Care Management Directors Network Meeting

Thursday, March 21, 2024

12:00 PM - 1:30 PM

Agenda

12:00 p.m. – 12:05 p.m.: Welcome & Agenda

• Lindsay Morse, MSN/NED, RN, ACM, Vice President of Care Management at the University of Vermont Health Network & Chair of the VPQHC Care Management Directors Network

12:05 p.m. – 12:50 p.m.: VT Community Health Worker Workforce Initiative

• Katina Cummings, MCP, Project Director VT Community Health Worker Workforce Initiative, Southern VT Area Health Education Center (AHEC)

  • Presentation

• AHA Rural Health Conference Update - Lindsay Morse, MSN/NED, RN, ACM, Vice President of Care Management at the University of Vermont Health Network & Chair of the VPQHC Care Management Directors Network

  • Presentation

1:15 p.m. – 1:30 p.m.: Roundtable & Adjourn

Agenda

12:00 p.m. – 12:05 p.m.: Welcome & Agenda Overview

• Lindsay Morse, MSN/NED, RN, ACM, Vice President of Care Management at the University of Vermont Health Network & Chair of the VPQHC Care Management Directors Network

12:05 p.m. – 12:40 p.m.: White River Junction Veterans Administration Medical Center Suicide Prevention Team

• Sarah Poole LICSW, Compact Act Coordinator

• Michelle Nerish PhD, Suicide Prevention Coordinator

• Brooke Whalen LICSW, Suicide Prevention Coordinator

  • Presentation

12:40 p.m. – 1:20 p.m.: White River Junction Veterans Administration Medical Center VA and Community Collaboration in Veterans Care

• Melissa Mooney, MSN, RN, NE-BC, LNC, Service Chief, Office of Community Care/Referral Coordination, Acting Chief of Clinical Operations

  • Presentation

Materials

• COMPACT 201_VAMC Veteran and Eligible Individual FAQs_v5

• Compact Act Flyer for Community Providers_by Optum United Healthcare

• Dual Care

• Emergency Suicide Care and Treatment for Providers Fact Sheet

• FactSheet_20-44 IVC Ambulance Transportation

• FactSheet_27-04 Emergency Treatment Reporting and Care Coordination

• GC Brochure

• OCC Brochure

• OCC-Pharmacy Billing-Information-Card-2022

• VA_Form_10-10172 RFAS

• COMPACT Act Brochure Community WRJ

Agenda

Presentation Slides (VPQHC & Vermont Adult Day Services)

Handouts from Adult Day Services:

• Healthier Outcomes Flyer

• VAADS Contact List

AGENDA

12:00 p.m. – 12:10 p.m. Welcome & Updates

12:10 p.m. – 1:10 p.m. Barriers to Patient Flow Workgroup Overview

Megan Tierney-Ward, Deputy Commissioner, Vermont Department of Disabilities, Aging & independent Living; Lauren Smith, Planning Specialist, All Clear Emergency Management Group

• Department of Disabilities, Aging & Independent Living (DAIL) - Recovery & Revitalization Efforts (SFY22 & SFY23)

1:10 p.m. – 1:20 p.m. BREAK

1:20 p.m. – 1:55 p.m. Legislative Updates, United Health Care & Data Collection

Devon Green, Vice President of Government Relations, Vermont Association of Hospitals and Health Systems and Emma Harrigan, Director of Policy Analysis and Development, Vermont Association of Hospitals and Health Systems

1:55 p.m. – 2:15 p.m. Using ACO Fraud and Abuse Waivers to Solve Problems

Linda Cohen, Assistant General Counsel for Contracting and Innovation, OneCare Vermont

2:15 – 2:30 Health Equity Initiative Update

Patrice Knapp, Strategic Quality Improvement Consultant, Vermont Program for Quality in Health Care

AGENDA

12:00 p.m. – 12:05 p.m. Welcome & Introductions

12:05 p.m. – 12:15 p.m. Network Charter & Survey Feedback Review — Mary McQuiggan, LICSW, Senior Program Manager, VPQHC

12:15 p.m. – 12:45 p.m. Update from the VT Food Access and Health Care Consortium — Helen Labun, MSc, MFA, Special Projects Manager, Food Access, Bi-State Primary Care Association

12:45 p.m. – 1:00 p.m. BREAK

1:00 p.m. – 1:45 p.m. Data Collection for Care Managers — Patrice Knapp, RN, MSN, CPHQ,, Strategic Quality Improvement Consultant, VPQHC; Lyndsay Sykes, MS, RN, CNL, CPHQ, Quality Improvement Specialist, VPQHC

1:45 p.m. – 2:00 p.m. Roundtable/Discussion

Resources from Health Centric:

• Roadmap to Success

• Best Practice Strategies for Health Equity Data Collection

• REaL Data Collection Toolbox

• REaL Data Collecting, Examples

AGENDA

12:00 – 12:10 Introductions

12:10 – 12:55 Supporting Patients Who Are Deaf, DeafBlind, and Hard of Hearing – Laura Siegel, MBA, Director of Deaf, Hard of Hearing and DeafBlind Services, Vermont Department of Disabilities, Aging & Independent Living

12:55 – 1:00 Break

1:00 – 2:00 In Our Own Voice – Kristy Hommel, National Alliance on Mental Illness (NAMI), In Our Own Voice Presenter, NAMI Vermont

 AGENDA

12:30 – 12:45 2022 Legislative Agenda  – Devon Green, VP, Government Relations, Vermont Association of    Hospitals & Health Systems

12:45 – 1:15 Health Assistance Program (HAP) – Will Seitz, Supervisor, Population Health Services Organization, University of Vermont Medical Center; Karen Bogdan, Health Assistance Program Case Manager; Andrea Brett, Health Assistance Program Case Manager, University of Vermont Medical Center

1:15 – 1:30 Break

1:30 – 1:50 Suicide Prevention in the ED (ED & UP) Project Description & Request for Feedback – Hillary Wolfley, Associate Director, VPQHC

• Recruitment Flyer

1:50 – 2:00 ED Pediatric Patients Boarding in Vermont Hospital Emergency Departments Project Overview & Discussion -- Bonnie Collins, Program Coordinator, VPQHC

2:00 – 2:10 List of Providers Trained in Suicide Prevention Treatment — Mary McQuiggan, LICSW, QI Specialist,  VPQHC

2:10 – 2:30 Discussion

Agenda

2022 Legislative Agenda

• Devon Green, VP, Government Relations, Vermont Association of Hospitals & Health Systems

Recent Suicide Prevention Trends

• Caitlin Quinn, MPH, Public Health Analyst, Research, Epidemiology,& Evaluation Unit, Division of Health Surveillance, Vermont Department of Health

Kits for Pediatric Patients Boarding in Vermont Hospital Emergency Departments Project Overview & Discussion

• Bonnie Collins, Program Coordinator, VPQHC

• Lyndsay Sykes, QI Specialist, VPQHC

Agenda

Vermont Care Transitions Data - Gloria Thorington, RN, CPHQ, CPPS, Program Administrator, Healthcentric Advisors

Supporting Patients with Long COVID - Ashley Couture, MS, CCC-SLP, Speech Language Pathologist & Therapy Research Educator, Rehabilitation Therapies, UVMMC

Additional Resources:

• COVID 19_Kaiut_Yoga_Classes_Chronic_Long_Covid_Patient_Flyer

• COVID 19_Recovery_Self_Mgmt_Patient_Education_Booklet

• COVID-19_Survivor_Support_Group_flyer

Patient and Family Engagement Tools and Resources - Tanya Lord, PhD, MPH, Director, Patient and Family Engagement, Foundation for Healthy Communities

Food Access and Health Care - New Program Launch - Helen Labun, Food Access Manager, Bi-State Primary Care Association

Hospital Quality Framework/Sustainability Planning, Michele Degree, Health Policy Advisor, Green Mountain Care Board and Alena Berube, Director of Health Systems Policy.

The MVP (Multi-Visit Patient) Method, Amy Boutwell, MD, MPP, Developer, STARR, ASPIRE, & MVP Methods, President, Collaborative Healthcare Strategies.

Social Determinants of Health Screening Form - shared by Samantha Helinski, RRMC

Click here to view the draft of the Vermont Hospital Care Transitions Leader Network organizing charter.

Agenda

Recent Suicide Trends in Vermont: What Are We Learning? Caitlin Quinn, MPH, Public Health Analyst, Research, Epidemiology, & Evaluation Unit, Division of Health Surveillance, Vermont Department of Health.

Care Transitions During the Time of COVID-19: Dawn Hobill, MHP, PMP, CSM, Senior Program Administrator, Healthcentric Advisors

Agenda

Agenda

Resources:

Clinical Eligibility for Choices for Care: Presented by Tim Wilcox, Clinical Supervisor and Complex Care Team Leader and Angela McMann, Program Manager for the Choices for Care Program

Financial Eligibility for Choices for Care: Presented by Lisa Racine, LTC Medicaid Program Administrator, DHVA

COPS: Hospital Discharge Planning Requirements: Bruce Saffran, RN, Quality Improvement Facilitator, Vermont Program for Quality in Health Care

COVID-19 Resources & Discusson: Hillary Wolfley, Associate Director, Vermont Program for Quality in Health Care

Agenda

Resources

Conditions of Participation Overview & Updates: Presented by Bruce Saffran, RN Quality Improvement Facilitator, VPQHC

Readmissions Data: Presented by Sean Judge, Director of Health Care Data Services, Vermont Association of Hospitals and Health Systems-Network Services Organization (NSO)

Agenda

Resources:

Community Care Team: Presented by Bilie Lynn Allard, Administrative Director of Population Health and Transitions of Care, SVMC

Electronic Bed Board Stakeholder Feedback: Summarized by Amy Guidice, Project Manager, Transform Transfer Initiative Grant

Agenda

Resources:

Community Care Team: Universal Consent Form: Presented by Billie Lynn Allard, MS, RN, Administrative Director of Population Health and Transitions of Care

Agenda

Resources:

Hospital Patient Placement - Berlin UVM-CVMC