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Colloquium Program

The detailed program, including most of the session descriptions, speaker names and credentials, is now available for download. It will be updated as additional information is available.

For easy online viewing, see the program grid below. Updated 03/24/17

 

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Monday, May 8, 2017 – Afternoon

1:00 - 4:30 p.m. – Preconference Workshop

Transform Your Work Relationships Right Now! A Leadership Practice

For all leaders, complexity and stress tend to impede creativity and resilience in tackling day-to-day problems. In particular, relational issues such as conflict, resistance, and non-collaborative behaviors are very common and can be especially hard to address in the moment.

This workshop, led by Neil Baker, MD, offers evidence-informed strategies to tap into your highest skills and values when you most need them — right now! Case situations will be used to practice thinking through how to transform work relationships as you work toward results. While not easy, this practice enables more clarity, confidence, and agility in the moment.

Designed primarily for physician, administrative, nursing, and quality leaders, but open to all health care professionals. Learn more about Dr. Baker.


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Tuesday, May 9, 2017 – Morning

8:50 - 9:55 a.m. – Keynote Address

Transforming Lives: The Art of Person-Centered Care

Allison Massari will kick off the conference by taking us on a journey, offering tools to rise above any obstacle, and find peace, purpose, and happiness despite turbulent times. As the survivor of two life-threatening car accidents, Massari shares her story of absolute loss, to forgiveness and understanding. She illuminates how compassionate, patient-centered care can build an expansive, life-changing foundation for healing, for both patient and provider.

With sensitivity and compassion born from her experiences, Massari shines light on the provider’s immense value to a patient who is suffering, reinvigorating employees and helping heal health care burnout in the workplace. As an advocate for both patient and health care provider, Massari’s powerful understanding of the essential nature of patient-centered care fortifies audience members, offering applicable tools for managing change, adversity, and the everyday challenges of being human. Learn more about Allison Massari.

10:15 - 11:10 a.m. – Breakout Session 1

Team Approaches to Implementing Tobacco Health Systems Change
Tammy Didion, BD, RS; Jill Doberstein, MA, CTTS; and John Schmitz, MD

Health care provider organizations play a key role in addressing tobacco use by ensuring tobacco dependence treatment is fully integrated into health care delivery. Teams are essential to the success of this work. This presentation will highlight tobacco systems change initiatives funded by ClearWay MinnesotaSM. Panelists represent two large rural integrated health systems and a large urban health system. Each panelist will discuss their approach to systems change, including:

  • Innovative ways teams undertook this work;
  • Example work flows and standard operating procedures; and
  • Electronic health record modifications.

By the end of this session, participants will be able to:

  1. Identify systems change strategies to assess and address tobacco.
  2. Identify ways to take a team approach to improve care delivery processes for addressing tobacco use.

Community Engagement: The Power of Story – Part 1
Dave Ellis

Join us in a conversation with community members who will share their stories of engagement with the health care community. We will explore the questions of:

  1. Who are we and why are we really here?
  2. What causes lack of follow-up with treatment?
  3. New possibilities and opportunities for engagement.
  4. Do my mental models get in the way?

Roadmap to Provider Wellness
Elizabeth Goelz, MD; and Sara Poplau, BA

This session will focus on practices that have worked at Hennepin County Medical Center and are being used across the country. We will provide background research on the subject, possible interventions and outcomes, and ways to partner for organizational change.

At the end of the session, participants will be able to:

  1. List known methods to prevent burnout
  2. Identify ways to implement a wellness program at their institution
  3. Develop a network of like-minded wellness colleagues at their institution to support provider wellness

11:20 a.m. - 12:15 p.m. – Breakout Session 2

When More is More
Ilene Moore, MD; and Sara Zumbado, RN

The presenters discuss their clinic change to an all 30-minute appointment model for primary care medical visits, including the PDSA cycle they used as well as operational and quality outcomes.  The presenters will highlight how organizational culture and leadership impacts change and quality improvement.

Learning objectives for the audience include:

  • Identifying how a single appointment length increases efficiency in scheduling.
  • Understanding how an extended appointment time can increase access to providers, resources, and enabling services.
  • Understanding the operational and cultural commitment needed to implement organizational change.

Community Engagement: The Power of Story– Part 2
Dave Ellis

Join us in a conversation with community who will share their stories of engagement with the health care community.  Explore the questions of:

  1. Who are we and why are we really here?
  2. What causes lack of follow-up with treatment?
  3. New possibilities and opportunities for engagement.
  4. Do my mental models get in the way?

Making MACRA Work: Transforming Care Across the Community
Elizabeth Mitchell

The health policy landscape is changing daily and charting a course for success is an increasingly complex task. But the basic facts remain the same: we need better care at lower cost. MACRA creates a framework for important changes in care and payment and the commercial market has accelerated its movement to value based care. Whichever form this takes, regions need to prepare for change and build the fundamentals to help their communities succeed in the new environment.


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Tuesday, May 9, 2017 – Afternoon

1:15 - 2:10 p.m. – Breakout Session 3

Power Up Your Care Manaegment
Tami Hemmila, MS, BSW; Todd Hinnekamp, RN, BA; and Jeyn Monkman, MA, BSN, NE-BC

Minnesota health care systems have been practicing care management for years – now how can you better serve patients with complex needs, increasingly necessary as population outcomes become important for value-based payment? Drawing in part from COMPASS, DIAMOND, and various other care management experiences, we’ll discuss five key components to a highly effective care management program and share practical tips and tools.

Impact of Lay Health Care Workers in Palliative Care
Vivian Anugwom; Paul Erickson, MD, MPH; and Sandra Schellinger, MSN, NP-C

A small portion of Medicare beneficiaries account for half of Medicare spending; 40% of this is attributable to persistent high spending on serious illness. These high costs are coupled with a shrinking supply of specialty-trained palliative clinicians.

LifeCourse is an innovative, upstream palliative care model that addresses this increased demand and workforce crisis by integrating lay health care workers into the care team. The learning objectives of this session are to (1) highlight the model’s impact on quality of life, experience and utilization outcomes and (2) discuss the practical strategies for implementation within traditional health care delivery systems and urban community-based clinics.

New Approaches to Measuring Quality for Complex Populations
Erin Giovannetti, PhD

This session will explore innovative approaches to measuring the quality of care for complex older adults based on individualized outcomes and goals of care.

2:30 - 3:25 p.m. – Breakout Session 4

Title Forthcoming
A community panel presentation and dialogue on the why and how of successful community engagement.

Speakers and full description coming soon.

Connecting Health Care Providers and Community Based Organizations
Laurence Gross; and Ted Rooney, RN, MPH

Payment reform, evolving measurement, and increasing recognition of the social determinants of health are creating new opportunities for providers to deliver better care for seniors and those with chronic illness and disabilities.

  1. Understand how payment reform and recognition of social determinants of health are creating new opportunities for providers to successfully deliver better care.
  2. Understand how evolving measurement will help further these efforts.
  3. Learn how health care providers and community based organizations are working together in Maine and elsewhere to improve care for communities.

Multidisciplinary Approaches to Pain and Opioid Management
Joseph Bianco, MD; Michael Hootel, MD; Charles Reznikoff, MD; and David Thorson, MD

This panel of work group members for ICSI’s new Pain guideline will present examples of how they have incorporated a team approach within their settings to implement the ICSI guideline, Pain: Assessment, Non-Opioid Treatment Approaches and Opioid Management.

Objectives of this session include:

  1. Understand the components of effective non-opioid approaches to pain management in adults with non-cancer pain.
  2. Learn the optimal use of a multidisciplinary team approach to management of patients with chronic pain.  
  3. Comprehend new approaches for managing a patient who is already on opioids for chronic pain.

3:35 - 4:30 p.m. – Breakout Session 5

Improving Health Outcomes Through Trauma Informed Care
Michael Thomas, PsyD, LP

Psychological trauma is increasingly recognized as a widespread public health problem deeply impacting the wellness of those served by health professionals. While the Adverse Childhood Experiences (ACE) study has illuminated the prevalence and impact of adversity on health, providers struggle to use this information to inform clinical practice and improve patient health outcomes.

Participants attending this lively and thought-provoking presentation will:

  1. Learn about the Adverse Childhood Experiences study.
  2. Gain an in-depth understanding of the neurophysiology of traumatic stress.
  3. Consider valuable strategies to implement trauma informed care practices to improve patient health outcomes.

The Buzz: Patients and Clinicians On the Same Team – Let's Talk!
Panel Participants: Bill Adams, Lynn Everling, Foua-Choua Khang, Amanda Matchett, Valerie Overton, DNP, FNP-BC, and Marguerita Scott
Moderators: Rochelle Hayes, BA, Jeyn Monkman, MA, BSN, NE-BC; and Jan Schuerman, BS, MBA

Do you ever get the impression that patient and clinician communication wires are getting crossed? What do patients and clinicians want from each other, anyway? On “The Buzz,” the stage is set for a panel of patients and clinicians to truly listen to and learn from one another.
Learn how you can have transparency through honest conversations. Listen and observe what can happen when you include patients in everyday care processes. Join us and begin to see how your organization can embrace the role of the patient as central to your care team.

Objective(s)

  1. Identify approaches that promote transparent conversations between patients and clinicians
  2. Learn new ways your organization can involve the patient as a central player on your care team.

Health Plan Promotion of Shared Decision-Making in California
Marcus Thygeson, MD, MPH

Shared decision-making is an evidenced-based method for helping providers and patients make preference-based medical decisions; but it has been very difficult to implement in practice.  Dr. Thygeson will describe several initiatives implemented by Blue Shield of California to promote the adoption of shared decision-making using utilization management and measurement of decision process quality.


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Wednesday, May 10, 2017 – Morning

7:30 - 8:30 a.m. – Breakfast Session

Priming the Pump: Activate the Team, Accelerate Improvement
Sarah Horst Evans, MA; and Tani Hemmila MS, BSW

Why do most quality improvement (QI) efforts fail? Too often, the importance of teaming with and engaging those affected by the change is dismissed or minimized. In the SIM Team QI Learning Community, led by the Institute for Clinical Systems Improvement, five rural organizations in West Central Minnesota revitalized change efforts by focusing first on teamwork skills and equipping everyone with simple QI tools that can be applied by anyone to any problem.  This session will discuss lessons learned from this successful program and show you the tools participants used to infuse a spirit of collaboration into their work.

8:45 - 9:50 a.m. – Keynote Address

Revitalizing Primary Care through Relational Leadership

Dr. Andrew Morris-Singer, a primary care physician, advocate and founder of the nonprofit Primary Care Progress, will discuss strategies for achieving the true interdependent and high performing care teams that are increasingly necessary in our rapidly evolving health systems. Drawing on insights from both health care and grassroots organizing, Dr. Morris-Singer will highlight some of the key relational leadership practices essential to achieving both success of teams and satisfaction of team members, and how they can act as a powerful complement to the more structural and process interventions increasingly being utilized in contemporary quality improvement efforts.

Audience members will walk away inspired with a new set of ideas for how to transform care and revitalize themselves and colleagues at the same time. Learn more about Dr. Morris-Singer.

10:10 - 11:05 a.m. – Breakout Session 6

Title Forthcoming
Robert Schreiber, MD

A national perspective on how to use the Patient Centered Medical Home model to engage a community in improving care outcomes.

Speakers and full description coming soon.

Community Team: The Journey to 'Feeling Good MN'
Jodi Gertken, BS; George Morris, MD; and David Tilstra, MD, MBA, CPE

CentraCare Health is using the power of community to improve health and wellness in Central Minnesota.  The efforts began over 10 years ago and have led to the development of Feeling Good MN and multiple community health efforts.  Community focused policy, system and environment changes are a cost-effective, sustainable solution to help everyone live better.  These initiatives can help people live healthier, be more productive, reduce health care costs, and are part of our strategic goals.

This presentation will provide an overview of the journey CentraCare Health has been leading to improve community health, reduce childhood obesity, and prevent tobacco use. Together with our community partners, CentraCare Health is creating healthier communities throughout Minnesota by collectively working to make healthy options automatic, affordable and accessible for everyone.

Learning Objectives

  1. Understand the basics of community engagement to advance health outcomes.
  2. Recognize how to integrate a diverse group of partners to address complex community health issues.
  3. Utilize examples/tools provided to apply lessons learned.

Transforming Relational Barriers to Change: A Leadership Practice
Neil Baker, MD

High-performing teamwork depends on open, honest conversations with the safety to express concerns and disagreement. But, such conversations are very hard to sustain within the stress and complexity of health care. Even very successful leaders and teams can fall into problematic ways of relating and communicating. Participants will learn why this is so common, a personal practice for monitoring and transforming such reactions, and principles for effective conversations in tough situations.  A condensed version of Monday’s workshop.

Learning Objectives

  • Describe the neuroscience behind problematic reactions to stress.
  • Explain a practice to monitor oneself and move out of unproductive reactions.
  • Identify principles to make conversations less vulnerable to stress.

11:15 a.m. - 12:10 p.m. – Breakout Session 7

How One Primary Care Practice Is Transforming How They Work
Lara Lunde, MD; and Julia Murphy

Essentia Health-Moorhead is implementing a high-performance model of care with support from the Peterson Center on Healthcare and ICSI.

The Essentia Health-Moorhead Clinic is implementing a high-performance model of care with support from their health system leadership, the Peterson Center on Healthcare, the Institute for Clinical Systems Improvement and a group of national experts in primary care.

Using an evidence-based curriculum developed by the Center, the practice is surfacing its own goals and learning how to apply improvement methodologies to transform how they work.  The clinic is one of three practices participating in this initiative and is providing the Center with a better understanding of how to sequence and refine key elements of the model so that it is more efficient and adaptable to other practices.

Learning Objectives

  • Describe the process that engages the workforce in practice transformation.
  • Identify ways to increase capacity and synergy among providers, care teams and system leadership.
  • Share lessons learned from implementing foundational modules.

M Health Community Network: Implementing Coordinated Care for IPV Survivors
Lynne Fiscus, MD; Mary Logeais, MD; Lynette Renner, PhD, MSW; Lucille Rosario, MSW, LICSW; and Rebecca Shore, LICSW

Intimate partner violence (IPV) is a significant public health concern with numerous health consequences.  Recent clinical guidelines, as well as the Institute of Medicine’s focus on social determinants of health, suggest that health care providers should be routinely screening for IPV. This presentation will provide an overview of an organizational initiative to implement a community-coordinated approach to screening, response and referral across multi-specialty clinics for IPV survivors, with the aim of decreasing health care utilization, reducing victimization, improving health outcomes, and increasing provider knowledge – core tenants of the Triple Aim.

Learning Objectives

  • Better understand the background and scope of IPV and how it affects health.
  • Gain insights about implementing large scale organizational quality initiatives focused on social determinants of health.
  • Investigate new models of coordinated health care delivery with community-based partners.

Solving Wicked Problems Together
Laurie Bell, PT, MHA; Allyson Fortin, RN; Jill Goring, APRN, CNS; and Hilary Radtke, MBA

While dedicated innovation teams have become popular in health care, we are instead working to embed capacity for radical transformation across all roles in our organization. Interdisciplinary teams apply performance improvement for known best practice and utilize human-centered design to address more persistent challenges.

We propose that leveraging multidisciplinary expertise will result in more sustainable solutions to health care’s wicked problems. A panel will discuss the shift from a culture of silos to empowered transformation. Attendees will learn why embedding process improvement and human-centered design strategies increases the ability to solve problems sustainably, anticipate challenges, and develop strategies for addressing them.


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Wednesday, May 10, 2017 – Afternoon

1:10 - 2:05 p.m. – Breakout Session 8

FUHN’s Journey with Minnesota’s Integrated Health Partnerships
Steven Knutson; and Deanna Mills, MPH

The Affordable Care Act put primary care in the center of health care reform.  Federally Qualified Health Centers (FQHCs) comprise the nation’s largest primary care network, serving more than 24 million patients.  In 2013, as the first safety net Accountable Care Organization (ACO) in the nation, Minnesota’s FQHC Urban Health Network (FUHN) had no blueprint to chart its course.

There is an incredible opportunity for FQHCs to improve care for vulnerable populations through data analytics, enhanced care coordination, and information technology conduits to other health care providers. Attendees will learn:

  • Development of data analytics technology.
  • Workforce training for team-based care and care coordination.
  • Process improvement as a necessary component of clinical practice transformation.   
  • Patient engagement is a critical component especially for those who experience health disparities.

An Emerging Network for Well-Care in Minnesota
Aaron Leppin, MD, MSc; and Dawn Simonson, MPA

WellConnect implemented evidence-based practices across Minnesota using a community driven perspective.

Learning Objectives

  1. Be able to describe the outcome and cost benefits of evidence-based programs for disease management, falls prevention, and diabetes prevention.
  2. Be familiar with a currently funded effort to organize a statewide, community-based network of these programs in Minnesota.
  3. Know how to use this newly-developed, web-based technology to clinically integrate these programs and facilitate referrals.

Deep Community Engagement: Rapid City Collective Impact
Albert Linderman, PhD

Rapid City Collective Impact brings together nonprofits, government, business, faith communities, health care, and citizens to improve life and living in Rapid City. The city experiences many of the intractable problems communities everywhere face. We are addressing these using community based system dynamics. With our many stakeholders we created a dynamic model of key subsystems within the community. Action groups were formed and currently we are beginning several new initiatives. This session will:

  1. Provide an overview of collective impact.
  2. Describe our deep community engagement process.
  3. Show how system dynamics models can be created.

2:15 - 3:10 p.m. – Closing Session

Alive and Kickin – Embrace the Power of Stories and Song
Closing the Colloquium like never before, experience the power of story, music and song with award-winning senior rock stars, Alive & Kickin. The group, 65-92 years young, exemplifies teamwork, and improving health beyond traditional walls. Prepare to be energized and inspired as you return to the important work of improving health in our communities! Learn more.

3:10 - 3:30 p.m. – Gary's Book Giveaway

Former ICSI staffer Gary Oftedahl's annual list of must-read titles. You must be present to win!