Conference: Registration, Membership Meetings and Reception

Monday, July 22, 2019

8:00 a.m. – 8:45 a.m. ACHE Registration/Breakfast 8:45 a.m. – 10:15 a.m. ACHE Session: Growth in the Reform Era Scott Mason, DPA, FACHE, Managing Partner, SKM Enterprises, LLC

Growth in healthcare is often allusive. It can be both ambitious and complex. Reform implies less growth, yet smart growth will be important. Traditional approaches to healthcare often involve barriers to growth, some of which can be quite subtle. In the future, growth will require enhancing the patient experience and adopting retail concepts. Lower payments from one large payer (government) are driving major reforms and creating budgetary challenges. Yet growth remains an imperative. What kind of growth? How can/should we grow? Do we need a partner or partnerships? This timely session will help hospital leaders build a structure for managing future growth initiatives and a process for instilling a growth orientation throughout organizations.

10:15 a.m. – 10:30 a.m. Break 10:30 a.m. – 12:00 p.m. ACHE Session (Continued): Growth in the Reform Era Scott Mason, DPA, FACHE, Managing Partner, SKM Enterprises, LLC

Sponsored by: 7:00 a.m. – 7:00 p.m. Registration Desk Open 12:00 p.m. – 1:30 p.m. ShareCor Board Meeting 2:00 p.m. – 4:00 p.m. LHA Board of Trustees Meeting in Conjunction with the Annual

Membership Meetings of the LHA and the LHA Trust Funds Note: This meeting is ONLY OPEN to member hospital employees. Guest Speakers (TBD)

5:00 p.m. – 6:30 p.m. Welcome Reception

Sponsored by:

This educational activity is jointly provided by AXIS Medical Education and Louisiana Hospital Association Management Corporation

Pre-Conference: ACHE Education Note: An additional $150 registration fee applies. See registration page for more details. LHA members

and sponsors registered for the ACHE Education must also register to attend the LHA Summer Conference.

Breakfast Breakout Sessions

General Sessions

Tuesday, July 23, 2019

7:00 a.m. – 12:00 p.m. Registration Desk Open 7:30 a.m. – 8:45 a.m. Breakfast Breakout Sessions (Breakfast served from 6:30 a.m. to 8:00 a.m.)

Session 1

The Hidden Costs of Malnutrition for Health Providers Molly Hegarty, Founder and CEO, RDnote

On average, hospitalization costs for malnourished patients are two times higher, and lengths of stay are up to 6 days longer than their well-nourished counterparts. Malnourished patients require more care and have poorer outcomes. Research shows that up to 50% of acute-care patients meet the diagnostic criteria for malnutrition, yet only 5% to 7% of patients are diagnosed. As a result, up to 19 million malnutrition cases go undiagnosed and untreated annually. Learn how Lafayette General Health (LGH) leveraged technology to close this gap, improve clinical care standards, and drive patient outcomes and quality improvements. The presenter will share LGH’s story and demonstrate how other providers can learn from this case study.

Session 2

Hospital Worker Safety: We Have a Problem and We Can Solve It Stephen Muething, MD, Chief Quality Officer and Co-Director, James M. Anderson Center for Health Systems Excellence at Cincinnati Children’s Hospital Medical Center

According to federal data, healthcare has an extremely high rate of harm for our employees, and our workers are more likely to be injured than industries that are generally considered more dangerous. As every hospital balances many competing priorities, there are clear and compelling reasons why every hospital leader should personally commit to improving the situation. Examples of progress are developing, and actionable steps are becoming clearer. Adoption of early best practices and continuous learning across hospitals are leading to acceleration in improvement. This session is designed to give leaders concrete steps to achieve improved safety.

Session 3

The Landscape of Rural Health Brock Slabach, MPH, FACHE, Sr. Vice President for Member Services, National Rural Health Association

Rural providers of care have seen major changes during the last decade in the landscape of healthcare delivery in America. These changes present challenges and opportunities. This session will focus on the potential impact of federal policy on rural providers of care and their communities with emphasis on value-based purchasing and population health.

9:00 a.m. – 9:15 a.m. Welcome/Announcements 9:15 a.m. – 10:45 a.m. General Session: The CANDOR (Communication and Optimal

Resolution) Approach David B. Mayer, MD, Executive Director, MedStar Health Institute for

Quality and Safety

Unexpected patient harm is far too common, and the responses typically fail to meet the patient’s and family’s needs or promotes learning that could prevent future harm. Communication and Resolution Programs (CPRs), like CANDOR, are a principled approach for responding to patient harm. They are an integral component of an effective, empathetic patient safety and quality improvement program, implemented for the benefit of the patients, care professionals and our healthcare communities. Dr. Mayer will share insights of success stories of their demonstrated legacy of improving patient safety and reducing medical liability and a roadmap of their journey.

10:45 a.m. – 11:00 a.m. Break

General Sessions

Cocktail Hour with Hors d’oeuvres & Casino Night Fun and Games

Tuesday, July 23, 2019 Continued

11:00 a.m. – 12:00 p.m. General Session: “Patients Come Second”

Britt Berrett, PhD, FACHE, Executive Coach

This presentation will cover how leadership strategies impact outcomes, and if hospital leaders can take care of their employees first, then their employees will, in turn, take care of their patients. The presenter will cover 10 key points with examples and humorous stories that will inspire folks to lead differently.

12:00 p.m. Adjourn for Golf and Fishing

Fishing Sponsored by: Golf Sponsored by:

6:30 p.m. – 7:30 p.m. Cocktail Hour

Stop by to connect with your peers and visit with our generous sponsors over cocktails and hors d’oeuvres.

7:30 p.m. – 9:30 p.m. Casino Night

Join us for a laid-back, fun-filled casino night featuring everyone’s favorite casino games. Don’t miss out on the great food and drinks, music and exciting prizes! Tickets are included for conference participants, and spouses and family members can purchase tickets for $50 each. Sponsored by:

General Sessions

Wednesday, July 24, 2019

8:00 a.m. – 9:00 a.m. Breakfast Buffet

9:00 a.m. – 10:30 a.m. General Session: What You Need to Know About the Current and Future State of the U.S. Healthcare System Anthony Mazzarelli, MD, JD, MBE, Speaker, Healthcare Executive, Practicing Physician

Whether you have been working in healthcare for decades or merely participate as a patient, how much do you really know about the forces that have molded and are currently shaping the overall U.S. healthcare system? This session looks at the data at a macro level to view the U.S. healthcare system in both a historical and present-day context to help participants understand the stakeholders and the myriad of incentives and various directions by which those forces impact those who provide care and those who receive care. Using comparisons to other industries, as well as examining the role of technology and the role of the media and public opinion in shaping the debate over healthcare policy, this session will not only help participants better position themselves in the healthcare debate, but also help healthcare leaders and providers better understand the “why” in the current national discussion.

10:30 a.m. Adjourn 2019 Summer Conference

SPONSORS

LHA’S PREMIER BUSINESS PARTNER DIAMOND SPONSORS

PLATINUM SPONSOR

GOLD SPONSORS

Acadian Ambulance Services ● Aetna Better Health of Louisiana Berkeley Research Group, LLC ● Blue Cross and Blue Shield of Louisiana

Correct Care, Inc. ● LaPorte CPAs & Business Advisors ● LHC Group Radiology Partners ● United Healthcare ● Westport Linen Services, LLC

SILVER SPONSORS The Blood Center ● Capital One ● Gachassin Law Firm ● HORNE LLP

Humana ● IBERIABANK ● Louisiana Healthcare Connections ● Performance Health Partners Postlethwaite & Netterville, APAC ● Transfinancial Companies, Inc. ● VALIC

SPEAKER BIOGRAPHIES

Britt Berrett, PhD, FACHE, is the former president of Texas Health Presbyterian Hospital Dallas and executive vice president of Texas Health Resources. He is an executive coach with MEDI and has more than 25 years of experience as a hospital president and CEO. His background includes leadership in faith based, investor-owned and academic/teaching hospitals ranging from small to large. He brings strengths in building physician stakeholder relationships, organizational excellence and driving clinical operations to achieve business results. Dr. Berrett holds a doctorate from the School of Economics, Policy and Political Science at the University of Texas, Dallas. In 2013, he coauthored a New York Times Best Selling book on leadership in healthcare entitled, “Patients Come Second – Leading Change by Changing How You Lead.” Currently, Dr. Berrett is the program director and clinical faculty of Health Care Management at the University of Texas at Dallas in the Jindal School of Management. Molly Hegarty is the co-founder and CEO of RDnote. She has a degree in engineering from the University of Michigan and is a registered dietitian. She has worked as a process engineer at Intel, a dietitian for the petroleum industry, and a software development product manager. In the nutrition field, she was a 2016 Nominee for Outstanding Dietitian in Louisiana because of her successful implementation of nutrition-based wellness programs for offshore oil and gas facilities. Her work has been recognized nationally by the Academy of Nutrition and Dietetics, and she has been a featured speaker at national and Louisiana-based nutrition conferences. She completed her dietetic internship at the Tulane School of Public Health. David Mayer, MD, is executive director of the MedStar Institute for Quality and Safety (MIQS). In this role, he leads specific quality and safety programs in support of discovery, learning and the application of innovative methods to operational clinical challenges. Prior to his appointment as executive director, Dr. Mayer served for more than six years as vice president of quality and safety for MedStar Health, overseeing the infrastructure for clinical quality and its operational efficiency for MedStar and each of its entities. He also designs and directs systemwide activity for patient safety and risk reduction programs. Anthony Mazzarelli, MD, JD, MBE, is a doctor, healthcare executive, lawyer, bioethicist, speaker and associate professor. He uses this unique background to engage audiences of all types, ranging from hospital leaders, health system boards, hospital staff, medical groups, physician leaders and nonmedical groups. His clinical, academic and leadership experiences shape all his talks to make them informative and entertaining. He is a regular guest on multiple local and national media outlets and is a regular fill-in host on CBS radio. As a speaker for Studer Group, Dr. Mazzarelli has been faculty at conferences as well as a speaker for associations, hospitals and medical schools. Along with his responsibilities as an executive in a health system, he continues to practice emergency medicine at a Level 1 Academic Medical Center in Camden, New Jersey, an urban community previously known for its challenges with poverty and crime. This helps him remain close to the practice of medicine and how it impacts patients, staff and physicians. Stephen Muething, MD, is the chief quality officer and the co-director of the James M. Anderson Center for Health Systems Excellence at Cincinnati Children’s Hospital Medical Center and professor of pediatrics at The University of Cincinnati College of Medicine. He was awarded the Michael and Suzette Fisher Family Chair for Safety at Cincinnati Children’s Hospital Medical Center. He now focuses on the strategic goals of Cincinnati Children’s to improve all aspects of care including safety, outcomes, experience and affordability. His improvement work and research focus on high-reliability culture, situation awareness, managing by prediction and lean leadership. Dr. Muething was one of the founders of the Children’s Hospital Solution for Patient Safety and now serves as the strategic advisor. He started as a solo practitioner and spent the first decade of his clinical career building a pediatric practice and inpatient unit in rural Indiana. He then focused on inpatient systems at Cincinnati Children’s as the first leader of the hospital medicine program and was at the forefront of multiple transformations in care delivery, including family-centered rounds, systematic adoption of evidence-based practice and inpatient microsystems. Brock Slabach, MPH, FACHE, is the senior vice president for member services at the National Rural Health Association (NRHA). He joined NRHA in 2008, and he has administrative responsibility for all areas of member services, including membership, communications and meetings/exhibitions. He was a rural hospital administrator for more than 21 years and has served on the board of the NRHA and the regional policy board of the American Hospital Association. He specializes in rural health system development that encompasses population health and the varied payment programs moving rural providers into value-based purchasing models. He serves on the CMS Star Rating Technical Expert Panel, as a member of the National Quality Forum’s Measures Application Partnership Hospital and Rural Health Workgroup and on the Board of Directors of the National Rural Accountable Care Consortium and Healthcare Facilities Accreditation Program. Slabach is the 2015 recipient of the Calico Quality Leadership Award of the National Rural Health Resource Center and received the American Society of Healthcare Pharmacists Board of Directors’ Award of Honor for 2018.

ACHE SESSION BIOGRAPHIES

Scott A. Mason, DPA, FACHE, is an advisor to hospitals, health systems and health-related companies as an independent consultant, board member and serial entrepreneur. His career has spanned diverse strategy assignments with more than 400 organizations in 40 states. In addition to starting his own firm early in his career, he has held senior executive positions with several prestigious firms, including Booz Allen, Cushman & Wakefield and, most recently, ECG Management Consultants. He also served in a variety of interim management positions including as a hospital executive and president of a regional health system. He sold his consulting firm after 17 years to a health technology company in 1997 and has since helped start two other technology firms related to electronic health records. Mason is a recognized thought leader in healthcare strategy and a trusted adviser to executive teams and boards, who has written extensively and established himself as one of the industry’s prominent voices in dealing with key trends and their implications.

CONFERENCE OBJECTIVES

Who Should Attend: Healthcare leaders from LHA member hospitals and health systems, including CEOs/presidents, administrators, board chairs and trustees, senior team members, physician leaders, medical staff directors and chief nursing officers. After completing these activities, participants should be better able to:

Growth in the Reform Era • Describe the long view in the context of the healthcare business in uncertainty and disruption; • Recall a foundation for measuring and tracking growth; and • Interpret how growth can be approached with more success.

Hospital Worker Safety: We Have a Problem and We Can Solve It • Review current state of healthcare workforce safety and the compelling reasons to address this problem;

and • Recall potential steps that can be taken by every hospital leader almost immediately.

The Landscape of Rural Health • Describe the current state of rural health in America; • Outline challenges and opportunities for rural providers of care; and • Describe innovations in rural health with focus on care for the health of populations with emphasis on the

Pennsylvania Global Budget Model.

Patients Come Second • Define the role culture plays in organizational performance; and • Identify key dimensions of employee engagement and critical factors in improving organizational

performance. The Hidden Costs of Malnutrition for Health Providers • Explain the prevalence and significance of malnutrition; • Articulate the impact of malnutrition on patient quality outcomes and ROI; and • Recall case study with Lafayette General.

The CANDOR (Communication and Optimal Resolution) Approach • Describe the five components of the CANDOR approach to preventable harm events; and • Identify at least three things patients and families want after suffering preventable harm.

What You Need to Know About the Current and Future State of the U.S. Healthcare System • Review the stakeholders in the U.S. healthcare system and how their relationship has developed with

respect to the evolving payment system; • Review the data on the size and scope of the current U.S. healthcare system; and • Interpret the predicted rise in consumerism among patients and employers within the U.S. healthcare

system.

CONTINUING EDUCATION CREDITS

ACHE Continuing Education Credits: • Attendees who participate in the optional ACHE education will receive 3.0 ACHE Face-to-Face Hours.

MCLE: Credit has been applied for by the LHA. Nursing: 3.0 contact hours will be awarded for this offering by the LHA for complete attendance and completed evaluation of the optional ACHE Session. The LHA is approved by the Louisiana State Board of Nursing – CE Provider #39. Nursing Facility Administrators: 3.0 hours will be awarded for this offering by the LHA for complete attendance of the program. The LHA is approved by the State of Louisiana Board of Examiners of Nursing Facility Administrators – CE Provider #101.

Breakfast Breakout and General Sessions Continuing Education Credits • ACHE Qualified Education Credit (ACHE non-face-to-face hours): The LHA is authorized to award 5.25

hours of pre-approved ACHE Qualified Education credit for this program toward advancement, or recertification in the American College of Healthcare Executives. Participants in this program wishing to have the continuing education hours applied toward ACHE Qualified Education credit should indicate their attendance when submitting an application to the American College of Healthcare Executives for advancement or recertification.

• Nursing: 5.25 contact hours have been applied for by the LHA for complete attendance and evaluation of

the program. The LHA is approved by the Louisiana State Board of Nursing – CE Provider #39.

• Nursing Facility Administrators: 5.0 hours will be awarded for this offering by the LHA for complete attendance of the program. The LHA is approved by the State of Louisiana Board of Examiners of Nursing Facility Administrators – CE Provider #101.

• MCLE: 5.25 credit hours have been applied for by the LHA. CONTINUING MEDICAL EDUCATION Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by AXIS Medical Education and the Louisiana Hospital Association Management Corporation. AXIS Medical Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Credit Designation for Physicians For Growth in the Reform Era: AXIS Medical Education designates this live activity for a maximum of 3.0 AMA PRA Category 1 Credit(s)™. For Main Conference: AXIS Medical Education designates this live activity for a maximum of 5.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. AXIS Contact Information: For information about the accreditation of this program please contact AXIS at or info@axismeded.org.

CONTINUING EDUCATION CREDITS

Disclosure of Conflicts of Interest: AXIS Medical Education requires instructors, planners, managers and other individuals and their spouse/life partner who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by AXIS for fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations. The faculty reported the following financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity:

Name of Faculty or Presenter Reported Financial Relationship Scott Mason, DPA, FACHE Nothing to disclose Stephen Muething, MD Nothing to disclose

Brock Slabach, MPH, FACHE Nothing to disclose David B. Mayer, MD Nothing to disclose Britt Berrett, PhD, FACHE Nothing to disclose Anthony Mazzarelli, MD, JD, MBE Nothing to disclose

The planners and managers reported the following financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity:

Disclaimer: Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed in this activity should not be used by clinicians without evaluation of patient conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

Requirements for credit: For Physicians Only • Attend/participate in the educational activity and review all course materials. • Credit hours will be claimed by August 24, 2019. Instructions will be provided. If you do not enter

the online portal by the assigned expiration date, you will not be able to retrieve your statement of participation.

• Upon successful completion of the online form, your statement of completion will be presented to you to print.

HOTEL INFORMATION

Hotel Accommodations: A block of rooms has been reserved at the Perdido Beach Resort until the block is full or until June 28. You may reserve your room for the rate of $239 (night/standard room) by calling 1-800-634-8001 and providing to the hotel reservation staff the CONFIRMATION number, which can be found on your LHA event confirmation. Please let the hotel know you are with the LHA Conference.

MEMBER REGISTRATION FORM Print and complete a separate form for EACH individual attending the conference.

Register Online at www.lhaonline.org/event/2019SummerConference.

Full Name: ______________________________________________ Informal for Badge: _________________

Title: ____________________________________________________________________________________

Hospital: _________________________________________________________________________________

Telephone: _________________________________ Email: ________________________________________ Spouse’s Name if Attending: _________________________________________________________________

QUANTITY: TOTAL:

Member Hospital Employee Registration ..................................................................... $395/pp _____________ Each registration includes one ticket for the casino night event on July 23, 2019.

I WILL attend the LHA Board and Annual Membership Meetings of the Association and Trust Funds On Monday, July 22 from 2 p.m. to 4 p.m. (OPEN ONLY to Member Hospital Employees)

Select One: I WILL attend a Breakfast Session on Tues, July 23: Session 1-Malnutrition; Impacts on Quality & Revenue Session 2-Hospital Worker Safety Session 3-Rural Updates Associate/Corporate Member Registration/Legal Affiliates .......................................... $800/pp _____________ Each registration includes one ticket for the casino night event on July 23, 2098.

ShareCor Partner Registration...................................................................................... $500/pp _____________ Each registration includes one ticket for the casino night event on July 23, 2019.

ACHE Breakfast Education Session: 3.0 Hours (per person) ...................................... $150/pp _____________

Must also register to attend the 2019 LHA Annual Meeting & Summer Conference. Extra Casino Night Tickets (Spouse/Child) List each participant’s first & last names below ........ $50/pp _____________

1)

2) 3) 4) Deep-Sea Fishing List each participant’s first & last names below ...................................................... $150/pp _____________

1)

2) 3) 4)

Golf Tournament List each participant’s first & last names and handicap # below ................................ $95/pp _____________

1) Handicap#

2) Handicap#

3) Handicap#

4) Handicap#

Make check payable to: LHA Management Corp, 9521 Brookline Ave, Baton Rouge, LA 70809. TOTAL REMITTED $_____________________

REGISTRATION INFORMATION: Visa, MasterCard, Discover and American Express are accepted online. Email confirmations will be sent to all registrants who list an accurate email address. CANCELLATION POLICY: Cancellations received in writing up to one week prior to a scheduled event will be charged a cancellation fee of $75 (per person, per event). Cancellations received less than one week prior to the scheduled event, or individuals who fail to attend, are non-refundable. Registrants who are unable to attend are permitted to, and encouraged to, send a substitute without incurring a cancellation fee. Please send written notice of any substitutions prior to the scheduled event. TRANSFER POLICY: If you are unable to attend the program for which you have registered and choose not to send a substitute, you may transfer your registration to another program. The LHA will hold your credit for a period of one year following the start date of the program for which you were originally registered. Transfers must be made in writing prior to the scheduled event, and a $40 transfer fee will be charged. AMERICANS WITH DISABILITIES ACT: The LHA will make every effort to provide reasonable accommodations for attendees who may be physically-challenged and require special services. When registering, please attach a written description of needs to the application. M194831