Illinois Rural Health Association

26th Annual Educational Conference

August 13-14, 2015

Embracing Change in Rural Health Care

Highlights Include:

Federal Policy Update from NRHA

ICD-10 Training Session

Rural Health Clinic Administration Tools

Medical Cannabis Overview

Home Health Best Practices

….and much more!

Embassy Suites Riverfront Conference Center

East Peoria

Illinois Rural Health Association e l Conference.

Phone: (217) 280-0206 • Fax: (828) 222-2067 www.ilrurahealth.org

Illinois Rural Health Association www.ilruralhealth.org • 217-280-0206

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Wednesday, August 12

3:00 to 6:30 P.M. Exhibiter Set -Up

5:30 to 7:30 P.M. Complimentary Drinks & Appetizers for Hotel Guests

Thursday, August 13

7:30 to 9:00 A.M. Registration, Continental Breakfast and Exhibits

9:00 to 9:50 A.M. General Session - Preparing Rural Doctors for Illinois

10:00 to 10:25 A.M. Roundtables : Hospitals, Rural Health Clinics, Public Health Depts.

10:30 to 11:20 A.M. Concurrent Session A

11:20 to 11:35 A.M. Break & Exhibit Hall

11:35 A.M. to 12:25 P.M. Concurrent Sessions B

12:30 to 1:30 P.M. Lunch, Annual Meeting & Rural Health Awards

1:30 to 2:20 P.M. Concurrent Session C

2:20 to 2:35 P.M. Break & Exhibit Hall

2:35 to 3:25 P.M. Concurrent Session D

3:25 to 3:40 P.M. Break & Exhibit Hall

3:40 to 4:30 P.M. Concurrent Session E

5:30 to 7:30 P.M. Complimentary Drinks & Appetizers for Hotel Guests

7:00 to 10:00 P.M. Casino Networking Karaoke Reception with Free Shuttle

Friday, August 14th

8:30 to 9:15 A.M. Breakfast and Raffle

9:15 to 9:40 A.M. Overview of Critical Access Hospital Study

9:45 to 10:25 A.M. NRHA Speaker: Federal Update

10:30 A.M. to Noon Preparing for ICD-10 Training

Noon Conference Wrap Up – Box Lunch and Evaluations

Embassy Suites - 100 Conference Center Drive East Peoria

(309) 694-0200 –Ask for room rate of $124.00 using discount code “RHA”

*Continuing educational credit will be offered for Professional Coders, CPAs, Professional Counselors & Social Workers

Schedule at a Glance

Illinois Rural Health Association

9211 Waterfall Glen Blvd. • Darien, Illinois 60561

Phone: (217) 280-0206 • Fax: (828) 222-2067

www.ilruralhealth.org • staff@ilruralhealth.org

7:30—9:00 A.M. • Registration, Continental Breakfast & Exhibit Hall 9:00—9:50.A.M. Opening General Session

Preparing Rural Doctors for IL: Curricula & Partnerships that Work

Panel Discussion: Dr. James Barnett, Rural Student Physician Program Director, University of IL College of Medicine at Peoria, along with physicians from RIMSAP, RMED, UICOM & rural hospitals will discuss outcomes from studies on extended rural clerkships, as well as different perspectives of successful partnership programs aimed at cultivating rural physician practices.

10:00—10:25 A.M. • Roundtables: Hospitals, RHCs, & Public Health Depts.

Medical Cannabis – An Introduction for Clinicians Research Presentation Laurie Ryznyk, MPAS, PA-C, PA Program, Southern IL University, Carbondale, IL

This presentation will examine the current status of Illinois law as well as regulatory changes throughout the United States with regard to the medicinal use of cannabis. The endocannabinoid system will be discussed, as well as the recent research regarding the cannabinoids present in marijuana. Methods of administration will be discussed, as well as dosing considerations as they apply to pharmacokinetics and pharmacodynamics. Practical applications, precautions, interactions, side effects, and future uses will be explored. Home Health Overview Presentation Tracy Faqua, RN, CLNC, Assistant Director for Cass County Home Services, Virginia, IL What is Home Health Care?...Who is Eligible?....What are New Requirements?....Who Pays?... Discussion will cover the new F2F requirements with any new admission/referral; along with the types of services available such as : Skilled Nurse, Drug Therapy, I.V. Therapy, Central Line Care, PT/OT/ST and etc. Current fees that are covered by present by payor sources, and the advantages of having Home Health Care in your home will also be discussed. Rural Health Experience for Students Panel Discussion Hana Hinkle, MPH, Illinois Area Health Education Center and National Center for Rural Health Professions University of Illinois, Rockford, IL The Rural Health Experience (RHE) is a rural immersion program for undergraduate and graduate level students interested in pursuing a health profession career in a rural community. Students spend 3 to 5 days in a rural community shadowing a variety of health professionals and learning about rural health care delivery. RHEs can serve as a recruitment mechanism for rural hospitals to help with finding future rural health care professionals.

Thursday, August 13

10:30—11:20 A.M. Concurrent Session A

Multiple Sclerosis: Would you know it if you saw it? Early Diagnosis, Treatment, and Resources for Patients. Panel Discussion Coleen Friedman, MSW, National MS Society, Chicago, IL A panel, composed of a clinician (neurologist who treats patients living with MS), mental health professional, and person living with MS will address the importance of early diagnosis and treatment . The panel will help clinicians understand the common presenting symptoms of MS and how to confirm a diagnosis, as well as how to help people find the resources needed to live with the disease through the National MS Society and other community resources. Telehealth Panel Discussion - Building a Successful Teleheath Program in Rural Community Jonathan Neufeld, PhD, Upper Midwest Telehealth Resource Center (UMTRC) Chad Morris, BS, Insight Telepsychiatry, Marlton, NJ Trilok Shah, MD, In Touch Physicians, Chicago , IL Greg Janes, TelePharm Iowa City, IA Panelists will discuss the financial and quality motivations that are driving providers into telehealth, and provide a solid foundation for providers to explore and implement such expansion. We will go over the several types of telehealth programs (with examples), financial models that support sustainability, and the technical and administrative requirements for success. Participants will learn about the free consultation and technical assistance resources available through the federal Telehealth Resource Center program. Special focus will be given to the best practices in establishing successful telepharmacy and telepsychiatricy programs in rural communities from both a clinical and financial perspective.

12:30—1:30 P.M. • Lunch, IRHA Annual Meeting & Rural Health Awards

Thursday, August 13 (Continued)

11:35 A.M.—12:25 P.M. • Concurrent Session B

11:20—11:35 A.M. • Break & Exhibit Hall

HFS Medicaid Care Coordination Roll Out: Next Steps Panel Discussion Alvia Siddiqi, MD, FAAFP and Ken Ryan, IRHA President The roll-out of HFS Medicaid Care Coordination is complete, but there are still many questions regarding the next phase of implementation. Illinois Health Connect is the framework for the roll-out of Accountable Care Entities (ACEs) and Care Coordination Entities (CCEs). This talk will provide updates about the status of the roll-out, next steps to take as providers, and answer your questions regarding Care Coordination.

Maximizing Oral Health in Rural Illinois Workshop Julie Jansen, RDH, MA, Program Administrator IFLOSS Coalition, Program Administrator, Retired Illinois Dept. of Public Health , Springfield, IL The session will present new findings in children’s oral health status based on 2013-2014 survey results of third graders. How has oral health in rural Illinois changed over the past 20 years since the first oral health survey was completed. What opportunities exist to help rural communities to renew and continue efforts aimed at improving oral health? The optimization of dental workforce and new oral health initiatives will help build and expand efforts to assure oral health is part of overall health agendas from Rockford to Cairo. Effective Messaging to Reach the Unscreened Workshop Caleb Nehring, American Cancer Society, Marion, IL & Tracey Smith, PHCNS-BC, MS, CCE, CLC , Assistant Director of Medical Education for the Dept of Community Medicine, SIU School of Medicine, Springfield, IL “80% by 2018” is a movement in which dozens of organizations have committed to eliminating colorectal cancer as a major public health problem and are working toward the shared goal of reaching 80% screened for colorectal cancer by 2018. Workshop will provide an overview of research on barriers to reaching unscreened along with ways to introduce new messaging, tools and resources to reach this population.

Thursday, August 13 (Continued)

1:30—2:20 P.M. • Concurrent Session C

2:20—2:35 P.M. • Break & Exhibit Hall

Workplace Violence Workshop Joe Rosner, BA, Director of Best Defense USA, Hebron, IL Workplace Violence in your healthcare facility; the consequences are many, unpredictable, and can be severe; Injury or death of employees and/or visitors, lawsuits, accreditation issues, property damage, increased insurance premiums, OSHA enforcement actions, and reduced patient, staff, and community trust. Because Workplace Violence can happen, even to organizations that pro-actively work to prevent it, the Joint Commission, OSHA, and a growing body of legislation is strongly recommending or requiring employees receive training that provides:

An Overview and Definition of Workplace Violence Recognizing the 4 Types of Workplace Violence and Associated Risk Factors Techniques for Identifying Potentially Violent Individuals Violence De-escalation Skills A Personal Protection Protocol if Threatened or Attacked Responding After a Violent Event

Rural Health Clinics (RHC) Administrator Series Part 1: Starting a New RHC Workshop Robin Veltkamp, B.A. Health Care Administration, Health Services Associates, Inc. Freemont, MI In order to become a RHC recognized clinic you must accomplish specific requirements and be sure to file proper applications. This workshop explains the best recommend processes with information on expected timelines and expectations.

3:25—3:40 P.M. • Break & Exhibit Hall

2:35—3:25 P.M. • Concurrent Session D

Thursday, August 13 (continued)

Rural Health Clinics (RHC) Administrator Series Part II: Developing an RHC Manual & RHC Evaluation Workshop Robin Veltkamp, B.A. Health Care Administration, Health Services Associates, Inc. Freemont, MI

This workshop will assist attendees in creating an operating manual specifically for each RHC that will contain the key required documents needed to complete a RHC survey. This will be a hands on work-shop and participants will gain the understanding of how develop this working manual for their individ-ual clinic. The RHC is required to conduct an annual Advisory Committee Meeting in order to meet RHC compliance. The purpose of this annual meeting is to collect appropriate required data and to assess and analyze the data for the future potential and needs of the RHC. During this session, participants will experience an actual annual Advisory Committee Meeting with breakdown of each component and the necessity for the various components to be addressed within the meeting.

Do You See What I See? Identifying Perinatal Mental Health Conditions In The Primary Care Setting Workshop Diane Misch, MD Child & Adolescent Psychiatric Consultant, University of Illinois, Chicago, IL This presentation will discuss the multifaceted picture of perinatal depression, anxiety, PTSD, and post-partum rage that may go unnoticed at maternal or well child visits. Practical advice will be provided on use of screening tools, assessment time tables, and scoring. Role playing will highlight use of effective communication skills when discussing positive screens and need for treatment. Recommendations re-garding integration of evidence based interventions into primary care practice, and the process of find-ing and making psychiatric referrals will increase confidence and decrease stress in dealing with perina-tal mental health conditions. Identified Lung Cancer Risks in Rural Illinois: Recent Research and Health Implications Research Presentation Whitney Zahnd, MS, Georgia Mueller, MS, SIU School of Medicine Center for Clinical Research Lung cancer incidence rates in Illinois are elevated compared to the United States as a whole, and rates in rural regions of Illinois are elevated above the state rate. Even when considering smoking rates and socioeconomic factors, lung cancer incidence rates vary across rural regions in Illinois. We will provide an overview of current research exploring rural differences in lung cancer, the impact of coal mining proximity on lung cancer, and the patterns of radon testing utilization in rural Illinois. We will also dis-cuss implications for rural healthcare and public health efforts.

5:30—7:30 P.M. • Complimentary Drinks & Appetizers for Hotel Guests

7:00—10:00 P.M. • Casino Networking Karaoke Reception with Free Shuttle

Thursday, August 13 (continued)

3:40—4:30 P.M. • Concurrent Session E

8:30—9:15 A.M. • Breakfast & Raffle

9:15 —9:40 A.M. ● General Session

Overview of Critical Access Hospital Study Melissa Henriksen, Center for Government Studies at Northern Illinois University, DeKalb, IL In a recent study, ICAHN and NIU joined forces to look at the Critical Access Hospital program during the last 15 years and the socioeconomic impact on rural communities, along with what lies ahead.

9:45—10:25 A.M.● General Session

Federal Rural Health Policy Update General Session Maggie Elehwany, JD, Vice-President of Government Affairs for the National Rural Health Association, Washington DC Discussion will focus on federal legislation affecting rural health care providers, closure of rural hospitals, and how to work with the Illinois Congressional to make the most impact.

10:30 A.M.— NOON ● General Session

Preparing for ICD-10 General Session Gary Lucas, CPC, CPC—I, AHIMA ICD 10 Ambassador, Association of Rural Healthcare Professional Coders Faculty, Atlanta, Georgia

The clock is ticking to the October 1st, 2015 ICD -10 Implementation date. Will you be ready? This ICD -10 training session will help prepare you. General overview of topics and key concepts

Discussion of impact of ICD-10-CM on rural clinic’s operations

Review of key elements of the Official Guidelines for Coding and Reporting from the ICD-10 Cooperating

Parties

Top documentation challenges of ICD-10-CM and how they related to overall coding (CPT, HCPCS) and billing

Why is clinical documentation important to rural health?

How to build Clinical Documentation Awareness teams?

Gaining physician buy-in and cooperation

The role of revenue cycle staff, EHR/IT professionals, quality management, and practice management in ICD-

10 survival

Top documentation challenges and major changes

Review sample Clinical Documentation Improvement crosswalks of Top 20 diagnoses

NOON • Wrap Up/Evaluations & Boxed Lunch to Go

Friday, August 14

Casino Karaoke Networking Reception Thursday, August 13th

7:00 p.m. to 10:00 p.m.

Rock’s Bar & Restaurant at Par A Dice Casino 21 Blackjack Blvd.

(Meet in hotel lobby at 6:45 p.m. for shuttle)

Enjoy Complimentary Food & Drinks Along with Karaoke Attendees also receive $10 gaming voucher

Sponsored by:

Olympus International

Attention Students and Recent Grads…Conference Scholarship Application

IRHA is pleased to provide “conference scholarships,”* sponsored by the Illinois Farm Bureau and the Illinois Society of Advanced Practice Nurses, to cover the lodging, travel and registration costs for students interested in attending the August 13-14th 2015 Educational Conference at the Embassy Suites in East Peoria. *Embassy Suites overnight accommodations Aug. 12-13th, $75 gas card and conference registration fees, which include all meals. Criteria: Students currently enrolled in or who have graduated within the past 12 months from a health professions program (e.g., medical school, nursing, physician assistant, allied health or related fields such as rehabilitation, health education or social work) and have an interest in service to rural health and who otherwise would have to pay for the conference out of pocket (without reimbursement). Deadline for applications: July 20th, 2015. Please call (217) 280-0206 with questions. Applications can be submitted via mail, fax or email to: staff@ilruralhealth.org, IRHA 9211 Waterfall Glen Blvd. Darien, IL 60561, fax (828)222-2067 Student Applicant Name: _______________________________________________________________ Program of Study: _____________________________________________________________________ Educational Institute: __________________________________________________________________ Email: __________________________________ Phone: ______________________________________ Please explain your interest in rural health and why you would like to attend the Conference (additional page may be attached, no more than 250 words).

9211 Waterfall Glen Blvd., Darien, IL 60561

www.ilruralhealth.org staff@ilruralhealth.org Phone: (217) 280-0206 Fax: (828) 222-2067

IRHA Annual Educational Conference August 13-14, 2015

Embassy Suites riverfront Conference Center– East Peoria Name: _____________________________________ Organization: ______________________________________ Address: _____________________________________________________________________________________ Phone: _________________________________ Email: _______________________________________________ Credit Card #: ______________________________________________ Expiration Date: ____________________

Signature: __________________________________________________ Check enclosed: □ ____ Gold Sponsor: $6,000 - Umbrella/Tote Bag Sponsor includes choice of logo on umbrella or tote bag for each participant. Booth, announcement at opening and closing sessions, full page program ad, 5 registrations/5 annual memberships, name on welcoming banner, website/newsletter recognition. ____ Silver Sponsor: $3,000 - Meal Sponsor includes signage and announcement at meal, booth, 3 conference registrations/3 annual memberships, full page program ad, and website and newsletter recognition. ____ Bronze Sponsor $1,500 - Break Sponsor includes booth - 3 conference registrations/3 annual memberships, year memberships, signage at breaks, ½ page program ad, and website/newsletter recognition.

______Patron Sponsor - $1,000 - Includes booth, 3 conference registrations/annual memberships, ½ page program ad and website/newsletter recognition

____ For Profit -Vendor: $700 ($600 if only one attendee) - Includes booth and 2 registrations, 2 annual memberships, program/website/newsletter recognition. ____ Non-for profit Vendor - $500 - Includes booth, 1 registration, 1 annual membership and program recognition. Ad book: _____$500 Full Page Ad _____$250 Half Page _____ Individual Registration-Member: $185 _____Non-Member: $240 (incudes 12 month membership) _____Student: $50 * Please include additional page for with contact info for each additional attendee.

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