IHC Annual Forum on Healthcare: Transformation Pathways to the Future

West Des Moines, IA US
April 10, 2019 to April 11, 2019



  • One day: $185
  • Two days: $320

Click here to register.

If you have questions, please contact Norma Haskins at 515-283-9343 or haskinsn@ihconline.onmicrosoft.com


Convening providers and community stakeholders to work toward the common goal of exceptional healthcare in Iowa and across the nation.

Target Audience

The Annual Forum sessions will benefit physicians, CEOs, CFOs, senior administrators, nurses, quality assurance professionals, trustees/board members, clinic managers, infection control professionals, hospital pharmacy directors, clinical pharmacists and other healthcare personnel.


7:30 AM


Kady Reese, MPH, CPHQ, Director, Patient-Centered Design, Iowa Healthcare Collaborative, Des Moines

Person and family engagement (PFE) has been acknowledged as one of if not the most important catalyst to improving patient outcomes and transforming healthcare. How we co-design care and partner with patients and their caregivers can be the lynchpin in achieving quality and safety goals. This approach can reduce costs and lead to truly transformed systems of health. Measurement and evaluation of efforts to engage patients and families is essential in being able to build, advance and sustain person-centered care, whether in a hospital, a clinic or the community. This session will explore the landscape of measuring success in PFE.

  • Discuss the history of PFE in quality improvement and the advancing emphasis and commitment to PFE in a value-based system.
  • Identify relevant and impactful strategies and opportunities for intervention and engagement to support patient integration and active involvement.
  • Examine the potential to build off PFE foundations and early adopter experiences to improve PFE in all settings and create cross-system cultures of person-centered care.


Don Klitgaard, MD, FAAFP, Physician Faculty, Iowa Healthcare Collaborative, Des Moines

The healthcare payment world is changing rapidly and dramatically as we transition from a system based on fee-for-service (FFS) to one rooted in value-based payment (VBP). Practices are often feeling stretched by these changing payment models, with limited knowledge and resources to adapt. Using available resources wisely can help ease the burden for the clinician and the team as well as improve practice finances today, while creating and fostering a collaborative environment. Success under value-based payment requires intentionally addressing quality improvement, understanding and addressing patient and population costs better and learning to manage risk. Making smart choices around care redesign and resource use is essential to position practices and organizations for success in value-based purchasing, while performing well during the transition. Understanding the various alternative payment model options available, as well as when and how to take the leap into a value-based contract is also key.

  • Discuss the drivers of VBP change and the resulting opportunities and challenges.
  • Describe the three key concepts for maintaining practice viability during the transition to VBP.
  • Examine how to appropriately maximize FFS revenue and QPP scoring while preparing for VBP.
  • Discuss how to align practice-level efforts aimed at improving quality of patient care while also addressing cost.
  • Identify how to position your practice or organization for VBP and when and how to consider participation.
8:40 AM


Mike Romano, MD, MHA, CMO, Nebraska Health Network and ACO, Omaha, NE, Dave Williams, MD, President and CEO, UnityPoint Clinic and UnityPoint at Home, Des Moines and Tom Evans, MD, FAAFP, President and CEO, Iowa Healthcare Collaborative, Des Moines

The engagement of physicians and providers is key to improving quality, patient safety and value. These professionals are some of the busiest, most stretched partners in the healthcare delivery equation. They are so busy delivering care that they do not have time to improve the process. In this session, Dr. Evans will moderate a discussion with health system chief medical officers about how they work to engage, align and equip physicians to improve care and reduce cost in this new environment.

  • Describe how the concept of “physician engagement” has changed in the last five years.
  • Consider new challenges and responsibilities introduced through national reimbursement redesign efforts.
  • Explore strategies to align and equip physicians as activated partners with organizational strategies.


Beth Riha, MSIO, CPHQ, Division Director, Population Health and Christopher Atchison, Consultant, Iowa Healthcare Collaborative, Des Moines

The evolving anatomy of healthcare delivery and continuum of care requires collaborative navigation. Outgrowths of social interaction are the development of a sense of community which is often invoked as a key element to community-building success. By empowering organizational integration and population health management, community economic vitality is almost always a direct effect. Looking into the uniqueness of community constructs and taking inventory of the assets and challenges can help determine a roadmap for success in healthcare transformation.

  • Examine critical community partnerships and opportunities for alignment.
  • Determine interdependencies between population management and shared accountability.
  • Analyze measuring and reporting outcomes for clinical effectiveness and cost efficiency.


Brian Isetts, PhD, Professor, University of Minnesota College of Pharmacy, Minneapolis, MN

This class will review the most recent news in Iowa pharmacy and medication use in the healthcare system. Topics such as opioids, 340b and medication pricing may be included in the discussion.

  • Discuss current issues impacting pharmacy and medication in the healthcare system.
  • Review up to date pharmacy news and discuss how this impacts the Iowa healthcare system.
9:50 AM


Tom Evans, MD, FAAFP, President and CEO, Iowa Healthcare Collaborative, Des Moines

10 AM


Laura Adams, BS, MS, President and CEO, Rhode Island Quality Institute, Belmont, MA

Healthcare is in the midst of cataclysmic change unlike any in recent memory. These dizzying trends include market disruption, consumerism, the rapid movement toward a digital world where data dominates and the questioning of all we thought we knew for sure. While it’s critical to “see the patient” – that is, really see the patient and know them holistically, the dense fog of change and uncertainty blurs our line of sight and saps our souls. Grounding ourselves in meaning can place us in the eye of the storm – serene, determined and newly energized to meet the challenges we’re called to overcome.

  • Discuss the major forces of change currently at play in healthcare and the associated implications for care delivery.
  • Describe the effect on providers and on their relationships with patients.
  • Identify tools and approaches to embrace change while minimizing any destructive impact of the storm on ourselves and our patients.
2:45 PM


Marty Makary, MD, MPH, Johns Hopkins University, Baltimore, MD

Dr. Makary, a surgeon and leading healthcare expert, will review the current state of medicine and how to prepare for the future of healthcare. With regulatory and paperwork burdens crushing providers, he identifies the disruptors that are saying no to the throughput-billing model of practicing medicine and saying yes to a more patient-centered, relationship-based model that embraces technology, lifestyle science and a competitive marketplace designed to bypass the middlemen and put physicians back in the driver’s seat. Dr. Makary, a New York Times bestselling author, will also discuss his newest book “The Price We Pay” and the grassroots effort to reform healthcare. This movement to restore medicine to its mission is alive and well – a mission that can rebuild the public trust and save our country from the crushing cost of healthcare.

  • Describe the current state of healthcare in the United States.
  • Illustrate how physicians can prepare for the future.
  • Explain the limitation of value-based healthcare.
  • Identify the disrupters innovating and streamlining healthcare.
4:15 PM


John Nance, JD, John Nance & Associates, Gig Harbor, WA

Just Culture has always had a nice ring to it, even when the principles of Just Culture have been grossly misunderstood. This presentation is about what constitutes a Just Culture and why building and nurturing one is inescapably vital in reaching an acceptable level of patient safety, service quality and ethical treatment. It is about the fact that everyone in the medical world is expected to be perfect one hundred percent of the time, when in fact that is an impossibility. It’s about understanding how humans make mistakes and how to build a systemic ability to minimize mistakes while building a highly effective means of catching in time the mistakes we can’t prevent. It is also about learning once and for all that while everything that goes wrong is a valuable message from the underlying system, blaming and shaming silences such messages and guarantee that the same mistakes will be made over and over again.

  • Identify the principal ways in which humans fail and why such failures cannot be completely eliminated.
  • Explain the role of minimization of variables and the use of best practices and standardization in providing the best healthcare informed by medical science.
  • Examine the difference between and among human errors, errors and mistakes resulting from at-risk behavior and the consequences of reckless behaviors.
  • Recognize the impossibility of achieving a Just Culture in an atmosphere of blame and punishment and the uselessness of asking people to speak up for safety when they cannot trust their institution.


Tom Workman, PhD, Principal Researcher, American Institutes for Research, Washington, DC

Patient and Family Advisors help hospitals improve every aspect of safe and high-quality care by bringing their experience and perspective to hospital committees and projects. This session will provide an orientation to the role of patient and family advisor, with the goal of equipping these important community stakeholders with the knowledge and skills needed to take on the role with confidence and success. The session will include guidance on incorporating your story and experience into hospital discussions, along with tips and best practices.

  • Discuss how to increase the confidence of patient and family advisors at local hospital and healthcare organizations.
  • Use personal experience to suggest actions and solutions to improve hospital quality and safety.
  • Apply the patient and family perspective to hospital operations, policies and procedures.
  • Bring the patient and family perspective to hospital operations, policies and procedures.
7:30 AM


Tom Evans, MD, FAAFP, President and CEO, Iowa Healthcare Collaborative, Des Moines

Healthcare transformation has a unique application in the rural environment. With less complexity and closer working relationships, improvement efforts can be very nimble. On the other hand, lack of resources presents significant constraints on the ability to change how we deliver care. The quest is for sustainability as rural providers work to transition into a value-based reimbursement world. In this session, the unique rural delivery world is explored, current and future barriers discussed and potential solutions considered.

  • Identify the unique attributes of the past, present and future rural delivery system.
  • describe current and future barriers to rural care delivery.
  • Explore potential pathways and opportunities for sustainable rural healthcare delivery.


Kate Carpenter, BHA, R.T.(R)(M)(CT), Director, Hospital Services and Ellyn Cottingham, MHA, MLS, CPHQ, Director, Physician Services, Iowa Healthcare Collaborative, Des Moines

This class is intended for attendees with healthcare expertise who are new to quality or are interested in learning basic quality skills that can help them be effective change agents on their team, in their departments and in their organizations. It will provide a fundamental understanding of how measurement can not only help identify quality and performance improvement efforts but also inform decision making and strategy development. Basic rapid cycle improvement methodology to work through the plan, do, study, act process will be reviewed and areas where these skills can be practiced and applied to everyday work will be identified.

  • Define basic measurement concepts.
  • Describe how stakeholders use data differently.
  • Outline the importance of using data-driven decision making.
  • Discover how rapid cycle improvement can be employed to improve quality and enhance performance.
8:35 AM


Tom Evans, MD, FAAFP, President and CEO, Iowa Healthcare Collaborative, Des Moines

8:45 AM


John Nance, JD, John Nance & Associates, Gig Harbor, WA

The complexity of healthcare today can hardly be overstated. In fact, at first glance, that complexity appears to justify the attitude that regardless of the Herculean effort and dedication and new procedures and standards and checklists, we can never completely eliminate accidental harm. But agreeing with that premise also means that we’re willing to accept a disastrous number of preventable deaths and injuries every year as a matter of “business as usual” routine, and that would be unacceptable on so many levels it’s hard to know where to begin.

The dilemma in a nutshell is this: If we can’t completely eliminate human errors, how can we achieve zero harm? The answer is by building systems that reliably catch and neutralize all the serious errors we can’t completely eliminate. That’s what this presentation is all about: how does an enlightened hospital or clinic or healthcare system minimize errors and mistakes and how can the ones that remain be prevented from impacting patients.

The goal of this presentation is to change your thinking about how dedicated humans can reorganize their efforts for safety and quality around the realities of human nature, getting past “flavor of the month” resistance by fully and professionally tasking everyone.

  • Identify the primary ways in which human professionals make mistakes and errors and the uselessness of the “infallible” model of medical practice.
  • Describe the essential elements of a highly reliable organization and how such elements are incorporated in a culture change.
  • Describe the role of assumed communication excellence in perpetuating high levels of patient harm.
  • Explain the pivotal role of Collegial Interactive Teamwork and why each and every participant – and especially every physician – must learn to be a leader in the creating, nurturing and use of Collegial Interactive Teams.
10:30 AM


Brian Wagner, CEO, A Radical Vision, Hilliard, OH

On March 4, 2011 Brian Wagner woke up in total darkness due to a genetic defect that caused him to have physical blindness for six months. This defect required brain surgery on April 1 of that year. Without it, his days were few and the prognosis was not good. During his time of total reliance on others, Wagner swore that if he could get his sight back he would help others who were struggling with adversity. While he still deals with partial blindness, he keeps the promise that he made to help others. Through his own experience of being blind for six months, he uses his secret-to-success to inspire, motivate and entertain his audience with renewed vision and hope to use in their personal and professional lives.

  • Assess your own powers to effect change.
  • Create a vision for your professional and personal life.
  • Discover hidden organizational obstacles.
  • Recognize your own powers to effect change in your life.
  • Discuss how patients and healthcare providers can partner to provide optimal care. 


Lorrie Young, LMSW, CADC, Prairie Ridge, Mason City, Bob Lincoln, MBA, Region CEO, County Social Services Mental Health and Disability Services, Charles City and Steve Johnson, LISW, CADC, Behavioral Health Administrator, Broadlawns Medical Center, Des Moines

Integrating care for behavioral, mental health and substance abuse issues into primary care has become increasingly common. Many patients come to primary care seeking relief for physical symptoms that are related to behavioral issues. Alternatively, illness can lead to depression, stress or other behavioral health issues. It is imperative that we continue to explore the implementation and integration of behavioral services in healthcare settings. This session is designed to help participants understand the implications and strategies for integrating behavioral health with primary health care delivery.

  • Identify the opportunities and limitations of behavioral health and primary healthcare integration in the local healthcare delivery system.
  • identify core practices and structures for best practice of integrated behavioral health in primary care.
  • Describe efforts in the state to build a community standard for integrated behavioral healthcare practice.


Tina Eden, RN, BS, Director of Nursing, Virginia Gay Hospital, Vinton

Antimicrobial Stewardship programs continue to grow and mature each year. This session will highlight how the Virginia Gay Hospital Antimicrobial Stewardship team has developed an effective program in their rural hospital and discuss how they have successfully implemented interventions to meet the Centers for Disease Control and Prevention (CDC) Core Element requirements.

  • Define the CDC Core Elements of Antimicrobial Stewardship.
  • Examine interventions that can be implemented in critical access and rural hospitals.
  • Compare antimicrobial prescribing patterns and stewardship results pre- and post-implementation of an antimicrobial stewardship program.
  • Discuss tracking and reporting tools that can be used to measure and communicate results to key stakeholders.
12:30 PM


Travis Rieder, PhD, Assistant Director for Education Initiatives, Director of the Master of Bioethics Program and Research Scholar, Berman Institute of Bioethics, Johns Hopkins University, Baltimore, MD

North America has a serious problem with prescription opioids. It’s not just the problem that you might immediately think of – not just that they’re killing people. The danger of opioids is now well-known, but the problem is bigger than that. Opioids are both dangerous and highly effective at treating some kinds of severe pain. This means that the healthcare system needs to utilize opioid analgesia, but in the midst of an opioid epidemic, that same system is afraid of these medications. The end result is that clinicians risk both undertreating pain (out of fear of opioids) and overprescribing opioids (because they want to be able to treat pain). Rieder calls this bigger problem the Opioid Dilemma. He will use his own experience as a trauma patient to make explicit the nature of this problem and explore some of the gaps in pain treatment that he has discovered. He will suggest a few of the places where progress against the Opioid Dilemma can be made.

  • Explain the opioid dilemma and why it complicates the ethics of opioid prescribing.
  • Outline the ethical difficulties with both ‘prohibitionist’ and ‘pain war’ approaches to prescribing.
  • Identify concrete ways that clinicians can more responsibly manage opioid prescriptions by changing the way they view their role as prescriber.


Tom Mouser, MD, CMO, EveryStep, Des Moines

The use of marijuana for medicinal purposes has been widely debated for centuries. Over the past many years its controversial use has continued to divide and even perplex many. Having been recently approved for limited medical use in Iowa, there are many providers and systems that are apprehensive as to how this new availability will impact their practice as well as the systems in which they work. Basic knowledge and training, regarding marijuana, THC and cannabinoids is lacking in medical education as is all education as to the evidence for or against its efficacy. As dispensaries are opening, there is much confusion and apprehension as to how health systems and their providers will handle a substance that is used and prescribed outside of typical physician and pharmacy system oversite. Whether in agreement with this new legislation or not, providers and systems will need to develop a comprehensive and robust understanding of the law, the process and the indications for use of medical marijuana.

  • Identify the similarities and differences between marijuana, THC and cannabis oil.
  • Recognize the historical uses and current evidence for use of cannabinoids.
  • Outline the current law, procedure and oversight in Iowa for use and obtaining medical marijuana.
  • Examine the system impacts, challenges and gaps that may transpire with the new law in Iowa.
  • Recognize how availability of medical marijuana may impact hospice and palliative care systems and practice.
1:45 PM


Kenneth Anderson, DO, Chief Medical Officer, Amy McCurdy, RN, Chief Clinical Officer, Sonya Bellon, RN, Patient Care Coordinator and Kerri Guthrie, RN, Patient Care Coordinator, Lucas County Health Center, Chariton

Upon joining the Compass Practice Transformation Network (PTN), Lucas County Health Center identified many quality initiatives to focus on within their practice. Through work with their quality improvement advisor, they have implemented an effective patient care coordination process that has resulted in significant improvements in patient outcomes. As a result of their work, the practice has been recognized as an exemplary practice within Compass PTN. Lucas County Health Center will share their work, the process they have implemented and the outcomes they have achieved.

  • Describe the importance of care coordination within a practice.
  • Explain how data can be utilized to monitor a care coordination process.
  • Integrate lessons learned throughout the entire practice.


Steve Simonin, President and CEO, and Renee Diamond, MD, Iowa Specialty Hospitals & Clinics, Clarion

Health and well-being are not simply defined within the hospital environment instead healthcare integration and unique trusting partnerships with community groups and agencies can drive up the overall vitality of neighborhoods, families and individuals. Understanding the community, the unique needs of residents and building relationship is what it takes when hospitals invest in community health and wellness.

  • Describe healthcare integration in whole community context.
  • Identify unique community needs and collaborative partners.
  • Assess community readiness for change and inspire a call to action.
3 PM


Timothy McDonald, MD, JD, President, Center for Open and Honest Communication, Medstar Institute for Quality and Safety and Professor of Law, Loyola University, Chicago, IL

Candor is a powerful tool that works to maintain open and honest communication with patients and families after an unintended harm event occurs. This interactive session will discuss key elements of the Candor flow and the evolution of approaches to the response to patient harm. This session will emphasize the importance of empathic and honest communication and overview the process to disclose mistakes or errors if they have occurred, specifically in the context of Iowa’s Candor legislation.

  • Outline ways to coach a healthcare team through the critical phases of the open communication process.
  • State how the communication consultation and coaching process interfaces with the care-for-the-caregiver program.
  • Outline the Iowa Candor legislation and how it is used during the process of resolving patient harm events.
  • Explain the interconnectedness of all the domain of the response to harm.
    Course summary
    Available credit: 
    • 13.50 AMA PRA Category 1 Credits
    • 13.50 AOA Category 2­A
    • 13.50 CE Contact Hour(s)
    Course opens: 
    Course expires: 
    Event starts: 
    04/10/2019 - 7:30am CDT
    Event ends: 
    04/11/2019 - 4:00pm CDT
    The Ron Pearson Center
    5820 Westown Parkway
    West Des Moines, IA 50266
    United States
    +1 (515) 283-9343


    A hotel room block is not available for the Annual Forum. If you need information regarding hotels that are close to The Ron Pearson Center please contact Katie Pfadenhauer at pfadenhauerk@ihconline.org.

    LAURA ADAMS is president and CEO of the Rhode Island Quality Institute (RIQI). RIQI built a robust statewide clinical database as a foundation for achieving the quadruple aim and application of predictive analytics and artificial intelligence. She serves on the Massachusetts Center for Health Information and Analysis Oversight Council and chaired the Institute of Medicine’s Planning Committee for the “Digital Infrastructure for Population Health and a Learning Healthcare System” workshop series. Adams studied in the U.S. and Europe with W. Edwards Deming. She was among the first to bring the principles of QI to the Middle East, with Donald Berwick, MD, and the Harvard Institute for Social and Economic Policy.

    KENNETH ANDERSON, DO, is chief medical officer at Lucas County Health Center. Dr. Anderson earned his Doctor of Osteopathy from Kirksville College of Osteopathic Medicine and completed his residency at Kirksville Osteopathic Hospital in Kirksville, Missouri. He is past president of the Iowa Chapter of the American College of Osteopathic Family Physicians.

    CHRISTOPHER (CHRIS) ATCHISON has more than 45 years of experience in state government and public policy in the states of Illinois and Iowa. From 1999 until his retirement in 2018 he was on the faculty and administration at the University of Iowa including service as director of the State Hygienic Laboratory, associate dean and clinical professor in health management and policy for the College of Public Health. Prior to that he was the director of the Iowa Department of Public Health and the assistant director of the Illinois Department of Public Health. Currently Atchison is a private consultant working with the Iowa Healthcare Collaborative and is a member of the Iowa State Board of Health.

    SONYA BELLON is a care coordinator for Lucas County Health Center. She has been a registered nurse for nine years, prior to that she was a certified nursing assistant for 15 years. Bellon has experience in wound care, home health and occupation health. She has a strong interest in patient-centered care and believes that family and patients working together improves health outcomes.

    KATE CARPENTER is director of hospital services at the Iowa Healthcare Collaborative. She holds a bachelor’s degree in healthcare administration and is a NAHQ Certified Professional in Healthcare Quality. Carpenter leads the Compass Hospital Improvement and Innovation Network (HIIN) and leads the design of innovative quality, patient safety and performance improvement projects to drive sustainable and transformational improvement efforts across the care continuum. She serves as the co-lead to the PfP Readmissions Affinity Group and serves on the Iowa Care Coordination Statewide Strategy committee. Carpenter has 12 years of clinical experience in the medical imaging field and holds board certifications in general radiography, mammography and computed tomography.

    ELLYN COTTINGHAM is the director of physician services at the Iowa Healthcare Collaborative. Prior to this she was a medical laboratory scientist and shift supervisor in the Core Laboratory at Mercy Medical Center. She received a master’s degree in healthcare administration from Des Moines University and a bachelor’s degree in clinical laboratory sciences from the University of Iowa.

    RENEE DIAMOND, MD, has been a family physician for Iowa Specialty Hospitals & Clinics at Clarion since 2014. As a young physician, Dr. Diamond was most frustrated by her inability to promote wellness to patients not yet in a “disease state.” In her role as chief of staff and ACO physician champion at Iowa Specialty Hospital, she tirelessly promotes a paradigm shift from reactive to proactive healthcare. Her sense of urgency helps to engage patients, clinicians and community partners alike. She is passionate about preventive care and quality improvement in the ever-changing healthcare environment. She is proud to be a part of an innovative organization that keeps patients at the heart of their decisions. Dr. Diamond received her medical degree from Creighton University School of Medicine and trained in family medicine at Research Family Medicine Residency in Kansas City, while also completing a residency in integrative medicine through the University of Arizona.

    TINA EDEN is the director of nursing at Virginia Gay Hospital in Vinton. She received a bachelor’s degree in health services administration from Upper Iowa University and an associate degree in nursing from Kirkwood Community College. Eden is a paramedic with the North Benton Ambulance Service.

    TOM EVANS 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.

    KERRI GUTHRIE is a care coordinator for Lucas County Health Center. She earned her associates degree in nursing from Indian Hills Community College. Guthrie has experience in medical surgical nursing, as an emergency department nurse and a hospice RN case manager.

    BRIAN ISETTS, PHD, is a professor at the University of Minnesota College of Pharmacy in Minneapolis. He has distinguished himself in the application of comprehensive medication management as a practitioner, researcher, and educator. He is a board certified pharmacotherapy specialist and has experience working as a pharmaceutical care practitioner, nursing home consultant, and in community and institutional practice. Dr. Isetts has been extensively involved in developing a new health service in which pharmacists collaborate with physicians and other providers to help patients achieve goals of therapy while identifying and resolving drug therapy problems. He received his undergraduate degree in pharmacy from the University of Wisconsin and his doctorate in social and administrative pharmacy from the University of Minnesota.

    STEVE JOHNSON serves as the behavioral health administrator for Broadlawns Medical Center in Des Moines. He earned his bachelor’s degree in sociology from Drake University and his master’s degree in social work from Saint Louis University. Johnson started his career at Broadlawns Medical Center as an outreach coordinator and moved to Magellan Health Services as a clinical director. He assisted UnitedHealthcare as their executive director for behavioral health before returning to Broadlawns in 2016.

    DON KLITGAARD, MD, 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. Dr. Klitgaard graduated from the University of Iowa College of Medicine and completed his residency at the Lincoln Family Medicine Program in Lincoln, Nebraska.

    BOB LINCOLN is region CEO for the County Social Services Mental Health & Disability Services. In this role he oversees the building of supportive communities for individuals with disabilities in 22 North Iowa counties. Prior to his current role he served as the director of central point coordination and targeted case management for five Iowa counties. Lincoln launched the first Iowa START Team (specialized mental health intervention for individuals with intellectual disability and mental illness) in 2015, launched the first crisis stabilization center in Iowa in 2012 and co-chaired the state mental redesign committee.

    MARTY MAKARY, MD, is The New York Times best-selling author of “Unaccountable,” a book about patient safety and a leading voice for physicians as a writer for The Wall Street Journal and TIME Magazine. He is a surgical oncologist specializing in pancreatic surgery and serves as chief of Islet Transplantation Surgery at Johns Hopkins Hospital. Makary is the creator of The Surgery Checklist and led the World Health Organization workgroup to measure surgical quality worldwide. He currently serves as executive director of “Improving Wisely”, a Robert Wood Johnson Foundation project to lower healthcare costs by addressing unnecessary medical care. Makary attended Bucknell University, Thomas Jefferson University and Harvard University and completed his surgery residency at Georgetown University and fellowship in surgical oncology at Johns Hopkins Hospital.

    AMY MCCURDY is chief clinical officer at Lucas County Health Center. With 29 years of experience in nursing, McCurdy specializes in infusion therapy/DSME services, cardiac rehab, specialty clinics, home health care and hospice and medical surgical nursing. She has also served in EMS as an EMT and emergency department nurse. She is passionate about creating a culture that supports entire healthcare teams in providing high quality patient- centered care.

    TIMOTHY MCDONALD, MD, is president for the Center for Open and Honest Communication at the MedStar Institute for Quality and Safety and a professor of law at Loyola University – Chicago. Dr. McDonald is a physician-attorney whose research has focused on the principled approach to patient harm with an emphasis on reporting of patient safety events, the use of simulation and human factors analysis and providing open and honest communication following harm events. His federally funded research has focused on these domains and their impact on improving the quality of care while mitigating medical liability and other legal-related issues.

    TOM MOUSER, MD, is dually boarded in Internal Medicine and Palliative Care after completing residency at University of Iowa-Des Moines and fellowship at Stanford University. He is  currently the chief medical officer of EveryStep, a non-profit healthcare and support services organization. Dr. Mouser has expertise in advanced symptom management for those dealing with serious illness and chronic disease as well as helping navigate complex medical decisions as guided by the patient’s goals of care.

    JOHN J. NANCE, one of the key thought leaders to emerge in American Healthcare in the past decade, brings a rich and varied professional background to the task of helping doctors, administrators, boards, and front-line staff alike survive and prosper during the most profoundly challenging upheaval in the history of modern medicine. Having helped pioneer the renaissance in patient safety as one of the founders of the National Patient Safety Foundation in 1997, his efforts are dedicated to reforming American Healthcare from a reactive cottage industry to an effective and safe system of prevention and wellness. He is a lawyer, Air Force and airline pilot, prolific internationally-published author, national broadcaster and renown professional speaker. As a native Texan, Nance grew up in Dallas where he earned a bachelor’s degree and a Juris Doctor degree. He has become one of America’s most dynamic and effective professional speakers, presenting riveting, pivotal programs on success and safety in human organizations to a wide variety of audiences.

    KADY REESE serves as the director, patient-centered design with the Iowa Healthcare Collaborative. In this role, Reese helms statewide strategic operations aimed at development of cross-collaborative and multi-disciplinary standards for population health to address priority health issues and disease states. She offers an array of experience across the healthcare continuum, including home health, primary and urgent care practice, healthcare administration and quality reporting. She holds a master’s degree in public health from Benedictine University, as well as certificates in health management and policy and health education and promotion. She is a national champion for Person and Family Engagement with CMS as part of the Partnership for Patients and the Transforming  Clinical Practice Initiatives. Reese is an ardent advocate for public and population health.

    TRAVIS RIEDER is the assistant director for education initiatives, director of the master of bioethics degree program and research scholar at the Berman Institute of Bioethics at Johns Hopkins University. His work is wide-ranging, including issues in climate change ethics, procreative and reproductive ethics, the ethics of elective amputation for limb salvage patients and ethical and policy issues surrounding America’s opioid crisis. He has published widely, both in academic journals and for the popular media. His TED talk on opioids and physician responsibility has been viewed well over one million times. In May 2019, Rieder will publish a book with HarperCollins exploring America’s problem with pain and opioids through both his personal experience in the healthcare system and his professional lens as a bioethicist.

    BETH RIHA is division director of population health at the Iowa Healthcare Collaborative supporting efforts toward delivery system reform, funding transformation and expanded provider networks with both C3 pilot communities and healthcare systems in Iowa. She joined the IHC team in September of 2016. Riha received a bachelor’s degree in organizational psychology and sociology from Buena Vista University and a master’s degree in industrial and organizational psychology from Walden University. She has more than ten years of experience in curating needs assessments, organizational development, data integration and workflow design.

    MIKE ROMANO, MD, MHA, is chief medical officer of the Nebraska Health Network and ACO formed by the University of Nebraska Medical Center and Nebraska Methodist Health System. He also serves as president of the Iowa Medical Society and board chair for the Iowa Healthcare Collaborative. A board-certified family physician with added certification in hospice and palliative medicine, Dr. Romano has 32 years of clinical practice experience and 20 years of physician executive experience. He has held leadership roles in a variety of healthcare settings including ambulatory primary care, health insurer, community hospital, home health agency, hospice provider and an accountable care organization.

    STEVE SIMONIN is the president and CEO of Iowa Specialty Hospitals & Clinics, which is anchored by two critical access hospitals located in Belmond and Clarion as well as multiple specialty and primary clinics throughout central Iowa. Iowa Specialty Hospitals & Clinics has experienced significant growth in specialty services as well as primary health. It has received numerous awards under the leadership of Simonin, including receiving Press Ganey’s top award for excellence in patient satisfaction on a yearly basis from 2006 through 2014.

    BRIAN WAGNER is CEO of A Radical Vision and author of the book “Sometimes It Does Take a Brain Surgeon.” He is an author, speaker and coach who inspires to help the hurting heal. On March 4, 2011 he woke up in total darkness due to a genetic defect that caused him to have physical blindness for six months. The defect required brain surgery in April of that year. During his time of total reliance on others, Wagner promised that if he could get his sight back he would help others who were struggling in life’s adversities. While he still deals with partial blindness, he keeps the promise that he made to help others.

    DAVE WILLIAMS, MD, serves as president and CEO for UnityPoint Clinic and UnityPoint at Home, which together service the ambulatory division of UnityPoint Health. Dr. Williams is residency trained and board certified in pediatrics and has more than 18 years of clinical experience. He received his doctor of medicine degree from Creighton University in Omaha, Nebraska and completed his pediatric residency at Oregon Health Sciences University in Portland, Oregon. He is a member of the American Association for Physician Leadership, a Fellow of the American Academy of Pediatrics and a licensed physician and surgeon in the state of Iowa. Dr. Williams is also a graduate of the UnityPoint Health Physician Leadership Academy, the American College of Physician Executives Physician Leadership Development Program and a Certified Physician Executive. In 2017, he completed his master of medical management program at Carnegie Mellon University.

    THOMAS A. WORKMAN is a principal researcher focusing on health policy and healthcare quality improvement through patient and family engagement at the American Institutes for Research (AIR). He is an advisor to AIR’s Center for Patient and Consumer Engagement and has worked on a variety of projects related to involving stakeholders (including patients and caregivers) in health care research, service and policy decisions. Dr. Workman has more than 15 years of experience in coordinating, facilitating and evaluating stakeholder engagement in a variety of settings for health policy and program implementation. At AIR, he is involved in multiple projects for the Centers for Medicare and Medicaid Services, the Patient-Centered Outcomes Research Institute and the Agency for Healthcare Research and Quality. His doctorate in communication studies with an emphasis on health is from the University of Nebraska-Lincoln.

    LORRIE YOUNG is the associate director of Prairie Ridge Integrated Behavioral Healthcare in Mason City. She specializes in solution-focused therapy, dialectical behavioral therapy, and in working with patients with co-occurring disorders. Young has worked to develop informative programming targeted at fighting the effects of stigma as it impacts patients with chronic mental illness and/or substance use disorders.


    Relevant to the content of this educational activity, the following individual(s) do not have any financial relationship(s) with commercial interest companies to disclose.

    • Kenneth Anderson, DO, Speaker
    • Christopher Atchison, Speaker
    • Sonya Bellon, RN, Speaker
    • Jennifer Brockman, MHA, BSN, RN, Planning Committee Member
    • Kate Carpenter, BHA, CPHQ, R.T.(R)(M)(CT), Planning Committee Member and Speaker
    • Ellyn Cottingham, MHA, MLS, CPHQ, Speaker
    • Renee Diamond, MD, Speaker
    • Tina Eden, RN, BS, Speaker
    • Tom Evans, MD, FAAFP, Speaker
    • Kerri Guthrie, RN, Speaker
    • Norma Haskins, BS, Planning Committee Member
    • Brian Isetts, PhD, Speaker
    • Steve Johnson, LISW, CADC, Speaker
    • Bob Lincoln, MBA, Speaker
    • Amy McCurdy, RN, Speaker
    • Tom Mouser, MD, Speaker
    • Katie Pfadenhauer, MA, Planning Committee Member
    • Kady Reese, MPH, CPHQ, Speaker
    • Beth Riha, MSIO, CPHQ, Planning Committee Member and Speaker
    • Mike Romano, MD, MHA, Speaker
    • Steve Simonin, Speaker
    • Brian Wagner, Speaker
    • Dave Williams, MD, Speaker
    • Thomas A. Workman, PhD, Speaker
    • Lorrie Young, LMSW, CADC, Speaker

    Relevant to the content of this educational activity, the following individual(s) have a financial relationship(s) with commercial interest companies to disclose.

    • Laura Adams, Speaker for Executive Speaker’s Bureau and Gotham Artists
    • Don Klitgaard, MD, FAAFP, Speaker - CEO of MedLink Advantage
    • Timothy McDonald, MD - Consultant for Transparent Health
    • John J. Nance, JD - Speaker for Innovative (Self and Spouse/Partner)
    • Travis Rieder, PhD - Speaker for Confurence Tak: Adapt Pharma. Spouse/partner is a self-managed stock holder and employee of AstraZeneca.

    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 13.5 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 13.5 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
    • Other health professions: This live activity is designated for 13.5 AMA PRA Category 1 Credit(s)TM


    No commercial interest company provided financial support for this continuing education activity.


    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

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


    Please login or Create an Account to take this course.


    • One day: $185
    • Two days: $320

    Click here to register.

    If you have questions, please contact Norma Haskins at 515-283-9343 or haskinsn@ihconline.onmicrosoft.com