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.

PROGRAM OVERVIEW

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.

Agenda

PROGRAM NOTES

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

HANDOUT INFORMATION

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.

DIETARY RESTRICTIONS

If you have any dietary restrictions or allergies, please contact Ellen Waller at ihcregistration@ihaonline.org.

Speakers

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.

Disclosures

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