Due to COVID-19, CRH will continue working remotely until further notice.
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.
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.
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.
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
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.
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.
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
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.
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.
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.
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
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.
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.
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.
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
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
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.
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.
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.
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
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.
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.
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.
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.
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.
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.
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.
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
Department of 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
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
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.
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.
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