2019 Presentations & Handouts

To access handouts for the sessions, click on the title of the session. If there are multiple handouts, they will be listed under the abstract. If there is not a handout available, it means the presenter has not provided the handout to be posted online. "No Handout" has been indicated for presentations where the presenter has notified us that there will be no handout available online.

Tuesday, June 11, 2019

8:30 – 11:30 AM

NDPHA Meeting

No Handout

11:45 AM – 12:45 PM

Lunch – Welcome and Announcements

12:25 – 12:35 PM

Introduction to the Dakota Conference App

12:45 – 1:45 PM

Keynote 1: Leading the New Workforce
Martha Bryan, BS, Owner/Presenter, Bryan & Bryan Associates

ABSTRACT: Today's workplace is unique. Never before has there been a workplace so diverse in so many ways. The leadership skills that worked in "old story" organizations will not work with today's employees. This program is about changing the way we lead to harness the energies of a diverse group of individuals. Participant will gain deeper understanding of what motivates people across generations and learn practical ways to tap into their potential.

1:50 – 2:35 PM

Session 1: The Mandan Good Neighbor Project
Jennifer Pelster, RN, BSN, Public Health Nurse, HIV/HCV/STD/TB Coordinator, Custer Health

ABSTRACT: The Mandan Good Neighbor Project (MGNP) is North Dakota's first syringe exchange program. Injection drug users that enroll in the MGNP are offered many services including HIV/Hepatitis C testing, harm reduction supplies for injecting, and referrals. Learn more about the process of becoming a state authorized syringe exchange program, the MGNP, and the challenges and accomplishments they have faced and overcome.

Session 2: Promoting Maternal and Child Health Through Home Visiting
Elizabeth Pihlaja, MPH, MIECHV, Program Director, Prevent Child Abuse North Dakota
Jessica Linneman, BSN, MSN, Community Health Nurse, Bismarck-Burleigh Public Health
Cyndee McLeod, BS, Training Coordinator, Bismarck-Burleigh Public Health

ABSTRACT: Home visiting programs have demonstrated success in improving health outcomes for rural families. This session will provide an overview of home visiting services in our state, present evidence of improved outcomes for North Dakota families, and examine ways home visiting and other service providers can work together to build a stronger, more comprehensive maternal and child healthcare system.

Session 3: Measuring Social Stigma in North Dakota around Mental Health Disorders
Shawnda Schroeder, BA, MA, PhD, Research Assistant Professor, Center for Rural Health

ABSTRACT: An interdisciplinary research team at the University of North Dakota (UND) conducted a survey in October, 2018 measuring the public's perception of people with mental illness. The survey was broadly disseminated among rural and urban community members. See the results of the survey, discuss the impact of mental health stigma on care seeking behaviors, and discuss ideas on how to address mental health stigma in North Dakota.

Session 4: Poster Presentations:

Community Collaborative Implementation of Teach Back to Improve Patient and Family Education
Jayme Steig, RPh, PharmD, Quality Improvement Program Manager, Quality Health Associates of North Dakota

ABSTRACT: Teach back is a research-based health literacy intervention that promotes adherence, quality, and patient safety. Learn how Fargo community partners utilized teach back as part of effort to address increasing hospital readmission rates within the community resulting in improved patient satisfaction and outcomes.

Improving the Delivery of Health Care in Rural Tribal Communities by Implementing Culture of Safety Initiatives
Tasha Peltier, MPH, Quality Improvement Specialist, Quality Health Associates of North Dakota
Natasha Green, MBA, RN, Quality Improvement Specialist, Quality Health Associates of North Dakota

ABSTRACT: This presentation will describe the efforts of the Standing Rock Service Unit's journey towards a Safety Culture. The Partnership to Advance Tribal Health and the Leadership team at the Standing Rock Service Unit, which provides healthcare to the Standing Rock Tribal Communities, collaborated to establish a common goal of an improved Safety Culture for their community and facility.

ROME Outcomes: 20 Years of Rural Medical Student Education at UND
Kamille Sherman, MD, Co-director, Family Medicine Clerkship and ROME, University of North Dakota School of Medicine & Health Sciences
Bryan Delage, MD, Assistant Professor, University of North Dakota School of Medicine & Health Sciences
David Schmitz, MD, Professor, University of North Dakota School of Medicine & Health Sciences

ABSTRACT: The Rural Opportunities in Medical Education (ROME) Program has been part of the curriculum at UND School of Medicine & Health Sciences for 20 years. This session focuses on where these graduates ultimately practice and whether they choose primary-care careers. Information on nearly 100 graduates of the ROME program provides insight into the success of this program.

No Handout

3:25 – 4:10 PM

Session 5: Early Recognition of Sepsis Special Innovation Project
Nicole Medalen, MS, BSN, APHN,BC, Quality Improvement Specialist, Great Plains Quality Innovation Network, Quality Health Associates of North Dakota
Lisa Thorp, BSN, RN, CDE, Quality Improvement Specialist, Great Plains Quality Innovation Network, Quality Health Associates of North Dakota

ABSTRACT: Presenters from Great Plains Quality Innovation Network will share a Special Innovation Project developed to increase awareness and knowledge of sepsis is rural patients, families, and emergency medical services providers to increase early detection and treatment of sepsis, in an effort to reduce the number of cases that progress to severe sepsis and septic shock.

Session 6: Tobacco and Homelessness and Behavioral Health
Reba Mathern-Jacobson, MSW, Director, Tobacco Control, American Lung Association in North Dakota

ABSTRACT: The prevalence of tobacco use among individuals who are homeless and/or have a behavioral health condition are alarmingly high. In this session I will share findings from recent focus groups I conducted with individuals in Fargo Cass County who are homeless and use tobacco or quit in the prior six months. I will share my experiences engaging staff in homeless shelters. We will discuss strategies that these groups helped identify to address tobacco in the context of homeless. Given emerging recognition of the disproportionate impact of tobacco use on the homeless population, state and local communities and service providers can work together to address this public health crisis.

Session 7: Project ECHO: Bridging the Gap in Health Care to Provide Training, Tools, and Support for Rural Providers
David Schmitz, MD, Professor, University of North Dakota School of Medicine & Health Sciences
Lynette Dickson, MS, RD, LRD, Associate Director, Center for Rural Health
Stacy Kusler, BA, Workforce Specialist, Center for Rural Health
Julie Reiten, Project Coordinator, Center for Rural Health

ABSTRACT: Rural patients commonly face several barriers in receiving healthcare and often lack access to specialists. Project ECHO bridges that gap by connecting specialists who provide support and mentoring to primary care providers in rural and underserved areas to help them build capacity and provide comprehensive care in their own communities. This presentation will detail the progress of made in North Dakota. We will discuss the impact Project ECHO has had on rural providers, how Project ECHO is expanding to offer resources to new groups and provider types, and how other health organizations, systems, and providers can get involved.

Session 8: Building a Rural Community-Based Palliative Care Program in North Dakota
Nancy Joyner, MS, CNS-BC, APRN, ACHPN, Palliative Care Subject Matter Expert, University of North Dakota School of Medicine & Health Sciences
Jody Ward, MS, RN, APHN, Senior Project Coordinator, Center for Rural Health

ABSTRACT: This seminar will provide insight into developing a rural community-based palliative care program within the resources of a community, utilizing tools to assess the community and identify an action plan unique to the rural area served.

Wednesday, June 12, 2019

8:00 – 9:00 AM

Keynote 2: Overcoming Negativity in the Workplace
Martha Bryan, BS, Owner, Presenter, Bryan & Bryan Associates

ABSTRACT: Got the Monday morning blues that don't disappear until Friday? Dread the drive to work? Dread the thought of the workday routine? Can't stand the office politics? Can't stand the negative coworkers? Can't stand the difficult customers? How can you combat these negative feelings and view work as more than the avenue to paying the lousy bills? When negativity goes unchecked, communication, teamwork, loyalty, morale and productivity suffer. This program will show you how to stop the negativity in yourself by putting more passion and meaning in your work--which, in turn, will help you understand and give you the tools for dealing effectively with the negativity in others.

Additional Materials: Handout

9:00 – 10:15 AM

Buzz Session

A buzz session consists of dividing an audience into small groups to discuss a specific topic. The session provides a unique opportunity to listen, learn, and share information. You will select three topics to attend (a horn will sound and you will switch to a different table). Each hot topic table will have a facilitator to give guidance and keep everyone on point. You must attend all three sessions to receive continuing education credits.

Advanced Care Planning Materials:

11:00 – 11:45 AM

Session 9: The Evolution of North Dakota's First Medical Legal Partnership - Legal Advocates for Health
Adele Page, BSN, RN, JD, Deputy Director, Legal Services of North Dakota

ABSTRACT: This presentation describes the Medical Legal Partnership model and its impact on patient health outcomes. As a spring board to discussion the presenters will describe the evolution of the Legal Advocates for Health and its potential for replication to improve health outcomes through the state.

Session 10: Hunger Free North Dakota Coalition 10th Anniversary, Rural Grocer Initiative
Karen Ehrens, RD, LRD, Coordinator, Creating a Hunger Free North Dakota Coalition, Ehrens Consulting

ABSTRACT: A committed group of individuals, charitable feeding providers, and state agencies answered a call to action and formed the state's first ever Creating a Hunger Free North Dakota Coalition in 2009. The Coalition formed as advocates came together to plan how to fill gaps and address challenges in connecting hungry people with food and to meet the vision of a hunger-free North Dakota. Gaps in the charitable feeding network in the rural western parts of the state were filled. Until 2018, North Dakota held the distinction of the lowest rates of food insecurity in the nation. Changes in geographic and economic forces have been shaping the way in which food is accessed in the state, including in the decrease in the number of grocery stores. While celebrating 10 years of holding in collaboration and partnership, coalition partners and the state as a whole must seek new answers to continue toward a hunger free state.

Session 11: Assessment of the Behavioral Health of Women in Eastern Montana and Western North Dakota
Susana Calderon, MPH, Regional Women's Coordinator/Regional Minority Health Consultant, US Department of Health and Human Services, Office of the Assistant Secretary for Health, Region VIII

ABSTRACT: This assessment used a mixed method analysis, including both primary and secondary data, to describe the current context and status of women's behavioral health, within the context of energy development, in Eastern Montana and Western North Dakota.

No Handout

Session 12: Construction and Renovation vs. Infection Risks and Control Strategies
Christa Mardaus, ICRA Instructional Coordinator, North Central States Regional Council of Carpenters

ABSTRACT: The presentation will focus on patient safety, staff, and the construction workers awareness during a construction and renovation project. We will discuss why Infection Control Risk Assessment (ICRA) is essential, how the process works, who should be involved, and what can happen when proper procedures and protocols are not followed.

No Handout

1:00 – 2:00 PM

Keynote 3: Building the Healthiest Nation: Becoming Chief Health Strategist
Georges Benjamin, MD, APHA Executive Director, American Public Health Association

ABSTRACT: Becoming the chief health strategist has become the newest buzz word for advancing the health of communities. This presentation will explore the role of becoming the chief health strategist in order to improve the public's health. It will do so in the context of how to influence policy making in a complex evolving and more political world.

2:30 – 4:35 PM

Intensive 1: Creating Positive Relationships through Effective Communications
Jon Green, BSBA, Retired Executive Director, Altru Health Foundation

ABSTRACT: The majority of dissatisfaction between individuals stems from ineffective communications. This session will provide participants the knowledge to understand why individuals react and respond positively or negatively to our personal communications. They will learn which words and phrases create defensiveness and resistance in addition to the words and phrases to substitute to gain cooperation and satisfaction with the interaction. Participants will also learn the effective tools and techniques to use when interacting with an individual who has chosen to communicate in an unproductive manner (know-it-all, defensive, emotional, etc.). At the completion of the session the participants will be capable of increasing the satisfaction levels of those with whom they interact by utilizing the tools and techniques learned.

Intensive 2: Using an Understanding of ACEs to Build Compassion and Community
Ramona Danielson, Tobacco Prevention and Control Manager
Brittany Long, PhD, Program Evaluator/Research Specialist, North Dakota State University Department of Public Health
Betty Davis, MA, Consultant, Trainer, Presenter, Holistic Indigenous Solutions, LLC

ABSTRACT: Early traumatic experiences have profound impacts across the lifespan. This session will introduce adverse child experiences (ACEs) and explain how they can affect the health and well-being of individuals, families, and communities. It will also talk about what we can all do to promote resilience and healing.

No Handout

Intensive 3a: Helping Patients When and Where They Need it Most: Suicide Prevention Strategies for Primary Care
David Terry, BA, Program Manager, Mountain Plains Behavioral Health Technology Transfer Center, University of North Dakota
Liza Tupa, PhD, Director of Education & Research, Western Interstate Commission for Higher Education

ABSTRACT: The suicide rate in North Dakota rose 58% between 1999 and 2016; the sharpest increase across all states. More than 65% of rural Americans get their mental healthcare from their primary care provider. This session will discuss developing policies and protocols for screening and preventing suicide among at-risk populations in North Dakota utilizing the Suicide Prevention Toolkit.

Intensive 3b: Reaching Zero Suicide in Rural North Dakota
Alison Traynor, LSW, MPH, North Dakota Suicide Prevention Program, North Dakota Health and Human Services
Kora Dockter, BSN, Chair, ND Suicide Prevention Coalition and Loss Survivor

ABSTRACT: “Reaching Zero Suicide in Rural North Dakota” will begin with a moving survivor testimony by a North Dakota nurse who lost her adult son from suicide after a lengthy battle with depression that took him in and out of psychiatric and emergency room settings, all while maintaining employment and appearing entirely fine to friends and colleagues.

Intensive 4a: Innovative Techniques to Help Elicit Healthy Lifestyle Changes
Desirae Friskop, MS, RD, LRD, Registered Dietitian, CHI Friendship

ABSTRACT: Learn how CHI Friendship, a non-profit organization serving people with developmental disabilities, is using innovative training tools to teach individuals with disabilities to work towards a healthier lifestyle. Take in the examples that are being applied and gain insight on how to adapt these strategies and tools to help initiate change within your own organization or community.

Intensive 4b: Medicare Telehealth Services for Part A and Part B
Lu Newell, Supervisor Operations, AB Provider Outreach & Education, Noridian Healthcare Solutions

ABSTRACT: This telehealth presentation will offer attendees information on Medicare's rules and regulations regarding this service, including criteria and coverage of this benefit.

Thursday, June 13, 2019

8:00 – 9:00 AM

Healthcare Policy Panel: North Dakota Legislative Update
Representative Jon Nelson, North Dakota State Legislature
Representative Gretchen Dobervich, BSW, North Dakota State Legislature
Senator Howard Anderson, Jr., RPh, North Dakota State Legislature

ABSTRACT: Three North Dakota legislators will discuss the 2019 legislative session and the outcomes related to healthcare.

No Handout

9:10 – 10:10 AM

Keynote 4: Beyond Medical Marijuana
Joy Strand, Executive Director, Maryland Medical Cannabis Commission

ABSTRACT: The medical cannabis industry is an emerging market with dynamic growth and interest across the United States. This presentation will provide the audience with an in-depth look at Maryland's medical cannabis program, capturing everything from legislative history and day to day operations through future initiatives.

No Handout

10:15 – 11:00 AM

Session 13: Preventing Opioid Misuse at the Community Pharmacy Level: Update on the ONE Rx Project
Oliver Frenzel, PharmD, Pharmacist, MPH Student, North Dakota State University
Heidi Eukel, PharmD, Associate Professor of Pharmacy Practice, North Dakota State University School of Pharmacy
Mark Strand, PhD, CPH, Professor, North Dakota State University School of Pharmacy
Jayme Steig, RPh, PharmD, Quality Improvement Manager, Quality Health Associates of North Dakota

ABSTRACT: The ONE Rx program provides pharmacists with a screening tool used to identify patients at risk for opioid abuse or overdose. Initial implementation of the ONE Rx project was October 2018. This presentation will overview pharmacist use of the ONE Rx program across North Dakota.

Session 14: Tim's Victory Garden Public Health Healing Communities Through Restorative Justice Projects
Mandy Slag, RN, BSN, MPH Student, University of North Dakota
John Hagan, MD, State Correctional Health Authority, North Dakota Corrections and Rehabilitation
Timothy Klose, Inmate Leader, North Dakota State Penitentiary

ABSTRACT: The winds of change are blowing in corrections. Restorative Justice Theory encourages offenders to repair the harm caused by criminal behavior. Time's Victory Garden is a restorative justice joint effort between prison inmates, educators, state and federal agencies. Inmates regain self-esteem while giving back to others in need in the community. Inmate leaders will co-present via live link.

Session 15: North Dakota Statewide Well Child Collaborative - A Key to Healthy Kids
Jo Burdick, MSN, RN, Director of Clinical Excellence, Blue Cross Blue Shield of North Dakota
Kim Hruby, RN, MSN, Program Administrator for Special Health Services, North Dakota Health and Human Services, Public Health
Chastity Dolbec, RN, BSN, Director of Patient Care and Innovation, Coal Country Community Health Center
Pat Spier, RN-BC, PCMH-CCE, Medical Home Manager, Blue Cross Blue Shield of North Dakota

ABSTRACT: This presentation will raise awareness in how collaborative partnerships can help to educate the medical community and families on why well child visits are important in the long-term health of children. Also, will identify various resources that are available in North Dakota for children with special health needs and why identifying concerns early can help improve quality of life over the entire lifespan.

Session 16: An Introduction to the New Dakota Cancer Collaborative on Translational Activity (DaCCoTA)
Gary Hart, PhD, Director, Center for Rural Health

ABSTRACT: The Cancer Collaborative on Translational Activity is an initially funded five-year project by the National Institute of General Medical Sciences for $20 million awarded to Dr. Marc Basson, School of Medicine & Health Sciences. The DaCCoTA will use clinical research methods to study the link between cancer and the environment and pave the way to develop unique ways to combat cancer in North and South Dakota. Clinical/translational research focuses on translating findings from basic research into clinical applications with the overall goal of improving the health of the Dakotas and elsewhere.

11:15 AM – 12:00 PM

Session 17: HIV, HCV, and Opioid Syndemics
Sarah Weninger, HIV/STD/Hepatitis Prevention Coordinator, North Dakota Health and Human Services Division of Disease Control

ABSTRACT: Across the United States, an opioid epidemic is occurring. What is happening in North Dakota? This presentation will highlight how the opioid epidemic is affecting North Dakota, emphasizing HIV and Hepatitis C as potential consequences of the epidemic. The presentation will highlight examples of a comprehensive drug user health approach to the opioid, HIV, and Hepatitis C syndemic. Evidence-based information on syringe service programs will also be presented. The role of various professionals, such as healthcare providers or public health professionals, in addressing and ending this syndemic will be discussed. This presentation will also highlight how this syndemic impacts multiple programs including substance use prevention, maternal child health, sexually transmitted diseases and many more.

Session 18: Building Capacity for Healthcare Collaboration in Community: Tackling Chronic Conditions When Resources are Scarce
Carley Swanson, BBS, RN, RN Program Manager, Sanford Health
Richard Preussler, MA, Director/Learning and Development, Sanford Health
Deborah Letcher, PhD, RN, Senior Director/Learning and Development, Sanford Health
Libby Kyllo, RRT-BS, Community Health Worker, Sanford Health

ABSTRACT: Managing chronic conditions and maintaining quality of life in a rural setting can be complex, requiring us to think beyond traditional healthcare delivery. The Bridging Health and Home program focused on improving older adult's ability to age in place by developing interprofessional healthcare teams and incorporating community collaboration through local advisory council oversight and engagement.