June 8-10, 2017 Winston-Salem, North Carolina

2017 NC Primary Care Conference & Annual Meeting Held in conjunction with the NC Office of Rural Health and the

NC Association of Free and Charitable Clinics

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SPONSORS & EXHIBITORS

Premier Sponsor

Carolina Complete Health Network

Platinum Sponsor

Rx Strategies, Inc.

Gold Sponsors

Blue Cross and Blue Shield of North Carolina Foundation

LabCorp

Net Friends, Inc.

UnitedHealthcare

Silver Sponsors

AmeriHealth Caritas

BKD CPAs & Advisors

Cardinal Health

MeridianHealth

Bronze Sponsors CaptureRx

Chiropractic Service Corp, Inc. eClinicalWorks

Gilead Health Center Gurus, LLC

KaVo Kerr Medstaff National Medical Staffing

Patagonia Health PSA Insurance, Inc.

Smartlink Health Solutions Spirit Communications

The Inline Group

Non-Profit Exhibitors

Alliant Quality

Direct Relief

Foundation for Health Leadership and Innovation

NC Agromedicine Institute

NC Center for Health and Wellness at UNC Asheville

NC Division of Public Health - Communicable Disease Branch

UNC Center for Maternal & Infant Health

The North Carolina Community Health Center Association (NCCHCA) wishes to thank all our sponsors, exhibitors, and speakers for their support. NCCHCA does not endorse specific vendor products, services, or any speaker views or opinions shared. NCCHCA is not responsible for content expressed and cannot be held liable for information received.

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Dear Members, Partners, and Friends,

I want to personally welcome each of you to the 2017 Primary Care Conference which is a joint venture of the North

Carolina Community Health Center Association (NCCHCA), the North Carolina Association of Free and Charitable Clinics

(NCAFCC) and the Office of Rural Health (ORH) of the North Carolina Department of Health and Human Services.

These are exciting and troublesome times for health care as we navigate all the possible propositions and changes, yet

continue to grow and adapt by remaining relevant and responsive. Therefore, it is more important than ever that we

strengthen our common bond by engaging with one another during this conference.

Upon review of our program, you will find numerous opportunities to learn from nationally-recognized experts with a

special focus on interactive sessions that give us the opportunity to exchange ideas, form new relationships and

maintain existing friendships.

Further, our location in Winston-Salem is nationally recognized as a city of arts and innovations from such publications

as Forbes, Better Homes & Gardens and Livability.com. Some of the possibilities include historic gardens dating back to

the 18th century, 45 award winning wineries within a short driving distance and the historic Moravian culinary trail.

Let’s make the most of our time together!

Ben

E. Benjamin Money, Jr. MPH

President and CEO

North Carolina Community Health Center Association

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NORTH CAROLINA COMMUNITY HEALTH CENTER ASSOCIATION OFFICERS Chair – Kim Schwartz, Roanoke Chowan Community Health Center Vice-Chair – Brian Toomey, Piedmont Health Services Secretary – Kim Wagenaar, Cabarrus Rowan Community Health Centers Treasurer – Teresa Shackleford, Randolph Family Health Care at MERCE Past Chair – Robert Spencer, Gaston Family Health Services BOARD OF DIRECTORS Penny Washington, Advance Community Health Gwendolyn Reed, Anson Regional Medical Services Beth Lovette, Appalachian District Health Department Chuck Shelton, Bakersville Community Health Center Shavonda Pugh, Bertie County Rural Health Association Richard Hudspeth, MD Blue Ridge Community Health Services Debra Weeks, C W Williams Community Health Center Dee Johnson, Carolina Family Health Centers, Inc. William Crumpton, Caswell Family Medical Center Carolyn Allison, Charlotte Community Health Clinic Pamela Tripp, CommWell Health Scott Harrelson, Craven County Health Department Sheila Simmons, First Choice Community Health Centers Rose Turner, Gateway Community Health Centers, Inc. Greg Bounds, Goshen Medical Center, Inc. Doug Smith, Greene County Health Care, Inc. Alice Salthouse, High Country Community Health Center Teresa Strom, Hot Springs Health Program Darlene Ennett, Kinston Community Health Center Philip Harewood, Lincoln Community Health Center Althea Johnson, MedNorth Health Rev. David Moore, Metropolitan Community Health Services Cheryl Balance, Ocracoke Health Center Reuben Blackwell, OIC Family Medical Center Priscilla Bumphus, Person Family Medical Center Tim Hall, Robeson Health Care Corporation Brian Harris, Rural Health Group Margaret Covington, Stedman-Wade Health Services Michelle Lewis, Triad Adult and Pediatric Medicine, Inc. Lashun Huntley, United Health Centers at Southside Thomas McRary, West Caldwell Health Council Carlos Gomez, Western NC Community Health Services Ann Absher, Wilkes County Health Department

AT-LARGE HR - Del Kennedy, Western NC Community Health Services CFO - Lydia Mason, Piedmont Health Services Clinician - S. Todd Wallenius, MD, Western NC Community Health Services NORTH CAROLINA ASSOCIATION OF FREE AND CHARITABLE CLINICS OFFICERS Chair – Sissy Lee-Elmore, WATCH Healthcare Program Vice-Chair – April Cook, Lake Norman Community Health Clinic Treasurer – John Price, Director, ORH – Retired Secretary – Tracy Salisbury, Open Door Clinic of Alamance County DIRECTORS Jacquelyn Rose, The Free Clinics Jerry Hermanson, Community Care Clinic of Highlands-Cashiers John Mills, Senior Clinic Consultant, ECHO Michael P. Lischke, Northwest AHEC, WFU School of Medicine Sandy Motley, Davidson Medical Ministries Clinic Theo McClammy, Caring Community Clinic Tony Price, Moore Free Care Clinic Annual Meeting Planning Committee Planning Committee Chair – Pam Tripp, CommWell Health Ex-Officio – E. Benjamin Money, North Carolina Community Health Center Association Carolyn Allison, Charlotte Community Health Clinic Scott Harrelson, Craven County Health Department Sheila Simmons, First Choice Community Health Centers Alice Salthouse, High Country Community Health Randy Jordan, North Carolina Association of Free and Charitable Clinics Andrea Murphy, North Carolina Office of Rural Health Nedra Edwards-Hines, Northwest Area Health Education Center Priscilla Bumphus, Person Family Medical Center NCCHCA Staff – Josie Lane, North Carolina Community Health Center Association NCCHCA Staff – Luwam Debru, North Carolina Community Health Center Association NCCHCA Staff – Rosa Navarro, North Carolina Community Health Center Association

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Continuing Education Credits: Day 2, June 9

.4 CEUs from Wake Forest School of Medicine

4.75 Contact Hours from Northwest AHEC

Nurses: This educational activity (4.75 contact hours) can be applied toward your continuing competence plan for maintaining your current licensure with the North Carolina Board of Nursing.

Day 3, June 10

.4 CEUs from Wake Forest School of Medicine

4.5 Contact Hours from Northwest AHEC

Nurses: This educational activity (4.5 contact hours) can be applied toward your continuing competence plan for maintaining your current licensure with the North Carolina Board of Nursing.

Disclosures

All speakers have been asked to disclose any significant financial interest or relationship that they may have with the

manufacturer(s) of any commercial product/service that is discussed as part of their presentation. Their responses are

listed below.

The commercial support standards also require that their presentation be free of commercial bias and that any

information regarding commercial products or services be based on scientific methods generally accepted by the

medical community. When discussing therapeutic options, they have been asked to use only generic names. If it is

necessary to use a trade name, then those of several companies are to be used. Further, should their presentation

include discussion of any unlabeled/investigational use of a commercial product, they are required to disclose that

information to the audience.

The speaker listed below would like to disclose the following information:

David Fields is a paid consultant and partner with BKD, LLP which is a CPA & Advisory firm that provides audit and consulting services to Community Health Centers.

Credit provided by Northwest Area Health Education Center (AHEC), a program of Wake Forest School of Medicine and

part of the NC AHEC System.

Those interested in receiving credits must: 1. Sign the Continuing Education Credits sign-in sheet at the NCCHCA registration desk. 2. Complete the online Tracking to Success evaluation at https://www.surveymonkey.com/r/2017-PCC. Once you complete the evaluation, you will be prompted to enter the information needed for your CEU certificate. Evaluations must be submitted no later than June 30, 2017. We encourage you to complete the feedback form, even if you are not interested in receiving CEUs.

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Tracking to Success: To continually improve the quality of the services we provide, the North Carolina Community Health Center Association is focusing on an effort called “Tracking to Success.” By asking what participants remember from conference workshops and even more importantly, what participants do with their new knowledge and skills, we will be better able to determine–and improve upon–the quality of the training provided. This has been a year-long process that has included working with the Planning Committee and presenters selected to be on the program. To help us with this effort, please be sure to complete the “Tracking to Success” online survey at the end of the conference. The survey link can be found in the new mobile app, on the previous page, and will also be emailed out to participants. Your participation is crucial in helping us to improve the workshops in the future. Thank you in advance for your help! Raffle Prizes: NCCHCA wants to give special thanks to all organizations that donated raffle prizes. Prizes are raffled during most breaks or will be noted on your program so be sure to stick around! Thanks for following these three very simple rules: 1. You must be present to win. 2. Your name will only be called 3 times. 3. Only the person whose name is called should claim the prize. Remember raffle prizes are scheduled during networking breaks in order to provide participants time to mingle with sponsors & exhibitors and learn about their services. We encourage you to be in the room!

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Thursday, June 8, 2017 8:00 AM–9:00 AM Breakfast on Your Own 9:00 AM–5:00 PM Conference Registration Desk Open Winston Ballroom Foyer Attendees may check-in at the NCCHCA conference registration desk at any time during

this timeframe. 10:00 AM–11:00 AM Clinic Site Visits

Enjoy a clinic site visit to one of North Carolina’s safety-net healthcare organizations. Due to time constraints and space limits, only one option can be chosen. If attending, you must make your own travel arrangements and meet at one of the below locations. Interested in attending? You must RSVP via the registration process – Space is limited, see additional details below for each tour. Community Care Center of Forsyth County, Inc. is a Free Clinic located at 2135 New Walkertown Road in Winston-Salem, NC. Community Care Center is a multi-specialty, volunteer-driven free medical clinic with over 16,000 patient visits per year. In addition to around 100 volunteer physicians each year, they provide the following support services in-house: x-ray, ultrasound, dispensary, lab, colposcopies, physical therapy, occupational therapy, dentistry, integrated mental health, social worker, diabetes educator and minor surgery. The tour will start at 10:00 am - space is limited so you must RSVP via the online registration process. Community Care Center is approximately a 10-minute drive from the Benton Convention Center. Please do a MapQuest or Google search if needed. United Health Centers (UHC) at Peters Creek Parkway is a 15,000 square foot,

community health center located at 2101 Peters Creek Parkway (Marketplace Mall) in

Winston-Salem, NC. As Forsyth County’s only Federal Qualified Health Center (FQHC),

the organization is committed to its mission of providing equitable care that builds

healthier communities by delivering unparalleled access to high-quality, affordable,

comprehensive services that include medical, dental and behavioral health. UHC’s caring

providers and dedicated staff are available to assist individuals and families, regardless

of their insurance status or their ability to pay. UHC accepts most major medical

insurance plans, as well as Medicare, Medicaid, and Tricare. Uninsured patients are also

accepted and payments can be made on a sliding fee scale. The tour will start at 10:00

am - space is limited so you must RSVP via the online registration process. United

Health Center is approximately a 10-minute drive from the Benton Convention Center.

Please do a MapQuest or Google search if needed.

9:00 AM–12:00 PM North Carolina Association of Free and Charitable Clinics Winston 1C Board of Directors Meeting Only

12:00 PM–1:00 PM Lunch Winston 2 1:00 PM–5:00 PM North Carolina Community Health Center Association Winston 3A-B

Board of Directors Meeting

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1:00 PM–5:00 PM North Carolina Office of Rural Health Meeting Winston 1A 1:00 PM–5:00 PM North Carolina Association of Free and Charitable Clinics Winston 1C

All Membership Meeting 5:00 PM—6:00 PM Welcome Reception Winston Ballroom Foyer

Sponsored by: RxStrategies, Inc.

Light hors d'oeuvres will be served during this welcome reception. Be sure to take a moment to mingle with colleagues and network with sponsors & exhibitors.

6:15 PM Dinner on Your Own – ask the hotel concierge about options. Friday, June 9, 2017 7:30 AM–4:00 PM Registration Desk Open Winston Ballroom Foyer Attendees may check-in at the NCCHCA conference registration desk at any time during

this timeframe.

8:00 AM–8:30 AM Breakfast Winston 2 Sponsored by: Net Friends, Inc. 8:30 AM–9:30 AM The Future of the Healthcare Workforce Winston 2 Sponsored by: KaVo Kerr and Patagonia Health

Unlike Las Vegas, what happens in Washington DC does not stay in Washington DC. This session will update attendees on the latest happenings in our nation’s capital and how it will impact health center operations and the available clinical workforce in the future. The session will also dive into clinical workforce recruitment and retention, using the latest data and resources available. By the conclusion of this session participants will:

1. Understand the data available to make informed choices about their clinical workforce;

2. Recognize the policy debates happening in Washington DC that will impact your ability to recruit and retain your clinical workforce; and

3. Utilize appropriate resources from ACU through the STAR2 Center. Craig Kennedy, MPH, Executive Director, Association of Clinicians for the Underserved 9:30 AM–10:15 AM Networking Break & Raffle Prizes Winston Ballroom Foyer Mingle with Sponsors and Exhibitors! 10:15 AM–11:45 AM The Evolution of Healthcare in North Carolina Winston 2 Dr. Cohen will share her early learning of the North Carolina Department of Health and

Human Services and the focus of the health care future for NC and DHHS. By the conclusion of this session participants will be able to: 1. Identify elements that will drive value in health care; 2. Identify elements that will drive value in integrated whole person care; and 3. Understand NC efforts on the opioid crisis

Mandy K. Cohen, MD, MPH, Secretary, North Carolina Department of Health and Human Services

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11:45 AM–12:00 PM Transition Break 12:00 PM–12:30 PM Lunch Winston 2 Sponsored by: UnitedHealthcare 12:30 PM–1:00 PM Awards Ceremony Winston 2

North Carolina Community Health Center Association Awards Association Service Award Dr. Evelyn D. Schmidt Award for Outstanding Service Health Center Advocate Award Outstanding Provider Award Policymaker of the Year Award

North Carolina Office of Rural Health Awards Outstanding Administrator of the Year Outstanding Board Member of the Year Outstanding Provider of the Year North Carolina Association of Free and Charitable Clinics Awards The Don Lucey Award Spirit of Free Clinics Award Blue Cross and Blue Shield of North Carolina Foundation Award Robert J. Greczyn, Jr., Community Health Center Leadership Award

1:00 PM–2:00 PM National Policy Updates and Safety-Net Collaborative Work

Our Patients, Our Compassion, Our Common Connection Winston 2

As the political landscape changes dramatically from day to day in our country, one thing remains the same: America’s safety net continues to adapt, embrace change, advocate for our patients, and create change in health care. Together, clinics and pharmacies provide access to compassionate care, connect patients with the care they need, enhance connections with volunteers who give back in their communities, and work hard to connect with other partners in health in communities across the country. This generosity and dedication to the medically underserved and to the idea of access to affordable, quality health care are what connect our members, their staff, and volunteers. While community needs, size, reach, and political views might differ, everyone in the charitable health care community shares many of these common qualities that connect us all. In the upcoming months and years, doctors, hospitals, navigators, states, clinics, and patients will be addressing the needs of the underserved with respect to affordability, accessibility, and portability of primary, specialty, and dental care and medication access. Join the NAFC’s CEO for a lively, educational, and motivational session on how the safety net is being impacted by and responding to a shifting health care landscape, while keeping our patients at the center. By the conclusion of this session participants will:

1. Be able to discuss and demonstrate the important role clinics will continue to

play in a post-health care reform world;

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2. Identify opportunities for collaboration with other members of the safety net,

public officials, and funders; and

3. Understand the political atmosphere surrounding health care.

Nicole Lamoureux, Chief Executive Officer, National Association of Free & Charitable

Clinics

2:00 PM–2:45 PM Networking Break & Raffle Prizes Winston Ballroom Foyer Mingle with Sponsors and Exhibitors! Sponsored by: AmeriHealth Caritas 2:30 PM Check-in for CHC Board Training Winston 1C

Foundation for Board Effectiveness - Please come to the meeting room for check-in and materials. A separate registration fee is required – you must have pre-registered/paid.

2:45 PM–4:00 PM Concurrent Sessions

Challenges in Leading Boards Winston 1C *This session is part of the Board/Governance Training on Saturday. Saturday’s sessions at 9:15am & 11:15am require a separate registration fee. Space is limited, we encourage participation from CHC CEOs and their Board Chairs ONLY. Leading today’s health center board is more complex than ever. This session explores the evolving role of the Board Chair, the importance of an effective Board Chair/CEO relationship, and preparing for and leading more effective board meetings. At the end of this workshop, participants will be able to:

1. Identify the basic role for the health center board chair; 2. Articulate major factors in effective board chair/CEO relationship; and 3. Identify strategies for more effective board meetings.

Paula L. Woods, MPH, Principal, Woods/Liddell Group Felix H. Liddell, MBA, Principal, Woods/Liddell Group

Reshaping Healthcare in North Carolina Winston 3C This session will set the stage for why the health care delivery and payment system need to transform, provide an overview of changes (including new alliances) that are currently underway, and discuss what the future may hold. By the conclusion of this session, participants will:

1. Learn that "Managed Care" is not a nasty phrase; 2. Understand Access to healthcare and Affordability are achievable and not

mutually exclusive; and 3. Learn that, as in politics, healthcare is local…but not all of it.

Ken Lewis, Executive Director, NC Association of Health Plans Melanie Phelps, JD, Senior Vice President, Health System Innovation Deputy General Counsel

Winston 1A Telling the Story of Your Clinic—Effective Story Telling, Collection, Management, and Use of Stories We grant authority to people with expertise and we tend to think that we do not have authority to speak on a topic if we do not have that ultimate authority, bestowed upon

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people by institutions or other means of power. However, if we link our expertise and experience to the things we care about, then we have authority behind what we say. Stories not only teach us how to act – they inspire us to act. Stories communicate our values through the language of the heart, our emotions. And it is what we feel – our hopes, our cares, our obligations – not simply what we know – that can inspire us with the courage to act. By telling our personal stories of challenges we have faced, choices we have made, and what we learned from the outcomes, we can inspire others and share our own wisdom. Because stories allow us to express our values, not as abstract principles, but as lived experience, they have the power to move others. Your challenge will be to define an “us” upon whom you will call to join you in action motivated by shared values, values you bring alive through story telling. However, you define the “us” whom you hope to move, it must consist of real people with whom you can communicate, move or not move, engage or not engage, get to act or not. By the conclusion of this session, participants will:

1. Understand that anyone can be an authority on something that they care about; 2. Introduce participants to the Ganz style of storytelling: story of self, story of us,

story of now; and 3. Develop a clear story of self, then incorporate that into a story of us, and then a

story of now.

Leslie Wolcott, MA, Communications Coordinator, North Carolina Community Health Center Association Sharon Brown-Singleton, LPN, MSHM, Director of Health Center Operations and Services, North Carolina Community Health Center Association Opioid Use, Abuse, Resources and Challenges Winston 3A This session will explore the opioid epidemic in NC with an emphasis on approaches that address opioid use disorder that include encountered challenges and integrated behavioral health care. A case example will be used to facilitate discussion about skills and resources needed to increase awareness, screenings, and treatment options. By the conclusion of this session, participants will be able to:

1. Discuss the national and North Carolina epidemic of opioid abuse; 2. Identify ways to approach and combat opioid abuse, encountered challenges, and

integrated behavioral approaches; 3. Recognize signs of the abuse or misuse of controlled substances; 4. Review Substance Abuse and Mental Health Services Administration (SAMSHA)

resources; and 5. Identify useful public health education materials.

Laura Sudano, PhD, LMFT, Assistant Professor, Wake Forest School of Medicine

4:00 PM–5:00 PM Transition Break 5:00 PM—6:00/6:15 PM Mix and Mingle Reception Winston Ballroom Foyer

Sponsored by: Carolina Complete Health Network Light hors d'oeuvres will be served. We encourage you to wear your conference t-shirts to the reception (provided to you when checking in at the NCCHCA conference registration desk). We’ll be meeting for the shuttle to the baseball game shortly after

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the reception. Staff will be distributing baseball tickets at the reception and just prior to shuttle departure.

6:15 PM Meet Shuttle Bus for Dash Baseball Game

If you’re not walking – don’t miss the shuttle! Transportation will be provided for conference attendees for the one-mile trip to and from the stadium. Meet the Holiday Tours bus downstairs at the convention center’s Cherry Street exit. Don’t forget to wear comfortable shoes and the t-shirt found in your participant bag.

7:00 PM Winston-Salem Dash Baseball Game (start time 7:00PM) – BB&T Ballpark Sponsored by: Carolina Complete Health Network

Join us! Kick back and relax with colleagues while watching the Winston-Salem Dash take on the Salem Red Sox! Fireworks will follow the game. Our seats are on the picnic terrace on the second floor of the stadium. Food and non-alcoholic beverages at the game (from a dedicated concession window – no waiting!) are included with your admission. Redeem your voucher for a free Dash hat at the sales table. Our shuttle bus will return to the hotel from the stadium VIP entrance after the game.

Saturday, June 10, 2017

7:30 AM–11:15 AM Registration Desk Open Winston Ballroom Foyer Attendees may check-in at the NCCHCA conference registration desk at any time during

this timeframe. 7:30 AM–8:00 AM Breakfast Winston 2 Sponsored by: Meridian

8:00 AM–9:00 AM Morning Plenary Winston 2

Reuben Blackwell, CEO, Opportunities Industrialization Center

9:00 AM – 9:15 AM Check-in for CHC Board Training - Foundation for Board Effectiveness Winston 1C Please come to the meeting room for check-in and materials. A separate registration fee is required – you must have pre-registered and paid.

9:00 AM – 9:15 AM Transition Break 9:15 AM–10:30 AM Concurrent Sessions Winston 1C

Foundation for Board Effectiveness: The Role and Responsibilities of Health Care Boards (PART 1) *A separate registration fee is required for this training. Board effectiveness begins with a clear understanding of the role of individual directors, the board, and its committees. This session provides participants with basic principles, roles, and responsibilities for all three and focuses on the role of board committees in oversight of critical financial, quality and other organizational challenges. At the end of this workshop, participants will be able to:

1. List the three basic fiduciary responsibilities of a board of directors; 2. Identify the role and responsibility of board of directors; and

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3. Describe the role and responsibilities of board committees in addressing critical organizational challenges.

Paula L. Woods, MPH, Principal, Woods/Liddell Group Felix H. Liddell, MBA, Principal, Woods/Liddell Group

Best Practices at your Clinics Winston 3C Three Safety-net clinics throughout the State will highlight a program or best practice in their center. Come learn about: Best Practice – The Chronic Disease Self-Management Education Program (CDSME) at a Federally-Qualified Health Center. They will share the story of how our health center incorporated CDSME into our services by training clinical staff as Master Trainers. From PCP referrals to the program via our electronic health records, to tracking outcomes, the CDSME program can be a valuable, outcomes driven service at any health center. By the conclusion of this first portion of the session, participants will learn:

1. What is CDSME; 2. How to make it "fit" in your health center; and 3. How CDSME compliments PCMH.

Todd Wallenius, MD, Medical Director, Western NC Community Health Services Jeanne Dairaghi, MS, Project Manager, Chronic Disease Self Management, NC Center for Health and Wellness at UNC Asheville

Best Practice – Increasing Patient Census Through a Hospital/Clinic Economic Assistance Program. The CCC-OMH Economic Assistance Agreement is a best practices model on how a local hospital and a medical safety net organization collaborated to improve population health, by increasing access to care. By the end of this session, participants will be able to:

1. Strengthen collaboration with local hospitals to increase access to primary care for vulnerable populations;

2. Focus and grow safety net partnerships through return on Investment; and 3. Ensure value-added partnerships through performance measures.

Theo McClammy, Executive Director, Onslow Community Outreach Best Practice – Against All Odds How can you achieve good clinical outcomes when your inputs are constantly changing? By the conclusion of this third portion of the session, participants will learn to:

1. Assess the resources available and how to maximize them; 2. Focus on things they can control and identify ways to improve them; and 3. Become comfortable using tools to measure and improve quality goals.

Shannon Moretz, Health Informatics Manager, Caswell Family Medical Center

How to Attract Employees and Ensure They Stay Winston 1A One of the most important HR activities an organization should do well is finding good talent. Second to that is keeping talent engaged and interested in a career with your company. During this interactive session, participants will learn key attributes about

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millennials (and other generations) and what attracts them to an employer. Molly Hegeman, VP of HR Services at CAI, will share practical tips that can be incorporated into your recruitment and onboarding strategies. By the end of this session, participants will be familiar with: 1. Millennial/generational perspective on what’s valued at work; 2. Marketplace trends on work environment and culture; and 3. Current strategies for recruitment and onboarding. Molly Hegeman, MPA, SPHR, Vice President of HR Services, Capital Associated Industries, Inc.

Winston 3A Engaging the Primary Care Team to Reduce Disparities in Cancer Outcomes

Cancer is a major health care problem and the second highest cause of death in the United States. An estimated 600,920 individuals will succumb to cancer in 2017. There has been increasing national attention to the issue of health disparities based on race/ethnicity and its impact on the health of the Nation. Several metrics have been used to delineate disparate cancer outcomes experienced by medically underserved communities. Disparities in cancer screening, treatment, and outcomes are well documented by socioeconomic status, healthcare access, insurance status, and race. For selected cancers, significant differences in incidence and mortality between racial/ethnic groups have been demonstrated. For example, blacks are more likely to have more advanced stage disease at the time of cancer diagnosis than whites, and to experience lower stage-specific survival rates. Presentation at late stages may be related to access to screening due to lower health insurance coverage rates in blacks and other minorities than non-Hispanic whites. Poorer cancer outcomes are also seen in rural communities and those of lower socioeconomic status. Primary care teams are an essential but often underutilized resource in the fight against cancer. This workshop will outline modifiable contributors to disparate cancer outcomes and resources that can be employed to help bridge these gaps. An outline for the development of strategic partnerships with oncology care teams to create a bi-directional and sustainable survivorship plan for patients will be shared. By the end of this session, participants will be able to:

1. Discuss modifiable contributors to disparities in cancer outcomes; 2. Identify available resources to support patients along the cancer continuum;

and 3. Design partnerships with oncology.

Karen Winkfield Walker, MD, PhD, Director, Office of Cancer Health Equity Association, Professor of Radiation Oncology, Wake Forest School of Medicine

10:30 AM–11:15 AM Networking Break & Raffle Prizes Winston Ballroom Foyer Mingle with Sponsors and Exhibitors!

Sponsored by: Cardinal Health

11:15 AM–12:30 PM Concurrent Sessions Winston 1C

Foundation for Board Effectiveness: The Role and Responsibilities of Health Care Boards (PART 2) *A separate registration fee is required for this training.

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Boards of Directors are frequently unprepared when a key board leader or the CEO announces their departure or retirement from the organization. The unexpected serious illness or death of a key leader adds another layer of stress and uncertainty to succession planning. This session explores CEO succession responsibilities of health center boards and key asks, as well as the board’s role in planning for the orderly succession of its own leaders. At the end of this session, participants will be able to:

1. Identify the three major types of CEO succession; 2. Identify the major steps in crafting a CEO succession plan; and 3. Identify issues and strategies in planning for the succession of board officers and

committee chairs.

Paula L. Woods, MPH, Principal, Woods/Liddell Group Felix H. Liddell, MBA, Principal, Woods/Liddell Group

Combating Compassion Fatigue: Enhancing Wellness for Healthcare Winston 3C Professionals Compassion Fatigue is the cumulative physical, emotional, and psychological effects of exposure to traumatic stories or events and/or suffering when working in a helping capacity. Research indicates that healthcare professionals are particularly vulnerable to this condition. The purpose of this presentation is to familiarize the participant with the various signs and symptoms associated with Compassion Fatigue, as well as resiliency and recovery strategies. The participant will gain an understanding of the contributing factors linked to Compassion Fatigue and the predictors that are related to its development. The participant will also learn how to assess for Compassion Fatigue and the importance of assessment and early intervention. He/she will learn resiliency skills and how to prevent this condition as well as strategies for managing and recovering from it. This will include increasing knowledge of personal wellness and stress management strategies that incorporate self-care skills. Enhanced understanding of this condition and strategies for preventing or managing it will lead to an improved quality of care for patients, as well as enhanced quality of life for the professionals who care for them. By the conclusion of this session participants will be able to:

1. Identify the signs and symptoms of Compassion Fatigue; 2. Describe strategies for preventing Compassion Fatigue; and 3. Discuss strategies for managing or recovering from Compassion Fatigue.

Christina M. Clarke, MS, HS-BCP, Coordinator, Continuing Medical Education, Wake Forest School of Medicine, Northwest Area Health Education Center FQHC Cost Report Opportunities and Updates Winston 1A CMS's creation of the new Medicare FQHC cost report Form 224-14 directly impacted the North Carolina FQHC Medicaid cost report. This has created opportunities for FQHC's to consider. This session will address some of the key concepts and changes that are important for each North Carolina FQHC to understand, as well as discuss the change in scope and process and what FQHCs that have currently established like- provider rates should be considering. Since the Medicare FQHC cost report is the foundation of the North Carolina Medicaid cost report we will also address common mistakes and lessons learned from the first year with the new form. By the conclusion of this session participants will be able to:

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1. Discuss how the new North Carolina Medicaid FQHC cost report creates opportunities;

2. Discuss how the change in scope of services request and the like provider PPS rate setting process for North Carolina Medicaid FQHC cost report affects your FQHC; and

3. Address common mistakes and lessons learned from the new Medicare FQHC cost report.

David C. Fields, CPA, CMA, CFM, Partner, BKD, LLP

Winston 3A Managing for Dental Program Success – Not Just for Dental Directors! Sponsored by: Blue Cross and Blue Shield of North Carolina Foundation

This session seeks to promote an understanding of the factors that contribute to a strong dental program for administrative, financial, and clinical leaders. It will highlight and lay the groundwork for the relationship between access, finance, and outcomes in safety net practices and give participants the tools to evaluate those relationships in their own dental settings. Emphasis will be placed on audience participation in utilizing a self-assessment questionnaire to illustrate the concepts presented. The session will help define “what success looks like” based on quantitative measures and national benchmarks, thus setting the stage for designing a baseline customized for the dental program. The program will equip the participants to become engaged in setting realistic measurable goals and timelines to achieve sustainability. By the conclusion of this session participants will be able to:

1. Enhance communication between dental and non-dental stakeholders; 2. Highlight the challenges that are specific to dental practice; and

3. Utilize a mini self-assessment to determine factors most influential in the

sustainability of dental programs.

Sharon Nicholson Harrell, DDS, MPH, FAGD, Dental Director, FirstHealth Dental Care Expert Advisor, Safety Net Solutions

12:30 PM–1:00 PM Lunch Winston 2 1:00 PM–2:00 PM Explore Your Unconscious Bias Winston 2 Sponsored by: Blue Cross and Blue Shield of North Carolina Foundation

Matthew’s passion for racial reconciliation and social justice has led him across the United States and overseas, helping people connect and begin to address the challenges that divide them. We'll hear from Matthew on how to recognize and reduce the impact of unconscious bias in order to provide more effective care and build stronger relationships!

Matthew Freeman, MA, Principal Consultant, TMI Consulting

Grand Prize Raffle

SAVE THE DATE FOR NEXT YEAR’S PRIMARY CARE CONFERENCE: June 2018

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