Introduction to New Models of Care and Healthcare
In this session, faculty will provide an overview of the United States healthcare system including the history and basic structure of Medicare and Medicaid and the Delivery System Reform Incentive Payment (DSRIP) reform initiative. Participants will learn about population health management for improving community wellness and how health care reform is driving new organizational structures and payment models including Accountable Care Organizations and Patient Centered Medical Homes. Participants will also learn about the demand for care coordination to achieve the Trip Aim – improved patient care and better population health at a lower cost.
Measuring and evaluating health outcomes determines how well health care services are delivered and provides valuable information for improving processes and quality outcomes. During this session, faculty will identify tools for monitoring performance, including performance indicators (data); discuss key data points for measuring quality improvement and evaluating performance; interpreting data and evidence to develop quality improvement strategies; and the relationship between care coordination work and quality improvement.
This session will provide participants with an understanding of health literacy, how to measure it, and strategies to improve it. As a vital key to improving healthcare outcomes, this interactive session allows participants to look at client-provider communication, the elements of health literacy, readability measures, and measurement tools. The presentation examines the influence of culture on health literacy, barriers to successful learning, and results of the national health literacy assessments for the population at large.
Motivational Interviewing (MI) is a person-center approach to counseling patients that conceptualizes motivation (to change) as a dynamic and changeable state within the person. In order to enhance this motivation, practitioners engage in a structured conversation based upon collaborative relationship of the practitioner/patient that helps the patient identify what’s important to the patient regarding behavior, health, and welfare, their internal strengths to make a change, and develop a plan for that change. In this session, practitioners will become familiar with MI counseling style in a number of settings, learn and practice the core skills of MI, facilitate patient-driven decisions to change harmful behaviors, and translate their MI knowledge, skills and abilities into general practice consultations.
Screening, Brief Intervention and Referral to Treatment (S.B.I.R.T.)
Untreated chronic diseases are major factors in the increasing costs in the healthcare system. For people with mental health and substance use disorders the likelihood of getting a referral to treatment during routine care services is low in general. This can be greatly improved with a brief screening protocol call SBIRT (Screening, Brief Intervention and Referral to Treatment). Primary care and specialty practitioners such as cardiologists, gerontologists, and other health specialties are urged to screen patients for depression, drug and alcohol use, suicide risk, and anxiety disorders to improve health outcomes for individuals and communities. The goal of SBIRT training is to help providers in primary care and other health care settings to assess with validated tools the severity of substance use, depression, and other behavioral health issues, conducted a brief intervention based on Motivational Interviewing, and identify the appropriate level of treatment. Referral to treatment involves establishing a clear method of follow-up with patients identified as having a possible addiction or in need of specialized treatment for a mental health condition. SBIRT training is conducted in either 4-hour or 12-hour Office of Alcoholism and Substance Abuse Services (OASAS) approved sessions based on practitioners’ licensing or certifications.
Behavioral Health /Mental Health Disorders
This session will assist healthcare coordination professionals and case managers gain a foundation of knowledge for understanding people with mental health disorders commonly served in a community population. Key topics include screening and identification, diagnostic labels and stigma, key definitions related to mental health disorders, classifications of the most common mental health disorders, and co-occurring disorders. Exploration will include identifying the challenges presented by people with mental disorders while coordinating their health care needs, along with commonly used medications, strategies to engage, and useful questions to apply during overall assessment. Participants will share and discuss specific case examples in order to apply the seminar content to their job role and function.
Substance Use Disorders
This session will assist healthcare coordination professionals and case managers gain a foundation of knowledge for understanding people with substance use disorders within a health service population. Key topics include addressing myths, stereotypes and facts of what defines substance use disorder and addiction. Topics also include classification of substance use disorders, screening and identification, potential indicators, principles and strategies for determining an individual’s substance use, patient defenses used to dismiss concerns about substance use, basics of motivational interviewing and engagement strategies treatment modalities, impact of substance use on families, and medication assisted treatment. The various strategies covered in the Behavioral Health /Mental Health seminar directly apply to those used in this training. Participants will share and discuss specific case examples in order to apply the seminar content to their job role and function.
Core Communication Skills
As healthcare becomes more team and patient oriented, it becomes more important for leaders and staff to develop strong communication skills. This helps build strong work relationships and ensures more accurate communication. The program will focus on going beyond active listening to strategic listening skills; how to give effective feedback that maintains relationships and promotes change; and, understanding different communication styles and how to adapt individual styles to make stronger connections.
Coaching and Motivating Staff
An effective leader needs to know how to connect with each staff person to motivate them to their highest performance. No one approach works for everyone and this session will use the communication styles from the core communication module to help leaders identify how to work more effectively with each of their staff. The coaching approach is a hands on supervisory strategy that focuses on employee empowerment and employee development with the aim of having workers who do their job well with little need of direct supervision. This module will present motivational strategies that are readily available at no or very little cost and will present the coaching approach to leadership including a simple step by step recipe for success.
Performance Management and Accountability
The two keys to high performance are motivation and accountability. The key to accountability is having clear, measurable, behavioral performance expectations and skills in how to communicate them clearly and give feedback related to actual performance. This module will discuss the key elements of an effective performance expectation, how to develop them in partnership with employees, and how to use them to simplify giving corrective feedback and as the basis for coaching employees to higher performance.
Leading Through Change / Changing Organizational Culture
The healthcare system is undergoing rapid and long running change which takes its toll on leaders and staff. This module will guide leaders through the dynamics of change and help them develop strategies for supporting and guiding their staff through these changes while reducing burnout and promoting high performance. The session will also address “change fatigue”. In addition, many of these changes require changes in organizational culture, both in specific departments and in the organization overall. The module will briefly review how to apply the change leadership dynamics to the organization’s culture as well as to changes in procedures and technology.
Conducting Effective and Efficient Meetings
Many teams have regular meeting that go on and on and produce more frustration than production. There is a science to running effective meetings and it begins with careful planning before the meeting that includes a well-structured agenda, well prepared participants, and tools for facilitating effective group problem solving. In this session, faculty will provide participants with a thoughtful, easy-to-use method for designing and leading an effective and productive meeting, meeting alternatives, meeting management, wrap-up, and next steps.
Effective team leaders need strong people skills, an understanding of group dynamics, and a well thought out team building plan. Team leadership skills are needed when working with formal teams, informal teams, problem solving or planning teams, and when leading staff meetings. Developing team leadership skills is a complex process and covers a wide range of skills and understanding. This session will provide a solid foundation in all three areas and an opportunity to practice hands-on team leadership skills. Participants will learn how teams function, design and lead a process by which a group becomes a self-maintaining team, facilitate team activities, diagnose and problem solve what teams need to move ahead, and how to deal with difficult and disruptive team members.
Problem Solving and Decision Making in a Team Setting
Most problems in the workplace impact a number of people and often the entire team. As Ken Blanchard said, “None of us is as smart as all of us,” so solving problems in a team setting can provide added wisdom and better results. On the other hand, team dynamics combined with interpersonal issues can make team problem solving and decision making much more complex. In the rush to resolve problems, the wrong part of the problem is usually addressed and issues continue to plague the workplace. Successfully working together to solve problems will result in a stronger team and improved patient outcomes. In this session, faculty will demonstrate how to correctly identify the core issues of a problem and resolve them in a way that leads to a successful solution. Participants will learn tools and strategies to facilitate a successful team process for problem solving and decision making, using tools that promote consensus based decision making, and how to guide a group through problem analysis.
Advancing Patient Centered Care and Population Health Management Using Health Informatics
In this session, participants will learn about electronic health records (EHR) and the importance of accurate documentation for improved patient care, privacy assurance, improved efficientcy, medical error prevention, and compliance with government requirements. Faculty will discuss the electronic patient record as the foundation for effective communication of patient information, barriers to electronic health record adoption and adoption strategies, use of electronic documentation to support population health management, the role of her in supporting quality care, an informatics to support care transitions. Faculty will also discuss HIPAA, State Privacy Laws, the HITECH Act, and the role of RHIOS, HIXNY and SHIN-NY in supporting interoperability of data.