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Wednesday, Feb. 20 - Pre-Conference

8 a.m.-6 p.m.
Registration

2 p.m.-5 p.m.
Rural Health Care Workshop*

2-2:40 p.m.
Rural Hospitals Can Win in a Collaborative ACO
Lynn Barr, CEO; Caravan Health
This session will share the experience of over 300 hospitals that are thriving in Collaborative Accountable Care Organizations (ACOs). While the Centers for Medicare & Medicaid services are pushing providers to take risk, many smaller ACOs experience random savings and losses of 10-20 percent, simply due to statistical variation in health care spending. Caravan Health has solved this issue by forming collaborative ACOs serving 100,000 lives or more. The scaled-up model is a proven case study that demonstrates how hospitals and physicians can collaborate to reduce their risk dramatically.

2:40-3:25 p.m.
Innovative Solutions to Create New Revenue
Dan Hamilton, chief operating officer, Nor-Lea Hospital District, Lovington, New Mexico; Kevin Latimer, CEO, Childress Regional Medical Center
As margins tighten for rural hospitals thanks to lower reimbursement, hospital leaders are finding innovative solutions to keep the doors open and serve their communities. Hear from Dan Hamilton of Nor-Lea Hospital District in New Mexico on its success by developing partners to provide specialty clinics that increase outpatient revenue. Kevin Latimer of Childress Regional Medical Center will share how his hospital has successfully utilized its 340B program to assist with cancer treatment in rural communities.

3:25-3:40 p.m.
Break

3:40-4:20 p.m.
Strategies to Address Staffing Challenges in Rural Communities
Jonathan Bailey, CEO, Hansford County Hospital District, Spearman; and David Shaw, CEO, Nor-Lea Hospital District, Lovington, New Mexico
Physician shortages continue to challenge rural hospitals. Hear from a New Mexico hospital on its innovative approach to physician satisfaction and contracting solutions. Hansford County Hospital District will share how its team found success by equipping nurses with emergency medical technician training to help decrease patient transfer times and combat EMT shortages in rural communities.

4:20-5 p.m.
Telehealth: Present State and Future Directions: Practical Approaches to Hospital-Based Care Models
Thomas J. Kim, MD, Chief Medical Officer, Med2You, Austin
Healthcare in America currently enjoys a great deal of uncertainty. At present, our system of care is best characterized as spending more and more only to receive less and less. It is within this context that interest in telehealth rises among healthcare stakeholders seeking to do more with less. This session will provide a brief regulatory/legislative overview to clarify some misconceptions that ultimately distract from telehealth’s true value proposition. The presentation will close with an exploration of practical approaches for hospital-based health systems seeking to implement telehealth solutions.

1:30 p.m.-5 p.m.
ACHE Face-to-Face Panels*

1:30-3 p.m.
Technology Innovation Changing the Face of Health Care Delivery
Pamela Arora, senior vice president and chief information officer; Matthew Chambers, chief information officer, Baylor Scott & White Health, Temple; and Adam Travis, M.D., senior director of business development, Clarify Health Solutions, San Francisco
Moderated by Fernando Martinez, Ph.D., chief digital officer, Texas Hospital Association, Austin
With the implementation of the Patient Protection and Affordable Care Act, there is a necessity to take stock of where the medical community stands on change and innovation, specifically regarding the use of technology. The demand for higher quality health care at a lower cost creates an imminent need for change and innovation in healthcare delivery. Health care has already seen innovations in the tools used to deliver care, including pharmacy products, medical devices, information technology, and biotechnology products. This innovation has changed and continues to change the way healthcare is delivered. This panel will discuss how health systems are using innovation in technology to improve the value of the healthcare they deliver. Examples may include using technology to improve connectivity, patient flow, provider efficiency, and/or quality measurement.

CE: 1.5 hours ACHE F2F Category I

3:30-5 p.m.
Telemedicine in the Health care Delivery System
Avrim Fishkind, M.D., president and chief medical officer, JSA Health Telepsychiatry, Houston; John Henderson, president and CEO, Texas Organization of Rural and Community Hospitals, Austin; and Gayla Quillin, CEO/administrator, Parmer Medical Center, Friona
Moderated by Saurin Patel, M.D., chief medical officer, Access Physicians, Dallas
Telemedicine has become increasingly popular throughout the years. Its innovative benefits are of vital interest amid the implementation of the Affordable Care Act. Telemedicine uses a variety of forms of electronic communication technology to provide a convenient method to deliver health care services and education. This program will explore the current and future role of telemedicine in the delivery of health care. The program surveying the various uses and settings of telemedicine will delve into how well this technology has been utilized and received by clinicians and patients. Technical, operational, regulatory and financial aspects of the development of telemedicine programs will be investigated. The expanding role that telemedicine holds in daily medicine and its direction into the future of the healthcare delivery system will be explored.

CE: 1.5 hours ACHE F2F Category I

*Additional registration fee applies.

Thursday, Feb. 21 - Main Conference Day 1

7 a.m.-7 p.m
Registration

7-8 a.m.
Breakfast in the Exhibit Hall

8-9:30 a.m.
Opening General Session

THA President and CEO Speech
Ted Shaw, president and CEO, Texas Hospital Association, Austin

Building a Culture of Innovation, the Amazon Way
John Rossman, former Amazon executive, expert on digital disruption, innovation and IoT, and author, California
Moderated by Fernando Martinez, Ph.D., chief digital officer, Texas Hospital Association, Austin

Leaders at Amazon expect and require innovation and invention from their teams. They are externally aware and look for new ideas everywhere. Amazon has a thrilling power to innovate that few other organizations have matched. Former Amazon executive turned business consultant John Rossman shows how it is not one single individual that drives innovation and dreams up new technology, but a well thought out and preserved culture.

9:30-10:15 a.m.
Refreshment Break in the Exhibit Hall and Bite-Size Education Session

Hospitals Can Mitigate Risk Through CMS’ Pathways to Success and a Collaborative ACO
Lynn Barr, CEO, Caravan Health, Sacramento, California

The Centers for Medicare & Medicaid Services recently released the final rule for the 2019 Medicare Shared Savings Program. This session will describe how CMS is continuing to push risk to providers and how Caravan Health can help reduce the risk of the new Medicare ACOs by 75 percent. The session will highlight the financial benefits of value-based strategies and identify steps hospitals can take now to participate in the MSSP ACO program. Caravan Health’s CEO Lynn Barr Policy will help prioritize hospital’s next steps in succeeding in accountable care.


10:15-11:15 a.m.
Concurrent Breakout Sessions

  • Key Issues Before the 86th Texas Legislature Hospital Leaders Need to Know
    John Hawkins, senior vice president of government relations; and Steve Wohleb, J.D., senior vice president and general counsel, Texas Hospital Association, Austin
    While the state budget is the only piece of legislation Texas lawmakers must pass, they will consider – and pass – hundreds, if not thousands, of other bills. From funding for trauma hospitals and price transparency to Medicaid rate enhancements and narrow health care networks, lawmakers will debate a wide range of issues that could impact hospital operations and payments. Hear from THA’s senior vice president and general counsel Steve Wohleb, J.D., and senior vice president of advocacy and public policy John Hawkins on what lawmakers are focusing on this legislative session and what hospital leaders need to know to advocate for their hospitals, patients and communities.
    Policy Legal
  • Having the Difficult Conversations Around Cybersecurity
    Will Long, vice president and chief information security officer, Children’s Medical Center, Dallas
    Successful cybersecurity requires not just strong technology tools like firewalls, but an entire staff that understands the steps each person must take to keep hospital data secure. In a busy hospital, how can hospitals ensure that both the technology and the employee protocols are fully implemented by everyone to prevent the next data breach? Hear from hospital leaders who’ve instilled a culture of cybersecurity in their staffs – and how they’ve made it stick.
    Technology
  • Keeping Millennial Employees Engaged and Retained
    Catherine Giegerich, DNP, RN, FACHE, vice president and chief nursing officer, Memorial Hermann The Woodlands Medical Center; Amelie Karam, millennial speaker and consultant, Chicago, Illinois; and Melissa Winans, RN, chief nursing officer, Texas Health Presbyterian, Denton
    With 56 million millennials already in the U.S. workforce, this generation is poised to become the largest in the labor force, surpassing both Generation X and the Baby Boom generation. Integrating these young employees into an organizational culture is key to successful long-term workforce growth and retention. The panel will address what millennials value and find important in a job and workplace and what hospitals can do to keep this generation of employees happy and engaged.
    Leadership Quality and Nursing
  • Clinicians' Role in Identifying and Supporting Victims of Human Trafficking
    Laura Castellanos, associate director, American Hospital Association, Chicago; Melissa Graham, RN, psychiatric nurse certified, emergency room, Houston Methodist Hospital; and Cindy McCarthy, DNP, RN, chief nursing officer, Texas Health Harris Methodist Hospital, Stephenville
    An estimated 88 percent of human trafficking survivors report having contact with the health care system while being exploited, which makes hospitals on the frontlines of identifying and helping victims. What do hospitals need to know about this global challenge and how to identify and help victims? What partnership opportunities exist and how can hospitals position themselves as advocates for victims in their communities. Panelists will discuss these issues as well as the new ICD-10 codes for documenting sex and labor exploitation.
    Quality and Nursing
  • Renewed Hope: Considerations for Combating the Opioid Epidemic With Medication-Assisted Treatment
    Richard Bottner, hospitalist, Division of Hospital Medicine, Dell Seton Medical Center; and assistant clinical professor of internal medicine, Dell Medical School at The University of Texas at Austin
    Texas hospitals see the effects of the opioid crisis each day. More than 42,000 Americans died from opioid overdoses in 2016. But for every fatal overdose, there are around 30 non-fatal opioid overdoses. While hospitals have a responsibility to curb opioid prescribing, they also play a critical role in facilitating addiction treatment. This session will cover one hospital’s approach to implementing medication-assisted treatment and hospitals’ organizational culture around opioids and addiction.
    Quality and Nursing Policy and Regulatory Leadership

11:20 a.m.-12:45 p.m.
Earl M. Collier Award Luncheon
We encourage all attendees, sponsors, representatives and guests to join us as we celebrate one of health care’s leaders. Enjoy the luncheon’s ample networking time and delicious food as you mix and mingle with executives and hospitals leaders throughout the state. Help us honor the recipient of the Earl M. Collier award over great food with great company and fellowship.

AHA President and CEO Speech
Rick Pollack, president and CEO, American Hospital Association, Chicago

THA Chairman Speech
Sally A. Hurt-Deitch, RN, FACHE, CEO, The Hospitals of Providence, El Paso

12:45-1:45 p.m.
Concurrent Breakout Sessions

  • New Waiver, New Rules: Understanding How the New Medicaid 1115 Waiver Affects Texas Hospitals
    Kate Hendrix, senior director of policy analysis, Texas Hospital Association, Austin
    Almost 15 months after the new Medicaid 1115 Waiver was approved, where are we with implementing its new requirements? Hear the latest on rule-making governing the uncompensated care pool size and payment distributions and what are the possibilities for the next phase of the Delivery System Reform Incentive Payment program.
    Finance Policy and Regulatory
  • Topics Facing Today’s Hospitals Leaders: Presentations by THA’s Leadership Fellows 2018 Class
    Debbi Garbade, RN, system director, patient safety, Houston Methodist; Jason Glover, vice president of operations, Memorial Hermann Sugar Land; Jared Johnson, senior director ancillary services, Texoma Medical Center, Denison; Ben Salinas, senior director ambulatory services, Children’s Medical Center of Dallas; and Paula Turicchi, FACHE, vice president of hospital operations, Parkland Health & Hospital System, Dallas
    Hear from this year’s THA Leadership Fellows as they present research findings on a range of topics facing the up and coming leaders within Texas’ hospitals.
    Leadership
  • Innovative Community Approaches to Addressing At-Risk Populations
    Alan Keister, M.D., founder, Heal the City, Amarillo; and Catherine Oliveros, DrPH, vice president of community health improvement, Texas Health Resources, Arlington
    In order to make real progress on some of the most stubborn disparities and social determinants of health, health care leaders understand that care must extend beyond the four walls of the hospital. Hear from two innovative approaches in Amarillo and Arlington that have forged community partnership to help at-risk populations. Texas Health Resources’ Community Impact Initiative changed their internal infrastructure to allow for more flexibility and cross-sector relationships with community organizations. The founder of Heal the City in Amarillo will discuss how its free community clinic improves access, diverts unneeded emergency room visits and offers behavioral health services through community partnerships.
    Quality and Nursing Leadership
  • Can Technology Actually Decrease Costs?
    Rick Peters, M.D., chief technology innovation officer, Dell Medical School, The University of Texas at Austin
    Information technologies, electronic medical records, have been a significant expense to hospitals and health systems. Millions, if not billions have been spent without commensurate benefits in efficiency, effectiveness or return on investment. Is all this technology just the cost of doing business or achieving parity, or is technology ever going to attain its promise to make us more efficient, practice with higher quality and improve our margins? As hospitals and health systems deal with a sea change in reimbursement from fee-for-service to risk, capitation and value-based care, how can technology improve our game rather than increase our risk?
    Finance Technology
  • Legal Hot Topics in Health Care
    Cameron Duncan, J.D., associate general counsel; and Cesar Lopez, J.D., associate general counsel, Texas Hospital Association, Austin
    Hospitals face a range of legal issues on a daily basis. This session will discuss a variety of issues the THA Legal Department has addressed with member hospitals over the past year, including: updates on recent litigation, federal and state rulemaking, and reimbursement, telemedicine, liability and workforce issues.
    Legal

1:45-2:30 p.m.
Refreshment Break in the Exhibit Hall and Bite-Size Education Session

How to Reach Doctors Where They Are: A Guide to a Digital Recruitment Strategy
Christen Wrensen, regional vice president, recruiting, Jackson Physician Search

To effectively reach physicians, it’s important to be digitally connected and to understand how they network online. Learn how to effectively target and recruit physicians online during this informative session.

2:30-3:30 p.m.
Concurrent Breakout Sessions

  • Key Issues Before the 86th Texas Legislature Hospital Leaders Need to Know (Repeat Session)
    John Hawkins, senior vice president of government relations; and Steve Wohleb, J.D., senior vice president and general counsel, Texas Hospital Association, Austin
    While the state budget is the only piece of legislation Texas lawmakers must pass, they will consider – and pass – hundreds, if not thousands, of other bills. From funding for trauma hospitals and price transparency to Medicaid rate enhancements and narrow networks, lawmakers will debate a wide range of issues that could impact hospital operations and payments. Hear from THA’s senior vice president and general counsel Steve Wohleb, J.D., and senior vice president of advocacy and public policy John Hawkins on what lawmakers are focusing on this legislative session and what hospital leaders need to know to advocate for their hospitals, patients and communities.
    Policy Legal
  • The Outlook for Value-Based Purchasing for Texas Medicaid
    Jamie Dudensing, CEO, Texas Association of Health Plans, Austin
    Pressure from public and private payers to lower costs and improve health care outcomes is changing the way hospitals are paid. While value-based payment is not new to Texas hospitals, the arrangements under which they operate are continually changing. Hear from the panel of experts to learn how Texas hospitals are adapting to the value-based payment model and how it could change.
    Finance Quality and Nursing Policy and Regulatory
  • Combating Nurse Staffing Issues in Texas Hospitals
    Michael Sroczynski, vice president, government advocacy, Massachusetts Health and Hospital Association, Boston
    A Massachusetts union ballot initiative on mandated nurse-to-patient ratios failed in the November 2018 election. Mike Sroczynski from the Massachusetts Health and Hospital Association will detail the environment leading up to the ballot initiative, the campaign strategy employed to defeat the ratios at the ballot box and Massachusetts’ plan to engage their nursing workforce going forward. Come hear a story that highlights the importance and value of nurse staffing.
    Leadership
  • Far From the Final Word: Implementing New Rules On Inpatient Do-Not-Attempt-Resuscitation Orders
    Missy Atwood, J.D., principal, Germer PLLC, Austin; Carrie Kroll, vice president of advocacy, quality and public health; and Cesar Lopez, J.D., general counsel, Texas Hospital Association, Austin
    Few pieces of legislation in recent years have had the impact on hospital operations and patient care than Senate Bill 11 from the 2017 special legislative session. With new requirements governing who can issue an inpatient do-not-attempt-resuscitation order and when and how, SB 11 changes a key piece of patient care at the end of life. Panelists will discuss the new law and implementation requirements and guidance as well as legislative proposals this session to make additional changes to policies and procedures governing patient choices around the end of life.
    Quality and Nursing Policy and Regulatory Legal
  • Emergency Preparedness to No-Notice and Mass Violence Events
    David Marshall, J.D., RN, chief nursing officer, The University of Texas Medical Branch, Galveston; and Ken Mitchell, M.D., chief medical officer, St. David’s HealthCare – Central and West Texas Division of HCA, Austin
    How do hospital teams prepare for the unexpected? While drills and table-top exercises are standard protocol for today's hospitals, tragedy or sudden loss of fundamental resources can still test the flexibility and resiliency of any hospital's operations and staff. Hear from UTMB Gavelston's Chief Nursing Officer David Marshall on his teams response and lessons during the Santa Fe High School shooting, as well as St. David Heathcare's Chief Medical Officer Ken Mitchell on his hospital's takeaways from the city of Austin's recent boil water notice.
    Leadership

3:35-5 p.m.
General Session — Political Debate
Harold Cook, democratic strategist and former executive director, Democratic Party of Texas, Austin; and Brendan Steinhauser, republican strategist, co-founder and partner, Steinhauser Strategies, Austin; moderated by Evan Smith, CEO and co-founder, The Texas Tribune, Austin
Based on past years, things can get pretty heated during the popular political debate at the THA Annual Conference and Expo in the past. Evan Smith, CEO and co-founder of The Texas Tribune, won’t hold back this year as he grills Republican strategist Brendan Steinhauser and Democratic strategist Harold Cook on the national political landscape, what's changed in Austin and what it all could mean for Texas hospitals. Hear from both sides of the aisle in this Texas political discussion.

5-6:30 p.m.
THA Game Night Reception
Try your luck at blackjack and take a moment to unwind with your colleagues at THA Game Night. Enjoy food, drinks, music and especially the camaraderie.

Friday, Feb. 22 - Main Conference Day 2

7:30 a.m.-12:30 p.m.
Registration

7:30-8:45 a.m.
Horace Cardwell ACHE Affiliates Breakfast*
*Invitation only
David Olson, FACHE, senior vice president of external relations and chief strategy officer, Froedtert Health, Milwaukee, Wisconsin

7:30-9 a.m.
Breakfast in the Exhibit Hall and Bite-sized Education Sessions

7:45-8 a.m.
Not All Data is Created Equal
Jean Drouin, M.D., CEO, Clarify Health, San Francisco
This session will highlight lessons learned on how to engage clinicians in operational and quality improvement.

8:30-8:45 a.m.
There Is a Better Way
Butch Oberhoff, director of governmental relations and business development, Acadian Ambulance Service
Acadian is one of many EMS agencies and hospitals that participate in Southwest Texas Regional Advisory Council’s alternative destination program for psychiatric patients. This innovative program is diverting hundreds of patients every month from hospital emergency rooms to more appropriate care.

9-10:30 a.m.
Morning General Session
How Retail Can Enhance Management of Population Health: 3 Targets and 4 Tools
Troy Brennan, M.D., executive vice president and chief medical officer, CVS Health

Brennan will address a new paradigm for population health management that complements traditional primary care with digital engagement and face-to-face care management at retail pharmacies and walk-in clinics. By giving patients greater access to convenient care, this new approach can relieve the pressure on individual physicians to manage complex, chronic diseases while ensuring a patient’s entire care team is fully informed at all times about a patient’s condition and progress. This new paradigm for supporting at-risk providers is focused on reducing costs by improving the quality of care, especially for the millions of Americans who suffer from chronic conditions.

10:30-11 a.m.
Refreshment Break in the Exhibit Hall

11 a.m.-12:30 p.m.
Closing Luncheon — High Performing Resilience
Bonnie St. John, Paralympic ski medalist, Fortune 500 business consultant, Rhodes Scholar, former White House official and bestselling author

How do we continue to tap into new sources of energy for the innovations, insights and initiatives we need to compete as the pace of today’s global workplace continues to accelerate? Bonnie St. John addresses these challenges by guiding attendees through a series of practical exercises and techniques to enhance the capacity to offset the negative effects of stress, increase resilience and play to win. The speaker’s authentic life experiences along with rigorously tested concepts will clearly pave the way for breakthrough performance in your organization.

12:30 p.m.
Adjourn

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