Compass PTN Learning Community: Giving Clinicians the Support and Tools Needed to Thrive in Value-Based Care

Des Moines, IA US
April 11, 2018


There is no cost to attend but registration is requested. 

Click here to register.

If you have questions, please contact Norma Haskins at 515-283-9343.

Target Audience

Clinicians who are included in the Centers for Medicare & Medicaid Services (CMS) 2015 Physician Quality Reporting System list of eligible professionals and do not have more than 20 percent of their patient population enrolled in a Medicare Accountable Care Organization or other similar CMS advanced payment model are eligible to participate. 

This includes primary care and specialty physicians, nurse practitioners, physician assistants, optometrists, oral surgeons, podiatrists, chiropractors, clinical social workers, physical therapists and occupational therapists, among others. 

Also, primary and specialty care leadership, administrators, practice managers and staff. Clinics and organizations interested in participating in the Compass PTN are invited to attend.


The American healthcare system is transforming from a volume-based to a value-based reimbursement model. For physicians and other clinicians, the ability to improve process is now key to future reimbursement. Programs like the Physician Quality Reporting System and meaningful use have been early federal attempts to prepare providers for that future. In 2015, the passage of the Medicare Access & CHIP Reauthorization Act of 2015 (MACRA) legislation dramatically stepped up federal efforts to instill performance improvement as a key component of provider reimbursement. With this legislation, provider reimbursement is directly affected beginning in 2019.

Providers can prepare for what is coming. The Transforming Clinical Practice Initiative (TCPi) is a federal program that brings providers and clinics resources to equip them to thrive in this value-based reimbursement world. The Compass Practice Transformation Network (PTN) is executing TCPi locally. Compass PTN participants will advance through five transformation stages of clinic-level performance improvement data to change care delivery. Practices will also engage patients and communities as partners to improve both quality and patient safety.

As an active “learning community” local Compass PTN participants will continue to develop an understanding of the MACRA legislation and a framework for Compass PTN operations. The learning community will spread best practices and lessons learned to enable participants to not only survive, but thrive in the new value-based reimbursement world.

Learning Objectives

  • Establish a clear case and context for transforming clinical practice.
  • Describe the benefits and expectations of participating in the Compass PTN.
  • Explore various strategies that improve quality and patient safety.
  • Engage Compass PTN participants in a meaningful local collaboration that drives transformation and sustainability.


8 amRegistration, Breakfast and Networking Opportunity
This optional time is available for participants to meet and engage in open discussion with Iowa Compass PTN staff and leadership.
8:30 am

Welcome and State of the Union - Year 2 Results
Tom Evans, MD, President and CEO, Iowa Healthcare Collaborative, Des Moines

The Centers for Medicare & Medicaid Services has launched numerous programs and models to help healthcare providers achieve large-scale transformation while striving to help clinicians move from volume-based to value-based patient-centered healthcare services. Dr. Evans will discuss Transforming Clinical Practice Initiative (TCPi) Year 2 results and additional large-scale transformation initiatives.

  • Discuss TCPi and next steps for clinicians and practices.
  • Recognize how these collaborative programs will affect quality improvement and facilitate whole-system transformation.
  • Explore the power of aims-based collaborative learning to achieve new levels of performance.
9 am

Bridging the Gap Between Compass PTN Work and Value-Based Care
Tom Evans, MD, President and CEO, Iowa Healthcare Collaborative
Kari Jones, BSN, RN, Chief Nursing Officer, McCrary Rost Clinics/Stewart Memorial Community Hospital, Lake City
Don Klitgaard, MD, Faculty, Iowa Healthcare Collaborative, Des Moines

Changing reimbursement models have required organizations to change their business models. With the changes in the business model, come changes in care processes with a major impact on financial performance. Value-based healthcare takes a patient-centered approach to care and focuses on outcomes of the population. One of the goals of Compass PTN is to prepare organizations to focus on quality of care and be prepared to thrive in value-based business models. The session is focused on how participating in Compass PTN prepares organizations to be successful in value-based care.

  • Review the goals and objectives of TCPi.
  • Describe the similarities of network goals and being successful in value-based care models.
  • Discuss how the network has helped organizations transition and their current state in the model of care.
10 amBreak
10:15 am 

Responding to Unanticipated Outcomes - A Comprehensive Approach
Seth A. Kervat, MD, FACP, Assistant Vice President, Safety, MedStar Health, Columbia, MD

Unfortunately, serious unanticipated outcomes still occur in healthcare numerous times every day. Historically, the healthcare system has taken a deny-and-defend attitude towards these events, withholding information from patients and families and leaving caregivers without the support they need when being involved in such events. In addition, we have struggled to leverage safety science from other industries to understand the true contributing factors, learn the most from every event and fix problems with the most effective and sustainable solutions. In this session the speaker will describe a comprehensive approach to these events taken by MedStar Health which focuses on a rapid response to disclosure, caring for caregivers and learning as much as possible from every event through an event review process developed through the lens of safety science.

  • Explain three components of the in-depth portion of an event review after a serious unanticipated outcome.
  • Describe three ways an organization can provide peer support to caregivers after an adverse event.
  • Describe the key components of a good disclosure that occur after an adverse event.
  • Discuss the importance of engaging patients and/or families in the event review process.
11:15 am

Person and Family Engagement
Jennifer Sorensen, BA, Quality Improvement Advisor, Iowa Healthcare Collaborative, Des Moines 
Shelia Uhlenhake, RHIA, Community Memorial Hospital, Sumner

Community Memorial Hospital Clinic (CMH) is a small rural health clinic in Sumner that employs two family medicine doctors and a nurse practitioner. Recognizing the need to incorporate and collaborate as partners with persons and their families, CMH clinic formed a Patient and Family Advisory Council (PFAC). The attached hospital was already utilizing a PFAC to improve outcomes and the two systems worked together to establish the council in the outpatient setting. Not only has the organization been focusing on engagement in the clinic, they have been taking their efforts into the community to improve health as a population.

  • Discuss how one community was able to work with patients to implement a PFAC and improvements in care delivery through the collaboration.
  • Review key strategies that have led to a successful engagement of the community and the patients.
  • Explore opportunities to utilize the council in the future.
12 pm


12:45 pm

Changing Care Delivery
William J. Yost, MD, Vice President of Medical Education and Research, UnityPoint Health, Des Moines

Choosing Wisely is a national campaign that focuses on avoiding wasteful or unnecessary medical tests, treatments and procedures. The initiative helps open the conversation between the patient and the provider in choosing their care based on best practice guidelines.

  • Review best practice recommendations that can be used in primary and specialty care settings.
  • Discuss how practices were able to implement guidelines into workflow and how the patients were included in this process.
  • Describe any reductions in testing or procedures after implementation.
1:45 pm

Data in Action
Angi Ellsworth, RN, Director of Quality, Boone County Hospital, Boone
Nicole Gastala, MD, Family Physician, Primary Health Care, Marshalltown
Candice Woods, Director of Quality, Story County Medical Center, Nevada

This panel session will overview the success of practices in utilizing Compass PTN resources. Barriers encountered in transformation efforts will also be discussed.

  • Discuss the obstacles encountered when utilizing EMRs to collect data for performance improvement efforts.
  • Discuss how clinical data is tracked over time.
  • Review how barriers are removed when data doesn’t reflect the desired outcome.
  • Recognize exemplary outcomes due to transparency and incorporation of data into clinical practice.
2:45 pm


3 pm

Creating Margin
Don Klitgaard, MD, Faculty, Iowa Healthcare Collaborative, Des Moines

The healthcare environment is constantly changing and evolving with competing priorities. Practices are stretched with the changing reimbursement models and limited resources to adapt. Using available resources can help ease the burden for the clinician and the team while creating a collaborative environment. Adapting care design is essential in being successful in the change models and this requires incorporating quality methodology. In addition to meeting the requirements of payors, clinicians must also meet the needs of the patient.

  • Discuss how practices prioritize initiatives.
  • Describe the process of changing how care is delivered in the respective organizations.
  • Explore the use of available resources inside and outside of the organization and how these have helped improve care for the patient.
  • Discuss how the patient is included in the care design and the outcomes of these changes.
4 pmAdjourn


    Dress for the conference is business casual. Layered clothing is recommended for your comfort.


    This is a paperless conference. You will be notified via email when the handouts are available online, with a direct link to access the files. Paper copies of handouts will not be available onsite at the conference.


    If you have any dietary restrictions or allergies, please contact Ellen Waller at


    Angi Ellsworth, RN, is the director of quality for Boone County Hospital. She has a background in nursing. Ellsworth graduated with an associate’s degree in nursing and began working as an RN in a small rural hospital. Since then she has worked on a medical-surgical floor, intensive care unit, home health and physician offices. Ellsworth has managed two family practice clinics for 14 years. In 2017, she transitioned into a role at the hospital as the quality and risk management director.

    Tom Evans, MD, is president and CEO of the Iowa Healthcare Collaborative. He practiced family medicine for 13 years and served as chief medical officer for UnityPoint Health. Dr. Evans has served on the board for the National Patient Safety Foundation and on the delegations for both the American Medical Association and the American Academy of Family Physicians. He served as president of both the Iowa Medical Society and the Iowa Academy of Family Physicians. Dr. Evans is a faculty member with the Institute for Healthcare Improvement, the College of Medicine at Des Moines University and the College of Public Health at the University of Iowa.

    Nicole Gastala, MD, a graduate of Loyola University Stritch School of Medicine in Chicago, completed her residency at the University of Iowa in family medicine. She was chief resident in her third year and is board certified in family medicine. Dr. Gastala was also a visiting scholar at the Robert Graham Center in Washington, DC where she focused on health policy analysis relevant to primary care and family medicine. She is currently a family physician at Primary Health Care in Marshalltown. Her interests include treating whole families, including women’s health, children, adults and the elderly with a special focus on preventative health care, group visits, chronic pain and medication-assisted treatment.

    Kari Jones, BSN, RN, the CNO at Stewart Memorial Community Hospital and McCrary Rost clinics, has more than 20 years of nursing experience. After earning her bachelor’s degree in nursing at the University of Iowa she has had experience in multiple departments within outpatient and inpatient nursing. She was named to the Top 100 Nurses in the State of Iowa in 2013.

    Don Klitgaard, MD, FAAFP, has been passionately devoted to the creation and growth of Heartland Rural Physician Alliance, a statewide IPA dedicated to helping independent practices in Iowa thrive in the rapidly changing world of value-based purchasing and healthcare delivery transformation. He currently serves as board president and ACO medical director for both Medicare Shared Savings and Wellmark BC/BS ACOs. In 2014, Dr. Klitgaard transitioned from 16 years of full-scope, rural clinical practice to a new role as vice president, then chief medical officer, of Accountable Care Associates of Springfield, MA, in addition to serving as the national medical director for Healthcare, working with ACCS and PACS. In 2015, he created MedLink Advantage, a healthcare consulting and ACO management company that he leads as CEO. He is also an active member of the AAFP’s Commission on Quality and Practice. Dr. Klitgaard graduated from the University of Iowa College of Medicine and completed his residency at the Lincoln Family Medicine Program in Lincoln, Nebraska.

    Seth A. Krevat, MD, FACP, is the assistant vice president of safety at MedStar Health, an assistant professor of clinical medicine at Georgetown University School of Medicine and an attending physician of palliative medicine at MedStar Georgetown University Hospital. Dr. Krevat was recruited to MedStar Health to lead the development of their comprehensive safety program. He is responsible and accountable for all patient safety and risk reduction programs across MedStar Health. Under his guidance, MedStar has experienced massive culture change: implemented the tools and behaviors of a High Reliability Organization, implemented a new event review process to evaluate serious safety events through the lens of safety science and leveraged the value of increasing numbers of incident reports submitted by MedStar’s workforce. Dr. Krevat received a bachelor’s degree in economics and English from Tufts University and a medical doctorate from Georgetown University School of Medicine.

    Jennifer Sorensen, BA, is a quality improvement advisor at the Iowa Healthcare Collaborative. She graduated from Grand View University with a bachelor’s degree in human services. She has worked in Iowa and Wisconsin with diverse populations in community-based settings for more than 10 years. She has a strong background in behavioral health, disability services, integration of care, criminal justice and community building. Sorensen believes that a higher quality of healthcare builds for excellent quality of life for the community.

    Shelia Uhlenhake, RHIA, is the analytics manager at Community Memorial Hospital in Sumner. She received her bachelor’s degree in health information and informatics management from the College of Saint Scholastica in Duluth, MN. She manages the patient access, insurance, health information and clinic departments in addition to her analytics work. She was the informatics leader and trainer of the EPIC software implementation and the MyChart implementation for the facility. Uhlenhake is an active developer and participant on the Patient and Family Advisory Committee for her facility.

    Candice Woods is the director of quality at Story County Medical Center, a Critical Access Hospital and multifaceted clinic in Nevada. Woods has a degree in industrial engineering from Iowa State University but has spent her 15-year career in the healthcare field, the last 10 years on the forefront of quality metrics and data driven improvement. Previously, as a senior project manager and quality performance analyst for UnityPoint Clinic, she worked closely with frontline clinic staff and IT to provide efficient and effective quality reports. In her current role at Story Medical, she spearheads process improvement projects using various tool, including PDSA and RCA.

    William J. Yost, MD, is the Vice President of Medical Education and Research at UnityPoint Health-Des Moines. A general internist, Dr. Yost has been the program director for the Internal Medicine Residency Program since 2006. After graduating from the University of Iowa College of Medicine, he completed his residency in Internal Medicine at Walter Reed Army Medical Center, remaining an additional year on staff as Chief Medical Resident. He served as a general internist in the Army Medical Corps until he was honorably discharged in 1995, having been awarded the Meritorious Service Medal, National Defense Service Medal, Army Commendation Medal, and Army Achievement Medal (2). He has held numerous teaching positions and has been recognized as an outstanding educator.


    Relevant to the content of this educational activity, the following individuals have no conflict of interests with commercial interests to disclose.

    • Jess Bender, MA, LBBP, BS, RT (MR), ARRT, Planning Committee Member
    • Nicky Carlson, BSN, RN, Planning Committee Member
    • Angi Ellsworth, RN, Speaker
    • Tom Evans, MD, Speaker
    • Nicole Gastala, Speaker
    • Lori Galioto, MSN, RN, CNL, Planning Committee Member
    • Norma Haskins, BS, Planning Committee Member
    • Ellyn Houdeshell, MHA, MLS, (ASPC)cm, Planning Committee Member
    • Kari Jones, BSN, RN, Speaker
    • Melissa Kapping, MSN, RN, CPHQ, Planning Committee Member
    • Seth A. Krevat, MD, FACP, Speaker
    • Katie Pfadenhauer, MA, Planning Committee Member
    • Jennifer Sorensen, BA, Speaker
    • Shelia Uhlenhake, RHIA, Speaker
    • Candance Woods, Speaker
    • Megan Wilshusen, MAE, Planning Committee Member
    • William J. Yost, MD, Speaker

    Relevant to the content of this educational activity, the following individual(s) a conflict of interest with commercial interests to disclose.

    • Don Klitgaard, MD, FAAFP, Speaker - Consultant for MedLink Advantage
    Course summary
    Available credit: 
    • 6.25 AMA PRA Category 1 Credits
    • 6.25 AOA Category 2­A
    • 6.25 CE Contact Hour(s)
    Course opens: 
    Course expires: 
    Event starts: 
    04/11/2018 - 8:30am CDT
    Event ends: 
    04/11/2018 - 4:00pm CDT
    IHA Conference Center
    100 East Grand Avenue
    Des Moines, IA 50309
    United States



    Iowa Hospital Association Conference Center has a discounted Corporate Rate at the listed hotels that attendees can use for overnight accommodations if needed. The discounted rate is being offered to IHC event attendees on a “non-last room” availability, meaning that there are times when this rate will not be available to book due to high demand in the area so it is important to book early if you think you may need arrangements. When calling, please reference the corporate ID.

    Staybridge Suites Des Moines Downtown
    Corporate Rate: $129 per night + taxes
    Telephone: 1-877-238-8889
    Corporate ID #:786828419

    Embassy Suites Des Moines Downtown
    Corporate Rate: $139 per night + taxes
    Telephone: 515-244-1700
    Corporate ID #:560001333


    Continuing Education Credit

    • DO: Des Moines University (DMU) is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing medical education for physicians. DMU designates this program for a maximum of 6.25 AOA Category 2-A credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.
    • MD:  This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Iowa Medical Society (IMS) through the joint providership of Des Moines University (DMU) and the Iowa Healthcare Collaborative. DMU is accredited by IMS to provide continuing medical education for physicians. DMU designates this live activity for a maximum of 6.25 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
    • Other: This live activity is designated for 6.25 AMA PRA Category 1 Credit(s)TM

    Educational Grants

    The Compass Practice Transformation Network is supported by Funding Opportunity Number CMS-1L1-15-003 from the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the views of the U.S. Department of Health and Human Services or any of its agencies.


    Everyone in a position to control the content of this educational activity will disclose to the CME provider and to attendees all relevant financial relationships with any commercial interest. They will also disclose if any pharmaceuticals or medical procedures and devices discussed are investigational or unapproved for use by the U.S. Food and Drug Administration (FDA). Determination of educational content and the selection of speakers is the responsibility of the activity director. Firms providing financial support did not have input in these areas. The information provided at this CME activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The content of each presentation does not necessarily reflect the views of Des Moines University.

    Available Credit

    • 6.25 AMA PRA Category 1 Credits
    • 6.25 AOA Category 2­A
    • 6.25 CE Contact Hour(s)


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