Agenda


 


 

SYMPOSIUM AGENDA

 

Live sessions will run from 12:00 - 5:30 PM Eastern Time on Monday, October 26th and Tuesday, October 27th.

Agenda subject to changes.

 


 

Monday, October 26, 2020

 

10:00 – 11:50 AM ET - Networking and Exploring the Virtual NAFC Symposium

Use this time to explore the NAFC 2020 Symposium virtual platform, network with other attendees, check out on-demand sessions and visit the exhibit hall to connect with our sponsors and exhibitors!

 

11:55 AM ET – Welcome and Introduction of Keynote Speaker

 

12:00 - 12:50 PM ET - Opening General Session

Keynote Speaker - Joan Garry

Leading with Intention: Thriving in Times of Uncertainty

Inspiring, actionable and funny, Joan will remind you that nonprofit leaders have exactly what it takes to lead in tough times. She will also offer practical steps you can take to prioritize, engage your board and volunteers and rally your stakeholders around the need for your work and your vision for the future.

 

1:10 - 2:00 PM ET - Breakout Session 1.1

Turn Your Board into a Fundraising Machine (Seriously!)

Speaker: Joan Garry, Joan Garry Consulting

It's time to stop nagging your board to ask people for money;  it's time for a better way. Learn how to turn your board members into enthusiastic ambassadors and storytellers and how to ignite them with a different approach to board meetings.

 

1:10 - 2:00 PM ET - Breakout Session 1.2

Beyond the Examination Room

Speakers: Maria Vital, PhD, MHA, MBA, The Edward R Leahy Jr Center Clinic for the Uninsured; Andrea Mantione, DNP, MHA, CRNP, Director, The Edward R Leahy Jr Center Clinic for the Uninsured

The presenters will pay attention to the diversity among immigrants: some arrive with PhDs to work as research professors, while others arrive with a primary school education and no English skills to work as immigrant laborers. As immigrants come from an ever-increasing array of races, ethnicities, and national origins, immigrant assimilation is more complex than ever before, and education is central to their adaptation to the American society. Shedding light on often misunderstood topics, this presentation aims to help health care providers and all individuals working with immigrant populations to understand the challenges involved in improving their health outcomes and how to work together with them to provide an effective care.

 

2:20 - 3:10 PM ET - Breakout Session 2.1

"I Get It! I Don't Get It!" - Learning How to Learn About the "Other"

Speaker: Jeffrey Trask, PhD, Founder, Board Member, Champaign County Christian Health Center

Research shows we are not fully aware of our biases and new discoveries about how those biases affect healthcare outcomes are becoming more prevalent. This workshop will dig into the history about racial bias and how healthcare and public health professionals along with the academic community are recognizing racial discrimination as a determinant of health. There will be opportunity to discuss the realities of racial bias and how to help your clinic treat everyone equally. If you are reading this and have said to your yourself, "we do not have that problem", then you really need to attend this workshop.

 

2:20 - 3:10 PM ET - Breakout Session 2.2

We are here: Updates on the "Roadmap to Health Equity" National Collaborative

Speakers: Julie Darnell, PHD, Loyola University

Join this session to learn about a national collaboration designed to collect and report on patient outcomes and processes across free and charitable clinics (FCCs). Launched in 2017 and now in its third year, the “Roadmap to Health Equity” project is a voluntary initiative that has involved more than 100 participants across the FCC sector. During its first year, Roadmap members reached consensus on a standardized set of evidence-based clinical measures and sociodemographic factors that clinics would report into a centralized repository. During the second year, it partnered with a technology vendor, VisionTree, to develop the national data repository and selected 50 clinics to participate in a pilot. Currently, it is building the repository and testing the reporting of quality measures with the 50 pilot clinics. Keeping a focus on health equity, Roadmap participants are considering adding new measures related to the social determinants of health and the patient experience.

 

3:30 - 4:20 PM ET - Breakout Session 3.1

Preventing Spontaneous Professional Combustion: Recognizing Opportunities to Practice Practical Self-Care (and How to Actually Do It)

Speaker: Beth Collier, LSW, CPhT, Patient Services Manager, Charitable Pharmacy of Central Ohio

The word "self-care" often conjures up images of spa days and sleeping in, and while those are perfectly acceptable self-care activities, they probably aren't the most practical and not ones that can be practiced daily. This session aims to reframe self-care from a special event to an everyday activity that you want to set aside time for. The session will begin with an introduction of self-care and why it matters for preventing burnout before moving into a group discussion focused on recognizing self-care activities that participants already practice and strategies to overcome barriers to the hardest part of practicing self-care: Actually, doing it.

 

3:30 - 4:20 PM ET - Breakout Session 3.2

Remote access of the electronic medical record as a tool to drive quality improvement for uninsured patients with poorly controlled diabetes mellitus. An endocrinology-diabetes team partnership can significantly lower HBA1C.

Speakers: David Baldwin, MD, CommunityHealth; Emily Hendel, MS, NP-C, Director of Clinical Services, CommunityHealth

We conducted a quality improvement project for the 350 diabetic patients in our clinic with HBA1C > 9%. We formed a team consisting of an endocrinologist, medical student, and midlevel providers with training in diabetes management. A set of management algorithms was created and was disseminated using case-based interactive sessions. Most of our patients are managed by attending/resident teams. We came up with a model of remote consultation using our web-based electronic medical record in which all providers for these patients would receive a written set of recommendations specific to each patient every 3-4 months. After 1 year we found that our intervention has led to a reduction in clinical inertia from 66% to 33% of provider: patient pairs and a reduction of HBA1C to < 9% in 50% of our cohort. Patients with HBA1C > 11% was decreased from 36% of patients to 11% of patients.

 

4:40 - 5:30 PM ET - Closing General Session

COVID and Clinics - Responding to a Pandemic

Speakers: Beth Armstrong, Executive Director, People's Health Clinic; Stephanie Garris, J.D., Chief Executive Officer, Grace Medical Home; Isimeme Ikharehba Green, Executive Director, Physicians CareConnection 

As we all know too well, the COVID-19 pandemic has impacted our patients and our communities in different and dramatic ways. This session will be an honest and frank conversation with three clinic directors on how they addressed the pandemic, including volunteer recruitment and retention, dental care, COVID testing, funding, medication access, personal protective equipment and burnout. 

 

5:30 – 7:00 PM ET - Networking and Exploring the Virtual NAFC Symposium

Use this time to explore the NAFC 2020 Symposium virtual platform, network with other attendees, check out on-demand sessions and visit the exhibit hall to connect with our sponsors and exhibitors!

 


 

Tuesday, October 27, 2020

 

10:00 – 11:50 AM ET - Networking and Exploring the Virtual NAFC Symposium

Use this time to explore the NAFC 2020 Symposium virtual platform, network with other attendees, check out on-demand sessions and visit the exhibit hall to connect with our sponsors and exhibitors!

 

11:55 AM ET – Welcome and Introduction of Keynote Speaker

 

12:00 - 12:50 PM ET - Opening General Session

Keynote Speakers - Melissa DePino and Michelle Saahene, From Privilege to Progress

From Starbucks to Showing Up

When two black men were unjustly arrested in a Philadelphia Starbucks while waiting for a friend, a viral video of the incident sparked a public dialogue on what racism looks like today. The women responsible for that video, Melissa DePino and Michelle Saahene, share the lessons they learned about why we need to leave shame and guilt behind and use the privilege we have for progress, and how the power of the individual has far-reaching implications for systemic change.

As speakers and conversation starters, Melissa and Michelle connect with audiences on a personal level, sharing their own stories from a place of vulnerability and openness. Participants leave the conversation with the inspiration and tools to effect change in their everyday lives.

 

1:10 - 2:00 PM ET - Breakout Session 1.1

Activating Social Determinants of Health: How Free and Charitable Clinics Can Create Healthy Communities

Speakers: Breanna Lathrop, DNP, MPH, FNP-BC, Chief Operating Officer, Good Samaritan Health Center; Veronica Squires, Chief Administrative Officer, Good Samaritan Health Center

Social determinants of health are the social, economic, and environmental factors influencing health. Determinants such as racism, housing and food insecurity, poverty, and education are at the root of persistent health disparities. How do clinics already pressured meeting the medical needs of patients also address SDOH? This session provides practical tools for identifying significant SDOH and integrating SDOH targeted interventions into clinic care. We will also discuss evaluating and funding these efforts.

 

1:10 - 2:00 PM ET - Breakout Session 1.2

Slaying the Silent Killer: Optimizing Hypertension Treatment in the Free Clinic Setting

Speaker: Dr. Shawn Smith, PharmD, Executive Director, Symba Center

Given the widespread screening and availability of low-cost, effective antihypertensive medications, uncontrolled blood pressure remains a public health issue causing cardiovascular, neurologic, and renal diseases. Recent updates in hypertension management recommend more intensive blood pressure goals and advocate for team-based hypertension management. After this presentation, clinicians will learn up-to-date recommendations for diagnosis and treatment of hypertensive patients. Additionally, administrators will learn the value of team-based hypertension management and discuss clinic-wide solutions to optimize care.

 

2:20 - 3:10 PM ET - Breakout Session 2.1

Fundraising Without Recreating the Wheel

Speaker: Liz Dickey, Executive Director, Health for All

Fundraising is hard and most people don’t like doing it, but there is hope. I’ve learned some great lessons by screwing things up and I’m happy to help you avoid my mistakes. This workshop will hand you the blueprint and tools needed to build better donor relations and raise the money your organization needs.

 

2:20 - 3:10 PM ET - Breakout Session 2.2

Leveraging Extension for Community Health Outcomes (ECHO) to Integrate Behavioral Health Care in Free and Charitable Clinics (FCCs)

Speakers: Kristi Gilleland, LCSW, Director of Whole Person Care, Mercy Health Center (MHC); Dr. Mary Brennan Wirshup, MD, FAAFP, Vice President of Medical Affairs, Community Volunteers in Medicine; Christina Newport, Director, Quality Improvement & Behavioral Health, U.S. Programs, Americares

This Americares-sponsored workshop features an overview of the Extension for Community Health Outcomes (ECHO) model and how it was leveraged to support behavioral health integration in free/ charitable clinics (FCCs). It features two FCCs – Mercy Health Center and Community Volunteers in Medicine – who will share their experience participating in 14-weekly, video-conference training sessions hosted by ECHO-Chicago on integrating behavioral health. Specifically, the participating FCCs will describe their journey toward behavioral health integration and share best practices around and practical tools for 1) enhancing workflow and clinic-level changes to better support patients with depression and anxiety (e.g., warm handoffs and improved communications), 2) deploying a patient registry to track patients over time, 3) utilizing evidence-based screening questionnaires for case finding and measurement-based treatment to target, 4) using team-based approaches to care, and 5) enhancing capacity around medication management.

 

3:30 - 4:20 PM ET - Breakout Session 3.1

Think Your Clinic Lowers Hospital Costs & ER Visits?... Well Then, Prove It!

Speaker: Sara Sullivan, Sullivan Evaluation Services

There is a belief among clinics that uninsured people who receive care at their clinics have reduced hospital and emergency room (ER) utilization and costs, and some clinics have made efforts to analyze the impact. Having quantifiable data specific to a clinic’s patients and its local hospitals is a compelling metric and has, in some cases, resulted in increased funding to the clinic. Over the last year, NAFC sponsored a case study project to investigate and document a variety of methods used to analyze the impact. This session will outline the various analysis methods with an emphasis on how to conduct an analysis at your clinic, including factors for success and pitfalls to avoid. Attendees will leave with a variety of ideas and a toolkit of resources.

 

3:30 - 4:20 PM ET - Breakout Session 3.2

Best Practices for Implementing a Disease State Management Program at Your Clinic

Speaker: Adlia Ebeid, PharmD, BC-ADM, RPh, Director of Pharmacy Services, San Jose Clinic

Attendees will learn about best practices for creating and implementing an effective disease state management (DSM) program from the ground up. The presentation will cover the initial steps of establishing partnerships with academic institutions to recruit a steady stream of pharmacy preceptors and student volunteers to run the DSM program, outlining the operational parameters of your program, identifying appropriate clinical outcomes for your target patient population, reviewing results to adjust goals accordingly, and forging continuous new partnerships for additional resources to run the program.

 

4:40 - 5:30 PM ET - Closing General Session

2020 Lessons Learned - Free and Charitable Clinics Leadership in Care and Policy

Speaker: Nicole Lamoureux, President & CEO, National Association of Free and Charitable Clinics

2020 has been the year that has taught Free and Charitable Clinics and Pharmacies how to Plan, Proceed and Pivot. This session will provide an update on the state of health care in the United States, the important role that Free and Charitable Clinics play as members of the safety net and what is on the horizon.

 

 


 

On-Demand Sessions (Available beginning Monday, October 26th)

 

FaithCare: Partnering with Employers to Expand Access to Care

Speaker: Kenn Tilus, MBA, Executive Director, Faith Community Health

If you ever struggle to find funding to carry out your mission, you will want to learn about the FaithCare model. Learn how partnerships with employers to provide primary care for uninsured employees can create a stable income stream while enabling your clinic to reach more of your target demographic with affordable access to care. The FaithCare model is particularly valuable for clinics in states that have elected not to expand Medicaid. With repeal of health insurance mandates, more people are choosing not to purchase insurance coverage, creating a gap in workforce healthcare access for all employers. If your state has enacted direct primary care laws, you may be able to provide employer group medical services on a subscription basis. FaithCare is easily scalable, enabling even clinics in smaller rural communities to generate a source of stable funding and serve more of target populations than possible with limited donor resources.

 

None of Us Are Getting Out Alive

Speaker: Suzanne Hoban, MPH, Executive Director, Family Health Partnership

Succession planning can strike fear in the hearts of management, particularly when talking about it with your board. All Executive Directors and top staff will leave the organization at some point, by choice or by chance. This presentation focuses on providing real tools to begin your succession plan, both emergency and long term. Succession planning is critical to keeping organizations stable through transition stages.

 

Bridges to Health: An Innovative Award-Winning Model of Care for the Most Complex, Most Vulnerable Patients

Speaker: Judith Long, Masters of Nonprofit Administration (Univ of San Francisco), Master of Divinity (Harvard), Executive Director, The Free Clinics

Free and charitable clinics often care for the most vulnerable persons in any community. Our patients are typically uninsured and low-income, with barriers to health caused by economic deprivation. Our patients often experience behavioral health concerns, social isolation, and substance use disorder in addition to their chronic medical needs and economic barriers. The key question most of us ask is how to provide the highest quality clinical care that also addresses the social determinants and behavioral health concerns in a cost-effective and patient-centered way. We wonder if it is possible to simultaneously improve patient health and social outcomes and patient engagement in their care (compliance) and reduce provider burnout, while also lowering healthcare costs. The Free Clinics created a program 11 years ago that successfully addresses the five areas above, with outcomes that surpass all our safety-net peers as well as commercially insured persons.

 

Health Literacy: The Key to Successful Patient Encounters

Speakers: Adam Bradley, MPH, Executive Director, Luke's House: A Clinic for Healing and Hope; Rebecca Tamayo, MPH, Program Director, Luke's House: A Clinic for Healing and Hope

Health Literacy is the single most powerful determinant of health outcomes, yet the US still wastes over $300 billion each year due to inadequate resources to promote health literacy. Free and charitable clinics work with patients who have the lowest levels of health literacy: the working poor, homeless, immigrants, and people with low education. It is imperative that we learn how to best address the health literacy needs of our patients to improve health outcomes and to improve the provider experience. This workshop will provide a brief overview of the literature explaining why addressing health literacy in our clinics and pharmacies is so important, and then we will spend a significant portion learning and using new skills and methods that people can take home to their communities and immediately implement.

 

Move to Health – Promoting Physical Activity and New Eating Habits in the Free Clinic Setting

Speakers: Surekha Cohen, RN, MA, BSN, Director of Clinical Services, Arlington Free Clinic; Irene Hruskoci, BSc, PT, Physical Therapist/Move to Health Volunteer Program Coordinator, Arlington Free Clinic

Evidence continues to mount that exercise is an essential component of disease prevention and management. The question we faced was how to move beyond providers telling our patients to exercise and lose weight. Move to Health is a program that has evolved at the Arlington Free Clinic over the past 5 years to divert prediabetic, prehypertensive and overweight patients from the path of chronic disease. The program is designed to build awareness of how to exercise effectively and to increase consumption of nutrient dense whole foods by making shifts in food choices. Patients are referred by a provider or staff and are given the opportunity to exercise at the clinic in a group setting twice weekly and receive weekly nutrition and wellness education. The program has evolved based on lessons learned and continues to develop, drawing on the strengths of our volunteer staffing structure, patient feedback and evidence-based research.