Upload
buidan
View
213
Download
0
Embed Size (px)
Citation preview
1
8/21/14
2014 ANNUAL CONFERENCE
October 2 & 3, 2014 – Hilton Columbus/Polaris
featuring
PLENARY SESSIONS
Governor Kasich is invited to provide opening remarks and receive the 2014 Mary E. Pettus Excellence In Public Policy Award.
Population-Based Integrated Care and the Triple Aim
Marci Nielsen, PhD, MPH, Chief Executive Officer, Patient-Centered Primary Care Collaborative (PCPCC)
Cross System Collaboration
Erwin “Mac” McEwen, Senior Director of the Technical Assistance Unit, Casey Family Programs
Building Healthcare Partnerships to Improve Outcomes – Panel Discussion
Rebecca A. Baum, MD, member of the Section of Developmental and Behavioral Pediatrics at Nationwide Children’s Hospital and a
Clinical Assistant Professor of Pediatrics at The Ohio State University College of Medicine
Randy Oostra, DM, FACHE, President and Chief Executive Officer, ProMedica Health System
Richard J. Snow, DO, MPH, System Vice President of Clinical Transformation, OhioHealth
Gregory Young, DPM, Director of Government Relations, Medical Mutual
Strategic Unions – Considering the First Step
David C. Guth, Jr., Chief Executive Officer and co-founder, Centerstone of America
Transforming Payment for a Healthier Ohio
Dr. Mary Applegate, Medical Director, Ohio Department of Medicaid
Discussion with Tracy Plouck, Director, Ohio Department of Mental Health & Addiction Services
WORKSHOP SESSIONS
Workshop sessions will cover a range of topics to include: Compliance, Social Impact Bonds (SIBs), and Managed Care Contracting.
VENDOR EXHIBIT HALL
Vendors will be exhibiting their products & services during the two-day conference.
WHO SHOULD ATTEND
Chief executive officers, service and program managers, clinical directors, human resources staff, and fiscal staff –
Two-day conference is open to all provider organizations within the behavioral health and family services field.
Please visit www.theohiocouncil.org to access brochure & online registration.
2
AGENDA – Thursday, October 2, 2014
8:00 AM – 9:00 AM Registration, Continental Breakfast, Exhibits
9:00 AM – 9:30 AM Welcome, Opening Remarks, Presentation of the 2014 Mary E. Pettus Excellence In Public Policy
Award
9:30 AM – 10:45 AM Plenary Session: Population-Based Integrated Care and the Triple Aim – Marci Nielsen,
PhD, MPH, Chief Executive Officer, Patient-Centered Primary Care Collaborative
10:45 AM – 11:15 AM Break & Exhibits
11:15 AM – 12:15 PM Plenary Session: Cross System Collaboration – Erwin “Mac” McEwen, Senior Director of the
Technical Assistance Unit, Casey Family Programs
12:15 PM – 1:30 PM Lunch & Annual Awards Presentation
1:30 PM – 3:00 PM Plenary Session: Building Healthcare Partnerships to Improve Outcomes – Panel
Rebecca A. Baum, MD, member of the Section of Developmental and Behavioral
Pediatrics at Nationwide Children’s Hospital and a Clinical Assistant Professor of
Pediatrics at The Ohio State University College of Medicine; Randy Oostra, DM, FACHE,
President and Chief Executive Officer, ProMedica Health System; Richard J. Snow, DO,
MPH, System Vice President of Clinical Transformation, OhioHealth; Gregory Young,
DPM, Director of Government Relations, Medical Mutual
3:00 PM – 3:30 PM Break & Exhibits
3:30 PM – 5:00 PM Workshop Sessions:
#1 A View from the Other Side: What Primary Care Struggles With in Behavioral Health Care –
Marci Nielsen, PhD, MPH, Chief Executive Officer, Patient-Centered Primary Care Collaborative
#2 Compliance Issues for Behavioral Health Providers:
Medicaid Revalidation – Suzanne J. Scrutton, Partner; Vorys, Sater, Seymour and Pease, LLP
Risks of the Electronic Health Record – Lisa Pierce Reisz, Partner and Robin L. Canowitz,
Senior Attorney; Vorys, Sater, Seymour and Pease, LLP
#3 An introduction to Implementation Science as Infrastructure – Erwin “Mac” McEwen,
Senior Director of the Technical Assistance Unit, Casey Family Programs
#4 Creative Social Programs: The Social Impact Bond Model – Bonnie K. Burman, Sc.D.,
Director and Djibrane Larrabure, Government Innovation Fellow, Ohio Department of Aging
5:00 PM – 5:45 PM Networking Reception & Exhibits
3
AGENDA – Friday, October 3, 2014
8:00 AM – 9:00 AM Registration, Continental Breakfast, Exhibits
9:00 AM – 10:30 AM Plenary Session: Strategic Unions – Considering the First Step – David C. Guth, Jr.,
Chief Executive Officer and co-founder, Centerstone of America
10:30 AM – 11:00 AM Break & Exhibits
11:00 AM – 12:15 PM Plenary Session: Transforming Payment for a Healthier Ohio – Mary Applegate, MD, FAAP,
FACP, Medical Director, Ohio Department of Medicaid
12:15 PM – 1:30 PM Lunch & Discussion with Tracy Plouck, Director, Ohio Department of Mental Health & Addiction
Services
1:30 PM – 1:45 PM Break & Exhibits
1:45 PM – 3:15 PM Workshop Sessions:
#1 Strategic Unions – From “Dinner and a Movie” to Saying “I Do” – David C. Guth, Jr.,
Chief Executive Officer and co-founder, Centerstone of America
#2 Negotiating Points & Pitfalls of Managed Care Contracting: How Not to Lose Your Shirt (or
Anything Else That is Dear to You!) – Gary Humble, Executive Director, Pinnacle Health Partners,
Connections: Health*Wellness*Advocacy
#3 Court Ordered Outpatient Commitment – An Overview of S.B. 43 – Betsy Johnson,
Associate Executive Director, National Alliance on Mental Illness of Ohio
4
EXHIBIT HALL PARTICIPANTS
Afia, Inc.
Alkermes, Inc.
Askesis Development Group
BKD, LLP
Brown & Brown Insurance
Buckeye Health Plan
Celerity, LLC
Chestnut Ridge Foam, Inc.
CompManagement, Inc.
Core Solutions, Inc.
Credible Behavioral Health Software
The Echo Group
Enterprise Fleet Management
Genoa, a QoL Healthcare Company
InSight Telepsychiatry, LLC
Janssen Pharmaceuticals, Inc.
The Joint Commission
McGohan Brabender
Medicare Solutions
Molina Healthcare
Netsmart
Ohio Indemnity/UC ASSURE
Paramount Advantage
Pinnacle Health Partners
ProComp Software Consultants
Qualifacts Systems, Inc.
Streamline Healthcare Solutions, LLC
This End Up Furniture Co.
Unemployment Services Trust (UST)
UnitedHealthcare Community Plan and Optum
5
PROGRAM – DAY ONE
Plenary Sessions
Population-Based Integrated Care and the Triple Aim
Marci Nielsen, PhD, MPH, Chief Executive Officer
Patient-Centered Primary Care Collaborative (PCPCC)
Health care service delivery requires an understanding of the Institute of Medicine’s Triple Aim – improving patient’s health care
experience and outcomes; improving population health; and reducing per capita costs - in the context of population-based, integrated
care (primary/behavioral). Achieving the goals of the IOM’s Triple Aim has implications that include delivery system redesign, value-
based purchasing/ payment reform, enhanced care management and health information exchange.
Marci Nielsen, PhD, MPH, joined the PCPCC as Chief Executive Officer in 2012. Prior to the PCPCC,
Dr. Nielsen served as Vice Chancellor for Public Affairs and Associate Professor at the University Of
Kansas School Of Medicine’s Department of Health Policy and Management. Dr. Nielsen was
appointed by then-Governor Kathleen Sebelius as first Executive Director and Board Chair of the
Kansas Health Policy Authority (KHPA). She worked as a legislative assistant to U.S. Senator Bob
Kerrey (D-Nebraska), and later served as the health lobbyist and assistant director of legislation for the
AFL-CIO. She is a board member of the American Board of Family Medicine, and former member of
the Health Care Foundation of Greater Kansas City, TransforMED LLC and the Mid-America
Coalition on Health Care. She was also a committee member for the Institute of Medicine’s Leading
Health Indicators for Healthy People 2020 and Living Well with Chronic Illness: A Call for Public
Health Action. Early in her career she served as a Peace Corps volunteer working for Thailand’s
Ministry of Public Health and served for six years in the US Army Reserves. Dr. Nielsen holds an
MPH from the George Washington University and a PhD from the Johns Hopkins School of Public
Health.
Cross System Collaboration Erwin “Mac” McEwen, Senior Director of the Technical Assistance Unit,
Casey Family Programs
Individuals and families with complex needs often interact with multiple human service agencies and providers. Effective service
delivery that results in positive outcomes requires strong cross system collaboration and a family centered approach that considers
services provided to a family not just individual family members.
Erwin “Mac” McEwen is Senior Director of the Technical Assistance Unit at Casey Family
Programs. In this capacity, McEwen manages technical assistance provided by Casey Family
Programs in support of child welfare system improvement efforts across the nation, and consults
with many Child Welfare jurisdictions in the areas of performance based contracting, case rate
setting, extending child welfare services to youth in care until age 21, older youth services,
Strengthening Families, voluntary prevention services, building effective system responses to
neglect and child death reviews. He has continued to spread his child welfare vision of protecting
children by strengthening and supporting families. Erwin “Mac” McEwen’s commitment to
protecting children by strengthening families guided his visionary leadership of the Illinois
Department of Children & Family Services from November 2006 to September 2011. Director
McEwen sought to refocus child welfare practice on ensuring the well-being of children in addition
to their safety, and to refocus the agency’s priorities on providing needed support to families well
before their circumstances warrant removal of a child from the home. McEwen has been a member
of numerous national efforts to improve child welfare services and as the Chair of the Executive
Leadership Committee of the National Association of Public Child Welfare Administrators-
Positioning Public Child Welfare Initiative. He has also served on the Illinois Statewide Foster Parent Advisory Council, Illinois Child
Care Association Board of Directors, and the African American Family Commission’s Monitoring and Oversight Committee. McEwen
has been nationally recognized for his innovations and accomplishments. He was named the 2008 Social Worker of the Year by the
Illinois Chapter of the National Association of Social Workers.
6
Building Healthcare Partnerships to Improve Outcomes – Panel Discussion
Rebecca A. Baum, MD, member of the Section of Developmental and Behavioral Pediatrics at Nationwide Children’s Hospital
and a Clinical Assistant Professor of Pediatrics at The Ohio State University College of Medicine
Randy Oostra, DM, FACHE, President and Chief Executive Officer, ProMedica Health System
Richard J. Snow, DO, MPH, System Vice President of Clinical Transformation, OhioHealth
Gregory Young, DPM, Director of Government Relations, Medical Mutual
Creating community culture that improves health or sustains a “culture of health” requires a holistic approach that incorporates new,
better, and stronger collaborations between physical health, behavioral health, social services, the faith community, and local businesses.
Strengthening relationships between community healthcare and behavioral health providers helps to lay a strong foundation for
developing healthcare neighborhoods that can harness resources to identify and tackle the tough social and economic issues that get in
the way of improved health and wellness of communities. For many years we have known that the social determinates of health –
physical, economic, and social conditions – are critical factors that impact individuals and family health. This presentation is designed
to create a dialogue between the healthcare and behavioral health professions to develop strategies for building and strengthening
collaborations to improve health, improve health outcomes, and maximize resources.
Rebecca A. Baum, MD, is a member of the Section of Developmental and Behavioral Pediatrics at Nationwide
Children’s Hospital and a Clinical Assistant Professor of Pediatrics at The Ohio State University College of
Medicine. Her primary teaching and clinical activities involve young children and their families who are seen
in Nationwide Children’s Behavioral Medicine and Consultation Clinic. Dr. Baum’s research interests include
Autism, Attention Deficit Hyperactivity Disorder, and quality improvement. Dr. Baum received her medical
degree from the University of Pennsylvania School of Medicine. She completed her internship and residency
at The Children’s Hospital of Pittsburgh, where she also served as Chief Resident. She practiced primary care
pediatrics in Pennsylvania before completing her fellowship in Developmental and Behavioral Pediatrics at
Nationwide Children’s Hospital.
Randy Oostra, DM, FACHE, is the President and Chief Executive Officer for ProMedica Health System (2009-
Present). Prior positions include President and Chief Operating Officer (2006-2009), Regional President (2002-
2006), and Corporate Vice President, Strategic Business Development for ProMedica Health System (1998-
2006); Executive Vice President, Saint Anthony’s Health System, Alton, Illinois (1994-1997); Vice President,
Blodgett Memorial Medical Center, Grand Rapids, Michigan (1989-1994); Assistant Administrator, Health One
Corporation, Minneapolis, Minnesota (1987-1989); and Consultant, LCM, Sioux Falls, South Dakota (1982-
1987). Education: Doctorate in Management, Case Western Reserve University; Master’s degree in Health
Care Administration from the University of Minnesota; Master’s degree in Management from the University of
Wisconsin; and a Bachelor of Science degree in Biology from Northwestern College, Orange City, Iowa.
Professional Activities: Mr. Oostra is a member of American Hospital Association, Ohio Hospital Association,
Bread for the World Development Committee, a fellow with American College of Healthcare Executives, and
a Board Member of Regional Growth Partnership, Toledo Sympathy, Toledo Art Museum, and American
Hospital Association Regional Policy Board.
Dr. Snow currently serves as the System Vice President of Clinical Transformation at OhioHealth in Columbus,
Ohio. In this position, Dr. Snow works to identify and capitalize on opportunities to provide high quality,
efficient care across the continuum. Concurrently with his position at OhioHealth, Dr. Snow has recently been
appointed as an adjunct associate professor at Ohio University’s Heritage College of Osteopathic Medicine,
where he is working with faculty to develop Patient Centered Care curriculum for pre and post graduate students.
Dr. Snow’s prior experience includes serving as a consultant where he supported the development and execution
of process and outcomes improvement projects by providing clinical and epidemiologic leadership to clients
including the Ohio Hospital Association.
Dr. Snow earned his D.O. degree from the Philadelphia College of Osteopathic Medicine in Philadelphia and
his MPH degree from the Johns Hopkins Bloomberg School of Public Health. He has numerous publications
focused on quality measurement and improvement and has served on many state and national committees focused on quality
improvement.
7
Gregory Young, DPM is the Director of Government Relations for Medical Mutual. Dr. Young has worked
with Medical Mutual for the past six years. Gregory is a Doctor of Podiatric Medicine and spent twenty plus
years in private practice in Ocean Isle North Carolina, specializing in diabetic limb salvage. He completed a
podiatric surgical residency with rotations at The Ohio State University, Grant Hospital and Doctor’s Hospital
in Columbus, Ohio.
Workshop Sessions
A View from the Other Side: What Primary Care Struggles With in Behavioral Health Care Marci Nielsen, PhD, MPH, Chief Executive Officer
Patient-Centered Primary Care Collaborative (PCPCC)
Behavioral health providers often struggle with how to collaborate with primary care practices in order to provide the best care for
patients. This session will provide a view from “the other side”, that is, from the perspective of the primary care practice and the current
challenges many of them face. Although this includes the integration of behavioral and mental health services, primary care practices
also face a number of other challenges, such as: burn out among staff in a volume driven fee-for-service payment environment; perceived
lack of prestige and reimbursement (relative to their specialist peers); increasing requirements around maintenance and certification and
quality measurement; and of course, pressure to embrace the patient-centered medical home model of care (and all that this entails).
The objective of this session is to give an insider’s view of the primary care practice in order to brainstorm about effective ways to
collaborate and better serve patients. How can behavioral health providers sympathize, empathize, and ultimately better partner with
primary care?
Compliance Issues for Behavioral Health Providers:
Medicaid Revalidation Suzanne J. Scrutton, Partner; Vorys, Sater, Seymour and Pease, LLP
As a result of the Affordable Care Act, all Medicaid providers must comply with a new Medicaid revalidation requirement in order to
maintain their Medicaid provider agreements. Behavioral health providers in Ohio are considered a moderate risk which requires an
onsite visit by the Ohio Department of Medicaid or their designee. The presentation will focus on educating providers about the new
requirements, identifying what to expect from the onsite visit, and offering suggestions to providers on how they should prepare for the
revalidation process.
Ms. Scrutton is a partner in the Vorys Columbus office and a member of the health care group. She has experience representing providers
in the fields of long term care, behavioral health and developmental disabilities. Ms. Scrutton has extensive experience with regulatory
issues, Medicaid reimbursement and regulations, as well as contract negotiations with various payor sources.
Risks of the Electronic Health Record
Lisa Pierce-Reisz, Partner and Robin L. Canowitz, Senior Attorney; Vorys, Sater, Seymour and Pease, LLP
Electronic Health Records (“EHRs”) have the potential to significantly improve the quality of health care as well as improve the
efficiency and cost-effectiveness of its delivery. The presentation will focus on educating providers about defining the legal medical
record, fraud and malpractice risk in EHR usage, and security issues under HITECH.
Ms. Reisz is a partner in the Vorys Columbus office and a member of the health care and litigation groups. Her practice focuses on
health information technology issues including: health information privacy and security under HIPAA/HITECH, state confidentiality
laws and 42 C.F.R. Part 2; breach response; implementation of electronic health records; and qualification for meaningful use incentives.
Ms. Canowitz is a senior attorney in the Vorys Columbus office and a member of the health care group. She has more than 15 years of
experience in health care compliance, hospital risk management, medical malpractice and employment law. She has extensive
experience drafting hospital policies and procedures.
8
An Introduction to Implementation Science as Infrastructure Erwin “Mac” McEwen, Senior Director of the Technical Assistance Unit
Casey Family Programs
The National Implementation Research Network (NIRN) is an organization whose mission is to contribute to the best practices and
science of implementation, organization change, and system reinvention to improve outcomes across the spectrum of human services.
One areas of NIRN work has focused on identification of Implementation Drivers. Implementation Drivers are the engine of change
and have been categorized as Competency, Organization, and Leadership supports. This session will consider an approach that identifies
these drivers and their relationship to identifying appropriate infrastructure to support innovation, culture change, and system re-
invention.
Creative Social Programs: The Social Impact Bond Model Bonnie K. Burman, Sc.D., Director
Djibrane Larrabure, Government Innovation Fellow
Ohio Department of Aging
This presentation will provide an overview of Social Impact Bonds (SIBs) and what this could mean for Ohio. In the Social Impact
Bond model, public agencies partner with service providers and private-sector investors to fund prevention-focused social programs that
address pressing social problems. Investors are repaid if and when improved social outcomes are achieved. Ohio is one of six winners
by the Rockefeller Foundation and the Harvard Kennedy School that will get help establishing social impact bond projects.
Bonnie K. Burman, Sc.D., was appointed director of the Ohio Department of Aging by Governor John Kasich in 2011. In this role she
is helping to lead the state’s effort to transform health care and long-term care for its citizens, while promoting the concept of preventive
gerontology.
Under Director Burman’s leadership the Ohio Department of Aging has developed a laser focus on initiatives to reform and enhance the
quality and efficiency of our system of long-term services and supports. Special attention is being paid to strengthening person-centered,
relationship-based care options to ensure that elders are able to live meaningful lives as their care needs change. At the same time, she
encourages all Ohioans to be “Golden Buckeyes” and be inspired by their age, not defined by it as she advocates for resources and
opportunities for elders to continue to grow, thrive and contribute. She has made it her mission to ensure that Ohio is on the leading
edge of innovation and responsiveness to the growing and changing aging population. In 2013 she and Director John McCarthy (Ohio
Department of Medicaid) were honored by the Ohio Association of Area Agencies on Aging with its first Ohio State Innovators Award
for their contributions toward transforming Ohio’s system of long-term services and supports.
Dr. Burman earned her doctorate in health policy and management from The Johns Hopkins Bloomberg School of Public Health. She
currently resides in Gahanna with her husband, Robert.
Djibrane Larrabure is assisting the State of Ohio with its social impact bond initiative. Previously, Djibrane worked as a Trade
Development Officer at the Cleantech and Infrastructure Practice of the Canadian Ministry of Foreign Affairs and International Trade.
He also undertook various roles in trade and development at the Embassy of Peru to Canada and the United Nations Development
Programme in Lima, Peru. Djibrane holds a Bachelor of Commerce degree in Finance and Economics from McGill University, and is
a recent graduate of the M.A. program in International Relations at Yale, where he specializes in Economics, Policy and Evaluation.
9
PROGRAM – DAY TWO
General Sessions
Strategic Unions – Considering the First Step David C. Guth, Jr., Chief Executive Officer and co-founder, Centerstone of America
There is enormous merger and affiliation activity occurring all across the health and human service space as a direct result of threats
and opportunities of the emerging health care landscape. And while you and your board may not be ready to walk down the aisle with
a merger partner, there are compelling reasons to consider this strategy as you formulate your strategic plan. David will speak to some
of the current drivers behind the merger and affiliation activity, offer some advice on how to prepare your board and leadership team
for initial exploration, and help you gain a clearer understanding of how a merger/affiliation process works.
David Guth is Chief Executive Officer and co-founder of Centerstone, one of the nation’s largest community-
based behavioral healthcare providers. The non-profit organization, headquartered in Nashville, Tennessee,
serves over 90,000 individuals and families throughout Southern Illinois, Western Kentucky, Middle
Tennessee and South Central Indiana. Centerstone’s specialty networks span 42 states and two Canadian
provinces.
Guth has served in the capacity of chief executive for Centerstone and one of its legacy organizations, Dede
Wallace Center, since 1991. With 39 years of behavioral healthcare experience, 31 in executive leadership,
his experience and expertise comprise a vast number of areas, both business and clinical. He has presented
extensively before national and international audiences on the adoption of information technology in the
healthcare industry, the integration of behavioral healthcare and primary care, and the importance of
improving the field of behavioral health through these research-driven protocols. His insights on these topics
and others have been featured in numerous professional journals.
The National Council for Community Behavioral Health publishes Guth’s book on mergers entitled, “Strategic Unions: A Marriage
Guide to Healthy Not-for-Profit Mergers” (also available on Amazon) to help in mergers of not for profit corporations. As a result, he
has provided merger presentations through both the National Council and state trade associations and has consulted extensively with
not-for-profits exploring mergers and affiliations.
Transforming Payment for a Healthier Ohio
Mary S. Applegate, MD, FAAP, FACP, Medical Director
Ohio Department of Medicaid
Ohio is one of 16 states that received a CMS State Innovation Model design grant in 2013 – grants provided $1-3M for a state-led,
multi-stakeholder effort to develop a State Health Innovation Plan. Ohio also is one of seven states chosen to implement a
comprehensive primary care initiative to foster collaboration among public and private health care payers to strengthen primary care.
This summer, Ohio applied to CMS be one of 12 states selected in the State Innovation Model – Model Testing grant designed to
support states in implementing new payment models. In partnership with commercial and managed Medicaid insurers, major
employers, and physicians, Ohio has designed a payment innovation model that shifts from FFS to a population based and episode
based approach. This session will describe the Ohio’s vision for health and payment innovation through PCMH and episode based
payment model.
Dr. Mary Applegate serves as the Medical Director for Ohio Medicaid and is responsible for the development
and implementation of the Medicaid Quality Strategy to improve health outcomes across the state. She is
double-boarded in Pediatrics and Internal Medicine and has been in rural primary care practice for over 20
years. Special interests include the systematic application of clinical principles and quality improvement
science to health care delivery systems for improved quality in health care and outcomes. She has been
instrumental in driving change in perinatal health and mental health integration efforts.
Dr. Applegate is a fellow of both the American Academy of Pediatrics and the American College of Physicians
and continues to teach residents the practice of quality Medicine.
10
Discussion with Tracy Plouck, Director, Ohio Department of Mental Health and Addiction Services
Director Plouck will provide an update on state department activities, key policy initiatives, and potential areas of focus in the future
that impact behavioral health clinical and administrative service delivery.
Effective July 1, 2013, Tracy Plouck was appointed director of the Ohio Department of Mental Health and
Addiction Services (OhioMHAS) by Governor John Kasich, after serving as his director of the Ohio
Department of Mental Health (ODMH) since January 2011. She brings strong policy background to her
role, having twice held the state Medicaid director position and also serving as a deputy director with the
Ohio Department of Developmental Disabilities. Additionally, Plouck has significant fiscal experience
from her eight years with the Ohio Office of Budget and Management, most recently as deputy director for
budget.
As OhioMHAS director, Tracy continues to be a member of the Governor’s Office of Health
Transformation (OHT). Governor Kasich created OHT to modernize the state’s Medicaid system and to
better integrate public health efforts that support people with physical and behavioral health needs.
A native of Trumbull County, holds a master’s degree in public administration from The Ohio State University and a bachelor’s degree
from Kent State University. She was honored by The Ohio State University Alumni Association in June 2011 for exemplary work
serving Ohioans through her government positions.
Workshop Sessions
Strategic Unions – From “Dinner and a Movie” to Saying “I Do”
David C. Guth, Jr., Chief Executive Officer and co-founder, Centerstone of America
This will be an interactive workshop exploring the realities and dispelling the myths about affiliations and mergers. Participants will
examine the drivers, desired outcomes, and process of a merger or affiliation exploration. In particular, the workshop will prepare CEOs
and board leadership for the task of engaging and supporting the board and staff leadership team in examining and evaluating affiliation
or merger opportunities.
Negotiating Points & Pitfalls of Managed Care Contracting:
How Not to Lose Your Shirt (or Anything Else That is Dear to You!) Gary Humble, Executive Director, Pinnacle Health Partners, Connections: Health*Wellness*Advocacy
Contracting with managed care organizations will be a fact of life for all community behavioral health agencies that will drive clinical
and administrative process changes. This presentation will provide organizations with “hands on”, practical advice on managing and
capturing revenue and contracting for clinical services when working with managed care organizations.
Objectives will include:
Learn and understand the credentialing & contracting process
Understand what “rules” the organization must abide by in order to be paid by MCOs
Understand what changes your organization may have to do clinically and administratively in order to be attractive to managed
care organizations in the future.
Gary Humble is the Regional Administrative Director for Business Finance Support at the Cleveland Clinic Center for Behavioral Health
in Cleveland and a member of OPEN MINDS Advisory Board. He brings a wealth of experience in psychiatric hospital operations,
managed care, and billing and reimbursement issues. Mr. Humble started his career working with both Cigna and Health America in
business development and marketing positions. From there, he was appointed manager of business development for Ohio-based
Windsor Hospital, a freestanding psychiatric facility, where he was responsible for payer and managed care contracting and referral
development.
Mr. Humble served as the director of managed care for both Applewood Centers and for Recovery Resources. In those roles, he was
responsible for managed care contracting and for developing the authorization, documentation, and billing systems to support managed
care contracts. Mr. Humble also held the position of business development manager for Marymount Behavioral Health, assuming
administrative oversight of the outpatient practice and responsible for all of the organization’s credentialing and contracting activities.
11
Court Ordered Outpatient Commitment – An Overview of S.B. 43 Betsy Johnson, Associate Executive Director
National Alliance on Mental Illness of Ohio
S.B. 43 updated Ohio’s civil commitment law to explicitly describe court ordered outpatient treatment. NAMI Ohio sought to have
Ohio’s law on court ordered outpatient treatment clarified. This session will provide an overview of what changes were made to the
law and why. It will also offer steps communities can take to ensure that the law is implemented effectively and applied appropriately.
Betsy Johnson joined NAMI Ohio (National Alliance on Mental Illness of Ohio) in December 2006. As Associate Executive Director,
her responsibilities include legislative advocacy, criminal justice activities and communications. Prior to joining NAMI Ohio, Betsy
was the Associate CEO of the Ohio Association of County Behavioral Health Authorities since its inception in 2001. In the years
prior to that, she served as Chief of the Adoption Section in the Ohio Department of Job and Family Services; Legislative Liaison for
the Ohio Department of Youth Services; Legislative Aide in the Ohio Senate; and Legislative Assistant to a Member of Congress in
Washington, D.C.
CONTUING PROFESSIONAL EDUCATION
Conference Learning Objectives:
Objective 1: Participants will understand health care policy changes that are driving behavioral health clinical and administrative
services delivery toward better integration of physical and behavioral health care, enhanced care coordination, and a focus on
improved health outcomes of persons served.
Objective 2: Participants will learn how changes in the health care marketplace will require changes in administrative practices to
support clinical service delivery specifically as integrated care delivery models and payment reforms evolve that require new or
different collaborations or partnership, use of evidenced based or evidence informed practices, and new payment models and
contracting for services.
CEU’s have been approved for Social Workers & Counselors (RCS058802). MCE’s have been approved for Psychologists
(310951018). The Ohio Council of Behavioral Health & Family Services Providers is approved by the Ohio Psychological Association-
MCE Program to offer continuing education for psychologists. The Ohio Council, #310951018, maintains responsibility for the
program. Recognized Clock Hours (RCH’s) for Chemical Dependency Professionals have been applied for. CPE’s have been approved
for Accountants by the Accountancy Board of Ohio (CPE.248).
REGISTRATION FEES
Two-Day Fee One-Day Fee
Ohio Council 1st Staff Member $330 $230
Ohio Council Additional Staff Member(s) $270 $230
Non-Ohio Council Member(s) $405 $305
Note: Breakfast, lunch, reception, and break refreshments are included along with training materials.
Deadline for registrations is Thursday, September 25, 2014. No refunds will be made after this date. However, substitutions are
welcome. For “no shows” who pre-register but do not pay, a $50 service fee (for one day registrations) and a $100 service fee (for two
day registrations) will apply (to cover the cost of hotel food & beverage).
ONLINE REGISTRATION
For online registration, please click here or visit the Ohio Council’s website at www.theohiocouncil.org.
SPECIAL ACCOMMODATIONS
Please call the Ohio Council office at (614) 228-0747 or send an email to [email protected] by September 25, 2014 if you
need special accommodations.
12
HOTEL ACCOMMODATIONS
If you would like to stay at the host hotel, please don’t wait to make your reservation – the deadline is September 1, 2014. Call 1-888-
864-8055 or click here for online reservations. The room block is under the Group Name “Ohio Council of Behavioral Health & Family
Services Providers/2014 Annual Conference” and the Group Code is “OCBH14”. If you prefer to contact the hotel directly, please call
(614) 885-1600 and ask for the Reservations Department. The discounted room rate is $143 plus taxes. It is imperative that you indicate
your group affiliation when making your reservation. Please make your reservation as soon as possible – the room block will be
released Monday, September 1, 2014. The discounted room rate and room availability cannot be guaranteed after this date. There
is no additional charge for parking.
LOCATION
Hilton Columbus/Polaris
8700 Lyra Drive – Columbus, Ohio 43240
www.columbuspolaris.hilton.com
614-885-1600
For Reservations: 1-888-864-8055
or click here for online reservations
Treat yourself to a luxurious stay at the Hilton Columbus/Polaris. The full-service, 100%
non-smoking, upscale suburban hotel is ideally located on the north side of Columbus,
directly off Ohio Interstate I-71 at Exit 121. The hotel is positioned near the thriving
Polaris Centers of Commerce and the Polaris Mall.
DIRECTIONS: If you're traveling I-270 or I-70, proceed to I-71 North to Exit 121 which is Polaris Parkway. Turn left (West) onto Polaris Parkway
and proceed to the first traffic light, Lyra Drive. Turn right at Lyra Drive.
13
14
15
16
17