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Comprehensive Care Conference Agenda
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The agenda is tentative and continues to be updated, so check back often.



Thank you to the sponsors of the 2014 Putting the Pieces Together for Comprehensive Care conference—Behavioral Health Professionals, Inc., DentaQuest Foundation, Laboratory Corporation of America, Meridian Health Plan, Michigan Quality Improvement Network (MQIN), Thermo Fisher Scientific, and the University of Michigan School of Social Work.



7:30-9:00 am

Conference Check in & Continental Breakfast


9:00-9:30 am

Welcome & General Session: What is Exciting about the Changes in Health Care & What Great Things are to Come

Presenter: Kim Sibilsky, Chief Executive Officer, Michigan Primary Care Association and Denise Crawford, MSW, MBA, Chief Executive Officer, Family Health Center


9:30-10:15 am

General Session: Changes in Health Care…It’s a Good Thing

As public health challenges grow more multifaceted and per capita costs persistently increase, the desire for comprehensive and integrated care continues to intensify. The health care system will see ongoing pressure to improve performance and accountability, as well as reduce health care disparities and costs. Traditionally, dentistry has been insulated from changes in the health care markets and evolved within a completely separate system of delivery. However, the ability for the dental profession to remain a casual acquaintance to the health care system is rapidly changing. Dentistry will have to become more involved as empirical evidence of dental-medicine relationships mount and a new funding system that prioritizes outcomes over fee-for-service is implemented. This session will evaluate the big picture impact oral health can make within the overall health care system.

Presenter: Sean Boynes, DMD, Director of Dental Medicine, CareSouth Carolina


10:15-11:00 am 

Health Innovation in Michigan: Advancing Policy and Reimbursement Systems which Support Integrated Care

The presentation will begin with a thorough overview of current factors driving health system innovation including the State Innovation Model and more. That landscape will set the stage for a discussion of four key transformative trends which will have an expanding impact on providers, patients and organizations as innovation efforts progress:

  • Patient-Centered Care
  • Team-Based Approaches 
  • Enabling and Community-Linked Service Expansion
  • Coordinated Partnerships

The presentation will conclude by linking the above key trends to preparatory steps that can be taken today to position for success in a transformed system:

  • PCMH Recognition and MU
  •  Integrated Treatment Planning
  •  Process Re-Design
  •  Care Team Expansion
  •  Feedback/Interfaces with Community Partners
  •  Expanding Metrics to Track Social Determinants and Document Success Beyond Healthcare and Health  Outcomes 

Presenter: Phillip J. Bergquist, CHCEF, Director of Health Center Operations, CHIPRA Program Director


11:00-11:15 am

Networking Break with Exhibitors & Poster Presentations

11:15 am-12:15 pm

Breakout Sessions

  • Improving Systemic Outcomes with Oral Health Intervention
    The overall vision of integrated dental medicine is based on oral health as an integral aspect to total body wellness (systemic care). Poor oral health can lead to many systemic issues and adverse events as well as poor systemic health leading to adverse oral conditions. Therefore, it is imperative that providers, across all disciplines, with these patient commonalities work together in order to produce positive patient outcomes. This session will review and evaluate the various aspects to this care delivery model as well as provide analysis of currently operating integrated dental medicine clinics. The session will also review updates on methodology and outcomes assessment with dental care used for systemic medical treatment.
    Presenter: Sean Boynes, DMD, Director of Dental Medicine, CareSouth Carolina
  • A Profile of Drug Overdose Deaths Using the Michigan Automated Prescription System 

    The Office of Recovery Oriented Systems of Care at Michigan Department of Community Health, in cooperation with Michigan Automated Prescription System (MAPS), has completed a project liking data from the MAPS, the state’s controlled substance prescription drug monitoring program, to the state’s death certificate file where unintentional or undetermined intent drug poisoning were a contributing cause of death for 2009-2012.  The goal was to identify characteristics of drug overdose decedents and the role of prescription drugs in the deaths. Overall, 4,722 MI residents died of unintentional or undetermined intent drug poisoning with the average age-adjusted death rate of 12.3 per 100,000 population.  Among 930 (20%) opioid-related deaths, 443 (48%) had no prescription records for opioids in the 30 days prior to death.  Opioid overdose decedents with no recent opioid prescription were almost twice as likely to have cocaine or heroin at the time of death compared to those who had an opioid prescription within the 30 days of their death.
    Su Min Oh, PhD, Office of Recovery Oriented Systems of Care, MDCH and Rana Kabeer, MPH, Office of Recovery Oriented Systems of Care, MDCH 

  • Screening Brief Intervention Referral to Treatment (SBIRT) Services: Separating Fact from Fiction
    Given CMS mandates about reimbursement for substance use disorder (SUD) services and certification of staff, there appears to be significant confusion and misunderstanding for FQHCs. In particular, determining what constitutes SBIRT and SUD services can benefit Health Centers. This presentation will examine the differences, explain where SBIRT stops and SUD services begin, and who will need certification.
    Presenter: Tom Moore, LMSW, LLP, CAADC, CCS, Consultant, Two Moons LLCF

12:15-1:00 pm
Lunch & Networking Time with Exhibitors and Poster Presentations


1:00-2:00 pm

Breakout Sessions

  • Perinatal Oral Health: A Collaborative Approach
    The evidence is convincing that the health of childbearing women has an impact on the health and survival of their future newborn children. Yet, too many childbearing women in Michigan do not understand that oral health care is an important component of a healthy pregnancy, and often times pregnant women, some with obvious signs of oral disease, do not seek or receive oral health care. This session will provide an overview of the Michigan Department of Community Health's Perinatal Oral Health Initiative, Michigan data, and current programmatic activities. You will also get a comprehensive clinical overview of maternal oral health issues and learn about guidance and resources available for prenatal and oral health professionals.
    Presenters: Emily Carr, MPH, Perinatal Oral Health Coordinator, Michigan Department of Community Health, and Eline Wilson, MD, Assistant Professor, Department of Obstetrics and Gynecology, Wayne State University School of Medicine

  • What Do I Do Now? Effective Strategies for Building Partnerships to Address Underage Drinking & Drug Use 
    In 2013, the Michigan Department of Community Health received a Partnerships for Success II (PFS II) grant to build capacity in 10 high-need communities to address underage drinking and prescription drug misuse/abuse among 12-25 year olds, by implementing comprehensive and data-driven substance abuse prevention strategies. Target communities implemented evidence-based programs to strengthen collaborative partnerships with Federally Qualified Health Centers, local public health departments, Indian Health Services, and community college and university health and/or counseling centers. This session will provide an overview of the project implementation statewide, including specific tangible examples of how Luce County successfully implemented the project in its rural and limited-resource community. 
    Presenters: Brenda Stoneburner, MA, LPC, Prevention Specialist/PFSII Project Coordinator, MDCH/BHDDA/Office of Recovery Oriented Systems of Care, and Gery Shelefoe, CPS, NorthCare Network

  • Integrated Health: Linking Behavioral Health and Primary Care
    This presentation will outline a cross disciplinary project in which a public health nurse experienced in case management is tasked with improving health care coordination among mental health and primary care providers in St. Clair County. This project not only crosses disciplines but also agencies, each with different employee and patient cultures; St. Clair County Health Department and St. Clair County Community Mental Health. Primary project objectives included relationship building, improving communication, developing methods to improve service delivery outcomes,identifying individuals who would benefit from being managed by a primary care provider.
    Presenters: Annette Mercatante, MD, MPH and Vivian Liverance, RN, St. Clair County Health Department

2:00-2:15 pm

Networking Break with Exhibitors & Poster Presentations

2:15-3:15 pm

Breakout Sessions

  • Tobacco Dependence Treatment in Mental Health – Everyone Has a Right to be Healthy 
    During this session medical providers, behavioral health, and human service professionals will learn about the devastating effects of tobacco on people with mental illness, and the best way to approach people with tobacco addiction using an evidence-based national model known as the 5As. They will learn about the modifications needed to make the 5As approach more successful for those with mental illness. This session will also assist providers in helping tobacco users understand the benefits of quitting, find out if they are ready to take steps to quit, and to know what resources and strategies are recommended.
    Presenter: Karen Brown, MPA, Tobacco Dependence Treatment Coordinator, Michigan Department of Community Health

  • Baby Steps to Integrating Behavioral Health in Primary Care Setting
    This session will discuss the business case for integrating behavioral health screening tools into the primary care practice, the minimum behavioral health screening tools available, and how to implement these tools within the primary care practice. Participants will understand how to help improve the health outcome of patients by effectively coordinating care for those with mild to moderate behavioral health or substance use disorders with the community mental health service provider. Participants will also learn how the MI Health Link program is integrating behavioral health screening tools and care coordination for individuals eligible for both Medicare and Medicaid.
    Presenter: Audrey Smith, MPH, Director, Integrated Healthcare Initiatives, Detroit Wayne Mental Health Authority

  • Affecting Change From Within the Community: The Role of Community Health Workers 
    In the health care transformation landscape that emphasizes quality and coordination of care, promoting patient engagement, reducing costs, and improving health outcomes, the role of Community Health Workers (CHWs) as key components of effective primary and preventive care has never been stronger. Across the country, CHWs are serving as health and human service liaisons within their own communities. As members of minority and underserved populations, CHWs integrate information about health and the health care system into their community's culture, language, and value system, thus reducing many barriers to accessing care. They draw upon personal experiences and specialized training to serve their peers and improve the health and well-being of their communities. Since its inception in 1983, MHP Salud has worked to establish and develop CHW programs to improve the health status of special and vulnerable populations and to increase their access to care. This session will provide an overview on the basics of the CHW model, current initiatives in the field, and benefits and results of CHWs in health interventions.
    Presenter: Anne Lee, Program Director, MHP Salud

3:15-3:30 pm
Networking Break with Exhibitors & Poster Presentations


3:30-4:30 pm

General Session: Pursuing the Integration of Public Health, Mental Health, and Community Based Primary Care: Opportunity or Obligation?

This presentation will discuss the importance of public health, mental health and community based providers (FQHCs and community mental health) coming together to support, transform and improve population health. Using the collective impact model and Health Equity and Social Justice principles, this presentation frames how community based health providers can apply their leadership and platforms to forge lasting systems change to improve the health and wellbeing in their communities and ultimately this nation.

Presenter: Renée Branch Canady PhD, MPA, Chief Executive Officer, Michigan Public Health Institute

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