Thursday, Oct. 18

8 a.m.
Networking Breakfast

8:30-9:15 a.m.
Behavioral Health Services – Federal Update
Rebecca Chickey, director of member relations, Section for Psychiatric and Substance Abuse Services, American Hospital Association, Chicago

This session will provide an overview of the national trends impacting the behavioral health field including both legislative and regulatory activities. The speaker will identify current legislative efforts that impact the behavioral health field nationally; define the potential impact of national perspectives on local communities and providers; and identify opportunities for participants to be prepared for and impact potential changes on the larger behavioral health landscape.

9:15-9:30 a.m.
Networking Break

9:30 –10:30 a.m.
State Hospital Planning/Redesign
Mike Maples, deputy executive commissioner for the health and specialty care system, Texas Health and Human Services Commission, Austin; and Stephen Glazier, chief operating officer, UT Harris County Psychiatric Center, Houston

This session will provide a comprehensive overview of the changes and improvements coming to State Hospitals in Texas as part of the Comprehensive Inpatient Mental Health Plan. Maples will provide insight into the system redesign for State Hospitals in the Austin, Houston and San Antonio areas that will transform mental health care into a better integrated system of brain health.

10:30-11:30 a.m.
EMTALA and Mental Health Holds – Emergency Detentions and Orders of Protective Custody
Steve Wohleb, senior vice president and general counsel, Texas Hospital Association, Austin; Sara Gonzalez, vice president, advocacy and public policy, Texas Hospital Association, Austin; and Patrick Waldron, branch manager, health facility compliance, patient quality care unit, Texas Department of State Health Services, Austin

This session will provide an overview of the Emergency Medical Treatment and Active Labor Act legal and regulatory requirements as they apply to behavioral health services. In addition, the speakers will address how hospitals can ensure that they meet applicable legal requirements in a variety of situations. Lastly, updates will be provided on the identified challenges and potential solutions addressing emergency detention orders and orders of protective custody arising from the THA Mental Health Hold Forum held in August.

11:30 a.m.–12:15 p.m.

12:15-1:30 p.m.
Law Enforcement Navigation Program
Sarah Hogan, division director, South Texas Crisis Collaborative, San Antonio; Liza Jensen, vice president, Nix Health Care System, San Antonio; and Sally Taylor, M.D., senior vice president and chief of behavioral medicine, University Health System, San Antonio

This panel will describe a program that trains and allows law enforcement to make assessments of a mental health patient and place in an emergency detention in an appropriate psychiatric facility as opposed to crowding emergency departments. Hear how this strategy alleviates the demand of unnecessary and costly services in the emergency department, yet still provides timely and appropriate care to the mental health patient.

1:30-2:30 p.m.
Community-Based Crisis Response
Celeste Johnson, vice president of nursing behavioral health, Parkland Health & Hospital System, Dallas; Jessica Martinez, chief clinical officer, North Texas Behavioral Health Authority, Dallas; BJ Wagner, senior director of smart justice and adult policy, Meadows Mental Health and Policy Institute, Dallas; and Kurtis Young, social work manager of behavioral health services, Parkland Health & Hospital System, Dallas

Learn more about one hospital system’s pilot program, RIGHT Care, and how the model provides a comprehensive emergency response to calls involving behavioral health emergencies. The speakers will address how the program brings together specially-trained and equipped paramedics, police officers and mental health professionals to respond as a single coordinated team to safely and effectively manage patients experiencing behavioral emergencies.

2:30-2:45 p.m.
Networking Break

2:45-3:15 p.m.
Innovations around Texas
Heather Chung, Ph.D., RN, nursing director, Houston Methodist Hospital

Hear some of the innovative projects going on around Texas in the area of behavioral health services. This session will provide an overview of Houston Methodist Hospital’s model on psychiatric transitions in care; will review how to integrate primary, specialty and behavioral health care; and will review how a holistic and integrated approach to care of the mental health patient can reduce avoidable hospital use in the Emergency Department.

3:15-4 p.m.
Care for the Caregiver Program
Celeste Johnson, vice president of nursing behavioral health, Parkland Health & Hospital System, Dallas; and Marsha Nichols, risk manager, Ascension Texas, Austin

This session will provide an overview of two hospitals’ programs to provide care for the caregiver. The speakers will detail cultural readiness, design and implementation of their respective programs and will cover the second victim phenomenon. In addition, tools and metrics will be provided to determine the effectiveness of the programs.

4-4:45 p.m.
The Judicial Commission on Mental Health
Kristi Taylor, executive director, Judicial Commission on Mental Health, Austin

This session will review the newly established Judicial Commission on Mental Health that will be evaluating best practices within the judicial system for individuals with mental illness. Hear how professionals from a variety of industries including law enforcement, health care, psychologists and psychiatrists, judges, and veterans collaborated to determine priorities of a statewide commission on mental health.

4:45-6 p.m.
Networking Reception

Friday, Oct. 19

8-8:30 a.m.
Networking Breakfast and Innovation Spotlight
Vanessa Vale-Saenz, M.A., LPC-S, vice president, Behavioral Health Services, DHRHealth, Edinburg

8:30-9:45 a.m.
2019 Legislative Session – What Lies Ahead
Kyler Arnold, health and human services budget analyst - house appropriations committee, Texas House of Representatives, Austin; Jonathan Connors, committee director, Senate Committee on Health and Human Services, Austin; Heather Fleming, budget & policy advisor, Office of Governor Greg Abbott

This session will address the biggest issues facing hospitals going into the 86th Texas Legislative Session that could directly affect the delivery of behavioral health services.

This session does not award continuing education contact hours for nurses or physicians.

9:45-10 a.m.

10-11 a.m.
The Joint Commission Accreditation Survey/Health and Human Services Commission Validation Survey
Stephen Glazier, chief operating officer, UT Harris County Psychiatric Center, Houston

Is your facility prepared for a visit from The Joint Commission? Hear from member hospitals who have recently hosted The Joint Commission surveyors and successfully completed the process on what the latest hot button issues are. Learn what to expect and how to prepare your facility.

11-11:15 a.m.

11:15 a.m.-12:15 p.m.
Comorbid Conditions: Opioids and Mental Health
Craig Franke, M.D., medical director, Integral Care, Austin; Robert Greenberg, M.D., emergency department physician, Baylor Scott & White Medical Center - Temple; and Vernika Porter-Sales, D.O. complex care medical director, UnitedHealthcare, Houston

This session will highlight best practices and innovations in treating patients with comorbid conditions, specifically opioids and other health or mental health conditions. The speaker will review administrative barriers in billing and/or care for those conditions occurring concurrently. Come prepared with questions for this interactive Q&A style session.

12:15 p.m.
Conference Adjourns