10th Anniversary Medical-Legal Partnership Summit Y MLP S R U SA TH MI T A N NI VE I M M R Applying the Medical-Legal Partnership Approach to Population Health SA M T ANN IV E R RY M L P S U April 8 - 10, 2015 Hilton McLean Tysons Corner McLean, Virginia HOSTED BY National Center for Medical Legal Partnership Attend the Summit #medleg15 @National_MLP The Medical-Legal Partnership Summit brings together hundreds of leaders in health care, law, public health, social work and government to share ideas, insights and best practices about how the integration of legal care and health care can help address social determinants of health for vulnerable people, and how these practitioners benefit from working together. This year’s Summit will pay particular attention to how medical-legal partnership can be used to address population health. Attendees have the option to register for the Medical-Legal Partnership Summit only (Thursday and Friday), or the Medical-Legal Partnership 101 Intensive pre-meeting on Wednesday along with the Summit (Wednesday, Thursday and Friday.) Attendees cannot register for the Wednesday pre-meeting only. Academic credit is available for all three days to physicians, nurses, social workers and attorneys who attend. Information on registration, tuition rates and hotels is on page 3. Biographies of keynote and plenary speakers are on pages 3 - 8. Details on accreditation is on page 26-27. MLP 101 Pre-Meeting: April 8, 2015 On Wednesday, a half-day Medical-Legal Partnership 101 Intensive pre-meeting will help ground individuals in the medical-legal partnership approach and provide an introduction to more advanced topics on Thursday and Friday. Attendees will participate in three 90-minute workshops. Everyone is welcome to attend Wednesday’s pre-meeting, but anyone who is new to medical-legal partnership or the MLP Summit is strongly encouraged to attend. This pre-meeting was designed specifically in response to feedback from participants at last year’s conference who asked for additional introductory content. The Wednesday pre-meeting agenda is on pages 9 - 10. MLP Summit: April 9-10, 2015 The Summit will feature plenary sessions connecting the medical-legal partnership approach to hospital community benefit practices, the delivery of care at community health centers, population health and health equity. Workshops, affinity groups and an accredited poster session will offer new research and practices related to the impact of integrating health and legal care for vulnerable individuals and families. The Summit agenda and session descriptions are on pages 11-25. 1 Registration and Hotel Information Location Registration Hilton McLean Tyson’s Corner Hotel 7920 Jones Branch Drive McLean, VA 22102 (703) 847-5000 To register, visit: http://www.bu.edu/cme/telegraph/public/MLP15reg.html Tuition Type Travel from Reagan Airport: It will take 20 minutes by cab to get to the hotel from Reagan airport. The hotel is also accessible by the D.C. Metro from Reagan. Board the blue line at Reagan, transfer at “Rosslyn” to the silver line, and get off at the “Tysons Corner” stop. It is a 5-10 minute walk from the Metro stop to the hotel. The trip will take approximately 60 minutes. Thursday / Friday ONLY Wednesday / Thursday / Friday Student $200 $275 Workshop presenter $300 $375 $400 (before Feb 27) / $500 (after Feb 28) $475 (before Feb 27) / $575 (after Feb 28) Individual *Learn more about eligibility for the student rate at: http:// medical-legalpartnership.org/join-movement/summit Travel from Dulles Airport: It will take 20 minutes by cab to get to the hotel from Dulles airport. The hotel is NOT Metro accessible from Dulles. Tuition Scholarships Travel from the Union Station (Amtrak): It will take 30 minutes by cab to get to the hotel from Union Station. The hotel is also accessible by the D.C. Metro from Union Station. Board the red line at Union Station, transfer at “Metro Center” to the silver line, and get off at the “Tysons Corner” stop. It is a 5-10 minute walk from the Metro stop to the hotel. The trip will take approximately 60 minutes. The deadline to apply for a tuition scholarship was February 20, 2015. Hotel Accommodations Our block of rooms at the Hilton McLean Tyson’s Corner Hotel has sold out. If you are still looking for accomodations, please book a room at a different hotel in McLean / Tysons Corner Virginia. The 2015 MLP Summit is possible with generous support from: 2 Keynote Speaker Lauren A. Taylor Co-author The American Health Care Paradox @LaurenTaylorMPH Lauren A. Taylor is the co-author of The American Health Care Paradox (Public Affairs, 2013) and a Presidential Scholar at Harvard Divinity School. In both domestic and global contexts, she studies how to build boundary-spanning partnerships for the purpose of health care delivery. Over the past year, she has presented this work on MSNBC, C-SPAN, Sirius Radio, and at the Mayo Clinic and Institute of Medicine. Lauren received a Bachelors in the History of Medicine and a Masters in Public Health from Yale. She is now a Fellow at both the Petrie-Flom Center for Health Law Policy, Biotechnology and Bioethics at Harvard Law School and the Harvard Global Health Institute. Featured Plenary Speakers Phillip Alberti, PhD Senior Director, Health Equity Research and Policy Association of American Medical Colleges @PM_Alberti As the Association of American Medical College’s (AAMC) Senior Director, Health Equity Research and Policy, Philip M. Alberti, Ph.D., supports the efforts of academic medical centers to build an evidence-base for effective programs, protocols, policies and partnerships aimed at eliminating inequities in health and healthcare. He joined the AAMC in 2012 to increase the visibility and to identify and develop opportunities that facilitate the conduct of health equity research at AAMC-member medical schools and teaching hospitals. Previously, Dr. Alberti led research, evaluation, and planning efforts for a Bureau within the New York City Department of Health and Mental Hygiene that works to promote health equity between disadvantaged and advantaged neighborhoods. In that capacity, he developed research partnerships between government, academic, and local institutions, helped design policies and interventions targeting local inequities, and evaluated these and other efforts. Dr. Alberti holds a B.A. in psychology and a Ph.D. degree in Sociomedical Sciences from Columbia University and was a National Institute of Mental Health Fellow in the Psychiatric Epidemiology Training program. 3 Don Blanchon, MPH, MPA Executive Director Whitman-Walker Health @donblanchon Don Blanchon began his tenure as Chief Executive Officer of Whitman-Walker in 2006. Before joining Whitman-Walker, he spent nine years with Schaller Anderson, a national health care management and consulting firm specializing in public-sector programs. During that time, he held positions of increasing authority, including CFO and CEO of Maryland Physicians Care, a $325 million multi-product health plan owned by four Maryland-based non-profit community health systems. From 2004 to 2006, Blanchon served as Vice President for Medicaid and Medicare programs for Schaller Anderson. Earlier in his career, Blanchon served as Vice President for strategic planning for Health Services for Children with Special Needs, a specialty health plan in Washington, DC. He also spent five years as a budget examiner in the executive office of the president at the federal Office of Management and Budget. Blanchon, a native of Foxborough, MA, holds a bachelor’s degree in biochemistry from Bowdoin College and a master’s in public health and public affairs from Columbia University. Maureen Byrnes, MPA Lead Research Scientist, Department of Health Policy The George Washington University For over 30 years Maureen Byrnes served in leadership positions in the federal government, philanthropy and the non-profit sector. When she was Executive Director of Human Rights First, Maureen traveled to Russia and Pakistan, and worked to end the use of torture as an interrogation technique. From 1997 to 2005, Maureen served as the Director of the Health and Human Services program at The Pew Charitable Trusts. In the 1980’s, Maureen worked with Senator Lowell Weicker as the Staff Director of the U.S. Senate Appropriations Subcommittee on Labor, HHS, Education and Related Agencies. Later she served as Executive Director of the National Commission on AIDS, the first Congressionally-mandated independent commission to address the challenges associated with the HIV epidemic. Currently, Maureen is a Lead Research Scientist and Lecturer in the Department of Health Policy and Management in the Milken Institute School of Public Health at the George Washington University. 4 Featured Plenary Speakers (continued) Malika Fair, MD, MPH Director of Public Health Initiatives Association of American Medical Colleges Malika Fair, MD, MPH, FACEP is the Director of Public Health Initiatives at the Association of American Medical Colleges (AAMC). Dr. Fair directs both the Urban Universities for HEALTH (Health Equity through Alignment, Leadership, and Transformation of Health Workforce) project and the Centers for Disease Control and Prevention (CDC) Cooperative Agreement with AAMC. Dr. Fair is also an Assistant Clinical Professor and practicing physician in the Department of Emergency Medicine of The George Washington University. Dr. Fair completed her residency training and chief residency at Carolinas Medical Center in Charlotte, NC. She received her medical and Master of Public Health degrees from the University of Michigan and Bachelors of Science from Stan- Yvonne Goldsberry, PhD, MPH, MSUP Vice President for Programs Endowment for Health (Concord, NH) @YGoldsberryEFH Yvonne Goldsberry is Vice President for Programs at the Endowment for Health, a statewide, private, nonprofit foundation dedicated to improving the health of New Hampshire’s people, especially those who are vulnerable and underserved. Dr. Goldsberry manages a portfolio of grants, projects and policy initiatives that support a broad array of health policy, health equity and advocacy issues. She is directing the implementation of the Endowment’s strategic investment plan and evaluation process. She serves as Chair of the New Hampshire Citizen’s Health Initiative Leadership Advisory Board, and as a Commissioner on the Governor’s Medicaid Care Management Commission. Before joining the Endowment, Dr. Goldsberry was Vice President of Population Health and Clinical Integration at Cheshire Medical Center/Dartmouth-Hitchcock Keene. She directed and implemented the population health approach to patient care and worked with state and local partners to implement collaborative community health improvement initiatives. She was responsible for oversight of the Community Health, Employee Wellness and the Pharmacy Departments. Dr. Goldsberry previously served as Administrator of the Community Public Health Development Unit for the State of New Hampshire, Division of Public Health Services. With an extensive background in community health planning, she helped guide the development of the New Hampshire Public Health Network. Dr. Goldsberry is a graduate of Brown University. She received her Masters’ degrees in Public Health and Urban Planning from Columbia University and PhD in Public Policy from George Washington University. 5 Vincent Keane President and CEO Unity Health Care, Inc. Vince Keane is a former Catholic priest who has dedicated himself to the issue of health care for the homeless in D.C. He is a previous winner of NACHC’s John Gilbert award for his championing of community health care. Among his successful achievements are increased services for homeless patients; raising the profile of non-profit clinics through his leadership role in DC Primary Health Care Association (DCPCA) and the Non-Profit Clinic Consortium; turning around the fate of Federally Qualified Health Centers in the city; and more recently taking on the gargantuan task of assuring service amidst the change, once again, of the city’s public health system. Paul Kuehnert, NP Director, Bridging Health and Health Care Robert Wood Johnson Foundation @PaulKuehnert Paul Kuehnert is the director for Bridging Health and Health Care at Robert Wood Johnson Foundation. As an executive leader for the past twenty years, Paul led both government and community-based organizations to help people lead healthier lives. He was founder and later, CEO of Community Response, Inc., one of the Chicago-area’s largest housing, nutrition and social service providers for people living with HIV/AIDS. He moved to Maine in 1999 and served in the state health department, leading the development of a regional public health system and becoming Deputy Director of the department in 2005. Most recently, Paul was the County Health Officer and Executive Director for Health in Kane County, Illinois. Paul is a pediatric nurse practitioner and holds the Doctor of Nursing Practice in executive leadership as well as the Master of Science in public health nursing degrees from University of Illinois at Chicago. 6 Featured Plenary Speakers (continued) Jeffrey Levi, PhD Exeutive Director Trust for America’s Health Jeffrey Levi, PhD, is Executive Director of the Trust for America’s Health, where he leads the organization’s advocacy efforts on behalf of a modernized public health system. He oversees TFAH’s work on a range of public health policy issues, including implementation of the public health provisions of the Affordable Care Act and annual reports assessing the nation’s public health preparedness, investment in public health infrastructure, and response to chronic diseases such as obesity. TFAH led the public health community’s efforts to enact, and now defend, the prevention provisions of the ACA, including the Prevention and Public Health Fund and the new Community Transformation Grants. In January 2011, President Obama appointed Dr. Levi to serve as a member of the Advisory Group on Prevention, Health Promotion, and Integrative and Public Health, which he chairs. Dr. Levi is also Professor of Health Policy George Washington University’s School of Public Health, where his research has focused on HIV/AIDS, Medicaid, and integrating public health with the healthcare delivery system. In the past, he has also served as an associate editor of the American Journal of Public Health and Deputy Director of the White House Office of National AIDS Policy. Beginning in the early 1980s, he held various leadership positions in the LGBT and HIV communities, helping to frame the early response to the HIV epidemic. Dr. Levi received a BA from Oberlin College, an MA from Cornell University, and a PhD from The George Washington University. Suma Nair, MS, RD Director, Office of Quality Improvement Human Resources and Services Administration Suma Nair MS, RD is the Director of the Office of Quality Improvement in the Health Resources and Services Administration’s Bureau of Primary Health Care. The Bureau of Primary Health Care (BPHC) administers the Health Center Program which supports 1,300 health centers operating approximately 9,000 service delivery sites, including community health centers, migrant health centers, health care for the homeless centers, and public housing primary care centers. Located in communities nationwide, this network of health centers has created one of the largest safety net systems of primary and preventive care in the country providing comprehensive, culturally competent, quality health care to more than 22 million people. The Office of Quality Improvement (OQI) serves as the organizational focus for program performance including, clinical and operational quality improvement, patient safety and risk management, data reporting, and program evaluation. Prior to joining BPHC, Ms. Nair worked on program evaluation and performance improvement programs impacting more than 80 different grant programs across HRSA. Suma earned her Bachelor of Arts degree in Nutrition and a Master of Science degree in Public Health Nutrition from Case Western Reserve University. 7 Woody Thorne, MSEd Vice President for Community Affairs Southern Illinois Healthcare @SIHWThorne Woody Thorne serves in the role of Vice President of Community Affairs for Southern Illinois Healthcare (SIH). SIH is a not-for-profit, integrated health care system employing 3,400 individuals that provides comprehensive inpatient, outpatient, and emergency services to the residents of Southern Illinois. In this role, Thorne provides strategic direction for the organization’s marketing, communications, and media relations efforts. Additionally, he is responsible for leading the regional, collaborative community health improvement strategy of SIH. Through these efforts, Thorne is working to create the necessary infrastructure to align community-based assets in the clinical delivery network into a cohesive system of care. Finally, Thorne is responsible for the organization’s efforts to secure and manage grant funding from private and public sources as well as individual and corporate philanthropic support through the organization’s charitable foundation, the SIH Foundation. Prior to working for SIH, Thorne worked in financial services providing business continuation planning, financial, and estate planning services to small business owners and professionals. He attended Southern Illinois University Carbondale where he received a bachelor’s degree in Business Administration – Marketing as well as a MSEd from SIUC. Thorne currently serves on the Advisory Council of the National Center for Medical-Legal Partnership, as a member of the board of directors of ConnectSI, Inc., a 20-county economic development initiative, is a founding member of the ConnectSI Foundation board of directors, and is a past-President of the Carbondale Chamber of Commerce. Thorne participated in the Delta Regional Authority Advanced Leaders Program 2005-2006, was selected as a “Leader Among Us” for the Southern Business Journal in 2007, and as recipient of the Carbondale Chamber of Commerce President’s Service Award in 2011. His hobbies include outdoor sports and many family activities involving his wife, Rita, two daughters and two sons. About the National Center for Medical-Legal Partnership Because 1 in 6 people needs legal care to be healthy. The National Center for Medical-Legal Partnership’s mission is to mainstream an integrated medical-legal approach to health and health care for people and populations by: (1) Transforming the focus of health care and legal practice from people to populations; (2) Building and informing the evidence base to support the medical-legal partnership approach; and (3) Redefining interprofessional education with an emphasis on training health care, public health and legal professionals together. It is a project of the Milken Institute School of Public Health at the George Washington University. www.medical-legalpartnership.org 8 Wednesday, April 8 Pre-Meeting Agenda Medical-Legal Partnership 101 Intensive Participants will be divided into three pre-assigned groups. Name tags will have either a red, blue or green circle sticker on them, which correspond to group assignments. Throughout the day, groups will rotate through the three sessions below at different times. All groups will attend all three workshops. 12:30 p.m. Foyer Registration & Boxed Lunch Pick-up 1 - 2:30 p.m. Break-out rooms Session #1 2:30 - 2:45 p.m. Break 2:45 - 4:15 p.m. Break-out rooms Session #2 4:15 - 4:30 p.m. Break 4:30 - 6 p.m. Break-out rooms Session #3 6 p.m. Pre-meeting adjourns Red: “Basic Strategies for Medical-Legal Partnership Research and Evaluation” Blue: “Capacity and Priority Setting for Medical-Legal Partnership 101” Green: “Getting to Know Your Partners: Health Care and Legal Landscapes 101” Red: “Getting to Know Your Partners: Health Care and Legal Landscapes 101” Blue: “Basic Strategies for Medical-Legal Partnership Research and Evaluation” Green: “Capacity and Priority Setting for Medical-Legal Partnership 101” Red: “Capacity and Priority Setting for Medical-Legal Partnership 101” Blue: “Getting to Know Your Partners: Health Care and Legal Landscapes 101” Green: “Basic Strategies for Medical-Legal Partnership Research and Evaluation” 9 R TH MI T A N NI VE R SA M 2015 Medical-Legal Partnership Summit MI T A N NI VE RY M L P S U M SA The National Center for Medical-Legal Partnership at Milken Institute School of Public Health, The George Washington University RY M L P S U MLP 101 Session Descriptions, Faculty and Room Assignments Basic Strategies for MLP Research and Evaluation Room: Continental A Shannon Mace, JD, MPH Woody Thorne, MSEd This session will review research trends, priorities and best practices for medical-legal partnerships related to patient benefit, provider knowledge and cost benefit. Participants will learn practical strategies for implementing program evaluation at the local level. There will also be a discussion of the MLP performance measures the National Center for Medical-Legal Partnership is developing and how MLP programs can adapt them. Capacity and Priority Setting for MLP 101 Room: Continental B Sharena Hagins, MPH Ellen Lawton, JD This session will focus on how to start, grow and strengthen a medical-legal partnership by defining a target population, setting program priorities to align with funding and staffing, managing partner expectations and roles, and establishing a Memorandum of Understanding. Getting to Know Your Partners: Healthcare and Legal Landscapes 101 Room: Continental C Dennish Hsieh, MD, JD Mallory Curran, JD This session will equip partners with a nuanced understanding of the financial and organizational capacity of health care and civil legal aid organizations at local, state, and national levels. Participants will better understand and maneuver in their partners’ landscape. 10 Thursday, April 9 Agenda 8 - 9 a.m. Foyer & International Ballroom C Registration & Breakfast 9 - 9:15 a.m. International Ballroom A&B Welcome & Opening Remarks 9:15 - 10 a.m. International Ballroom A&B Keynote Address: The American Health Care Paradox: Where do MedicalLegal Partnerships Fit? Paul Kuehnert, NP Director, Bridging Health and Health Care, Robert Wood Johnson Foundation Lauren Taylor, MPH Co-Author, The American Health Care Paradox Presidential Scholar, Harvard Divinity School This talk will explore how the United States currently aims to create health and how we could do better. At the national level, we will compare the US’ relative expenditure on health and social services to that of other industrialized countries and review the impact of these allocation patterns. At a more local level, we will explore the ways in which Medical-Legal Partnerships can serve as a meaningful bridge between these two historically divided sectors - and a leverage point for systems change. 10 - 10:15 a.m. International Ballroom A&B Communications Blitz: What It Means to Marry Our Missions Kate Marple, MS Manager for Communications, National Center for Medical-Legal Partnership Practitioners from highly integrated medical-legal partnerships describe the tipping point for program success as the moment all partners could articulate and operate from a common mission. In this communications blitz, we’ll pull from interviews with MLP teams to examine how these partnerships successfully married their missions, why doing so was critical to program success, and what living a shared mission across sectors looks like in practice. 10 :15- 10:30 a.m. Break 10:30 - 11:45 a.m. Break-out rooms Break-out Sessions 1-6 Session descriptions, presenters and room assignments are listed on pages 16-17. 11:45 a.m. - 1:15 p.m. Lunch, Affinity Groups & MLP Photo Booth International Ballroom C , Break-out Rooms & Atrium During lunch, optional affinity groups will meet. Details about Thursday’s affinity groups are on page 24. MLP teams are also encouraged to visit the MLP Photo Booth. 11 R TH R SA M MI T A N NI VE RY M L P S U 1:15 - 2 p.m. Break-out rooms MI T A N NI VE RY M L P S U M SA 2015 Medical-Legal Partnership Summit The National Center for Medical-Legal Partnership at Milken Institute School of Public Health, The George Washington University Break-out Sessions 7-12 Session descriptions, presenters and room assignments are listed on pages 18-19. 2- 2:15 p.m. Break 2:15 - 3:15 p.m. International Ballroom A&B Plenary 1: Linking Community and Health: Community Benefits and Medical-Legal Partnership in the Age of the Affordable Care Act Maureen Byrnes, MPA Lead Research Scientist, Dept. Health Policy The George Washington University Yvonne Goldsberry, PhD Vice President for Programs Endowment for Health Woody Thorne, MSEd Vice President for Community Affairs Southern Illinois Healthcare This session will review the landscape of community benefit rules for tax exempt hospitals and the opportunities for community transformation through the Affordable Care Act. Panelists will reflect on the role of hospital community benefit programs in advancing medical-legal partnership. 3:15 - 4 p.m. International Ballroom A&B Presentation of Medical-Legal Partnership Awards and 10th Anniversary Celebration Information about the awards and the award recipients will be printed in the on-site program. 4 - 4:15 p.m. Break 4:15 p.m. - 5:30 p.m. Break-out Rooms Break-out Sessions 13-18 5:30 - 6:30 p.m. Atrium 5:30 - 7 p.m. Atrium Session descriptions, presenters and room assignments are listed on pages 20-21. Medical-Legal Partnership Poster Session (accredited) Twenty posters detailing original medical-legal partnership research will be on display and authors will be standing with posters to answer questions. Poster descriptions will be included in the on-site program., Reception 12 Friday, April 10 Agenda 7:30 - 8:30 a.m. Registration & Breakfast International Ballroom C Anyone wishing to receive the maximum continuing education credits for attending the conference MUST sign in at the registration desk BOTH mornings. 8 :30 - 9:15 a.m. International Ballroom A&B Plenary 2: Catalyzing Change, Community Health Centers, Health Care Reform and Medical-Legal Partnership Don Blanchon, MPH, MPA Executive Director Whitman-Walker Health Bethany Hamilton, JD (co-moderator) Program Specialist (Policy), Community HealthCorps National Association of Community Health Centers Vincent Keane President and CEO Unity Health Care Ellen Lawton, JD (co-moderator) Lead Research Scientist, Department of Health Policy Co-Principal Investigator, The National Center for Medical-Legal Partnership The George Washington University Suma Nair, MS, RD Director, Office of Quality Improvement Human Resources and Services Administration This session will share reflections from community health center and government leaders on the state of the Federally Qualified Health Center (FQHC) field, current fiscal challenges, and what lies ahead. Panelists will offer reflections and insights on where medical-legal partnership fits into the mission and activities of community health centers moving forward. 9:15 - 9:45 a.m. International Ballroom A&B Plenary 3: Population Health: What is the Opportunity for Medical-Legal Partnerships? Jeffrey Levi, PhD Executive Director, Trust for America’s Health Megan Sandel, MD, MPH Medical Director, National Center for Medical-Legal Partnership Associate Professor of Pediatrics, Boston University School of Medicine This session will unpack what population health is and why health care reform is moving more in that direction. It will define what population health means for different stakeholders, and how medical-legal partnerships can adapt their practices to address the civil legal needs of populations as a way to increase their reach and capacity to serve vulnerable populations. 13 TH MI T A N NI VE R SA M MI T A N NI VE R RY M L P S U M SA 2015 Medical-Legal Partnership Summit The National Center for Medical-Legal Partnership at Milken Institute School of Public Health, The George Washington University RY M L P S U 9:45 - 10 a.m. Break 10 - 11:15 a.m. Break-out Rooms Break-out Session: Applying the Medical-Legal Partnership Approach to Population Health Participants will be pre-assigned a session. Name tags will have either a red, blue, silver, yellow or green star sticker on them, corresponding to room assignments. Five identical break-out sessions will run concurrently. Room assignments and presenter info is on page 15. 11:15 - 11:30 a.m. Break 11:30 - 11:45 a.m. International Ballroom A&B Presentation of Medical-Legal Partnership Poster Award Law, public health and health care have different approaches to population impact - from tertiary prevention to litigation. This session will review case examples from the medical-legal partnership field of how to bridge these different approaches to impact the health of populations. Through structured exercises, participants will learn how medical-legal partnerships can identify opportunities for moving from patient to policy work, what capacity MLPs need to do this work, barriers to adapting these practices, and how to measure and message the impact of addressing the civil legal needs of populations. 11:45 a.m. - 12:15 p.m. Plenary 4: Medical-Legal Partnerships: Advancing Health Equity, AdvancInternational Ballroom ing through Discovery A&B Phillip Alberti, PhD Senior Director, Health Equity Research & Policy Association of American Medical Colleges Malika Fair, MD, MPH Director of Public Health Initiatives Association of American Medical Colleges To achieve health equity – a state where everyone has an equal opportunity, regardless of social advantage or disadvantage, to achieve his or her full health potential – will require multiple sectors and systems to address factors that contribute to health and health care inequities. Successfully addressing the social determinants of health will have the largest impact on systematic and avoidable disparities in health between groups and academic medical centers routinely engage in practices to achieve this aim. Medical-legal partnerships, service learning programs, and community-based research experiences, for example, might be effective ways to reduce or eliminate inequities. Since prospective, community-based health impact evaluations are often time consuming and underfunded, solid evidence demonstrating the impact of these practices are rare. This session will help attendees understand the role that medical-legal partnerships can play in building community, health system, and learner capacity to address community health needs and health inequities, and apply a community health improvement framework for evaluations of similar programs. 14 Friday, April 10 Agenda (continued) 12:15 - 1:30 p.m. International Ballroom C , Break-out Rooms & Atrium Lunch, Affinity Groups & MLP Photo Booth 1:30 - 2:45 p.m. Break-out Rooms Break-out Sessions 19-24 2:45 p.m. Meeting Adjourns During lunch, optional affinity groups will meet. Details about Friday’s affinity groups are on page 25. MLP teams are also encouraged to visit the MLP Photo Booth. Session descriptions, presenters and room assignments are listed on pages 22-23. “Applying the Medical-Legal Partnership Approach to Population Health” Session Facilitators RED TEAM SILVER TEAM GREEN TEAM Jeffrey Martin, MD Associate Director Lancaster General Health Daniel Atkins, JD Legal Advocacy Director Community Legal Aid Society, Inc. Katie Schultz, JD Staff Attorney MidPenn Legal Services Shannon Mace, JD, MPH Director, Policy and Planning Baltimore City Health Department Adrienne Henize, JD Program Coordinator, HeLP Cincinnati Children’s Hospital Medical Center BLUE TEAM YELLOW TEAM Room: Continental A Room: Continental B Paula Kaminow, JD VP Framingham Operations Edward M. Kennedy Community Health Center Valerie Zolezzi-Wyndham, JD Staff Attorney Community Legal Aid Room: Continental C Room: Dallas Lauren Onkeles-Klein, JD Staff Attorney, Healthy Together Children’s Law Center TBD Washington D.C. Clinician 15 Room: Beverly Donita Parrish, JD Senior Staff Attorney Legal Aid Society of Greater Cincinnati Melissa Salamon, JD Staff Attorney Legal Aid Society of Greater Cincinnati Break-out Sessions 1-6 Thursday, 10:30 - 11:45 a.m. B1: Three Decades of a Community Health Center MLP: Achievements, Challenges and Lessons Learned member of the team to work at the top of their training/ license. Room: Continental A Dan Bruner, JD, MPP Richard Elion, MD Justin Goforth, RN, BSN Erin Loubier, JD This session has a focus on health centers. Whitman-Walker Health (WWH) has one of the oldest MLPs in the U.S. We are now an FQHC serving Washington, DC’s diverse urban community, with specialties in HIV care and LGBT health. WWH medical and legal professionals will discuss lessons learned over the past three decades and implications for other community health centers. We will highlight our progress towards full integration of legal and health care; innovations in service delivery and changes in how we practice our respective professions; our strategies for improving population health; and our sustainable business model in which legal as well as medical staff play critical roles. B2: Expanding Medical-Legal Partnership Capacity -- Integrating Patient Navigation and Resource Connections B3: Identifying Legal Need in the Clinical Setting Room: Continental C Emily Boudreau Tessa Geron Braden Lang, JD Jennie Light Krista Teske Katy Watters In 2014, The Advisory Board Company, a health care strategic consulting firm, reviewed all of the existing tools being used by medical-legal partnerships to screen for legal need in clinical settings. They then developed a common screener that can be used by MLPs in a range of settings. In this session, the ABC team will review the screening tool, how they chose the questions and discuss how programs can use it. Presenters will talk about validated versus internally developed questions, who should collect the data, who should analyze it, and how it connects to service delivery and program objectives. Room: Continental B Sheila Hall, JD Dennis Hsieh, MD, JD Jennifer Newberry, MD, JD Deborah Son, MSW The medical-legal partnership attorney often serves as the sole expert on the social determinants of health in resource poor settings such as FQHCs or safety net hospitals. This results in the MLP attorney helping with many non-legal issues, such as assisting with food stamp applications, writing demand letters to landlords, and navigating specialty care follow-up. Some MLP sites have co-existing patient resource connection programs, such as a HealthLeads desk. However, few sites integrate these resources connection program with the MLP to create a continuum of care for patients’ socioeconomic and legal needs. This panel explores integrating the MLP with a resource desk, allowing each 16 B4: Keep the Program Alive and Thriving Meeting the educational needs of the Health Care and Legal teams Room: Dallas Carrie Brown, MD Lori Chumbler, JD Carol Frazier Maxwell, LCSW, ACSW Krista Selnau, JD In this session the Arkansas Children’s Hospital medical-legal partnership will share the six educational session types that we use to keep people throughout the hospital and in our ProBono locations engaging with our MLP. Interdisciplinary trainings as well as trainings for specific partners (residents, physicians, attorneys, social workers, nurses) are offered on a scheduled basis throughout the year. During TH MI T A N NI VE The National Center for Medical-Legal Partnership at Milken Institute School of Public Health, The George Washington University R SA M MI T A N NI VE R 2015 Medical-Legal Partnership Summit RY M L P S U M SA Session features LegalHealth’s strategy to be incorporated into NY State’s Delivery System Reform Incentive Payment Program (DSRIP) as a vital community partner and to encourage MLPs nationwide to embrace these opportunities. Session includes a health care economist. RY M L P S U the 75 minutes will discuss the timing of the events, the selection process for topics, and allow time for open discussion about other session types and topics that other programs around the county utilize. B5: Creating a Model for Hospital-Funded Medical-Legal Partnership Room: Beverly April Faith-Slaker, JD, MA Ann Mangiameli, JD Suzanne Nuss, PhD, RN Erin Planalp, JD Kerry Rodabaugh, MD The Nebraska Medicine Medical-Legal Partnership is exclusively funded by Nebraska Medicine. In just a few years, the MLP grew a $25,000 starting operating budget to several hundred thousand dollars, expanding services and collaborating with multiple legal aid agencies to reach populations in both Nebraska and Iowa. This model has paved the way for multiple other hospital-funded MLPs throughout the Omaha, Nebraska metropolitan area. This session will present the development and expansion of the Nebraska Medicine Medical-Legal Partnership and how to replicate the model in your own community. B6: National Medicaid Delivery System Reform: An Opportunity to Expand the MLP Approach Room: Hilton Amphitheater Randye Retkin, JD John Schneider, PhD Victor Snyder, LCSW Session focuses on Medicaid redesign and how, through these programs, medical-legal partnerships play a role in more broadly addressing social determinants of health, therefore improving population health and affecting health care cost savings. Prompted by the ACA and an overall interest in better patient outcomes, and reduced per capita cost of care, states are implementing innovative programs reforming how Medicaid care is delivered and paid for. 17 Break-out Sessions 7-12 Thursday, 1:15 - 2 p.m. B7: Improving Patient Care in a Community Health Center through Attorney-CHW Collaboration cacy strategies to effectuate changes in the practices and policies of state Medicaid agencies and school districts. Room: Continental A Valerie Zolezzi-Wyndham, JD (moderator) Kathryn W. Condon, JD Rebecca H. Donham, MPA Paula Kaminow, JD Medha Makhlouf, JD B9: Collaborative Research Towards Improved Patient & Population Health This session has a focus on health centers. Room: Continental C Sally Bachofer, MD Yael Zakai Cannon, JD Andrew Hsi, MD, MPH Ed Paul, MD Identifying the key players in a medical-legal partnership is an important task when structuring a new MLP or reforming an existing one. The panelists, all of whom are part of a community health center-based MLP but who have different roles and professional backgrounds, will discuss the unique role that Community Health Workers (CHWs) play in the partnership. Specifically, they will share how a close working relationship between CHWs and attorneys is a natural and effective model for improving patient advocacy by ensuring each team member works at the upper limit of their license ensuring efficient use of all available resources. Attorneys and health care professionals who partner to address the legal needs of patients can collaborate around critical population health issues they identify in practice. Presenters Andrew Hsi, MD and Yael Cannon, Esq. of the UNM Medical Legal Alliance will present on their research on the health and legal impacts of adverse childhood experiences (ACEs), such as child trauma. They will discuss the population health research on this topic and a study they are developing to identify the ACEs and outcomes experienced by a particular population-incarcerated youth. This session explores how MLP partners can draw on their direct service work to engage in research to improve patient health and broader population health. B8: Practicing Law Upstream: Transforming Legal Care Room: Continental B B10: Interprofessional Education Field Report Room: Dallas Dawn Bolyard, RN, MSN, CNS L. Kate Mitchell, JD George Thomas, JD Joel Teitelbaum, JD, LLM Elizabeth Tobin Tyler, JD This session will discuss Upstreamist practices in the context of legal care. To effectively and systemically address poverty and related legal and social issues, attorneys need to transform legal practice to incorporate medical and public health concepts and change their professional framework and identity. We will discuss ways to incorporate social determinants of health considerations and population health concepts like “hot-spotting” and “upstream practice” in the development of systemic and preventative legal practice strategies. We will also share some examples of upstreamist advocacy initiatives including the use of medical data and GIS mapping to “hot-spot” communities and legal issues of concern and the use of systemic policy advo- This session will provide an overview of interprofessional education (IPE) efforts occurring around the country that include the Medical-Legal Partnership (MLP) approach. It will briefly describe the IPE movement, trends that integrate the MLP approach across a range of fields and disciplines, and the value added by including an MLP frame in IPE. Session leaders Joel Teitelbaum and Liz Tobin Tyler conducted a separate Summit pre-meeting with several individuals at the leading edge of the IPE and MLP movement, the results of which will form the basis for this field report. 18 TH MI T A N NI VE 2015 Medical-Legal Partnership Summit The National Center for Medical-Legal Partnership at Milken Institute School of Public Health, The George Washington University R SA M MI T A N NI VE R RY M L P S U M SA RY M L P S U B11: Applying the Medical-Legal Partnership Approach to the Management of Diabetes in Youth Room: Beverly Lindy MacMillan, JD Faisal Malik, MD, MS Youth with diabetes often need more personalized, holistic interventions that go beyond quarterly clinic visits to address home, school, and legal barriers to optimal care. Our group developed an innovative intervention that addresses diabetes management outside of the medical setting. The “Diabetes Community Care Ambassador Program” trains Care Ambassadors to deliver personalized, tailored care to families that need additional support. This care is delivered in the family home, school, and community, and integrates personalized health information and legal counseling in multiple settings. This presentation will discuss implementation and outcomes of this pilot program to improve care for youth with diabetes. B12: Developing and Implementing Quality Improvement Processes for Medical-Legal Partnerships Room: Hilton Amphitheater Marsha Regenstein, PhD This session will help participants develop an understanding of the science of performance improvement and help participants identify cross-organizational goals for quality work related to screening patients for health-harming civil legal needs. Participants will be able to map data needs and available information to engage effectively in MLP-related quality improvement work. 19 Break-out Sessions 13-18 Thursday, 4:15 - 5:30 p.m. B13: Outside the Four Walls: Aligning Medical-Legal Partnership and Enabling Services in the Community Health Center Context B15: A Charting [R]evolution Room: Continental C Diane Goffinet, JD Lisa Nation, RN, BSN Keegan Warren-Clem, JD Andrew Weaver, JD Room: Continental A Ellen Lawton, JD Rishi Manchanda, MD, MPH Kristen Stoimenoff, MPH This session has a focus on health centers. Both legal and health care partners from the Medical-Legal Partnership of Southern Illinois will discuss the evolution of their case charting system to now include LSC problem codes, specific MLP social outcomes, ICD-9 codes, and MLP health impacts. This charting revolution will allow MLPs across the country to easily track legal and health outcomes for individual clients and health outcome trends across provided services. Further discussion will include the need for, and difficulties in, tracking interventions by health care workers that do not result in an actual referral to the legal partner. Community health centers (CHCs) provide high-quality, accessible, affordable, and comprehensive health care to underserved populations, without regard for ability to pay. Robust, community-driven outreach and enabling services are critical for reaching populations with the greatest unmet need, connecting them to a broad scope of services, and ensuring their ability to fully access health care and achieve good health. During this session, facilitators will describe a vision for what a comprehensive outreach and enabling services model can achieve and introduce a strategic framework that identifies the potential return on investment for implementing such programs. Panelists will lead a discussion on how medical-legal partnership synchronizes with outreach and enabling services in the CHC context. B16: Training Simulation: Teaching Students to Explore Social Determinants of Health in an Interprofessional Way Room: Dallas B14: Framing Legal Care as Health Care: An MLP Messaging Challenge Katie Cronin, JD, BSW Jana Zaudke, MD, MA Room: Continental B This session will highlight a new simulation, created at the University of Kansas (KU), in which law students engage with medicine, nursing, and pharmacy students to explore how we speak with patients about the social determinants of health (SDH). The simulation will be included in a curriculum toolbox that KU is creating as a Nexus Innovations Incubator site for the National Center for Interprofessional Practice and Education (NCIPE), with support from the Josiah Macy Foundation (Macy). A NCIPE representative will discuss the role MLP can play in furthering innovations in interprofessional education and practice at the point of care. Kate Marple, MS Partnering across sectors requires learning to describe your mission and work in your partner’s framework and language. A central challenge for medical-legal partnerships is articulating the value of civil legal aid interventions in a way that will resonate with health care partners and funders. In this session, participants will learn how to message common legal interventions in health and health care teams, as well as how to cultivate stories that will align with health care messaging. This session is open to all, but will be particularly helpful for attorneys and legal staff. 20 TH MI T A N NI VE The National Center for Medical-Legal Partnership at Milken Institute School of Public Health, The George Washington University R SA M MI T A N NI VE R 2015 Medical-Legal Partnership Summit RY M L P S U M SA RY M L P S U B17: MLP Innovation in the Era of Population Health: Lessons Learned from the Founding MLP Site ing the health-harming civil legal access gap. This session will discuss the MLP MCH model, cross-site evaluation, and business case development. Room: Beverly Deborah Bondzie, JD, MA Samantha Morton, JD Genevieve Preer, MD After almost 20 years of MLP incubation within Boston Medical Center’s Pediatrics Department, MLP | Boston reoriented its service delivery model through the lens of population health and related health care workforce restructuring. Ambassadors from this initiative will share insights on key aspects of the success of this new model, including: 1. Negotiating an MLP service delivery menu and related fiscal contract, 2. Re-organizing MLP service delivery in ways that help to spotlight population health impacts, and 3. Re-envisioning project structure and leadership in ways that foster innovative and deeply collaborative approaches. Speakers will discuss cross-disciplinary communication, capacity building, and anticipating challenges that this new model might present. B18: Securing Public Investments for MedicalLegal Partnership to Improve Maternal and Child Health Outcomes Room: Hilton Amphitheater Daniel Atkins, JD Shannon Mace, JD, MPH James Teufel, MPH, PhD Vikrum Vishnubhakta, MPH, MBA Local, state and federal governments have a significant interest in improving maternal and child health (MCH) outcomes while reducing medical costs. Approximately half of all births—and the proportion is much higher for people who are poor-- are financed by Medicaid. Despite significant financial investments in Medicaid, alarming racial inequities in birth outcomes remain. Supported by public investments, medical-legal partnerships (MLP) in Delaware and Pennsylvania aim to improve maternal and child health outcomes by improving environments and reduc- 21 Break-out Sessions 19-24 Friday, 1:30 - 2:45 p.m. B19: How One MLP is Impacting Population Health by Addressing Toxic Stress in Young Children Room: Continental C Luong Chau, JD Kate Marr, JD Elisa Nicholas, MD, MSPH B21: How Do We Know We Are Helping? Findings and Lessons Learned from a Multi-Year Medical Legal Partnership Evaluation Room: Hilton Amphitheater This session has a focus on health centers. Tracy Goodman, JD Abby Nerlinger, MD Holly Stevens, PhD Stephen Teach, MD, MPH In recent years, much focus has been placed on issues such as place-based gang violence and teenage drop-out. However, the upstream approach requires also addressing childhood trauma and toxic stress and how these issues have lifelong effects on health and wellbeing. Through a panel discussion, this session will highlight how the collaboration between an experienced attorney and pediatrician led to the funding and launching of “Everychild Bright Beginnings Initiative,” focused on addressing the effects of toxic stress in infants, toddlers and pregnant mothers at The Children’s Clinic, a federally qualified health center. Over the past five years, Children’s Law Center has invested heavily in evaluating their medical-legal partnership, Healthy Together. This investment has taken the form of process, outcome, and impact evaluation and a pilot project analyzing cost-avoidance and return on investment. Healthy Together’s evaluation measures indicators of various short- and long-term legal and health outcomes, including legal disposition, length of sustained legal outcomes, and child and family medical, educational, and social health outcomes. Qualitative and quantitative data are collected at various points in time pre- and post- legal case. This session describes the path Healthy Together’s evaluation has taken, key lessons learned, and presents original data from each phase of our evaluation. Healthy Together has been able to use data from each phase of our evaluation to improve legal practice and patient-family outcomes, as well as to explore business relationships that may provide sustainable funding for MLP services. B20: Making a Competitive Business Case to Nonprofit Hospitals to Improve Social Determinants of Health Room: Continental B Diane Goffinet, JD Shannon Mace, JD, MPH James Teufel, MPH, PhD Andrew Weaver, JD B22: Communication Skills for Legal Consultation for the Seriously Ill Patient Room: Continental A This workshop will focus on methods to develop a strategic business case that supports the initiation, maintenance, and scaling of civil legal aid and non-profit hospital partnerships. First, Porter’s Five Forces and Shared Value frameworks will be reviewed. This enables the construction of a more functional strategic plan and business case than traditional methods like SWOT analysis. Second, a realistic policy analysis of laws, rules, and regulations regarding non-profit hospitals’ community benefit obligation will be discussed. Third, an expansion of the MLP approach through a legal aid network with the financial investment of separate hospital systems will be described. Lynn Hallarman, MD Ed Paul, MD Anne Ryan, JD Denise Snow, JD, RN, CNM, NP This session focuses on essential communication skills for lawyers in effective bedside communication with the seriously ill hospitalized patient and their families. This session will be dynamic and interactive with a focus on a structured approach to interacting with patients/families about uncomfortable topics such as guardianships, will, advance care planning, life-sustaining treatments and more. You will 22 TH MI T A N NI VE The National Center for Medical-Legal Partnership at Milken Institute School of Public Health, The George Washington University R SA M MI T A N NI VE R 2015 Medical-Legal Partnership Summit RY M L P S U M SA domains. Participants will glean particular value on the subjects of (a) developing a coherent program evaluation model in the context of advance care planning-related MLP services, and (b) the unique and substantial needs of an especially vulnerable sub-population within the universe of low-income older adults: socially isolated, mentally ill people over 50 who are not dual-eligibles because they lack the requisite work history and other qualifications. RY M L P S U learn fundamentals on how to effectively communicate with hospital staff, patients and families surrounding difficult conversations and decisions. B23: Understanding and Applying Ethics and Confidentiality Rules in the Medical-Legal Partnership Context Room: Dallas Marlee Gallant, JD Daniel Graver, JD Laura Hoffman, JD This session will provide an update in hot topics in the application of ethics and confidentiality rules in medical-legal partnership practice. Using the MLP casebook, Poverty, Health and Law and the MLP Toolkit as foundations, panelists will offer insights and strategies to meet the goals of MLP practice while adhering to institutional and professional obligations. Topics for discussion will include HIPAA, attorney-client privilege, electronic health records, and information sharing across multiple platforms. B24: Notes from the Field: MLP and Older Adult Health and Stability Room: Beverly Tishra Beeson, DrPH, MPH Sarah Hooper, JD Samantha Morton, JD Eileen O’Brien Carolyn Welty, MD, MA The need for comprehensive advance care planning for vulnerable older adults has received renewed attention recently, in part due to increased awareness of the disconnect between high costs of care at the end of life and the quality of such care when measured by patient goals and expectations. At the same time, older adult housing instability, with all attendant ripple effects on the health care system, remains at crisis levels. Two MLP programs, one based in San Francisco and the other based in Boston, will share insights from pilots focused on these two legal 23 Thursday Affinity Groups 11:45 a.m. - 1:15 p.m. Strengthening Medical-Legal Partnership Practice in Mental / Behavioral Health Care Settings Room: Continental C Bethany Hamilton, JD Andrea Hope Howard Kristen Stoimenoff, MPH Open to all Summit participants Room: Continental A Mallory Curran, JD Gilbert Nick, MSSW, MPA This affinity group provides a platform to stimulate conversation and share ideas, innovations and challenges regarding practicing medical-legal partnership in community health center settings. The goals of this session are to give practitioners in community health center settings (1) an opportunity to meet and network; and (2) space to strategize local responses to the common issues facing MLPs in today’s health and legal climate including how to involve a greater range of community partners and move from patients toward policy interventions. The session will be facilitated by Kristen Stoimenoff, Deputy Director of Health Outreach Partners, Andrea Hope Howard, Chief Operating Officer at Lee Cooperative Clinic in Arkansas and Bethany Hamilton, Program Specialist with Community HealthCorps. This affinity group provides a platform to stimulate conversation and share ideas, innovations and challenges regarding practicing medical-legal partnership in mental and behavioral health care settings. The goals of this session are to give practitioners in mental/behavioral health care settings (1) an opportunity to meet and network; and (2) space to strategize local responses to the common issues facing MLPs in today’s health and legal climate including how to involve a greater range of community partners and move from patients toward policy interventions. The session will be facilitated by Mallory Curran, an attorney who works at behavioral health medical-legal partnerships at MFY Legal Services and Gilbert Nick, a Policy and Research Analyst with the New York City Department of Health and Mental Hygiene, Bureau of Mental Health. Mobilizing Students to Advance the Medical-Legal Partnership Movement This session is open to students only! Room: Dallas Strengthening Medical-Legal Partnership Practice in Veteran Health Care Settings Mia Sussman, JD Open to all Summit participants Room: Continental B This affinity group is an opportunity for students currently in law, medical, public health, nursing, social work or undergraduate school to gather and discuss the potential role of students in advancing the medical-legal partnership movement. This session is a place for students to take the lead on thinking about ways to organize students – through MLP student chapters, alumni networks, etc. This is NOT a forum for professors from these schools to talk about student curriculum. This session will be facilitated by Mia Sussman, Senior Manager for Pro Bono for Equal Justice Works. Rishi Manchanda, MD, MPH Margaret Middleton, JD Randye Retkin, JD This affinity group provides a platform to stimulate conversation and share ideas, innovations and challenges regarding practicing medical-legal partnership in veteran health care settings. The goals of this session are to give practitioners in veteran health care settings (1) an opportunity to meet and network; and (2) space to strategize local responses to the common issues facing MLPs in today’s health and legal climate including how to involve a greater range of community partners and move from patients toward policy interventions. The session will be facilitated by Dr. Rishi Manchanda, a physician with the Greater Los Angeles VA Health System, Margaret Middleton, the director of The Connecticut Veterans Legal Center, and Randye Retkin, and attorney and director of LegalHealth, a NYC-based medical-legal partnership that works with veterans. Strengthening Medical-Legal Partnership Practice in Health Center Settings Open to all Summit participants 24 Friday Affinity Groups 12:15 - 1:30 p.m. Strengthening Medical-Legal Partnership Practice in Elder Health Care Settings legal aid community to sustain the opportunities that medicallegal partnership creates, and what legal aid leadership at the local, state and national level can do to support the transformation that MLP sparks in legal aid organizations. This session will be facilitated by Steve Scudder, Counsel for the Standing Committee on Pro Bono and Public Service at the American Bar Association, and Joanne Wallace, President and CEO of the National Legal Aid and Defender Association. Open to all Summit participants Room: Continental A Charles Sabatino, JD Carolyn Welty, MD, MA This affinity group provides a platform to stimulate conversation and share ideas, innovations and challenges regarding practicing medical-legal partnership in elder health care settings. The goals of this session are to give practitioners in elder health care settings (1) an opportunity to meet and network; and (2) space to strategize local responses to the common issues facing MLPs in today’s health and legal climate including how to involve a greater range of community partners and move from patients toward policy interventions. The session will be facilitated by Charles Sabatino who is the Direrctor of the American Bar Association’s Commission on Law and Aging and Carolyn Welty, a clinical associate professor in the Division of Geriatrics at the University of California San Francisco School of Medicine. Patient Centered Medical Homes, Quality and Medical-Legal Partnership: A Conversation for Health Care and Public Health Team Members This session is open to health care and public health team members only! Room: Dallas Ed Paul, MD Megan Sandel, MD, MPH Open to all Summit participants Room: Continental B This affinity group is an opportunity to strategize about how to align medical-legal partnership activities more closely with the Patient Centered Medical Home (PCMH) movement and quality activities in health care settings. This session will be facilitated by Dr. Megan Sandel, Medical Director of the National Center for Medical-Legal Partnership and Dr. Ed Paul, Residency Director at Yuma Regional Medical Center in Arizona. Marlee Gallant, JD Daniel Graver, JD Laura Hoffman, JD Connecting and Strengthening Washington DC Medical-Legal Partnerships Unpacking Issues of Confidentiality and Privacy for Medical-Legal Partnerships This session is open to DC-based healthcare providers, legal service providers, and community stakeholders only! Room: Beverly Forming partnerships across the health, public health and legal sectors requires navigating issues of confidentiality and privacy. This affinity group provides a forum for practitioners to discuss the challenges and opportunities they observe in MLP practice and to use a problem-solving approach to develop strategies for sharing and protecting patient-client information. The session will also tackle broader legal issues that might impact MLP practice and growth. Bring your thorniest HIPAA questions for discussion! The session will be led by Daniel Graver an associate at Akin Gump, Marlee Gallant a law clerk at Akin Gump, and Laura Hoffman, JD, an associate at Feldesman Tucker. Tracy Goodman, JD Braden Lang, JD Erin Loubier, JD Holly Stevens, PhD This affinity group meeting provides an opportunity for those working in or interested in developing medical-legal partnerships in the Washington, DC, area to discuss hot topics in the MLP world in DC and kick-off a DC MLP learning group. Areas of discussion include but are not limited to the following: (1) metrics and demonstrating MLP value--challenges and opportunities around data gathering and sharing; and (2) what is important to DC health care institutions (hospitals, community health centers, MCOs). We will discuss how health-related outcomes data can help health care centers that will be facing value-based payments in the future under payment reform. The goals of the session are to give DC-based practitioners a chance to network and brainstorm about ways to synergize and capitalize on our diverse experiences and develop a working plan for future collaboration in an effort to advance the MLP movement and mission of improved health outcomes. Cultivating and Sustaining Innovation and Leadership in the Legal Aid Community: A Conversation for Legal Team Members This session is open to legal team members only! Room: Continental C Steven Scudder, JD Jo-Ann Wallace, JD This affinity group is an opportunity for attorneys to gather and talk about where medical-legal partnership fits into the broader work of the legal aid community, what needs to change in the 25 Accreditation Information Course Director ing discussed. Megan Sandel, MD, MPH Associate Professor, Boston University Schools of Medicine and Public Health Medical Director, National Center for Medical-Legal Partnership The speakers listed on the agenda have nothing to disclose with regards to commercial support with the exception of: The following speakers have the following disclose: • Dawn Bolyard RN, MSN, CNS is on the speakers bureau for MedImmune. Nursing Advisor • Richard Ellion, MD is a consultant for and on the speakers bureau for Gilead Sciences, Bristol-Myers Squibb, GSK/ViiV and Janssen Pharmaceuticals. He is on the speakers bureau for Merck. Patti Ann Collins, DNP, MSN/MBA, RN Lead Nurse Planner, Boston University School of Medicine Target Audience • Stephen J. Teach, MD, MPH receives grant support from Novartis which supports NIH funded clinical trial by paying funds to his institution. Physicians, nurses, social workers, patient navigators, public health professionals, attorneys and paralegals • Barret Tenbarge receives support from Eli Lilly Co. Learning Objectives Richard Ellion, MD plans to discuss unlabeled/investigational uses of a commercial product. At the conclusion of this activity, participants will be able to: 1. Summarize how legal professionals can enhance the services provided by doctors, nurses, social workers and other clinic or health care team members for vulnerable populations. Disclaimers THESE MATERIALS AND ALL OTHER MATERIALS PROVIDED IN CONJUNCTION WITH CONTINUING MEDICAL EDUCATION ACTIVITIES ARE INTENDED SOLELY FOR PURPOSES OF SUPPLEMENTING CONTINUING MEDICAL EDUCATION PROGRAMS FOR QUALIFIED HEALTH CARE PROFESSIONALS. ANYONE USING THE MATERIALS ASSUMES FULL RESPONSIBILITY AND ALL RISK FOR THEIR APPROPRIATE USE. TRUSTEES OF BOSTON UNIVERSITY MAKES NO WARRANTIES OR REPRESENTATIONS WHATSOEVER REGARDING THE ACCURACY, COMPLETENESS, CURRENTNESS, NO INFRINGEMENT, MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE OF THE MATERIALS. IN NO EVENT WILL TRUSTEES OF BOSTON UNIVERSITY BE LIABLE TO ANYONE FOR ANY DECISION MADE OR ACTION TAKEN IN RELIANCE ON THE MATERIALS. IN NO EVENT SHOULD THE INFORMATION IN THE MATERIALS BE USED AS A SUBSTITUTE FOR PROFESSIONAL CARE. 2. Develop practical strategies for measuring and evaluating the legal needs of patients in health care settings. 3. Describe two strategies for addressing population health that can be addressed by a health care entity clinic partnering with a local civil legal aid entity. Core Competencies This activity has been developed with consideration given to the American Board of Medical Specialties Six Core Competencies. This activity will increase your competency in the area of Interpersonal & communication skills. Conference Management Invited Speakers Claire P. Grimble, CMP Conference Operations Manager Office of Continuing Medical Education Boston University School of Medicine Email: [email protected] Phone: 617-638-4604 Is a minor stockholder of Amgen Boston University School of Medicine asks all individuals involved in the development and presentation of Continuing Medical Education/Continuing Education (CME/CE) activities to disclose all relationships with commercial interests. This information is disclosed to activity participants. Boston University School of Medicine has procedures to resolve apparent conflicts of interest. In addition, faculty members are asked to disclose when any unapproved use of pharmaceuticals and devices is be- 26 Accreditation Information (continued) Credit Hours by Profession NURSES -- TWO DAY MEETING PHYSICIANS -- THREE DAY MEETING (101 INTENSIVE PLUS SUMMIT) Continuing Nursing Education Provider Unit, Boston University School of Medicine is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Boston University School of Medicine and the National Center for Medical-Legal Partnership at the George Washington University. Boston University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. Contact Hours: 11 of which 0 is eligible for pharmacology credit. Nurses will receive contact hours for those sessions attended, after completion of the evaluation. SOCIAL WORKERS -- THREE DAY MEETING (101 INTENSIVE PLUS SUMMIT) Boston University School of Medicine designates this live activity for a maximum of 15 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Commonwealth Educational Seminars (CES), provider #1117, is approved as a Provider for Social Work Continuing Education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. CES maintains responsibility for the program. ASWB approval period: October 6, 2012- October 5, 2015. Social Workers should contact their regularity board to determine course approval. This continuing medical education activity has been reviewed by the American Academy of Pediatrics and is acceptable for a maximum of 15.00 AAP credits. These credits can be applied toward the AAP CME/CPD Award available to Fellows and Candidate Members of the American Academy of Pediatrics. Social Workers participating in this course will receive 15 clinical continuing education clock hours. PHYSICIANS -- TWO DAY MEETING SOCIAL WORKERS -- TWO DAY MEETING This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Boston University School of Medicine and the National Center for Medical-Legal Partnership at the George Washington University. Boston University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. Commonwealth Educational Seminars (CES), provider #1117, is approved as a Provider for Social Work Continuing Education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. CES maintains responsibility for the program. ASWB approval period: October 6, 2012- October 5, 2015. Social Workers should contact their regularity board to determine course approval. Boston University School of Medicine designates this live activity for a maximum of 10.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Social Workers participating in this course will receive 10.5 clinical continuing education clock hours. ATTORNEYS NURSES -- THREE DAY MEETING (101 INTENSIVE PLUS SUMMIT) Attorneys seeking CLE credit will need to contact their individual bar associations. For questions on the above continuing education credits, please contact the Boston University CME office at cme@ bu.edu or 617-638-4605. Continuing Nursing Education Provider Unit, Boston University School of Medicine is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. Contact Hours: 15.75 of which 0 is eligible for pharmacology credit. Nurses will receive contact hours for those sessions attended, after completion of the evaluation. 27
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