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2013 Presentations & Handouts

To access handouts for the sessions, click on the "Handout" link. “No Handout” has been indicated for presentations where the presenter has notified us that there will not be a handout to post online.

Wednesday, June 5, 2013

 8:30 – 11:30 AM

NDPHA Meeting

  • No handouts

 8:00 – 11:40 AM

CAH Pre-Conference

North Dakota Medicare Rural Hospital Flexibility (Flex) Program Update & Network Update

Jody Ward, RN, MS, APHN, Flex Coordinator, and Deb Fossum, MPH, RD, LRD, ND CAH Quality Network Coordinator

Provides education regarding the North Dakota Medicare Rural Hospital Flexibility (Flex) Program by describing the Flex Program core areas and how they support North Dakota Critical Access Hospitals. Also outlines 2013 North Dakota CAH Quality Network activities.

Financial & Operational Improvement

Tim Blasl, BS, Vice President of the North Dakota Hospital Association

Provides information on the current status of the 2013 Federal and State Legislative updates.

Building Healthier Communities

Brad Gibbens, MPA, Deputy Director, Center for Rural Health

Shares information and examples in effort to increase awareness of community engagement /development services provided by Center for Rural Health programs which can assist rural hospitals in responding to and meeting community health needs.

Top Survey Deficiencies

Bridget Weidner, BS, Program Manager, Division of Health Facilities, North Dakota Department of Health

Identifies North Dakota Critical Access Hospitals’ top survey deficiencies.

 12:45 PM – 1:45 PM

Keynote Presentation: American Indian Healthcare in North Dakota
Donald Warne, MD, MPH, Director, Master of Public Health Program, North Dakota State University

ABSTRACT: Dr. Warne will provide an overview and history of the Indian Health Service, tribal health program, health disparities and challenges. Research, educational, and policy solutions will be described as well.

 2:00 PM – 3:00 PM

Intensive 1: The Magic of Frontline Engagement
Brian Lee, CSP, Chief Executive Officer, Custom Learning Systems Group

ABSTRACT: Unleash the power of enthusiastic, empowered frontline staff and successfully recruit and engage the best – of your best – staff. Learn to design and implement a best practice that will motivate employees to go the extra mile, especially in dealing with problems and complaints. The creation of your own customized program to empower your frontline leaders to teach and motivate their peers will be explained. Finally, learn to gain buy-in and ownership from leaders and engage, empower, and transform everyone to deliver loving, compassionate service.

Session 1: Making the Healthy Choice the Easier Choice: Creating Sustainable Change Using Environmental and System Change Approaches
Joyce Sayler, RN, Program Coordinator, Division of Cancer Programs, North Dakota Department of Health
Deanne Askew, MPA, RD, LRD, Prevention Strategy Specialist, North Dakota Department of Health

ABSTRACT: Today we realize it’s not enough to know how to be healthy – you need practical, readily available healthy options around you. Where you live affects how you live – you simply can’t make healthy decisions if healthy options are not available to you. Learn how environmental and system changes make healthy choices a real, feasible option for every community member by looking at rules and environments that impact our behavior and how changing the environment and systems can help communities tackle health issues such as obesity, cancer, and other chronic diseases.

Session 2: Accountable Care Organizations: Future Directions for Population Health Management
Chelsey Matter, MPH, Senior Business Network Consultant, Blue Cross Blue Shield of North Dakota
Petrice Balkan, Manager, MediQHome Quality Program, Blue Cross Blue Shield of North Dakota

ABSTRACT: Accountable Care Organizations (ACO) arrangements are growing rapidly around the country. General ACO concepts and how ACOs are different than what has been tried in the past will be discussed. Learn the differences between what Medicare and many commercial payers are doing and what Blue Cross Blue Shield of North Dakota has been doing across the state to address rapidly rising healthcare costs through ACO arrangements.

  • No Handout

Session 3: Community Paramedicine – Opportunities for Rural North Dakota
Ron Lawler, BA, F-M Ambulance/NDSCS - Paramedic Education

ABSTRACT: The community paramedic concept is gaining attention across the country as a way of reducing re-admission rates, providing care for persons who fall into healthcare gaps and helping to maintain EMS coverage in rural areas. Learn the concepts, definitions, usage strategies, and current status of this program in North Dakota.

 3:45 - 4:45 PM

Intensive 1: The Magic of Frontline Engagement
Brian Lee, CSP, Chief Executive Office, Custom Learning Systems Group

ABSTRACT: continuation of part one

Session 4a: North Dakota Master of Public Health Program
Raymond Goldsteen, DrPH, Director, Master of Public Health Program, The University of North Dakota
Donald Warne, MD, MPH Director, Master of Public Health Program, North Dakota State University

ABSTRACT: The new ND MPH Program is jointly offered by the University of North Dakota and North Dakota State University. Learn about the educational opportunities available through ND MPH including the MPH specializations offered by each university, the joint degrees planned, and the certificate programs to be developed. Discover continuing education opportunities for the public health workforce, learning options for distance students, and an open conversation with members of the audience about opportunities to collaborate with public agencies and private organizations.

Session 4b: Advanced Public Health Nursing
Tracy Evanson, PhD, PHCNS-BC Associate Professor and Director of Advanced Public Health Nurse Track, UND College of Nursing and Professional Disciplines; Associate Director, North Dakota Area Health Education Center (AHEC)

ABSTRACT: A variety of forces and an increased emphasis for public health nurses (PHNs) to return to population-focused practice have reshaped the current role of PHNs and resulted in PHN practice becoming increasingly complex. The need for PHNs with advance practice skills in population-focused practice in North Dakota is evident. Learn about the opportunities for graduate education through the Advanced Public Health Nurse masters track at the University of North Dakota College of Nursing and Professional Disciplines. This online program provides education in public health sciences, while assuring that public health nursing competencies for advanced practice are achieved.

Session 5: Successful Community Health Needs Assessments in Rural Communities
Ken Hall, JD, Evaluator/Researcher, Center for Rural Health
Karin Becker, Evaluator/Researcher, Center for Rural Health

ABSTRACT: The Affordable Care Act requires all non-profit hospitals to conduct a community health needs assessment at least every three years. This session presents a working model for conducting assessments in rural communities in an efficient manner that not only ensures regulatory compliance but also provides valuable community data and feedback that allows a hospital to match long-term planning with community needs.

Session 6: I am not Homeless. TB Outbreak in Grand Forks
Dee Pritschet, MT (ASCP), Surveillance Coordinator, TB Controller, Division of Disease Control, North Dakota Department of Health
Shawn McBride, BA, BS, Regional Field Epidemiologist, North Dakota Department of Health

ABSTRACT: Between 2007 and 2011, there were 34 cases of TB disease reported in North Dakota. However, an outbreak of TB among an urban Indian community was identified in October 2012 causing the estimated 2012 incidence rate of TB in North Dakota to increase to 4.0/100,000. In October 2012, three cases of tuberculosis were identified in Grand Forks County. Investigations determined these three individuals did not have a permanent address but did not live on the streets nor reside at the local shelter. Upon completion of this session, participants will be able to define TB, explain the difference between TB and LTBI, review treatment options for each, and the treatment challenges for the Grand Forks outbreak, and recognize the complexity of a TB outbreak and the investigation process.

Thursday, June 6, 2013

 8:00-9:00 AM

Keynote Presentation: Effects of the Oil Patch on Western North Dakota Panel
Thomas Nehring, Director, Division of Emergency Medical Services and Trauma, North Dakota Department of Health
Dave Glatt, PE, Chief, Environmental Health Section, North Dakota Department of Health
Kenan Bullinger, BS, Director, Division of Food and Lodging, North Dakota Department of Health
Reed Reyman, President/CEO, St. Joseph’s Hospital and Health Center

ABSTRACT: The panel will present information on major environmental impacts regarding air, water, and waste. They will also discuss the impact of unprecedented increases of activity and how Emergency Medical Services and trauma hospitals in the oil producing counties are impacted along with the oil effects on hospitals and clinics in the area.  Finally, they will provide information on public and environmental health impacts of the North Dakota oil boom.

 9:15 - 10:15 AM

Intensive 2: Minot Flood 2011
Lisa Clute, Executive Officer, First District Health Unit
James Heckman, REHS/RS, Director, Environmental Health Division, First District Health Unit

ABSTRACT: Public Health and emergency response disciplines were challenged to respond to an unprecedented flood in the Souris Basin in 2011. This presentation will provide information on the interagency operations, the challenges to the public health system, and the flood’s environmental impact.

Session 7: Frac without Fear
Lynn Helms, Director, North Dakota Department of Mineral Resources

ABSTRACT: Hydraulic fracturing has become a popular term throughout the country and North Dakota always seems to enter the conversation.  Learn why we need hydraulic fracturing, how it works, and the risks and regulations.

Session 8a: eEmergency Chest Pain Project – Time is Muscle
Sarah Kappel, BS, BSN, eCARE Quality and Development Manager, Avera Health – eCARE

ABSTRACT: In response to the needs identified by eEmergency and rural clinicians, a Chest Pain Project was designed and implemented to increase coordination and collaboration between the eEmergency and rural teams caring for emergency cardiac patients. The eEmergency Chest Pain Project has resulted in improved compliance with evidence-based practices, improved clinical quality, and a reduction in cost of care.  Upon completion of this session, participants will recognize the challenges rural communities face with "door to needle" time, be able to define measurable outcomes as a result of the coordination and collaboration in clinical teams caring for cardiac patients, and explain evidenced-based practices and how quality was improved and cost was reduced.

Session 8b: Successful Chronic Disease Prevention Programming in Rural, Sparsely Populated Communities
Pat Conway, PhD, Senior Research Scientist, Essentia Institute of Rural Health
Sharon Buhr, MPH, Director, Young People's Healthy Heart Program, Mercy Hospital
Joyce Sayler, Program Coordinator for the Division of Cancer Prevention and Control Programs, North Dakota Department of Health

ABSTRACT: Learn about “Barnes County: On the Move,” a prevention program that successfully increased physical activity and improved nutrition in a rural North Dakota community through broad community support; flexibility in programming; individual, family, and community level change strategies; and program evaluation.

Session 9: Implementing and Evaluating Healthcare Training Programs in American Indian/Alaska Native Communities: Lessons Learned from Year 1 of the Tribal Health Profession Opportunity Grants Program
Michael Meit, MPH, Co-Director, NORC Walsh Center for Rural Health Analysis, NORC at the University of Chicago
Phillip Longie, BUS, Next Steps Program Director, Cankdeska Cikana Community College
Irene Bear Runner, MA, Project CHOICE Director, Turtle Mountain Community College

ABSTRACT: Two North Dakota-based tribal grantee sites will share successes and challenges from the first years of the Health Profession Opportunity Grants program, which works to develop workforce training programs targeting low-income individuals. Presenters from the evaluation team will share findings from their program evaluation.

 10:45 - 11:45 AM

Intensive 2: Minot Flood 2011
Lisa Clute, Executive Officer, First District Health Unit
James Heckman, REHS/RS, Director, Environmental Health Division, First District Health Unit

ABSTRACT: continuation of part 1

Session 10: North Dakota Recruitment and Retention: Success Stories and Best Practices
Mark Barclay, BS, Workforce Specialist, Center for Rural Health

ABSTRACT: The prospect of recruiting and retaining a quality provider to a rural area can seem overwhelming. Learn how some rural North Dakota facilities have successfully recruited and retained providers despite challenges. Success stories from around the state and lessons learned will be highlighted.

Session 11: Mobile Health Information Tools for Emergency Preparedness, Response, and Recovery
Marcia Francis, MA, Med, AHIP, Southwest Clinical Campus Librarian, University of North Dakota - Harley E. French Library of the Health Sciences

ABSTRACT:  Various governmental agencies and organizations, including the National Library of Medicine, have created free mobile applications and mobile-optimized Web sites to provide quality health information during emergency preparedness, response, and recovery activities. An overview of these resources will be provided, along with suggestions for their effective use by first responders and healthcare professionals.

Session 12a: Accessibility – It’s More Than Just a Ramp
Emily Rodacker, MBA, Outreach Coordinator, Minot State University - ND Center for Persons with Disabilities

ABSTRACT: Learn the importance of adapting materials, communication, equipment, and attitudes to include everyone. An overview of health disparities among people with and without disabilities in North Dakota will emphasize the importance of addressing healthcare promotion and access for people with disabilities.

Session 12b: Bringing Specialty Asthma Care to Rural North Dakota
Wendy Brown, PharmD, Associate Professor, North Dakota State University System Pharmacy Practice

ABSTRACT: Learn how the use of telemedicine technology is an effective means of delivering education and management for patients with asthma.

 12:00 – 1:00 PM

Hot Topic Lunch

What is it?
A unique opportunity to listen, learn and share information on a topic of your choice while you enjoy your lunch.

How do I sign up for a topic?

  • Review the topics, and pick a ‘dot’ from the subject of your choice
  • Limited seating for each topic – when the ‘dots’ are gone for that topic, the table is full
  • Keep your dot and simply look for that same table number at lunch. Tables will not have topic names listed

What are the topics? (See sign up board for descriptions)
Dental Care
Agricultural Health
Childhood Nutrition
Communications Between Health Professionals and Clients
Affordable Care Act and other Legal Issues
Impact of the Oil Exploration Industry – Health and Environment
Impact of the Oil Exploration Industry – EMS
Health Information Network (HIN)
Care Transitions
Veteran Mental Health
Public Health Nursing Education
Quality Improvement in Healthcare
New Americans in North Dakota
Healthcare Workforce Recruitment
Applying Successful Lessons from Tobacco Control to Alcohol Control
Public Health Accreditation
MPH Program
Alzheimer’s and Dementia
Creating a Hunger Free North Dakota Coalition (CHFND)

 1:15 - 2:15 PM

Keynote Presentation: Vampires @ Work
Kostas Voutsas, MBA MSHR/OD, Assistant Professor of Business, Motivational Speaker, Author, Dickinson State University

Get past the drama of difficult people, improve work relationships, reduce stress, and keep calm when kittens become tigers at work. Explore ways to better relate and communicate with your diverse colleagues, bosses, and customers. Learn how to turn cultural and generational differences into opportunities. Share solutions to managing workplace conflict to better lead and succeed.

 2:30 - 3:30 PM

Intensive 3: Health Information Network
Sheldon Wolf, North Dakota Health Information Network Director, North Dakota Information Technology Department

ABSTRACT: Learn about the options you have to connect to other healthcare providers, state agencies and payers utilizing the North Dakota Health Information Network. Information about Direct and query based service solutions will be included.

Session 13: Employer Impacts of Healthcare Reform
Luther Stueland, Director, Health Policy Impact & Exchange Operations, Blue Cross Blue Shield of North Dakota

ABSTRACT: The Patient Protection and Affordable Care Act impacts every individual and business in the country. This session will focus on impacts to employers who have the greatest potential to affect employers’ benefit strategies. The session will simplify some of the more complex provisions of the act and give employers clear choices.

Session 14: How to Exceed Service Expectations (By Really Trying)
Jon Green, BSBA, Executive Director, Altru Health Foundation

ABSTRACT: Are you interested in learning how to exceed the expectations of those with whom you interact? Do you know what makes the difference between someone being ‘satisfied’ and ‘loyal’ to you and your organization? This session will answer those questions and more. You’ll learn the impact that behaviors have on satisfaction levels in addition to learning the 17 service standards that enable you to exceed expectations.

Session 15a: Quality of Life as Perceived by Rural Dwellers with a Serious Mental Illness
Deborah Townsend, APRN, CNS, PhD, Assistant Professor, Minot State University-Nursing

ABSTRACT: This presentation focuses on quality of life in rural environments. The model, Quality of Life as Perceived by Rural Dwellers with Serious Mental Illness, will be explained and recommendations for evidence-based treatments will be explored.

Session 15b: How do I Recognize Autism in My Patients?
Hilory Liccini, MS, Project Director, North Dakota Center for Persons with Disabilities – Support Autism in North Dakota
Suzanne Blessum, BS, Research Associate, North Dakota Center for Persons with Disabilities – Support Autism in North Dakota

ABSTRACT: Learn how to recognize the red flags of an Autism Spectrum Disorder (ASD), become familiar with ASD screening tools, and learn the next steps in the ASD referral process.

 3:45 - 4:45 PM

Intensive 3b: Patient-Centered Medical Home (PCMH) and Meaningful Use:
Lessons from the Trenches
Aaron Garman, MD, Medical Director, Coal Country Community Health Center
Chastity Dolbec, RN, BSN, Clinical Quality Care Director, Coal Country Community Health Center
Jennifer Tollefson, AD, Lab Director, Coal Country Community Health Center

ABSTRACT: Learn about PCMH, Meaningful Use, and common themes in the "crosswalk" between the two items. After review of the criteria, Coal Country Community Health Center's path towards reaching PCMH and Meaningful Use will be explored, including a discussion on electronic health records, process redesign, workflow processes, and useful tools and tricks to help others achieve these goals. Finally, the group will help develop strategies to potentially solve some of the issues surrounding these important yet daunting topics.

  • No Handout

Session 16: Advocacy/Lobbying – The Active Role of a Health Professional
Jill Krueger, JD, Senior Attorney, The Network for Public Health Law – National Coordinating Center

ABSTRACT: Health professionals face two important realities when using the law to improve health: the duty to advocate for strong health policies, and the duty to comply with all applicable lobbying restrictions. Identify activities that may be subject to legal restrictions on lobbying, as well as activities that are generally permitted as education and advocacy. Discover key skills for health professionals to develop in order to become more effective advocates. Session participants will have the opportunity to discuss hypothetical situations or to share their own examples.

Session 17: AHEC Rural Health Round-Up
Denise Andress, RN, BSN, Director, Western North Dakota Area Health Education Center
Katie Thompson, BSEd, Education Coordinator/HOSA State Advisor, Eastern North Dakota Area Health Education Center

ABSTRACT: The North Dakota Area Health Education Center provides support across the healthcare workforce pipeline to address workforce shortages through distribution, diversity, supply, and quality of healthcare professionals. Learn ideas for connecting students to health careers, connecting professionals to communities, and connecting rural communities to better health.

Session 18a: Increasing HPV Vaccination Across North Dakota
Krista Headland, MPA, Community Outreach Coordinator, North Dakota Department of Health - Division of Cancer Prevention and Control
Mary Woinarowicz, MA, Sentinel Site Coordinator, North Dakota Department of Health

ABSTRACT: Human papillomavirus (HPV) is the most common sexually transmitted infection and can cause certain types of cancer. Although there are vaccines to prevent HPV-related cancers, North Dakota vaccination rates are lower than the national average. Myths and misconceptions about the vaccine as well as strategies for increasing vaccination rates will be discussed.

Session 18b: Identification of Hereditary Breast and Ovarian Cancer in the Rural Setting
Jacqueline Roberts, DNP, FNP-BC, AOCNP, University of North Dakota - Nursing

ABSTRACT: This program will discuss genetic testing for Hereditary Breast and Ovarian Cancer (HBOC) in rural North Dakota. Key discussion points will include: HBOC identification, genetic counseling, access to qualified professionals and educating primary care providers in the identification of high risk patients.

Friday, June 7, 2013

 8:45 - 9:45 AM

Keynote Presentation: The Affordable Care Act and Health Insurance Marketplace
Marguerite Salazar, Region VIII Director, United States Department for Health and Human Services

ABSTRACT: This presentation will describe what is contained in the Affordable Care Act with a focus on providers.

 10:00 AM - 11:00 AM

Intensive 4: Healthy ND Report Card
Melissa Olson, BS, LRD, Director, Healthy North Dakota, North Dakota Department of Health
Pete Seljevold, MS, MM, Director, Healthy North Dakota Worksite Wellness Initiative, Healthy North Dakota - Worksite Wellness
Karen Ehrens, RD, LRD, Health and Nutrition Consultant, Ehrens Consulting

ABSTRACT: Healthy ND is a dynamic, statewide partnership with a unique mission to inspire and support North Dakotans to improve physical, mental, and emotional health for all by building innovative statewide partnerships. Healthy North Dakota supports North Dakotans’ efforts to make healthy choices by focusing on wellness and prevention. Presenters will provide the accomplishments and challenges facing a statewide prevention and health promotion partnership, and an overview of the Healthy ND Worksite Wellness program.

Session 19: Public Health Law 101
Jill Krueger, JD, Senior Attorney, The Network for Public Health Law – National Coordinating Center

ABSTRACT: This presentation will review the legal foundations for federal, state, and local power to protect the public’s health.  We will discuss limits on government power to protect public health, identify resources available to provide legal assistance to public health practitioners, and discuss “hot topics” such as healthcare reform, emergency preparedness, tobacco control, mandatory vaccination, and obesity prevention. The goal is not to take sides on these issues, but to understand the role of law in describing and limiting the power of government to develop, enforce, and implement the law.

Session 20: Cultural Strengthening and the Public Health Approach as a Suicide Prevention Strategy
Pat Conway, PhD, Senior Research Scientist, Essentia Institute of Rural Health
Erica Cavanaugh, MSW, Vice President, Director of Wiconi Ohitika, Cankdeska Cikana Community College
Cora Whiteman, AAS, Program Coordinator, Cankdeska Cikana Community College

ABSTRACT:  This presentation will provide examples of the Wiconi Ohitika Youth Suicide Prevention Program's integration of cultural strengthening with the public health approach, community based participation, and utilizing evaluation to improve outcomes for youth and for in a rural, tribal community.

 11:15 AM - 12:15 PM

Intensive 4: Management of Chronic Non-Communicable Diseases: Local Models in Global Context
Mark Strand, PhD, Associate Professor, Pharmacy Practice, North Dakota State University

ABSTRACT: The critical need in the management of chronic con-communicable diseases is to effectively translate evidence-based recommendations for chronic disease management into sustainable models that provide continuous care and reduce disease complications. Integrating medical and public health perspectives and drawing on international experiences can elucidate best practices that result in preferred health outcomes individually and on the population-level.

Session 21: Policy Update after the 2013 Legislative Session
Terry Traynor, Assistant Director, North Dakota Association of Counties
Keith Johnson, RS, Administrator, Custer Health Unit

ABSTRACT: After an historic Session of the North Dakota Legislature, numerous policy and funding measures that have impacts on rural health will begin to become effective. The speakers will attempt to break these down for the participants, identifying those that are most significant statewide, as well as those that target the rapidly growing oil-impacted area of the state. The speakers have been involved with these issues throughout the Session, addressing them from the perspective of county and city health districts. They will provide the objective results, but also some of the political “color” that contributed to those results.

Session 22: Sharing Regional Rural Quality Improvement Success Stories
Jody Ward, MS, Flex Coordinator, Center for Rural Health
Doris Vigen, RN, Director of Nursing, Sanford Health Mayville
Terry Demester, Environmental Services, Safety, & Risk Manager, First Care Health Center
Shawn Smothers, RN, CEO, Trinity Kenmare
Marcie Schulz, RN, Director of Patient Care, Sakakawea Medical Center

ABSTRACT: A medical professional from a critical access hospital in each of the four North Dakota regions will introduce a quality improvement project, identify lessons learned, and share success stories. Participants will have the opportunity to ask questions and identify quality improvement projects they can take back to their own facilities and/or regions.

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