunity for conference participants to compete for a $1,000 Grand Prize to support a health care quality improvement or transformation project of their own design. Participants will pitch their project concept to the conference audience, who will vote to select the winning proposal.

Pitch Presenters and Topics:

Proposal 1: Community Paramedicine

  • Pitched by Clackamas Fire
    Related topics: care coordination; chronic disease self-management and prevention
    Website: www.clackamasfire.com

 

Proposal 2: Teen SWAG Night: Student Wellness and Games

  • (A Coordinated Adolescent Wellness Program)
    Pitched by SNACK Program, a program of the Western Oregon Center for Pediatric Therapeutic Lifestyle Change
    Related topics: care coordination; Merit-based Incentive Payment System (MIPS)
    Website: www.snackprogram.org; Facebook.com/thesnackprogram

 

Proposal 3: Regional Social Determinants of Health Network

 

Proposal 4: Phones for Mountain View Medical Center Clinical Pharmacy Integration

  • Pitched by Mountain View Medical Center
    Related topics: care coordination; chronic disease self-management and prevention; end-of-life care; Merit-based Incentive Payment System (MIPS); opioids and alternatives
    Website: www.mountainviewmed.com/clinical-pharmacy-services

 

Proposal 5: Sleep Improvement

  • Pitched by Avamere Skilled Advisors
    Related topics: chronic disease self-management and prevention
    Website: www.avamere.com

 

Session 1.1: Perspectives on Advance Care Planning

Seiko Izumi, MSN, PhD, Assistant Professor, School of Nursing, Oregon Health & Science University

Other Panelists TBA

Facilitator: Susan Yates Miller, MPA, Senior Program Director, HealthInsight Oregon

Elaborating on Dr. Volandes’ plenary topic, invited presenters with experience in different aspects of end-of-life care will share perspectives including patient engagement and an enhanced nursing role and competency in advance care planning.

Presentation slides

Session 1.2: MIPS Today: 101 & 201

Seema Rathor, Practice Facilitator, HealthInsight Oregon
Christopher Wells, MPH, Practice Facilitator, HealthInsight Oregon

Medicare’s Merit-based Incentive Payment System (MIPS) is profoundly changing the way medical practices and others are compensated by the nation’s largest health care payor. Join this session to learn about the technical nuances of MIPS and what different staff in practices and critical access hospitals need to know to support optimal participation for scoring and reimbursement.

Presentation slides

Nine-Step Guide to Reporting in the Merit-based Incentive Payment System

Session 1.3: Movin’ on Upstream: Diabetes Prevention Program in Oregon

Tracy Carver, MPA, Program Director, HealthInsight Oregon
Nancy Goff, Health Systems Policy Specialist, Health Promotion and Chronic Disease Prevention Section, Oregon Health Authority

Presentation slides

Session 2.1: Team-Based Care and Accessing Non-Opioid Treatment for Chronic Pain

Catriona Buist, PsyD, Assistant Professor in Anesthesiology and Psychiatry, OHSU; Chair, Oregon Pain Management Commission
Nora Stern, MSPT, Program Manager, Providence Persistent Pain Project, Providence Health & Services, and Member, Oregon Pain Management Commission

The opioid epidemic impacts nearly every segment of health care and challenges providers to find new and empathic ways to work with patients in pain. This session will describe how to approach difficult conversations for addressing opioid use with patients or nursing home residents and families, with opportunity for interactive practice.

Presentation slides: Contact HealthInsight to request.

Session 2.2: MIPS Tomorrow: Looking Forward to 2018

David Smith, MBA, HIT Project Manager, HealthInsight Oregon

David assists Oregon providers in navigating the details of Medicare’s Merit-based Incentive Payment System and planning next steps for the future. In this session he shares what to expect in 2018, plus an overview of assistance HealthInsight staff can provider to support MIPS reimbursement going forward.

Presentation slides

Session 2.3: Community Care Coordination via Health IT

Justin Keller, JD, MPH, Director of Network Operations, Collective Medical Technologies

Justin assists health care providers in implementing Emergency Department Information Exchange (EDIE) and PreManage, electronic interfaces that help providers track and review patient encounters across the care continuum. Join this session to learn how EDIE and PreManage can assist you in improving care coordination across settings.

Presentation slides: Contact HealthInsight to request.

 

 

 

 

 

Session 1: Health Care Today: A National, State and Local Snapshot

Speaker: Deborah Huber, executive director, HealthInsight Nevada

Learning objectives:
By attending this session, participants will be able to:

  • Discover how new and ongoing health care initiatives across the nation impact health care providers and patients and how the community can prepare for these changes
  • Identify opportunities for change within their own setting and a plan for action
  • Identify resources for learning more, among colleagues and the HealthInsight team
Session description: A broad-scale look at national health care priorities, what these priorities mean for front-line providers and how to prepare for change.

 

Session 2: Caring for the Caregiver

Speaker: Tembi Locke, actor, author and founder of The Kitchen Widow

Learning objectives:
By attending this session, participants will be able to:

  • Illustrate the caregivers’ perspective of the current health care experience
  • Sketch the four guiding principles of patient- and family-centered care
  • Raise awareness about the importance of supporting each other through illness and grief
Session description: Actor, mom, writer, artist, chef's wife and now a young widow, Tembi Locke shares her story detailing her passionate love affair with her husband and the heart-rending diagnosis that taught her how grief can "transform" and resilience "emerge!" Her creation, The Kitchen Widow, is a modern take on the age-old kitchen table conversation – an inspirational online platform dedicated to raising awareness about how we can support each other through times of illness and grief. Tembi reminds audiences to reclaim the lost art of comforting the soul. Using the tools Tembi learned at the side of a chef, she chops, tastes and transforms the raw ingredients of loss and gratitude into something generous and sustaining.

 

Session 3: Becoming Conversation-Ready: A Framework for Improving End-of-Life Care

Speaker: Kelly McCutcheon Adams, senior director, IHI

Learning objectives:
By attending this session, participants will be able to:

  • Demonstrate the importance of having the conversation from the personal, professional and system perspectives
  • Identify the barriers to having end-of-life care conversations and the strategies to promote action
  • Develop an action plan that includes both a personal and professional conversation
Session description: The Conversation Project is dedicated to helping people – patients and providers alike – talk about their wishes for end-of-life care. Together we can make difficult conversations easier and can make sure that our own wishes and those of our loved ones and our patients are expressed and respected.

 

Session 4: Resiliency and Sustainable Change

Speaker: Mike Silver, vice president of scientific affairs, HealthInsight

Learning objectives:

  • Discover key findings from the emerging field of positive psychology and implications for reducing burn out in health care
  • Identify one specific resiliency-building technique
  • Have a toolkit for enhancing resiliency in their workplace
Session description: Burnout among health care providers has a significant negative impact on health care – on compassion, performance, patient centeredness – and can be a significant barrier to improvement and innovation efforts. The new science of positive psychology offers insights into approaches to building staff resiliency and thereby reducing burnout. This session will review key positive psychology principles on sources of resiliency. We will illustrate one resiliency-building technique and provide participants with practical toolkit that they can implement in their organization.

 

Conversations About Caregiving

Session 1: Health Care Today: A National, State and Local Snapshot

Speaker: Deborah Huber, executive director, HealthInsight Nevada

Learning objectives:
By attending this session, participants will be able to:

  • Discover how new and ongoing health care initiatives across the nation impact health care providers and patients and how the community can prepare for these changes
  • Identify opportunities for change within their own setting and a plan for action
  • Identify resources for learning more, among colleagues and the HealthInsight team
Session description: A broad-scale look at national health care priorities, what these priorities mean for front-line providers and how to prepare for change.

 

Session 2: Caring for the Caregiver

Speaker: Tembi Locke, actor, author and founder of The Kitchen Widow

Learning objectives:
By attending this session, participants will be able to:

  • Illustrate the caregivers’ perspective of the current health care experience
  • Sketch the four guiding principles of patient- and family-centered care
  • Raise awareness about the importance of supporting each other through illness and grief
Session description: Actor, mom, writer, artist, chef's wife and now a young widow, Tembi Locke shares her story detailing her passionate love affair with her husband and the heart-rending diagnosis that taught her how grief can "transform" and resilience "emerge!" Her creation, The Kitchen Widow, is a modern take on the age-old kitchen table conversation – an inspirational online platform dedicated to raising awareness about how we can support each other through times of illness and grief. Tembi reminds audiences to reclaim the lost art of comforting the soul. Using the tools Tembi learned at the side of a chef, she chops, tastes and transforms the raw ingredients of loss and gratitude into something generous and sustaining.

 

Session 3: Becoming Conversation-Ready: A Framework for Improving End-of-Life Care

Speaker: Kelly McCutcheon Adams, senior director, IHI

Learning objectives:
By attending this session, participants will be able to:

  • Demonstrate the importance of having the conversation from the personal, professional and system perspectives
  • Identify the barriers to having end-of-life care conversations and the strategies to promote action
  • Develop an action plan that includes both a personal and professional conversation
Session description: The Conversation Project is dedicated to helping people – patients and providers alike – talk about their wishes for end-of-life care. Together we can make difficult conversations easier and can make sure that our own wishes and those of our loved ones and our patients are expressed and respected.

 

Session 4: Resiliency and Sustainable Change

Speaker: Mike Silver, vice president of scientific affairs, HealthInsight

Learning objectives:

  • Discover key findings from the emerging field of positive psychology and implications for reducing burn out in health care
  • Identify one specific resiliency-building technique
  • Have a toolkit for enhancing resiliency in their workplace
Session description: Burnout among health care providers has a significant negative impact on health care – on compassion, performance, patient centeredness – and can be a significant barrier to improvement and innovation efforts. The new science of positive psychology offers insights into approaches to building staff resiliency and thereby reducing burnout. This session will review key positive psychology principles on sources of resiliency. We will illustrate one resiliency-building technique and provide participants with practical toolkit that they can implement in their organization.