into opportunities - the duke...

Opportunities

13th Annual Small & Rural Hospital Conference

NOVEMBER 12 - 13, 2013

T U R N I N GI N T O

Renaissance Charlotte Suites Hotel2800 Coliseum Centre Drive

Charlotte, NC

INVIT

ATIO

N &

REGIS

TRATIO

N

SMALL & RURAL HOSPITAL CONFERENCE | SMALL & RURAL HOSPITAL CONFERENCE | SMALL & RURAL HOSPITAL CONFERENCE | SMALL & RURAL HOSPITAL CONFERENCE | SMALL & RURAL HOSPITAL CONFERENCE


About the Conference:

Co-sponsored by the North Carolina Hospital Association, the South Carolina Hospital Association and The DukeEndowment, the 13th Annual Small and Rural Hospital Conference is exclusively for hospital, health system, association and governmental employees, and hospital and health system trustees. Consultants may attend the ACHE breakfast only.

To help keep registration fees low, this professionally rewarding conference is underwritten by The Duke Endowment.

Conference Theme: Turning Challenges into Opportunities

Hospitals and health systems are facing unprecedented changes in the ways that they deliver care, collaborate withphysicians and other partners, operate their organizations, and acclimate to conditions under Health Care Reform. Giventhe unique challenges facing rural areas, organizations must design and implement new strategies, programs, and practicesto successfully care for patients, families, and communities. Our agenda will highlight innovative and impactful programsthat are improving rural health.

Rowland-Hite Keynote Address:

The keynote by Dr. Kaplan is made possible by a grant from the Rowland-Hite Health Planning Seminar, an annual eventheld from 1973 to 2011. The seminar honored the legacy of Carl Rowland, who served as Director of the Planning andDesign Service of The Duke Endowment for nearly 20 years, and Charles L. Hite, who joined The Duke Endowment in1969, and contributed greatly to its success until his retirement in 1996.

The 2013 Rowland-Hite Keynote Address will be presented by Dr. Gary Kaplan, Chairmanand CEO of the Virginia Mason Health System in Seattle, Washington. Virginia Masonimplemented the Toyota Production System, a program that assists organizations inminimizing system waste and empowering staff to optimize patient quality and service.Virginia Mason has been recognized internationally for its efforts in patient quality and safety.

Renaissance Charlotte Suites Hotel2800 Coliseum Centre Drive | Charlotte, NC

Small & Rural Hospital ConferenceNOVEMBER 12 - 13, 2013



1

OpportunitiesT U R N I N G

I N T O



Registration Fees and Cancellation Policies:

The registration fee includes all activities listed in the agenda - as well as the evening social and the ACHE breakfast. For the

lowest fee, register before October 11by completing the Conference Registration Form on page 10 and sending with

payment to Meetings & Events, or you may register online by clicking here: . We accept Visa,

MasterCard, American Express and checks (made payable to “South Carolina Hospital Association” Tax ID number

57-0372816). A $25 discount per registrant is offered to organizations registering three or more attendees before

October 11. Administrative residents may attend for half-price.

If you wish to attend the ACHE breakfast only, the fee is $50. Important note: If you are a member of the Greater Charlotte Healthcare

Executives Group and are not a hospital or health care system employee, you may attend the breakfast only.

Scholarships for students in health care administration are available on a first come, first served basis to a limited number of

full-time students not working in full-time paid positions. To qualify, submit proof of enrollment, such as a tuition statement

or affidavit from the Admissions Office, with your registration form.

Registration fees are not refundable. You may send a substitute if we are notified in writing (e-mail or fax) prior to

the conference.

Accommodations:

The 2013 conference returns to the Renaissance

Charlotte Suites, 2800 Coliseum Centre Drive.

For additional details about the hotel,

click here: .

The discounted conference rate of $144 (plus 15.25%

tax) is available for conference attendees for Monday,

November 11 and Tuesday, November 12. To reserve

a room, please complete the Accommodations Formon page 11 and send it with your credit card information

to Meetings & Events, or you may reserve your room

online by clicking here: .

Check-in is after 4:00 p.m. and check-out is prior to

noon. Room cancellations must be received in writing

72 hours prior to check-in or one night’s room and tax

may be charged to your credit card.

R E G I S T R AT I O N

R E S E RVAT I O N S

H O T E L I N F O R M AT I O N

2

http://www.marriott.com/hotels/fact-sheet/travel/cltbr-renaissance-charlotte-suites-hotel/

https://www.kingevents.org/index.php?option=com_form&Itemid=3

https://www.kingevents.org/index.php?option=com_form&form_id=3&Itemid=2



Credit:

Face-to-Face Credit: The session Leadership Perspectives on Lean Culture – Transformation to

Achieve Breakthrough Performance – has been developed and is presented

locally by the Greater Charlotte Healthcare Executives Group. The ACHE

has awarded 1.0 ACHE Face-to-Face Education credit hours to this program.

To receive credit, your name MUST appear on the Sign-In Sheet.

Qualified Credit:As an independent chartered Chapter of the American College of Healthcare Executives, Greater Charlotte Healthcare

Executives is authorized to award 9 hours of ACHE Qualified Education credit toward advancement or recertification in the

American College of Healthcare Executives. Participants in this program who wish to have it considered for ACHE

Qualified Education credit should list their attendance when they apply to the American College of Healthcare Executives

for advancement or recertification. Participants are responsible for maintaining a record of their ACHE Qualified Education.

Long Term Care Credit:Approval has been requested from the North Carolina and South Carolina Boards of Long Term Health Care

Administrators for CEUs in Long Term Care.

Americans With Disabilities Act:

If you need any of the auxiliary aids or services identified in the Americans with Disabilities Act in order to attend, please

contact Meetings & Events. Special accommodations require advance notification by November 3. If there are any other

special needs, e.g., physical or dietary, to make your participation more meaningful or enjoyable, please contact us.

Presentation Handouts:

Attendees may download handouts received from speakers before and after the conference by clicking

here: . In an effort to be environmentally responsible, we will not provide hard copies

of handouts.H A N D O U T S

3

http://dukeendowment.org/news/event/2013-small-and-rural-hospital-conference



Tuesday, November 12, 2013

8:00 a.m. - 9:30 a.m. Registration/Continental Breakfast

8:30 a.m. - 10:15 a.m. Preconference Session - Financial Performance and Condition of Critical Access HospitalsThe session includes analyses of three current issues facing Critical Access Hospitals: 1) CAH mergers and acquisitions, 2) Provision of uncompensated care by rural hospitals, 3) The financial performance of rural hospitals and implications for elimination of the CAH Program.

George Pink, PhD Senior Research Fellow, Cecil B. Sheps Center for Health Services Research, Chapel Hill, NC

In addition to his position with the Sheps Center, Dr. Pink is the Humana Distinguished Professor in the Department of Health Policy and Management at UNC-Chapel Hill. He is also involved in several research projects, including the Rural Health Research Grant Program and the Rural Hospital Flexibility Program Evaluation. For the latter project, he directs development and dissemination of indicators of financial performance and condition of Critical Access Hospitals using data from Medicare Cost Reports.

9:30 a.m. - 10:30 a.m. Registration Continues (for those not attending preconference session)

10:30 a.m. - 12:00 p.m. Opening Session

Welcome: William A. PullyPresident, North Carolina Hospital Association, Cary, NC

Opening Remarks: James R.WalkerSenior Vice President, Regulatory and Workforce, South Carolina Hospital Association, Columbia, SC

4


I N T O

S M A L L & R U R A L H O S P I TA L C O N F E R E N C E

NO V EM B E R 1 2 - 1 3 , 2 0 1 3

R E N A I S S A N C E C H A R L O T T E S U I T E S H O T E L



10:30 a.m. - 12:00 p.m. Opening Session (continued)

Keynote Address: Transforming Health Care: Virginia Mason's Pursuit of the Perfect Patient ExperienceDr. Kaplan will identify key transformational elements, which have led to Virginia Mason's success in leading change. He will describe Virginia Mason's approach to better, faster and more affordable health care and identify key leadership behaviors necessary for sustained improvement.

Gary S. Kaplan, MD, FACP, FACMPE, FACPE Chairman and CEO, Virginia Mason Medical Center, Seattle, WADuring Dr. Kaplan’s 13 years as chairman and CEO, Virginia Mason has received national and international recognition for its efforts to transform health care. Recent honors include the 2013 “Distinguished Hospital Award for Clinical Excellence” and the “Outstanding Patient Experience Award” from Healthgrades. Board certified in internal medicine, Dr. Kaplan continues to care for patients while holding leadership positions in numerous organizations, including the National Patient Safety Foundation, the Washington Healthcare Forum, and the Institute for Healthcare Improvement. Ranked in the top 10 of the Most Influential Physician Executives in the U.S. eight times by Modern Physician and Modern Healthcare magazines, Dr. Kaplan was named one of the 50 Experts Leading the Field of Patient Safety for 2013 by Becker’s Hospital Review.

12:00 p.m. - 12:45 p.m. Lunch

The following presentation has been approved for 1.0 hours of ACHE Face-to-Face continuing education credit.

1:00 p.m. - 2:00 p.m. Leadership Perspectives on Lean Culture – Transformation to Achieve Breakthrough Performance

Facilitator - Jeffrey S. Spade, FACHE Executive Director, North Carolina Center for Rural Health Innovation and Performance Vice President, North Carolina Hospital Association, Cary, NCThe mission of the NC Center for Rural Health Innovation and Performance is to assist rural health providers in addressing local and regional health needs and to lead and promote the development of innovative, collaborative, community-focused health initiatives that improve the health status of North Carolina’s rural residents and communities. Mr. Spade led the organization and founding of the NC Center for Hospital Quality and Patient Safety; created the Carolinas Lean Healthcare Roundtable to implement and spread Lean management culture in health care organizations and is managing director of two Rural Hospital Lean Culture Transformation Collaboratives.

Twenty-eight rural hospitals are participating in the Carolinas Lean Culture Transformation Collaborative. This panel will share Lean improvement outcomes and lessons learned as their hospitals and leadership teams progress along the Lean Transformation Continuum. They will discuss their perspectives on Lean leadership, the value of process improvement, why Lean transformation is critical to the future of their hospitals, and Lean principles and concepts that are vital in transforming their hospitals and cultures. These executives represent hospitals at various points of maturity in the Lean Transformation Continuum: a first year hospital newly adopting Lean improvement, a hospital in the third year of Lean adoption, and an experienced Lean hospital in its fifth year of Lean culture transformation.

5



1:00 p.m. - 2:00 p.m. Leadership Perspectives on Lean Culture – Transformation to Achieve Breakthrough Performance (continued)

Laura EastonPresident and CEO, Caldwell Memorial Hospital, Lenoir, NC Prior to coming to Caldwell Memorial, Ms. Easton served in both administrative and clinical positions in several well-known hospitals including Johns Hopkins, Thomas Jefferson University Hospital and Dartmouth Hitchcock Medical Center. She currently serves as the Chair of the North Carolina Hospital Association and is a member of the NC Institute of Medicine and the AHA Committee on Performance Improvement. As one of the original hospitals involved in the Carolina Lean Collaborative, Caldwell Memorial Hospital has been transformed by over 200 Rapid Improvement Events, Hoshin Kanri policy deployment and managing for daily improvement.

Henry C. HawthornePresident and CEO, Columbus Regional Healthcare System,Whiteville, NCMr. Hawthorne has served as CEO of Columbus Regional since 2008. Before joining Columbus Regional he was CEO of Mesquite Community Hospital in Texas. He began his hospital career at 473-bed Central Mississippi Medical Center. Mr. Hawthorne serves on the North Carolina Hospital Association Policy Development Committee, is a member of Community Care of North Carolina, and is Vice Chair of both Community Care of Lower Cape Fear and Coastal Carolinas Healthcare Alliance where he was on its founding board of Coastal Connect, a pioneering Health Information Exchange entity.

Timothy S. WrenCFO, Abbeville Area Medical Center, Abbeville, SCMr. Wren has served as CFO of Abbeville Area Medical Center since 2008. His previous positions included CFO at a Mayo Clinic owned facility and various leadership positions at Intermountain Healthcare in Salt Lake City. His article on optimizing revenue cycle was published in Becker’s Hospital Review.

2:00 p.m. - 2:15 p.m. Break

2:15 p.m. - 3:45 p.m. Hospital Physician Alignment: Challenges and Opportunities for Small and Rural HospitalsIn light of health care trends, effective physician/hospital integration is becoming more essential for small and rural acute care providers. Chief executive officers can no longer afford to view themselves as hospital administrators – they must be “market managers” who actively build and maintain both local and regional referrals. Small and rural market managers know that developing a physician recruitment engine is an essential and ongoing process to ensure the recruitment and retention of high quality physicians and other providers. Mr. Halley will discuss the concepts of Physician Integration Economics in small community settings and review the principles of a successful physician employment option. He will also discuss the value of local and regional strategies to attract and retain Specialists of Choice to meet community need.

6



2:15 p.m. - 3:45 p.m. Hospital Physician Alignment: Challenges and Opportunities for Small and Rural Hospitals (continued)

Marc D. HalleyPresident and CEO, The Halley Consulting Group, Dublin, OHMr. Halley has provided management and consulting services to hospitals and medical practices for nearly 30 years and has worked with a variety of physician specialties, including hospital-owned medical practices. His articles have been published in industry journals such as Healthcare Financial Management and the Journal of Medical Practice Management. He has been quoted in publications including L.A. Times, Hospital Review and CMA Today.

3:45 p.m. - 4:00 p.m. Break

4:00 p.m. - 5:00 p.m. AHA UpdateThis presentation will update conference attendees on the latest Washington issues and their impact on small and rural hospitals in North Carolina and South Carolina.

Joanna Hiatt KimVice President, Payment Policy, American Hospital Association, Washington, D.C.Ms. Kim leads the association’s work on Medicare payments for inpatient and outpatient hospital care, post-acute care, and physician services. She came to the AHA from the United States Government Accountability Office, where she served as a Senior Health Policy Analyst. In this role, she advised Congress on potential policy changes and conducted policy analyses on a wide range of issues, including Medicare payment policy and hospital community benefits.

5:00 p.m. - 7:00 p.m. Social/Dinner for Attendees and SpeakersThis casual gathering provides a relaxing close to a day of learning. Join friends, speakers and colleagues for great food and drink and even better networking opportunities!

Wednesday, November 13, 2013

8:00 a.m. - 9:00 a.m. Registration/ACHE Breakfast (open to all attendees)The ACHE breakfast will be hosted by Bill Manson, FACHE, ACHE Regent for South Carolinaand John Roberts, FACHE, ACHE Regent for North Carolina.

Leadership Responsibilities for the Small, Rural Health Care ExecutiveMr. King will provide an overview based on his experience with small and rural hospitals. He will also provide a brief update on the American College of Healthcare Executives.

Michael A. King, FACHEPresident and CEO, Camden Clark Medical Center, Parkersburg, W.Va.Mr. King has served in his current role, which resulted from the merger of St. Joseph’s Hospital and Camden-Clark Memorial Hospital, since 2011, and had previously held leadership positions at both hospitals since 2000. Prior to those roles, Mr. King served for 23 years in a variety of positions with the Charleston Area Medical Center. He has been a leader with ACHE for many years, serving as the ACHE Regent for West Virginia, president of the West Virginia Chapter, and on numerous ACHE committees. He currently serves on the Board of Governors.

7



9:00 a.m. - 9:05 a.m. Instructions for the Day:

Jeffrey S. Spade, FACHE Executive Director, North Carolina Center for Rural Health Innovation and PerformanceVice President, North Carolina Hospital Association, Cary, NC

9:15 a.m. - 10:15 a.m. Concurrent Sessions: Please select one of the following sessions and record the numberof your choice on the registration form. If your session choice is filled, you may be reassigned.

(1) Providing Whole-Person Care in North Carolina Through Integrated CareThis presentation will provide an introduction of Integrated Care (IC), review of IC work that isbeing done in North Carolina and across the United States, and the vision the Center of Excellence for Integrated Care has for promoting and facilitating whole person care across the state.

Cathy Hudgins, PhDDirector, iCare (Center of Excellence for Integrated Care) Foundation for Advanced Health Programs, Cary, NCDr. Hudgins has experience in integrated care management and development, crisis assessment and intervention, community-based and college-based outpatient counseling, in-patient assessment and intervention, and community mental health consulting. She has also held a variety of posts in higher education administration and student affairs. Dr. Hudgins is a cofounder and was Director of the Radford University Center for Integrated Care Training and Research. Through this role, she trained and developed integrated systems and participated in research and grant writing initiatives.

(2) Energy Audits, Upgrades and Savings for Hospitals in the CarolinasThe Duke Endowment and Duke Energy partnered to support a pilot project for energy audits and energy efficiency projects to participating rural hospital grantees. This case study will examine the structure of the program, results of the energy audits, audit recommendations, and implementation of projects and long-term strategic energy management planning implications. The panel will also lead a broader conversation around sustainability by highlighting the experience of a South Carolina hospital's efforts to increase efficiency and broaden its community impact through sustainable practices.

Moderator - Eric BarradaleProduct Development Manager, Duke Energy Corporation, Charlotte, NCMr. Barradale has over 20 years of diverse experience in energy efficiency, project management, power generation and environmental engineering with Raytheon, Westinghouse, Ameresco and Duke Energy. In his current role, he is responsible for developing and implementing energy efficiency programs for Duke Energy's commercial, institutional and industrial customers.

8



(2) Energy Audits, Upgrades and Savings for Hospitals in the Carolinas (continued)

William B. James, FACHECEO, Northern Hospital of Surry County, Mount Airy, NCMr. James has more than 30 years of health care management experience. His areas of expertise include Physician and Board Relations, Strategic Planning and Implementation, and Operations.He completed his graduate work at the Medical College of Virginia. Mr. James is a trustee for the North Carolina Hospital Association and is a Fellow of the American College of Healthcare Executives.

Karen Schwartz, FACHEVice President, Support Services, Bon Secours St. Francis Health System, Greenville, SC Ms. Schwartz serves as vice president, facility and support services at Bon Secours St. Francis Health System. Over her 28 years at Bon Secours Health System, she has become a leader for her community through her work with the Sterling Advisory Board/Healthy Community initiative and the United Way's Women's Leadership Council. Under her leadership, Bon Secours St. Francis has received national awards for its work in sustainability.

10:15 a.m. - 10:30 a.m. Break

10:30 a.m. - 12:00 p.m. Federal Funding OpportunitiesThis session will identify key HHS programs, resources and initiatives that affect rural health care providers including grant and technical assistance opportunities.

Tom F. MorrisAssociate Administrator, Office of Rural Health Policy, Health Resources and Services Administration, U. S. Department of Health and Human Services, Rockville, Md.Mr. Morris is responsible for the administrative and policy activities in the Office of Rural Health Policy. He oversees grant programs that focus on building rural health care capacity at the state and community levels. He joined the ORHP in 1998 and has served in many positions, including grants project officer. Before joining the federal government, he was a newspaper reporter and editor.

12:00 p.m. Adjourn

9



10

Name of Organization ______________________________________________________________________________________________

Mailing Address ___________________________________________________________________________________________________

City___________________________________________________________ State _______ Zip+4 _____________________________

Telephone Number _______________________ E-mail Address ________________________________ Fax _______________________

Please include the name, title and e-mail address for each registrant:

Name _______________________________________________ Title _______________________________________________________

E-mail ____________________________________________________________ Attending ACHE breakfast? Yes No

Attending preconference session? Yes No | Attending dinner? Yes No | Breakout choice? 1 2

Name _______________________________________________ Title _______________________________________________________



Name _______________________________________________ Title _______________________________________________________



Registration fees

One attendee before October 11..................... $150 Total seminar registration fees: $ __________________________

Three or more attendees before October 11 .... $125 each Total spouse/guest fees $ __________________________

One attendee after October 11........................ $200 Total enclosed $ __________________________

Guest/spouse dinner attendance ...................... $50 Check # ____________________________

ACHE breakfast only ...................................... $50

Credit Card: Visa MasterCard American Express Debit Card

Cardholder's name (as it appears on card) _____________________________________________________________________________

Card number___________________________________________________________ Expiration Date____________________________

Billing Address____________________________________________________________________________________________________

City _____________________________________________________ State ___________ Zip ___________________________________

CONFERENCE REG I STRAT ION(Due by October 11 for lowest fees)

Please make checks payable to: South Carolina Hospital Association, Tax ID#57-0372816



11

Please type or print clearly.Guest room rates for King or Double: $144 plus 15.25% local/state sales and occupancy tax = $165.96

Name _____________________________________________________ Arrival Date _________________________________________

Room Type ___________________________________________________ Departure Date ______________________________________





PLEASE NOTE THAT CHECK-IN TIME IS 4:00 P.M. AND CHECK-OUT TIME IS NOON.

1) Complete the credit card information below and send it to Meetings & Events.

If you are paying for the room with a second party credit card, at check-in you must present a letter of authorization whichoutlines approved charges and a copy of the front and back of the card with signature of the cardholder.

OR2) Call Meetings & Events with your credit card number.

OR3) Make reservations by visiting www.kingevents.org.

Cancellations made within 72 hours of the conference may result in the loss of deposit or a charge of one night’s stay and taxto your credit card.

Credit Card: Visa MasterCard American Express Debit Card

Cardholder’s name (as it appears on card) _____________________________________________________________________________

Card number___________________________________________________________ Expiration Date____________________________

Billing Address____________________________________________________________________________________________________

City _____________________________________________________ State ___________ Zip ___________________________________

Mail or fax conference and hotel registration forms with payment to:

Small and Rural Hospital Conference c/o Meetings & Events2611 Cotton Planter Lane, Charlotte, NC 28270

Questions? Phone: (704) 847-8229 • Private fax: (704) 814-9264 • E-mail: [email protected]

HOTEL ACCOMMODAT IONS(Due by October 11 for lowest rate)

Renaissance Charlotte Suites Hotel. Charlotte. NC



I N T O

S M A L L & R U R A L H O S P I TA L C O N F E R E N C E

NO V EM B E R 1 2 - 1 3 , 2 0 1 3

R E N A I S S A N C E C H A R L O T T E S U I T E S H O T E L

For lowest fee, register by October 11.


into opportunities - the duke...

Documents