Tuesday, March 19, 2019, 1:00 - 4:00 PM
Pre-conference Workshop #1: What Counts as Community Benefit?
Trina Hackensmith, Vice President, Lyon Software
Julie Trocchio, Senior Director, Community Benefit and Continuing Care, Catholic Health Association of the United States
It’s been a long-standing tradition for not-for-profit and faith-based hospitals and health systems to quantifiably report how much they are investing in the health of the community through community benefit initiatives and programs. Since the implementation of the IRS 990 Schedule H in 2008, there’s been much discussion about what is required and what is right. Two experts in the field of community benefit reporting would like to help attendees better answer the following questions:
- What counts as community benefit?
- What are the guiding principles for reporting (and not reporting) community benefit programs?
This pre-conference session will review the basic guidelines from the IRS Form 990 Schedule H Instructions and from CHA’s Guide for Planning and Reporting Community Benefit. It will cover the categories of community benefit and what should and should not be reported in each.
This session will be helpful to hospital community benefit leaders, as well as, population health professionals and community partners interested in how hospitals report community health improvement activities.
- Describe the criteria for determining if a program or activity is a community benefit.
- Give examples of recommended activities that should and should not be reported within categories of community benefit.
- Review any recent changes or updates in reporting requirements from the IRS and the Guide for Planning and Reporting Community Benefit.
Pre-conference Workshop #2: Expanding Clinician Skills to Care for People with Serious Illness
Brynn Bowman, MPA, Vice President, Education, Center to Advance Palliative Care
Allison Silvers, MBA, Vice President, Payment & Policy, Center to Advance Palliative CareAna
Tuya Fulton, MD, Executive Chief of Geriatrics & Palliative Care, Care New England Health System & Medical Director, Integra Community Care Network, LLC
Kate Lally, MD, Senior Physician, Palliative Care and Psychosocial Oncology, Dana Farber Cancer Institute
Ruth Scott, RN, MHA, Director of Care Management, Integra Community Care Network, LL
Many individuals that fall into the “high-need/high-cost” category are facing a serious illness—a life-threatening illness that either has a negative impact on daily function or that unduly strains family caregivers. Unfortunately, our current health care system—with its focus on disease and treatment that overlooks quality-of-life and function—is poorly equipped to meet these patients’ needs.
At the same time, innovative health care organizations have recognized this mismatch and are doing something to address it. The most effective strategies are ones that focus on improving both communication skills and pain and symptom management skills among the key clinicians that interact most frequently with patients living with serious illness. This workshop will explore those strategies in-depth, equipping attendees with both general knowledge and practical implementation tips.
The workshop will start with an overview of the needs of people living with serious illness and a framework approach to meeting those needs, including proactive identification, specific assessments, and strategies to build clinician competency. Then, through an in-depth case study, attendees will explore the experience of Care New England and Integra Community Care Network, describing their approach to building competency and dramatically improving the quality of life for their patients. The session will end with a role play and exercise that illustrates the differences between usual communication and assessment approaches and those that elicit patient values, clarify goals of care, and identify sources of suffering. An interactive Q&A will conclude the session.
- Describe key skills for case managers that improve patient satisfaction and decrease avoidable utilization.
- Implement palliative care training resources for case managers in their program and health care system.
- Evaluate additional strategies to improve the care of people with serious illness in their programs and health systems.
Pre-conference Workshop #3: 5 to 1: Unlocking Investments to Address the Social Determinants of Health
Robin Hacke, Executive Director, Center for Community Investment
Alyia Gaskins, Assistant Director of Programs and Networks, Health, Center for Community Investment
Grants are magic. They can pay for all kinds of things that improve community health and well-being—salaries for community health workers, groceries for a food pantry, transit passes to access medical care, and housing vouchers. But once that money is spent, it’s gone. A limited supply of grants can’t support the scale of transformation required to provide healthy environments for everyone.
Our financial system has an abundant supply of a different kind of money: investment capital. Thoughtful use of grants can pave the way for much larger amounts of investment capital to flow. When a community benefit grant pays for a demand study to attract a grocery store operator or a community engagement process to prioritize potential uses of publicly owned land, it lays the groundwork for transformative, permanent change.
In this session, the Center for Community Investment and hospital staff participating in the Center’s Accelerating Investments for Healthy Communities program will teach you all you need to know about investment and how hospitals, especially community benefit staff, can leverage their existing resources for greater impact on health in their communities.
- Hear how leading hospitals are using their assets to unlock health-promoting investment in their communities.
- Learn the basic finance terms and concepts you need to bring partners to the table to maximize community impact.
- Assess your own hospital and community context so you leave ready to take next steps.
Pre-conference Workshop #4: Road Map to Successfully Integrate Community Health Workers into Unified Health Care Teams
Community Health Workers (CHW) are frontline public health workers who are trusted members of and/or have an unusually close understanding of the community served. This trusting relationship enables CHWs to serve as a liaison, link or intermediary between health/social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery.
This workshop will feature initiatives from the American Hospital Association’s strategic alliances with the National Urban League (NUL) and UnidosUS which are designed to build and strengthen our relationships with community organizations to advance health equity and diversity in health care leadership in communities across the United States. Learn more about how hospitals are eliminating disparities by creating community partnerships. Hear a conversation from national stakeholders who will provide a practical roadmap designed to build and integrate CHW programs in their hospitals and health systems. New resources and tools will be shared that guide “how to” strategies, conduct simulating assessments and answer questions on training, measurement and evaluation.
- Learn how the Institute for Diversity and Health Equity/NUL's CHW resource can advance the integration of CHWs.
- Identify how CHWs can provide improved care coordination, chronic disease management and culturally appropriate care for high-need patients.
- Understand the steps needed to sustain a hospital-wide and community-wide initiative.
- Connect intervention and support opportunities across the spectrum of policy, care delivery, and workforce development to drive collective action toward integrating this complex and critically important role into health care teams.