2016 National Conference & Policy Symposium: Schedule at a Glance

Pre-Conference Institutes

Medical respite pre-conference institute 2016

As the preeminent national voice on medical respite care, the Respite Care Providers’ Network (RCPN) Steering Committee has organized a full-day institute to examine current and emerging issues in the field of medical respite. The institute will be facilitated by a diverse collection of speakers representing different perspectives and expertise. Relationship development with funders, effective models of care coordination and care transition, and response to addiction and overdose are a few of the topics that will be highlighted. Additionally, there will be an in-depth discussion on how we as a community understand and promote medical respite care. Through panel presentations and interactive discussions, participants in this year’s institute will have the opportunity to engage in information sharing and networking with providers from across the country.

Presented by: Donna Biederman, DrPH, MN, RN, Assistant Professor, Duke University School of Nursing; Brandon Clark, MBA, Chief Executive Officer, Circle the City; Honora Englander, MD, FACP, Associate Professor of Medicine, Medical Director, Community & Clinical Integration, Oregon Health & Science University; Henry Fader, JD, Attorney, Pepper Hamilton LLP; Jessie Gaeta, MD, Chief Medical Officer, Boston Health Care for the Homeless Program; Carrie Harnish, LMSW, Clinical Director Community Benefit, Trinity Health; Jennifer Nelson-Seals, MSHRM, Executive Director, The Boulevard; Rebecca S. Ramsay, BSN, MPH, Director-Population Health Partnerships, CareOregon; Caitlin Synovec, MS, OTR/L, Occupational Therapist, Baltimore Health Care for the Homeless
Emerging from the abyss: Programmatic and professional strategies to help people recover and grow

Definition of the abyss:

Our clients and patients face tremendous challenges: homelessness, trauma, poverty, addiction, violence, disease, and many more. Too often, those experiencing (or have experienced) homelessness fall into an abyss of despair, suffering, and isolation. As long as this hopelessness persists the person will feel immobilized and helpless to change their situation much less heal and grow from their past trauma. The truth is there is hope for everyone. There is something in every human that allows us to recover and find the strength to walk out of the abyss and into a better more fulfilled life. Strong health outcomes suffer if the trauma is not a part of an integrated client centered approach to care. This pre-conference will examine the science and strategies necessary to partner with people on their journey out of the abyss. Post-traumatic growth and recovery is a combination of biological (medical), psychological, spiritual and social healing. Utilizing their experience and expertise in psychology and medical care presenters along with consumers and counselors will help participants conceptualize their role in the healing process and how to position services to maximize opportunities for growth. There is no darkness that hope cannot overcome.

Presented by: Matt Bennett, MBA, MA, Chief Innovations Officer, Coldspring Center; Deborah Borne, MD, MSW, Medical Provider and Principal Investigator, San Francisco Department of Public Health; Siotha King-Thomas, Drug and Alcohol Certificate, Case Manager, Homeless Outreach Team, San Francisco Department of Public Health
Primary care providers and psychiatric care: The next level

The high prevalence of psychiatric conditions among people experiencing homelessness challenges HCH providers, who may not be comfortable with their level of training and skill for assessing and prescribing. Nonetheless, the primary care setting remains a principal venue for encountering and treating mental health problems including substance use disorders, and the integration of behavioral health and primary care is central to quality initiatives such as Patient-Centered Medical Home recognition. This intermediate-level presentation – targeted to primary care teams – will address assessment, intervention, and treatment of mental/behavioral health issues including substance use. This training will be particularly beneficial to programs with limited behavioral and mental health resources. The session will focus on bipolar disorder, schizophrenia, other complex presentations, and medications.

Presented by: Lynda Bascelli, MD, Chief Medical Officer, Project HOPE; Susan Marie, PMHNP, PhD, Medical Director for Behavioral Health, Old Town Clinic, Central City Concern; Marianne Savarese, RN, BSN, Program Coordinator, COO, City of Manchester Health Care for the Homeless Program
A seat at the table: Influencing state health care delivery system reforms & aligning internal HCH operations

HCH providers always understood health in a broad context, and have evolved a model of care designed to recognize how social determinants of health are critical factors to achieving better outcomes and greater stability. As states are implementing changes to the larger health care environment and increasingly acknowledging factors such as housing, there are now new opportunities to achieve two goals: to leverage our knowledge and experience to help state systems understand what’s needed to truly reform health care, and to align internal HCH operations with state-wide goals (including quality of care outcomes measures). While relationships have always been important to maintain with state Medicaid, MCO plans, hospitals, the public health and criminal justice communities, grant makers and housing providers, new financing methods and other factors are now changing traditional dynamics and offering new opportunities to bolster the health, housing and social services framework. This is happening in a variety of states, regardless of the state’s decision on Medicaid expansion. This PCI will feature presentations from HCH leaders in this work, state partners, and national experts who will share lessons learned from these experiences, the common features of key initiatives that can be replicated across states, and strategies for leveraging a seat at the state policy table (and maximizing your role once there).

Presented by: John Lozier, Executive Director, National HCH Council; Steve Somers, President & CEO, Center for Health Care Strategies (invited); Barry Bock, CEO, Boston HCH, Boston, Massachusetts; Bobby Watts, Executive Director, Care for the Homeless, New York, New York; Kevin Lindamood, President & CEO, Baltimore HCH, Baltimore, Maryland; Catherine Anderson, Vice President, State Programs, UnitedHealthcare (invited); Paul Leon, CEO & President, Illumination Foundation, Irvine, California; Ed Stellon, Executive Director, Heartland Health Outreach, Chicago, Illinois; Frances Isbell, CEO, Health Care for the Homeless Houston, Houston, Texas; Bechara Choucair, MD, Senior Vice President, Safety Net and Community Health, Trinity Health (invited); Tom Andrews, President, Mercy Care/CEO, Saint Joseph’s Health System; Rachel Solotaroff, MD, Chief Medical Director, Central City Concern, Portland, Oregon; Marty Sabol, Director of Health Services, Nasson Health Care, Springvale, Maine; Representatives from the States of Washington and Oregon (to be announced)

Moderated by: Barbara DiPietro, PhD, Senior Director of Policy, National Health Care for the Homeless Council
You receive federal funding! Why should we support you? How would you answer that question?

Working Together for Quality must be an organization-wide commitment. If one aspect of the organization is not strong and unable to provide sufficient support, then all other areas are not as effective as they could be. This statement could not be truer than in the area of fund development as it relates to establishing your value and making your case for support! The process of fund development: the identification of prospective resources, sharing the organizational story to cultivate those prospects, exercising the stewardship necessary to obtain and sustain the receipt of additional resources are best accomplished when we are all working together. But, how does an agency identify and organize the tasks necessary to create a quality-driven, effective model for financial sustainability? What does that look like? As we are all too aware, the federal funding for 330h grantees does not fully fund our programmatic offerings. So, where do those additional financial resources come from to fill the funding gap? How do you identify those resources? Whose job is it to secure the additional resources? Is it the fund development manager, if you have one? The CEO? The Medical Director? The Case Manager? The Board? How do you determine and communicate your value? Are you providing quality and cost-effective services and how do you communicate that to your prospective patients, partners, and/or the community-at-large? This presentation will answer all these questions and more as we take participants through small and large group discussion, interactive exercises, skills-building processes, and modeling in order to build organizational capacity while establishing the fund development process as a quality measure.

Presented by: Caitlin Feller, MPP, PCMH CCE, Principal, Community Health Solutions (CHS); Maureen Neal, CFRE, COO, Advancement, The Daily Planet; Donald Shepard, PhD, Professor, Brandeis University; Helena DeLigt, LCSW, COO of Programs, The Daily Planet
Your oral health program: Strategies for success

This one day intermediate level training is designed specifically for Community Health Center (CHC) executive directors, operations managers, and chief financial officers who want to learn how to sustain, build or begin financially successful oral health programs. Experienced CHC leaders and technical advisors will share the results of how they created and sustained their successful dental programs. Throughout the day, presentation formats will include lecture, small group discussions, and report-outs to the entire group. Breakout sessions will provide multiple opportunities for participant interaction, sharing of promising practices, and anecdotes of both successful and less successful efforts to provide sustainable oral health services to the homeless.

• Laying the Groundwork: Learn HRSA goals relative to FQHCs and dental programs and how to work within them painlessly, creating the right leadership approach, assessing the environment of care and recognizing its critical impact on program design, learn capital equipment requirements for starting or expanding a dental program
• Staffing for Success: Learn staffing requirements to maximize productivity of the oral health program Rewarding success (incentives/bonus)
• Scheduling for Success: Learn strategic scheduling for dentistry and dental hygiene services, and how to create a strategic template Elements of the scheduling policy Scheduling busters
• Fees/Sliding Fee Discount Scale and a HRSA PIN
• Developing Billing Excellence: Learn the unique nature of oral health billing and accounts receivables
• Learn from experienced CHC managers their experience in recruiting and/or contracting with oral health professionals
• Dental Program Performance Key data to track dental performance: What the data reveals, how we use data to improve dental performance, developing ownership and accountability within dental
• Quality of Care Issues Defining quality in dental: Assuring quality of care, how the patient defines quality of care State Medicaid programs, FQHCs and the community standard of care – reducing the risk of penalties and take-backs.

Presented by: Colleen Anderson, DDS, Dentist, Boston Health Care for the Homeless; Danielle Apostolon, Technical Assistance Project Manager, Safety Net Solutions; Dori Bingham, Program Manager, DentaQuest Institute, Safety Net Solutions; Daniel Brody, DMD, Dentist, Valley Health Systems; Andrea Dickhaut, RDH, BSDH, MHA, Practice Administrator, DentaQuest Oral Health Center; Mark Doherty, DMD, Executive Director, DentaQuest Institute; Mark Koday, DDS, Chief Dental Officer, Yakima Valley Farm Workers Clinic; Bob Russell, DDS, MPH, Public Health Dental Director, Iowa Department of Public Health

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Session I: Workshops

Without housing, without rights
Presented by: Monia Beemer, MSW, Development Director, WRAP; Paul Boden, Executive and Organizing Director, Western Regional Advocacy Project
Healing from the outside in: Developing a comprehensive wound care program in your HCH clinic

Presented by: Pat Buckley, PA-C, ND, WCC, Physician Assistant, Central City Concern – Old Town Clinic; Teresa Ransom, CMA, Medical Assistant, Central City Concern – Old Town Clinic
Integrating and sustaining patient navigators in a primary care medical home

Presented by: Christa Black, MPH, Project Manager, Multnomah County Health Department; Maurice Evans, SPNS Navigator Team Lead, Cascade AIDS Project; Angie Harbin, Director of Housing & Support Services, Cascade AIDS Project
Community model for moving law enforcement reform forward: Essential elements of Albuquerque’s APD Forward campaign & consumer-driven training

Presented by: Adriann Barboa, Field Director, Strong Families NM of Forward Together; Kristin Leve, Consumer Board Advisory Committee Member, Albuquerque Health Care for the Homeless; Jennifer L. Metzler, MPH, Executive Director, Albuquerque Health Care for the Homeless, Inc.; Carmon Ryals, Consumer Board Advisory Committee, Albuquerque Health Care for the Homeless; Peter Simonson, Ph.D., Executive Director, ACLU of New Mexico
TransAccess: Gender affirming HIV primary care for San Francisco’s transwomen of color

Presented by: Talia de la Cruz, Health Promotions Specialist, Asian & Pacific Islander Wellness Center; Kate Franza, MSW, Project Manager, Asian & Pacific Islander Wellness Center; Royce Lin, MD, Principal Investigator, San Francisco Department of Public Health
Addressing brain injury within HCH settings: Screenings, interventions, and outcomes

Presented by: Jan Caughlan, MSW, LCSW-C, Sr. Director of Behavioral Health, Baltimore Health Care for the Homeless; Caitlin Synovec, MS, OTR/L, Occupational Therapist, Baltimore Health Care for the Homeless
Data driven quality: A participatory discussion on improving health through data

Presented by: Chuck Amos, MBA, Director of Performance Improvement, Health Care for the Homeless; Chris Espersen, MSPH, Quality Director, Primary Health Care; Mandy Graves May, MPH, Vice President, Evaluation and Quality Assurance, Colorado Coalition for the Homeless
Voting matters: From voter registration to getting out the vote

Presented by: Joseph Benson, NCAB Member, Community Health Worker, Health Care for the Homeless Houston; Iris Hodge, BS, Outreach Coordinator, Main Street Alliance; Matt Warfield, MSW, MUP, Health Policy Organizer, National Health Care for the Homeless Council
What’s new in homeless health care? A no-jargon summary of the latest research

Presented by: Travis Baggett, MD, MPH, Assistant Professor of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston Health Care for the Homeless Program; Stefan Kertesz, MD, MSc, Associate Professor of Medicine, Birmingham VA Medical Center, University of Alabama, Birmingham; Margot Kushel, MD, Professor of Medicine, UCSF, San Francisco General Hospital
Health care for the homeless in Oregon: A panel discussion

Moderated by: Craig Hostetler, MHA, Executive Director, Oregon Primary Care Association
Oral Presentations:

Efforts and interventions in the engagement of homeless populations and partners

Presented by: Libby Guthrie, EdD, MA, MHRS, Executive Director, MCAVHN

Addressing the health and quality of life among vulnerable people experiencing homelessness in Northwest Arkansas

Presented by: Kevin Fitzpatrick, PhD, University Professor, Jones Chair in Community, Director of the Community and Family Institute, University of Arkansas

Oral health –TBA

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Session II: Workshops

The effects of clinic and staff attitudes about people experiencing homelessness

Presented by: Robert Betancourt, LCDC, LCSW, Harris Health System; Lisa McKeithan, CRC, SPNS Project Manager, CommWell Health; Sandy Sheble-Hall, RN, ACRN, HIV/HCV Clinic RN, Boston Health Care For The Homeless; Angelica Palmeros, MD, MSW, Pasadena Public Health Department
Coordinated entry: Understanding and improving the way your clients enter permanent supportive housing

Presented by: Kim Keaton, MPA, Senior Program Manager, Corporation for Supportive Housing
The quality and compliance connection: From the board to the frontline, strategies for building accountability

Presented by: Barry Bock, RN, CEO, Boston Health Care for the Homeless Program; Dianne Pledgie, Esq, Compliance Counsel, Feldesman Tucker Leifer Fidell LLP, Boston Health Care for the Homeless Program
Eliminating barriers to care for transgender and gender non-conforming individuals

Presented by: Claudia Davidson, MPH, Research Associate, National Health Care for the Homeless Council
The activist consumer advisory board: Using CABs for policy, advocacy, health education and social justice

Presented by: T. Sukari Finley, NCAB Secretary, Co-chair Los Angeles Christian Centers Consumer Advisory Committee, Los Angeles Christian Centers; Tina Hayes, NCAB Co-Chair, Chairperson Mercy Care Consumer Advisory Board, Mercy Care; David Peery, JD, Chairperson, Camillus Consumer Advisory Board, Camillus Health Concern
The power of value-based leadership and decision-making

Presented by: Matt Bennett, MBA, MA, Chief Innovations Officer, Coldspring Center; Kevin Lindamood, MSW, President & CEO, Health Care for the Homeless; Jennifer L. Metzler, MPH, Executive Director, Albuquerque Health Care for the Homeless, Inc.
Homelessness screening in the emergency department: Mending the holes in your safety net

Presented by: Brett Feldman, MSPAS, PA-C, Director and Founder Health Care for the Homeless, Street Medicine, Lehigh Valley Health Network
A doctor, a pharmacist, a public health activist call for hepatitis C treatment for active users

Presented by: Mindy Butler, RPh, Pharmacist, Outside In; Ryan Hutchison, MD, Physician, Outside In; Haven Wheelock, BS, IDU Health Services Program Coordinator, Outside In
Medical home without walls: Community integrated mobile care for people experiencing homelessness with HIV

Presented by: Deborah Borne, MD, MSW, Medical Provider and Principal Investigator, San Francisco Department of Public Health; Molly Driscoll, Consumer, Consumer of HHOME: Homeless Health through Outreach and Mobile Engagement, Asian & Pacific Islander Wellness Center; Carole Hohl, PA-C, Consultant, BU ETAC, Boston Health Care foe the Homeless Program; Siotha King-Thomas, Drug and Alcohol Certificate, Case Manager, Homeless Outreach Team, San Francisco Department of Public Health; Ruthanne Marcus, Project manager, Yale University; Lindsay Powell, DNP, Psychiatric Nurse Practitioner, Yale University
HRSA, SAMHSA, and HUD update

Presented by: Jayme S. Marshall, Chief, Homeless Programs Branch, Center for Mental Health Services, SAMHSA; Tonya Bowers, Acting Associate Administrator, Bureau of Primary Health Care, HRSA; Jennifer Ho, Senior Advisor on Housing and Services, HUD

Moderated by: Matthew Doherty, ED, USICH
Oral Presentations:

Medical legal partnership: Taking the relationship to the next level

Presented by: Tom Bednar, JD, Staff Attorney, Legal Clinic for the Disabled; Mudit Gilotra, MD, Director of Integrated Healthcare Services, Project HOME

Housed and healthy: An urban initiative integrating health services and supportive housing

Presented by: Dana Schultz, MS, Supportive Housing Healthcare Coordinator, Central City Concern

Here and now: Reducing barriers to behavioral health integration

Presented by: Samuel Vincent, MSN, DNP, Psychiatric Nurse Practitioner, Director of Behavioral Health, Wasatch Homeless Healthcare

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Session III: Think Tanks

Health care for the homeless for dummies: How to integrate and navigate the system

Presented by: Heather Cedermaz, NP, Nurse Practitioner, Contra Costa County Health Care for the Homeless; Joseph Mega, MD, MPH, Medical Director, Contra Costa County Health Care for the Homeless
What did you say? Reframing and messaging in HCH advocacy

Presented by: Jeff Foreman, JD, MGA, MA, MS, Policy Director, Care for the Homeless; Philip Malebranche, BA, Sociology, Member, National Consumer Advisory Board, National Health Care for the Homeless Council; Dominiq Williams, Policy Associate, Care for the Homeless
When street medicine isn’t enough: Effective transitions from the street to the clinic

Presented by: Brett Feldman, MSPAS, PA-C, Director and Founder Health Care for the Homeless, Street Medicine, Lehigh Valley Health Network; Joel Hunt, MSPAS, PA-C, Care Connections Outreach Team Lead, John Peter Smith Health Network
Improving access to housing choice vouchers for people experiencing homelessness

Presented by: Ehren Dohler, MSW, Coordinator, HCV Funding Project, Center on Budget and Policy Priorities; Frances Isbell, MA, CEO, Healthcare for the Homeless – Houston
Beating the blues: improving depression screening rates in two FQHCs

Presented by: Nikki Allen, LCSW, LAC, Program Manager, Integrated Behavioral Health, Colorado Coalition for the Homeless; Laura Garcia, CRNP, Family Nurse Practitioner, PCP, Healthcare for the Homeless
Crossing the abyss: Engaging people experiencing homelessness in health care through innovative service delivery models

Presented by: Bryan Swisshelm, MPH, Clinic Systems and Partnerships Supervisor, Outside In; Mary Tegger, PA-C, AAHIVS, MA, Physician Assistant, Multnomah County Department of Health
New Access Point Orientation Session

Presented by: TBA

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Session IV: Workshops & Roundtables

ROSE (Recovery Oriented Supports and Engagement): Engaging youth experiencing homelessness towards recovery

Presented by: Celia Luce, Peer Mentor, Outside in; Jasmine Pettet, CADC1, Alcohol and Drug Counselor, Administrative Coordinator for ROSE, Outside In
Demystifying Medicaid Managed Care: Maximizing Opportunities to Partner More Effectively with MCOs

Presented by: Barbara DiPietro, Senior Director of Policy, National HCH Council; Catherine Anderson, Vice President, Positioning and Strategy, UnitedHealthcare (invited); Local MCO representative (TBA)

Moderated by: Kim Keaton, Senior Program Manager, Government Affairs & Innovations, CSH
Transformative care through collaboration: One city’s approach from the streets to housing

Presented by: Marrisa Axelrod, RN, Registered Nurse Manager, OPCC; Heba Elzawahry, MD, Physician, Venice Family Clinic; Rose Garcia, MA, Clinical Case Manager, OPCC
Driven to care: A mobile solution for providing health care for the homeless

Presented by: Michelle Keller, BA, MA, VP, Patient Services, Swope Health Services; Martin Murphy, FNP, Family Nurse Practitioner-Homeless Outreach, Swope Health Services; Leah Murry, BA, Community Outreach Coordinator, Swope Health Services
Advocating for justice, organizing for power: Legislative advocacy, community organizing, and policy change

Presented by: Vanessa Borotz, Community Organizer, Health Care for the Homeless; Gary Cobb, Community Outreach Coordinator, Central City Concern; Jeff Foreman, JD, MGA, MA, MS, Consumer, Care for the Homeless; Adam Schneider, MA, MSW, Director of Community Relations, Health Care for the Homeless Baltimore; Matt Warfield, MSW, MUP, Health Policy Organizer, National Health Care for the Homeless Council
A collaborative model for housing and services for veterans

Presented by: Kevin Fisher, Director of Veterans Services, MSgt, USAF (RET), Chaplain, Master of Divinity, Director of Veterans Services, The Bridge; Ansell Horn, PhD, Family Nurse Practitioner, Writer, Photographer, Family Nurse Practitioner, NYU Lutheran Family Health; Jeffery Reid, Formerly street homeless, Veteran, Artist, Videographer, Artist, The Bridge
Integrating trauma informed care and harm reduction philosophies and practices to improve participant health outcomes

Presented by: Susie Bernero, LCPC, Therapist and Mental Health Specialist, Chicago House and Social Service Agency; James Kowalsky, BA, Engagement Services and Practice Enhancement Specialist, Heartland Health Outreach
Empowering change: Improving self-management among food-insecure diabetics

Presented by: Amber Richert, DNP, CRNP, Family Nurse Practitioner, Health Care for the Homeless
Health care (maintenance) for the homeless: Integrating preventative care into a HCH clinic

Presented by: Joanna Eveland, MS, MD, AAHIVM, ABAM, Clinical Chief for Special Populations, Mission Neighborhood Health Center; Megan Greenberg, MS, FNP, Clinic Manager, Mission Neighborhood Health Center
Oral Presentations:

Measuring what matters: Creating and adopting quality metrics to address substance use disorders

Presented by: Sanju Forgione, Quality Data Analyst, Boston Health Care for the Homeless Program

Safe injection facilities: Why it matters

Presented by: Therese Sonesson, MSW, Harm Reduction Coordinator, Community Access

A Baltimore story: Hepatitis C from epidemic to cure

Presented by: Chuck Vrasich, MD, Medical Provider, Healthcare for the Homeless Baltimore

Roundtables:

Moving from consumer engagement to consumer leadership

Presented by: Katherine Cavanaugh, MSW, Consumer Advocate, National Health Care for the Homeless Council

Research in an HCH setting: Working together to conduct research with limited resources

Presented by: Casey Leon, MPH, Research Manager, Boston Health Care for the Homeless Program

Beyond access to care: How outreach workers can advance social justice and health equity

Presented by: Megan O’Brien, MA, Client Services and Marketing Manager, Health Outreach Partners

Adapted anticipatory guidance for school age children and adolescents

Presented by: Lily Catalano, Project Manager, National Healthcare for the Homeless Council

HRSA/SPNS initiatives to improve housing and health outcomes for HIV homeless populations

Presented by: Serena Rajabiun, MA, MPH, Senior Evaluator, Boston University School of Public Health; Melinda Tinsley, MA, Public Health Analyst, Health Resources and Services Administration, HIV/AIDS Bureau

Excellence in health care for the homeless executive leadership

Presented by: Matt Bennett, MBA, MA, Chief Innovations Officer, Coldspring Center; Doreen Fadus, MEd., Executive Director, Community Benefit & Health, Mercy Medical Center

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Session V: Workshops

The other side of the coin: Financial measures from programmatic data

Presented by: Fran Pruce, MBA, Chief Operating and Financial Officer, Health Care for the Homeless; Todd Studeny, CPA, Director of Finance, Health Care for the Homeless; John White, Director of Information Technology, Health Care for the Homeless
Consumer safety at health care for the homeless: Results from the consumer participation outreach survey

Presented by: Joseph Benson, NCAB Member, Community Health Worker, Health Care for the Homeless Houston; Valarie Dowell, BA, NCAB Co-Chair, Cincinnati Health Network; T. Sukari Finley, NCAB Secretary, Co-chair Los Angeles Christian Centers Consumer Advisory Committee, Los Angeles Christian Centers
Strategic funding: Aligning partner expectations with clinical priorities

Presented by: Kevin Feldt, MPA, Director of Development, Health Care for the Homeless; Margaret Flanagan, LGSW, Director of Grants Management, Health Care for the Homeless
There is no “us” vs. “them”: A stepping stone toward organizational transformation & culture change

Presented by: Duysal Karakus, MSW, Practice Specialist, Community Access, Inc.; Karen Rosenthal, CPRP, Director of Training, Community Access, Inc.
Homelessness is a symptom of racism, and we’re only treating the symptom

Presented by: Gerardo Benavides, Disability Assistance Outreach Specialist, Health Care for the Homeless; Leonard Croft, Client Access Associate, Health Care for the Homeless; Marc Dones, BA, Senior Analyst, Health Policy, Center for Social Innovation; Jeff Olivet, MA, CEO, Center for Social Innovation; Heather Strauss, Client Access Associate, Health Care for the Homeless
Peer support as part of the integrated care model: Integrated experience with a holistic eye

Presented by: Sophia Franklin, LCSW, Behavior Health Coordinator, Mercy Care; Adina Lewis, CPS, CPS & Program Participant, Mercy Care; Krystal Toland, MSIDT, Behavior Health Day Services Specialist, Mercy Care
It takes a community: A collaborative approach to providing outpatient-based opioid treatment

Presented by: Rita Chapdelaine, LICSW, Director of Behavioral Health, New England Center for Homeless Veterans; Kristin Hirth, RN, Registered Nurse, Boston Health Care for the Homeless Program; Geren Stone, MD, Physician, Boston Health Care for the Homeless Program, Massachusetts General Hospital, Harvard Medical School
The most challenging respite patients: Opportunities for improvement

Presented by: Heather Cedermaz, NP, Nurse Practitioner, Contra Costa County Health Care for the Homeless; Sue Dickerson, RN, Respite Nurse, Contra Costa County Health Care for the Homeless; Joseph Mega, MD, MPH, Medical Director, Contra Costa County Health Care for the Homeless
From research question to legislation: How community-based participatory research can foster social change

Presented by: Lisa Klingenmaier, MSW, MPH, Assistant Director for Social Concerns, Catholic Charities of Baltimore; Adam Schneider, MA, MSW, Director of Community Relations, Health Care for the Homeless Baltimore; Tony Simmons, Community Organizer, Right to Housing Alliance
Oral Presentations:

The development and programming of a patient housing guide

Presented by: Joanne Guarino, Chairperson of two BHCHP Consumer Advisory Boards and Member of BHCHP Board of Directors, Boston Health Care for the Homeless Program

Improving health and housing outcomes through systems coordination: Partnering homeless assistance and mainstream health care

Presented by: Gillian Morshedi, Staff Attorney, HomeBase

Linking health and housing: Improving resident health and reducing health care costs through affordable housing

Presented by: Amanda Saul, Senior Program Director, Enterprise Community Partners

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Session VI: Workshops

Taking the journey together: Increasing access to palliative care for people experiencing homelessness

Presented by: Angela Lee, RN, BSN, Nursing Director, Hospice Without Borders; Meg Martin, MSW CPC, Program Director, Interfaith Works Emergency Overnight Shelter; David Slack, MD, Executive Director, Hospice Without Borders
Overcoming data challenges and creating new links in housing and health care

Presented by: Jasper de Guzman, CIS Manager, Catholic Charities of Santa Clara County; Kim Keaton, MPA, Senior Program Manager, Corporation for Supportive Housing; Paul Rossi, Director, Client Services, Foothold Technology
The clinical is the political: Talking social justice in treatment settings

Presented by: David Avruch, LCSW-C, Mental Health Therapist, Health Care for the Homeless; Bilqis Rock, LGSW, SOAR Coordinator, Health Care for the Homeless
The integrative pain management program: Expanding options for chronic pain treatment

Presented by: Barbara Wismer, MD, MPH, Physician, Tom Waddell Urban Health Clinic, San Francisco Department of Public Health
Health care for the homeless and community health workers: A guide to integrating CHWs into clinical practice

Presented by: Susan Childs, CPS, Community Health Worker, Duffy Health Center; Rodney Dawkins, Community Health Worker, Heartland Health Outreach; Susan Moore, MPA, MPH, Director of Homeless & Public Housing Health Services, Charles Drew Health Center
States of emergency: How jurisdictions are re-framing homelessness as a crisis

Presented by: John Gilvar, Mobile Medical Van Manager, Seattle King County Department of Public Health; Amber Roth, MSW, MS, Director of Operations & Programs, Homeless Health Care Los Angeles; Matt Warfield, MSW, MUP, Health Policy Organizer, National Health Care for the Homeless Council
Empowerment in consumer governance

Presented by: Tina Hayes, NCAB Co-Chair, Chairperson Mercy Care Consumer Advisory Board, Mercy Care; Carmon Ryals, Consumer Advisory Board Committee Member, Albuquerque Health Care for the Homeless; Derek Winbush, Board Member, Boston Health Care for the Homeless
Predicting wellbeing and housing loss in supportive housing programs: Lessons learned from a longitudinal evaluation

Presented by: Kwynn Gonzalez Pons, Graduate Research Assistant, University of North Texas Health Science Center; Emily Spence-Almaguer, PhD, Associate Professor, University of North Texas Health Science Center; Otis Thornton, MDiv, Executive Director, Tarrant County Homeless Coalition
The pathways into and out of LGBTQ youth homelessness

Presented by: Amanda Antenucci, LCSW, Clinical Services Manager, Outside In; Joseph Bonnell, CADC, QMHA, Street RISE Case Manager, Outside In; Eva Fury, Student, Robert W Deutsch Social Design Fellow, Maryland Institute of Art; Lisa Stambolis, CPNP, Director of Pediatrics, Health Care for the Homeless, Inc.
Oral Presentations:

Breaking the cycle: Identifying and addressing risk factors for 30-day hospital readmission among people experiencing homelessness

Presented by: David Munson, MD, Medical Director, Barbara McInnis House, Boston Health Care for the Homeless Program; Melanie Racine, MPH, Project Manager, Boston Health Care for the Homeless

Will we teach on the street?

Presented by: Doug McMullin, MD, Assistant Professor of Family Medicine, UC Davis, Shasta Community Health Center; Jennifer Shresta, MS3, UC Davis School of Medicine

Identifying homelessness at a community health center

Presented by: Rosemary Fister, MN, RN, PHN, Psychiatric/Mental Health DNP Candidate, University of Minnesota, Hennepin County Health Care for the Homeless Project

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Session VII: Think Tanks

More than lockers: Chicago’s plan to promote health, safety, and connection through storage

Presented by: Lara Brooks, Director, Chicago Youth Storage Initiative; Ka’Riel Gaiter, Community Engagement Coordinator, Chicago Youth Storage Initiative
Crucial conversations to empower the underserved: Integrating alcohol, drug and tobacco interventions into primary care

Presented by: Amy Hardy, RN, BSN, Nurse Manager, Central City Concern; Kerith Hartmann, Health Educator and Project Coordinator, Central City Concern
Are we doing enough to end homelessness? A thoughtful discussion of what is working and what remains to be done

Presented by: Barbara DiPietro, PhD, Senior Director of Policy, National Health Care for the Homeless Council; Kevin Lindamood, MSW, President & CEO, Health Care for the Homeless; Jim O’Connell, MD, Founder, Boston Health Care for the Homeless; Jeff Olivet, MA, CEO, Center for Social Innovation
Enabling access to hepatitis C cure for people experiencing homelessness

Presented by: Marguerite Beiser, NP, Director of HCV Services, Boston Health Care for the Homeless Program
Adapting housing first models for new projects in the midst of an affordable housing shortage

Presented by: Matthew Mollica, MBA, Director of Housing Intake and Placement, Colorado Coalition for the Homeless; John Parvensky, J.D., President, Colorado Coalition for the Homeless; Lisa Thompson, DNP, PMHNP-BC, Director of Housing First and ACT Services, Colorado Coalition for the Homeless
State-based strategies for implementing universal health care

Presented by: Peter Mahr, MD, Family Medicine physician, Multnomah County Department of Health, Oregon, Portland chapter, Physicians for a National Health Program; Samuel Metz, MD, Member, Portland chapter, Physicians for a National Health Program; Charlie Swanson, PhD, Chair, legislative committee, Health Care for All Oregon
The personal is political: Liberating consciousness through storytelling

Presented by: Vanessa Borotz, Community Organizer, Health Care for the Homeless; Gary Cobb, Community Outreach Coordinator, Central City Concern; Morgan Fritz, PhD, Development Writer, Health Care for the Homeless, Maryland; Tony Simmons, Community Organizer, Right to Housing Alliance

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Session VIII: Workshops & Roundtables

Working together to deliver mobile physical-behavioral health integration for people experiencing chronic homelessness

Presented by: Joseph Benson, NCAB Member, Community Health Worker, Health Care for the Homeless Houston; Andrew Berger, Nurse Practitioner, Care Alliance Health Center; Dave Buck, MD, MPH, Professor – Baylor College of Medicine, Healthcare for the Homeless – Houston, Baylor College of Medicine; Dan Meges, MD, Medical Director Emeritus, Care Alliance Health Center; Dr. Katherine Nagel, Chief Administrative Officer, Care Alliance Health Center; Mark Sperber, MA, LPC-S, LCDC, LMFT-Asssociate, Behavioral Health Consultant, Healthcare for the Homeless – Houston; Cynthia Vrabel, MD, Medical Director, FrontLine Service
Transforming stress and trauma in public service delivery systems

Presented by: Briana Moore, MS, Family Permanent Supportive Housing Program Manager, San Francisco Human Services Agency; Kaytie Speziale, MS, Trauma Informed Systems Coordinator, San Francisco Department of Public Health
Housing, not handcuffs: Criminalization of homelessness, constructive alternatives, protecting the human rights of people experiencing homelessness

Presented by: Jeff Foreman, JD, MGA, MA, MS, Consumer, Care for the Homeless; Eric Tars, JD, Senior Attorney, National Law Center on Homelessness & Poverty; Raymond West, Consumer Advocate, Care for the Homeless
So you want to start a medical respite program? Here’s how!

Presented by: Sarah Ciambrone, MS, Director of Clinical Innovations, Boston Health Care for the Homeless Program; Leslie Enzian, MD, Medical Director, Edward Thomas House Medical Respite Program, Harborview Medical Center
A team-based approach to reducing HIV viral load in patients experiencing homelessness

Presented by: Emily Borke, LCSW, Medical Case Manager, Multnomah County Health Department; Angela Kuzma, BA, Community Health Worker, Multnomah County Health Department; Mary Tegger, PA-C, AAHIVS, MA, Physician Assistant, Multnomah County Department of Health
Consent, dementia, and surrogate decision-making: Ethical challenges in the context of homeless health care

Presented by: Mark D. Fox, MD, PhD, MPH, Professor of Medicine and Pediatrics, Associate Dean and Director, Indiana University School of Medicine-South Bend; Laura Kaplan-Weisman, MD, Family Physician, The Institute for Family Health, Care for the Homeless; Ricky Munoz, JD, MSW, Assistant Professor of Social Work, University of Oklahoma
Measuring what matters: How can homeless health care providers shape the measurement of our performance?

Presented by: Eowyn Rieke, MD, MPH, Associate Medical Director of Primary Care, Central City Concern; Rachel Solotaroff, MD, MCR, Chief Medical Officer, Central City Concern; Mindy Stadtlander, MPH, Director of Network and Clinical Support, CareOregon
Results from a NIAAA-NHCHC study: Women’s alcohol, drug, health, mental health risks, implications for improving care

Presented by: Claudia Davidson, MPH, Research Associate, National Health Care for the Homeless Council
Improving TB control quality among people experiencing homelessness: New treatments, partnerships & no new disease

Presented by: Tom Andrews, MBA, President, Mercy Care of Atlanta; Sapna Morris, MD, MBA, Medical Officer, CDC, Mercy Care of Atlanta
Development and implementation of buprenorphine maintenance program in a primary care setting

Presented by: Julie Rushkewicz, LCPC, CADC, Senior Mental Health Clinical Practitioner, Heartland Alliance for Human Needs and Human Rights; Elizabeth Salisbury-Afshar, MD, MPH, Medical Director, Heartland Health Outreach
Oral Presentations:

Providing optimal contraceptive care for gender variant youth experiencing homelessness

Presented by: Catherine Verriere, DNP, ARNP, FNP-BC, Nurse Practitioner at Homeless Youth Clinic, Neighborcare Health

Get hip, get connected: A social networking platform

Presented by: Rameses Frederick, BS, Health Promotion Specialist, Mercy Care

Home and health: Experiences of transition into permanent supportive housing from youths previously experiencing homelessness

Presented by: Jessica Lin, MPH, Specialist, UC Berkeley School of Public Health, San Francisco Department of Public Health

Roundtables:

Sharing stories wisely

Presented by: Josephine Ensign, ARNP, DrPH, Associate Professor, University of Washington; Amy Grassette, Case manager, Managed Care Assistant, Family Health Center

Sharing lessons from consumer advisory boards

Presented by: Derek Winbush, Board Member, Boston Health Care for the Homeless

Providing palliative care for people experiencing homelessness facing end of life: Lessons from a Veterans Affairs study

Presented by: Jacqueline Jones, PhD, BN, RN, FRCNA, FAAN, Associate Professor, University of Colorado, Denver

A survey for the primary care concerns of people who have experienced homelessness: Practical introduction

Presented by: Stefan Kertesz, MD, MSc, Associate Professor of Medicine, Birmingham VA Medical Center / University of Alabama, Birmingham; Casey Leon, MPH, Research Manager, Boston Health Care for the Homeless Program

Looking for resources? How hospital community benefit can help you

Presented by: Doreen Fadus, MEd., Executive Director, Community Benefit & Health, Mercy Medical Center; Vondie Woodbury, MPA, Vice President, Community Benefit, Trinity Health

Coordinated entry: Understanding the basics and maximizing opportunities

Presented by: Sylvia Nelson, MPA, Associate, Center for Social Innovation

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Learning Labs

Comprehensive opioid safety initiatives and programming

Drug poisoning or overdose is the number one cause of death among homeless individuals in some communities. A robust and high quality opioid safety and overdose prevention initiative involves many strategies implemented or enhanced in different ways. Some communities and organizations have implemented overdose education and naloxone distribution (OEND) programs for people who may witness an overdose and/or people at risk for overdose. OEND programs educate people to prevent, recognize and respond to an overdose and offer them naloxone, the antidote to an opioid overdose. Medical providers play a role in opioid safety in the way they prescribe opioid pain reliever medications and prescription medicines that are frequently combined with opioids to enhance effects (e.g. benzodiazepines, certain anti-psychotics, etc.). Prescribers can also provide buprenorphine for people with an opioid use disorder. The need for naloxone prescribing and/or distributing is expanding, yet organizations struggle to address hurdles, wasting precious funding and time resources. Similarly, medication assisted treatment (MAT) services are insufficient for people with substance use disorders and experiencing homelessness. This workshop will provide practical support for navigating the interdisciplinary steps in establishing a comprehensive opioid safety initiative, including OEND, integrating overdose risk assessments into regular clinical and non-clinical practice, and the interdisciplinary components of office-based opioid treatment with buprenorphine. We will provide template documents, models implemented across the country, and case studies. We will brainstorm solutions for common hurdles and, in small groups, we will develop organization- or geographic- specific implementation support documents. Attendees should have a working knowledge of the role of MAT in preventing opioid overdoses and enhanced opioid safety, generally. Similarly, conceptual knowledge of overdose education and naloxone access initiatives is expected. The format is lecture, group discussion, small group activities and hands-on practice.

Presented by: Maya Doe-Simkins, MPH, Manager, Training & Technical Assistance, Heartland Health Outreach; Elizabeth Salisbury-Afshar, MD, MPH, Medical Director, Heartland Health Outreach; Haven Wheelock, BS, IDU Health Services Program Coordinator, Outside In
Connecting quality management to passion, change, and advocacy

This Learning Lab is a roller coaster ride through the theory and implementation of Quality Management. The ride begins with a plunge into quality theory, exploring how the roots of quality science can open up a new paradigm for HCH providers. This shift of thinking challenges us to see quality and homelessness within a broader community perspective and can help us shift from an organization-centric perspective to one that can help end homelessness. After considering this quality paradigm shift, we’ll focus on practical approaches that engage participants in activities to demonstrate the power of quality. This section will not only give participants confidence in their own ability to do quality work, but also a powerful Quality Improvement Tool (Model for Improvement) that they can use within their own programs. The Model for Improvement is proven to be a highly effective and robust framework that supports collaborative, strategic, systematic, accelerated change, and can be facilitated by novice evaluators, administrators, and leaders. This tool provides methodologies of setting clear aims, establishing reasonable measures, and selecting feasible improvement projects. The Learning Lab finishes by examining quality improvement in relation to the science of organizational change. At its core, quality is about identifying changes that can positively impact an identified problem. To test and implement changes, leaders must guide people through a process to change behavior and thinking. An organization’s ability to implement change allows it to realized better outcomes for patients and clients. Change is difficult and leadership is critical to the success of any quality initiative. A well-positioned quality program can change organizations, communities, and the quality of services patients receive.

Presented by: Brooke Bender, MPH, Quality & Evaluation Specialist, Coldspring Center for Social & Health Innovation; Matt Bennett, MBA, MA, Chief Innovations Officer, Coldspring Center; Bettina Harmon, MDiv, President & Chief Quality Officer, Coldspring Center for Social & Health Innovation
How to develop and implement medical-legal partnerships to address the housing and other social needs of people experiencing homelessness

Individuals who are homeless experience legal issues that can impact their ability to receive health care services and maintain proper health. The types of criminal and civil legal issues among populations experiencing homelessness vary, and if left unaddressed, may prolong homelessness. Medical-legal partnerships (MLPs) can help close the gap between these legal issues and good health by ensuring patients have access to appropriate legal assistance integrated into their primary health care setting. During this interactive Learning Lab, attendees will learn all stages of developing an MLP with the focus on planning, implementing and sustaining an MLP across a range of populations and settings. Participants will use the National Center for Medical-Legal Partnership’s Toolkit to identify steps to plan a new MLP, or re-boot or expand an existing MLP. Team members from the National Center for Medical-Legal Partnership will guide participants in understanding the transformation of legal aid and health care practice triggered by MLP, and how it can leverage and grow legal aid resources and capacity, including pro bono and law schools. HCH health care providers will serve as peer guides and share their experiences with developing MLPs in various settings to address the legal needs of vulnerable children, families, and specifically patients who receive services at Health Care for the Homeless health centers. The Learning Lab will set the stage for structured, open, on-going technical assistance for all interested HCH sites during 2016-17.

Presented by: Ellen Lawton, JD, Co-Principal Investigator, The National Center for Medical-Legal Partnership, Department of Health Policy & Management, The Milken Institute School of Public Health, The George Washington University; Brian D. Johnston, MD, MPH, Chief of Service, Department of Pediatrics, Harborview Medical Center; Madlyn C. Morreale, JD, MPH, Supervising Attorney, Medical-Legal Partnership Program, Legal Aid of North Caroline, Inc.; Charita McCollers, MSW, LCSWA, Social Worker, Lincoln Community Health Center
Navigating the housing arena from public to supportive housing

This presentation will focus on the intersection of key stakeholders in the health and housing arena and their role in supportive housing and continuity of care. We will begin with an in-depth look at different types of public housing and where supportive housing fits into the public housing arena. This discussion will then lead into a conversation around identifying local partners in the housing arena like regional HUD, Public Housing Authorities, Americorp VISTA programs, FQHCs, CBOs, faith based organizations and strategies for engagement of these stakeholders. We will explore the ways in which FQHCs capture the demographics of their patient population in particular counting homeless and public housing residents on the Uniform Data System Report. Discussion will focus around the unique infrastructure of FQHCs and how this diversity drives the methodology for counting patient demographics. Conversation will then continue around which local stakeholders to engage in this process of counting patients and the implications of this information on expanding services around supportive housing. This final topic will focus on considerations for FQHCs interested in supportive housing services: (financing operations and budgeting for supportive housing) and affordability of offering supportive housing (vouchers and exploring new models of care of reimbursement for services). Case studies highlighting different types of administrative and service options for supportive housing programs with a focus on the different types of funding support (mainstream funding, state funded, engaging health care community to support people by Medicaid funding channels) will be included. Participants will be able to identify where they fit in the supportive housing world, the stakeholders they need to engage in the discussion around supportive housing in their local community and best practices for their particular community.

Presented by: Kim Keaton, MPA, Senior Program Manager, CSH; Alex Lehr, MPH, Program Director, Community Health Partners for Sustainability
How does evidence influence practice? Understanding trauma from a perspective for consumer providers and advocates

Consumer providers and advocates offer a rich and incredible important role in serving the diverse needs of people experiencing homelessness. Through life experience and real-world challenge, consumer advocates are a deep and credible source to best support people in moving from the experience of homelessness to permanent housing stability and life transformation. Critical to their work is grounding in the evidence-based practices that have been shown most beneficial in working with people experiencing homelessness. This Pre-conference institute, requested by the National Consumer Advisory Board (NCAB) leadership, will provide an introduction to the philosophy, knowledge, and skills of two evidence based practices trauma informed care and Motivational Interviewing. The team of trainers from the Center for Social Innovations t3 training institute will tailor the learnings to the unique learning needs of consumer professionals and advocates. While we do not have a consumer presenter at this time, we will bring in the consumer perspective through video/audio recordings, active discussion with attendees, and case examples.

Presented by: Wayne Centrone, NMD, MPH, Senior Health Advisor, Center for Social Innovation; Ken Kraybill, MSW, Senior Associate and Director of t3 training, Center for Social Innovation
Special session: HCH pioneers explore the past and address the future of HCH

Health Care for the Homeless (HCH) began as a national demonstration program that started in 1985, was replicated in the 1987 McKinney Act, and now serves over 850,000 people experiencing homelessness each year through 270 federally funded health centers. Over three decades, the National HCH Council has gathered the interests of health care professionals, researchers, advocates and people without homes into a respected, coherent and principled movement that insists upon accessible, quality care and the human right to housing and health care.

In this interactive session, long-time leaders in HCH will explore the vision and values with which we started, the evolution of the model of care, our impact to date, and the future of HCH in a rapidly evolving health care environment.

Registration for this significant session, occurring on Friday morning during the Learning Labs period, is FREE for those who have been involved in homelessness for 20 years or more (automatically calculated with on-line registration), and $50 for all others. Participation is limited to the first 125 registrants.

Presented by: Sharon Brammer, CRNP, Program Director, Franklin Primary Health Center; Jim O’Connell, MD, President, Boston Health Care for the Homeless; Jean Hochron, MPH; Vincent Keane, MDiv, CEO, Unity Health Care; John Parvenksy, JC, President, CEO, Colorado Coalition for the Homeless; Ed Blackburn, MA, CEO, Central City Concern; Bobby Watts, MPH, MS, CPH, Executive Director, Care for the Homeless; Heidi Nelson, MHSA, CEO, Duffy Health Center; Kevin Lindamood, MSW, President, CEO, Health Care for the Homeless; Jenny Metzler, MPH, Executive Director, Albuquerque Health Care for the Homeless; Barbara DiPietro, PhD, Senior Director of Policy, National Health Care for the Homeless Council, Baltimore Health Care for the Homeless; Gary Cobb, Outreach Worker, Central City Concern

Moderated by: John Lozier, MSSW, Executive Director, National Health Care for the Homeless Council
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