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9/4/14

2014 ANNUAL CONFERENCE

October 2 & 3, 2014 – Hilton Columbus/Polaris

featuring

PLENARY SESSIONS

Governor Kasich is invited to provide opening remarks and receive the 2014 Mary E. Pettus Excellence In Public Policy Award.

Population-Based Integrated Care and the Triple Aim

Marci Nielsen, PhD, MPH, Chief Executive Officer, Patient-Centered Primary Care Collaborative (PCPCC)

Cross System Collaboration

Erwin “Mac” McEwen, Senior Director of the Technical Assistance Unit, Casey Family Programs

Building Healthcare Partnerships to Improve Outcomes – Panel Discussion

Rebecca A. Baum, MD, member of the Section of Developmental and Behavioral Pediatrics at Nationwide Children’s Hospital and a

Clinical Assistant Professor of Pediatrics at The Ohio State University College of Medicine

Randy Oostra, DM, FACHE, President and Chief Executive Officer, ProMedica Health System

Richard J. Snow, DO, MPH, System Vice President of Clinical Transformation, OhioHealth

Gregory Young, DPM, Director of Government Relations, Medical Mutual

Strategic Unions – Considering the First Step

David C. Guth, Jr., Chief Executive Officer and co-founder, Centerstone of America

Transforming Payment for a Healthier Ohio

Dr. Mary Applegate, Medical Director, Ohio Department of Medicaid

Discussion with Tracy Plouck, Director, Ohio Department of Mental Health & Addiction Services

WORKSHOP SESSIONS

Workshop sessions will cover a range of topics to include: Compliance, Social Impact Bonds (SIBs), and Managed Care Contracting.

VENDOR EXHIBIT HALL

Vendors will be exhibiting their products & services during the two-day conference.

WHO SHOULD ATTEND

Chief executive officers, service and program managers, clinical directors, human resources staff, and fiscal staff –

Two-day conference is open to all provider organizations within the behavioral health and family services field.

Please visit www.theohiocouncil.org to access brochure & online registration.

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AGENDA – Thursday, October 2, 2014

8:00 AM – 9:00 AM Registration, Continental Breakfast, Exhibits

9:00 AM – 9:30 AM Welcome, Opening Remarks, Presentation of the 2014 Mary E. Pettus Excellence In Public Policy

Award

9:30 AM – 10:45 AM Plenary Session: Population-Based Integrated Care and the Triple Aim – Marci Nielsen,

PhD, MPH, Chief Executive Officer, Patient-Centered Primary Care Collaborative

10:45 AM – 11:15 AM Break & Exhibits

11:15 AM – 12:15 PM Plenary Session: Cross System Collaboration – Erwin “Mac” McEwen, Senior Director of the

Technical Assistance Unit, Casey Family Programs

12:15 PM – 1:30 PM Lunch & Annual Awards Presentation

1:30 PM – 3:00 PM Plenary Session: Building Healthcare Partnerships to Improve Outcomes – Panel

Rebecca A. Baum, MD, member of the Section of Developmental and Behavioral

Pediatrics at Nationwide Children’s Hospital and a Clinical Assistant Professor of

Pediatrics at The Ohio State University College of Medicine; Randy Oostra, DM, FACHE,

President and Chief Executive Officer, ProMedica Health System; Richard J. Snow, DO,

MPH, System Vice President of Clinical Transformation, OhioHealth; Gregory Young,

DPM, Director of Government Relations, Medical Mutual

3:00 PM – 3:30 PM Break & Exhibits

3:30 PM – 5:00 PM Workshop Sessions:

#1 A View from the Other Side: What Primary Care Struggles With in Behavioral Health Care –

Marci Nielsen, PhD, MPH, Chief Executive Officer, Patient-Centered Primary Care Collaborative

#2 Compliance Issues for Behavioral Health Providers:

Medicaid Revalidation – Suzanne J. Scrutton, Partner; Vorys, Sater, Seymour and Pease, LLP

Risks of the Electronic Health Record – Lisa Pierce Reisz, Partner and Robin L. Canowitz,

Senior Attorney; Vorys, Sater, Seymour and Pease, LLP

#3 An introduction to Implementation Science as Infrastructure – Erwin “Mac” McEwen,

Senior Director of the Technical Assistance Unit, Casey Family Programs

#4 Creative Social Programs: The Social Impact Bond Model – Bonnie K. Burman, Sc.D.,

Director and Djibrane Larrabure, Government Innovation Fellow, Ohio Department of Aging

5:00 PM – 5:45 PM Networking Reception & Exhibits

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AGENDA – Friday, October 3, 2014

8:00 AM – 9:00 AM Registration, Continental Breakfast, Exhibits

9:00 AM – 10:30 AM Plenary Session: Strategic Unions – Considering the First Step – David C. Guth, Jr.,

Chief Executive Officer and co-founder, Centerstone of America

10:30 AM – 11:00 AM Break & Exhibits

11:00 AM – 12:15 PM Plenary Session: Transforming Payment for a Healthier Ohio – Mary Applegate, MD, FAAP,

FACP, Medical Director, Ohio Department of Medicaid

12:15 PM – 1:30 PM Lunch & Discussion with Tracy Plouck, Director, Ohio Department of Mental Health & Addiction

Services

1:30 PM – 1:45 PM Break & Exhibits

1:45 PM – 3:15 PM Workshop Sessions:

#1 Strategic Unions – From “Dinner and a Movie” to Saying “I Do” – David C. Guth, Jr.,

Chief Executive Officer and co-founder, Centerstone of America

#2 Negotiating Points & Pitfalls of Managed Care Contracting: How Not to Lose Your Shirt (or

Anything Else That is Dear to You!) – Gary Humble, Executive Director, Pinnacle Partners,

#3 Court Ordered Outpatient Commitment – An Overview of S.B. 43 – Betsy Johnson,

Associate Executive Director, National Alliance on Mental Illness of Ohio

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EXHIBIT HALL PARTICIPANTS

Accreditation Commission for Health Care (ACHC)

Aetna

Afia, Inc.

Alkermes, Inc.

Askesis Development Group

BKD, LLP

Brown & Brown Insurance

Buckeye Health Plan

CareSource

Celerity, LLC

CenterSite, LLC

Chestnut Ridge Foam, Inc.

CompManagement, Inc.

Core Solutions, Inc.

Council on Accreditation (COA)

Credible Behavioral Health Software

The Echo Group

Enterprise Fleet Management

Genoa, a QoL Healthcare Company

InSight Telepsychiatry, LLC

Janssen Pharmaceuticals, Inc.

The Joint Commission

McGohan Brabender

Medicare Solutions

Molina Healthcare

Netsmart

New Story

Ohio Indemnity/UC ASSURE

Opportunities for Ohioans with Disabilities/Division of Disability Determination

Paramount Advantage

Pinnacle Partners

Prism Health System

ProComp Software Consultants

Qualifacts Systems, Inc.

Streamline Healthcare Solutions, LLC

This End Up Furniture Co.

Unemployment Services Trust (UST)

UnitedHealthcare Community Plan and Optum

Upper Midwest Telehealth Resource Center

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PROGRAM – DAY ONE

Plenary Sessions

Population-Based Integrated Care and the Triple Aim

Marci Nielsen, PhD, MPH, Chief Executive Officer

Patient-Centered Primary Care Collaborative (PCPCC)

Health care service delivery requires an understanding of the Institute of Medicine’s Triple Aim – improving patient’s health care

experience and outcomes; improving population health; and reducing per capita costs - in the context of population-based, integrated

care (primary/behavioral). Achieving the goals of the IOM’s Triple Aim has implications that include delivery system redesign, value-

based purchasing/ payment reform, enhanced care management and health information exchange.

Marci Nielsen, PhD, MPH, joined the PCPCC as Chief Executive Officer in 2012. Prior to the PCPCC,

Dr. Nielsen served as Vice Chancellor for Public Affairs and Associate Professor at the University Of

Kansas School Of Medicine’s Department of Health Policy and Management. Dr. Nielsen was

appointed by then-Governor Kathleen Sebelius as first Executive Director and Board Chair of the

Kansas Health Policy Authority (KHPA). She worked as a legislative assistant to U.S. Senator Bob

Kerrey (D-Nebraska), and later served as the health lobbyist and assistant director of legislation for the

AFL-CIO. She is a board member of the American Board of Family Medicine, and former member of

the Health Care Foundation of Greater Kansas City, TransforMED LLC and the Mid-America

Coalition on Health Care. She was also a committee member for the Institute of Medicine’s Leading

Health Indicators for Healthy People 2020 and Living Well with Chronic Illness: A Call for Public

Health Action. Early in her career she served as a Peace Corps volunteer working for Thailand’s

Ministry of Public Health and served for six years in the US Army Reserves. Dr. Nielsen holds an

MPH from the George Washington University and a PhD from the Johns Hopkins School of Public

Health.

Cross System Collaboration Erwin “Mac” McEwen, Senior Director of the Technical Assistance Unit,

Casey Family Programs

Individuals and families with complex needs often interact with multiple human service agencies and providers. Effective service

delivery that results in positive outcomes requires strong cross system collaboration and a family centered approach that considers

services provided to a family not just individual family members.

Erwin “Mac” McEwen is Senior Director of the Technical Assistance Unit at Casey Family

Programs. In this capacity, McEwen manages technical assistance provided by Casey Family

Programs in support of child welfare system improvement efforts across the nation, and consults

with many Child Welfare jurisdictions in the areas of performance based contracting, case rate

setting, extending child welfare services to youth in care until age 21, older youth services,

Strengthening Families, voluntary prevention services, building effective system responses to

neglect and child death reviews. He has continued to spread his child welfare vision of protecting

children by strengthening and supporting families. Erwin “Mac” McEwen’s commitment to

protecting children by strengthening families guided his visionary leadership of the Illinois

Department of Children & Family Services from November 2006 to September 2011. Director

McEwen sought to refocus child welfare practice on ensuring the well-being of children in addition

to their safety, and to refocus the agency’s priorities on providing needed support to families well

before their circumstances warrant removal of a child from the home. McEwen has been a member

of numerous national efforts to improve child welfare services and as the Chair of the Executive

Leadership Committee of the National Association of Public Child Welfare Administrators-

Positioning Public Child Welfare Initiative. He has also served on the Illinois Statewide Foster Parent Advisory Council, Illinois Child

Care Association Board of Directors, and the African American Family Commission’s Monitoring and Oversight Committee. McEwen

has been nationally recognized for his innovations and accomplishments. He was named the 2008 Social Worker of the Year by the

Illinois Chapter of the National Association of Social Workers.

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Building Healthcare Partnerships to Improve Outcomes – Panel Discussion

Rebecca A. Baum, MD, member of the Section of Developmental and Behavioral Pediatrics at Nationwide Children’s Hospital

and a Clinical Assistant Professor of Pediatrics at The Ohio State University College of Medicine

Randy Oostra, DM, FACHE, President and Chief Executive Officer, ProMedica Health System

Richard J. Snow, DO, MPH, System Vice President of Clinical Transformation, OhioHealth

Gregory Young, DPM, Director of Government Relations, Medical Mutual

Creating community culture that improves health or sustains a “culture of health” requires a holistic approach that incorporates new,

better, and stronger collaborations between physical health, behavioral health, social services, the faith community, and local businesses.

Strengthening relationships between community healthcare and behavioral health providers helps to lay a strong foundation for

developing healthcare neighborhoods that can harness resources to identify and tackle the tough social and economic issues that get in

the way of improved health and wellness of communities. For many years we have known that the social determinates of health –

physical, economic, and social conditions – are critical factors that impact individuals and family health. This presentation is designed

to create a dialogue between the healthcare and behavioral health professions to develop strategies for building and strengthening

collaborations to improve health, improve health outcomes, and maximize resources.

Rebecca A. Baum, MD, is a member of the Section of Developmental and Behavioral Pediatrics at Nationwide

Children’s Hospital and a Clinical Assistant Professor of Pediatrics at The Ohio State University College of

Medicine. Her primary teaching and clinical activities involve young children and their families who are seen

in Nationwide Children’s Behavioral Medicine and Consultation Clinic. Dr. Baum’s research interests include

Autism, Attention Deficit Hyperactivity Disorder, and quality improvement. Dr. Baum received her medical

degree from the University of Pennsylvania School of Medicine. She completed her internship and residency

at The Children’s Hospital of Pittsburgh, where she also served as Chief Resident. She practiced primary care

pediatrics in Pennsylvania before completing her fellowship in Developmental and Behavioral Pediatrics at

Nationwide Children’s Hospital.

Randy Oostra, DM, FACHE, is the President and Chief Executive Officer for ProMedica Health System (2009-

Present). Prior positions include President and Chief Operating Officer (2006-2009), Regional President (2002-

2006), and Corporate Vice President, Strategic Business Development for ProMedica Health System (1998-

2006); Executive Vice President, Saint Anthony’s Health System, Alton, Illinois (1994-1997); Vice President,

Blodgett Memorial Medical Center, Grand Rapids, Michigan (1989-1994); Assistant Administrator, Health One

Corporation, Minneapolis, Minnesota (1987-1989); and Consultant, LCM, Sioux Falls, South Dakota (1982-

1987). Education: Doctorate in Management, Case Western Reserve University; Master’s degree in Health

Care Administration from the University of Minnesota; Master’s degree in Management from the University of

Wisconsin; and a Bachelor of Science degree in Biology from Northwestern College, Orange City, Iowa.

Professional Activities: Mr. Oostra is a member of American Hospital Association, Ohio Hospital Association,

Bread for the World Development Committee, a fellow with American College of Healthcare Executives, and

a Board Member of Regional Growth Partnership, Toledo Sympathy, Toledo Art Museum, and American

Hospital Association Regional Policy Board.

Dr. Snow currently serves as the System Vice President of Clinical Transformation at OhioHealth in Columbus,

Ohio. In this position, Dr. Snow works to identify and capitalize on opportunities to provide high quality,

efficient care across the continuum. Concurrently with his position at OhioHealth, Dr. Snow has recently been

appointed as an adjunct associate professor at Ohio University’s Heritage College of Osteopathic Medicine,

where he is working with faculty to develop Patient Centered Care curriculum for pre and post graduate students.

Dr. Snow’s prior experience includes serving as a consultant where he supported the development and execution

of process and outcomes improvement projects by providing clinical and epidemiologic leadership to clients

including the Ohio Hospital Association.

Dr. Snow earned his D.O. degree from the Philadelphia College of Osteopathic Medicine in Philadelphia and

his MPH degree from the Johns Hopkins Bloomberg School of Public Health. He has numerous publications

focused on quality measurement and improvement and has served on many state and national committees focused on quality

improvement.

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Gregory Young, DPM is the Director of Government Relations for Medical Mutual. Dr. Young has worked

with Medical Mutual for the past six years. Gregory is a Doctor of Podiatric Medicine and spent twenty plus

years in private practice in Ocean Isle North Carolina, specializing in diabetic limb salvage. He completed a

podiatric surgical residency with rotations at The Ohio State University, Grant Hospital and Doctor’s Hospital

in Columbus, Ohio.

Workshop Sessions

A View from the Other Side: What Primary Care Struggles With in Behavioral Health Care Marci Nielsen, PhD, MPH, Chief Executive Officer

Patient-Centered Primary Care Collaborative (PCPCC)

Behavioral health providers often struggle with how to collaborate with primary care practices in order to provide the best care for

patients. This session will provide a view from “the other side”, that is, from the perspective of the primary care practice and the current

challenges many of them face. Although this includes the integration of behavioral and mental health services, primary care practices

also face a number of other challenges, such as: burn out among staff in a volume driven fee-for-service payment environment; perceived

lack of prestige and reimbursement (relative to their specialist peers); increasing requirements around maintenance and certification and

quality measurement; and of course, pressure to embrace the patient-centered medical home model of care (and all that this entails).

The objective of this session is to give an insider’s view of the primary care practice in order to brainstorm about effective ways to

collaborate and better serve patients. How can behavioral health providers sympathize, empathize, and ultimately better partner with

primary care?

Compliance Issues for Behavioral Health Providers:

Medicaid Revalidation Suzanne J. Scrutton, Partner; Vorys, Sater, Seymour and Pease, LLP

As a result of the Affordable Care Act, all Medicaid providers must comply with a new Medicaid revalidation requirement in order to

maintain their Medicaid provider agreements. Behavioral health providers in Ohio are considered a moderate risk which requires an

onsite visit by the Ohio Department of Medicaid or their designee. The presentation will focus on educating providers about the new

requirements, identifying what to expect from the onsite visit, and offering suggestions to providers on how they should prepare for the

revalidation process.

Ms. Scrutton is a partner in the Vorys Columbus office and a member of the health care group. She has experience representing providers

in the fields of long term care, behavioral health and developmental disabilities. Ms. Scrutton has extensive experience with regulatory

issues, Medicaid reimbursement and regulations, as well as contract negotiations with various payor sources.

Risks of the Electronic Health Record

Lisa Pierce-Reisz, Partner and Robin L. Canowitz, Senior Attorney; Vorys, Sater, Seymour and Pease, LLP

Electronic Health Records (“EHRs”) have the potential to significantly improve the quality of health care as well as improve the

efficiency and cost-effectiveness of its delivery. The presentation will focus on educating providers about defining the legal medical

record, fraud and malpractice risk in EHR usage, and security issues under HITECH.

Ms. Reisz is a partner in the Vorys Columbus office and a member of the health care and litigation groups. Her practice focuses on

health information technology issues including: health information privacy and security under HIPAA/HITECH, state confidentiality

laws and 42 C.F.R. Part 2; breach response; implementation of electronic health records; and qualification for meaningful use incentives.

Ms. Canowitz is a senior attorney in the Vorys Columbus office and a member of the health care group. She has more than 15 years of

experience in health care compliance, hospital risk management, medical malpractice and employment law. She has extensive

experience drafting hospital policies and procedures.

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An Introduction to Implementation Science as Infrastructure Erwin “Mac” McEwen, Senior Director of the Technical Assistance Unit

Casey Family Programs

The National Implementation Research Network (NIRN) is an organization whose mission is to contribute to the best practices and

science of implementation, organization change, and system reinvention to improve outcomes across the spectrum of human services.

One areas of NIRN work has focused on identification of Implementation Drivers. Implementation Drivers are the engine of change

and have been categorized as Competency, Organization, and Leadership supports. This session will consider an approach that identifies

these drivers and their relationship to identifying appropriate infrastructure to support innovation, culture change, and system re-

invention.

Creative Social Programs: The Social Impact Bond Model Bonnie K. Burman, Sc.D., Director

Djibrane Larrabure, Government Innovation Fellow

Ohio Department of Aging

This presentation will provide an overview of Social Impact Bonds (SIBs) and what this could mean for Ohio. In the Social Impact

Bond model, public agencies partner with service providers and private-sector investors to fund prevention-focused social programs that

address pressing social problems. Investors are repaid if and when improved social outcomes are achieved. Ohio is one of six winners

by the Rockefeller Foundation and the Harvard Kennedy School that will get help establishing social impact bond projects.

Bonnie K. Burman, Sc.D., was appointed director of the Ohio Department of Aging by Governor John Kasich in 2011. In this role she

is helping to lead the state’s effort to transform health care and long-term care for its citizens, while promoting the concept of preventive

gerontology.

Under Director Burman’s leadership the Ohio Department of Aging has developed a laser focus on initiatives to reform and enhance the

quality and efficiency of our system of long-term services and supports. Special attention is being paid to strengthening person-centered,

relationship-based care options to ensure that elders are able to live meaningful lives as their care needs change. At the same time, she

encourages all Ohioans to be “Golden Buckeyes” and be inspired by their age, not defined by it as she advocates for resources and

opportunities for elders to continue to grow, thrive and contribute. She has made it her mission to ensure that Ohio is on the leading

edge of innovation and responsiveness to the growing and changing aging population. In 2013 she and Director John McCarthy (Ohio

Department of Medicaid) were honored by the Ohio Association of Area Agencies on Aging with its first Ohio State Innovators Award

for their contributions toward transforming Ohio’s system of long-term services and supports.

Dr. Burman earned her doctorate in health policy and management from The Johns Hopkins Bloomberg School of Public Health. She

currently resides in Gahanna with her husband, Robert.

Djibrane Larrabure is assisting the State of Ohio with its social impact bond initiative. Previously, Djibrane worked as a Trade

Development Officer at the Cleantech and Infrastructure Practice of the Canadian Ministry of Foreign Affairs and International Trade.

He also undertook various roles in trade and development at the Embassy of Peru to Canada and the United Nations Development

Programme in Lima, Peru. Djibrane holds a Bachelor of Commerce degree in Finance and Economics from McGill University, and is

a recent graduate of the M.A. program in International Relations at Yale, where he specializes in Economics, Policy and Evaluation.

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PROGRAM – DAY TWO

General Sessions

Strategic Unions – Considering the First Step David C. Guth, Jr., Chief Executive Officer and co-founder, Centerstone of America

There is enormous merger and affiliation activity occurring all across the health and human service space as a direct result of threats

and opportunities of the emerging health care landscape. And while you and your board may not be ready to walk down the aisle with

a merger partner, there are compelling reasons to consider this strategy as you formulate your strategic plan. David will speak to some

of the current drivers behind the merger and affiliation activity, offer some advice on how to prepare your board and leadership team

for initial exploration, and help you gain a clearer understanding of how a merger/affiliation process works.

David Guth is Chief Executive Officer and co-founder of Centerstone, one of the nation’s largest

community-based behavioral healthcare providers. The non-profit organization, headquartered in

Nashville, Tennessee, serves over 90,000 individuals and families throughout Southern Illinois, Western

Kentucky, Middle Tennessee and South Central Indiana. Centerstone’s specialty networks span 42 states

and two Canadian provinces.

Guth has served in the capacity of chief executive for Centerstone and one of its legacy organizations, Dede

Wallace Center, since 1991. With 39 years of behavioral healthcare experience, 31 in executive leadership,

his experience and expertise comprise a vast number of areas, both business and clinical. He has presented

extensively before national and international audiences on the adoption of information technology in the

healthcare industry, the integration of behavioral healthcare and primary care, and the importance of

improving the field of behavioral health through these research-driven protocols. His insights on these

topics and others have been featured in numerous professional journals.

The National Council for Community Behavioral Health publishes Guth’s book on mergers entitled, “Strategic Unions: A Marriage

Guide to Healthy Not-for-Profit Mergers” (also available on Amazon) to help in mergers of not for profit corporations. As a result, he

has provided merger presentations through both the National Council and state trade associations and has consulted extensively with

not-for-profits exploring mergers and affiliations.

Transforming Payment for a Healthier Ohio

Mary S. Applegate, MD, FAAP, FACP, Medical Director

Ohio Department of Medicaid

Ohio is one of 16 states that received a CMS State Innovation Model design grant in 2013 – grants provided $1-3M for a state-led,

multi-stakeholder effort to develop a State Health Innovation Plan. Ohio also is one of seven states chosen to implement a

comprehensive primary care initiative to foster collaboration among public and private health care payers to strengthen primary care.

This summer, Ohio applied to CMS be one of 12 states selected in the State Innovation Model – Model Testing grant designed to

support states in implementing new payment models. In partnership with commercial and managed Medicaid insurers, major

employers, and physicians, Ohio has designed a payment innovation model that shifts from FFS to a population based and episode

based approach. This session will describe the Ohio’s vision for health and payment innovation through PCMH and episode based

payment model.

Dr. Mary Applegate serves as the Medical Director for Ohio Medicaid and is responsible for the development

and implementation of the Medicaid Quality Strategy to improve health outcomes across the state. She is

double-boarded in Pediatrics and Internal Medicine and has been in rural primary care practice for over 20

years. Special interests include the systematic application of clinical principles and quality improvement

science to health care delivery systems for improved quality in health care and outcomes. She has been

instrumental in driving change in perinatal health and mental health integration efforts.

Dr. Applegate is a fellow of both the American Academy of Pediatrics and the American College of Physicians

and continues to teach residents the practice of quality Medicine.

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Discussion with Tracy Plouck, Director, Ohio Department of Mental Health and Addiction Services

Director Plouck will provide an update on state department activities, key policy initiatives, and potential areas of focus in the future

that impact behavioral health clinical and administrative service delivery.

Effective July 1, 2013, Tracy Plouck was appointed director of the Ohio Department of Mental Health and

Addiction Services (OhioMHAS) by Governor John Kasich, after serving as his director of the Ohio

Department of Mental Health (ODMH) since January 2011. She brings strong policy background to her

role, having twice held the state Medicaid director position and also serving as a deputy director with the

Ohio Department of Developmental Disabilities. Additionally, Plouck has significant fiscal experience

from her eight years with the Ohio Office of Budget and Management, most recently as deputy director for

budget.

As OhioMHAS director, Tracy continues to be a member of the Governor’s Office of Health

Transformation (OHT). Governor Kasich created OHT to modernize the state’s Medicaid system and to

better integrate public health efforts that support people with physical and behavioral health needs.

A native of Trumbull County, holds a master’s degree in public administration from The Ohio State University and a bachelor’s degree

from Kent State University. She was honored by The Ohio State University Alumni Association in June 2011 for exemplary work

serving Ohioans through her government positions.

Workshop Sessions

Strategic Unions – From “Dinner and a Movie” to Saying “I Do”

David C. Guth, Jr., Chief Executive Officer and co-founder, Centerstone of America

This will be an interactive workshop exploring the realities and dispelling the myths about affiliations and mergers. Participants will

examine the drivers, desired outcomes, and process of a merger or affiliation exploration. In particular, the workshop will prepare CEOs

and board leadership for the task of engaging and supporting the board and staff leadership team in examining and evaluating affiliation

or merger opportunities.

Negotiating Points & Pitfalls of Managed Care Contracting:

How Not to Lose Your Shirt (or Anything Else That is Dear to You!) Gary Humble, Executive Director, Pinnacle Partners

Contracting with managed care organizations will be a fact of life for all community behavioral health agencies that will drive clinical

and administrative process changes. This presentation will provide organizations with “hands on”, practical advice on managing and

capturing revenue and contracting for clinical services when working with managed care organizations.

Objectives will include:

Learn and understand the credentialing & contracting process

Understand what “rules” the organization must abide by in order to be paid by MCOs

Understand what changes your organization may have to do clinically and administratively in order to be attractive to managed

care organizations in the future.

Gary Humble, Executive Director of Pinnacle Partners, has over thirty one years in the managed care industry and specifically, over

twenty two years in the behavioral health industry. After graduating from John Carroll University in 1982 with a BA in Economics,

Gary began working for several Health Maintenance Organizations (HMOs) as an account representative marketing various managed

care products to large employer groups in Northeast Ohio.

Since 1992 he has worked for both profit and not-for-profit behavioral health organizations contracting with behavioral health

managed care organizations and building internal administrative systems to ensure compliance with those organizations requirements.

He recently joined Pinnacle Partners, a Shared Services Organization (SSO) that is committed to provide more effective care to

patients by creating efficiencies within member operations; sharing resources; and networking to assure comprehensive treatment and

prevention solutions for patients.

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Prior to joining Pinnacle Partners, Gary had worked for over twelve years at the Cleveland Clinic. In his most recent duties, Gary was

the Regional Administrative Director, Business Finance Support for the Clinic's Center for Behavioral Health. Gary oversaw the

administrative operations of the Enterprises' inpatient behavioral health units as well as the ambulatory outpatient programs offering

both Partial and IOP services.

In November, 2006 Gary became a Senior Consultant for Open Minds, a national behavioral health and social service industry market

research and management consulting firm, providing services to its various clients in the areas of managed care contracting and

operations. He has also been a frequent contributor to Open Minds monthly periodical, The Behavioral & Social Service Industry

Analyst.

In 1998, he founded G&M Consulting, providing consulting services to community based behavioral health agencies and private

practice groups in Northeast Ohio. Gary has also been privileged to provide consulting services to other community based behavioral

health agencies in the states of Arkansas, Colorado, Florida, North Carolina, Illinois, Indiana and Oregon.

Court Ordered Outpatient Commitment – An Overview of S.B. 43 Betsy Johnson, Associate Executive Director

National Alliance on Mental Illness of Ohio

S.B. 43 updated Ohio’s civil commitment law to explicitly describe court ordered outpatient treatment. NAMI Ohio sought to have

Ohio’s law on court ordered outpatient treatment clarified. This session will provide an overview of what changes were made to the

law and why. It will also offer steps communities can take to ensure that the law is implemented effectively and applied appropriately.

Betsy Johnson joined NAMI Ohio (National Alliance on Mental Illness of Ohio) in December 2006. As Associate Executive Director,

her responsibilities include legislative advocacy, criminal justice activities and communications. Prior to joining NAMI Ohio, Betsy

was the Associate CEO of the Ohio Association of County Behavioral Health Authorities since its inception in 2001. In the years

prior to that, she served as Chief of the Adoption Section in the Ohio Department of Job and Family Services; Legislative Liaison for

the Ohio Department of Youth Services; Legislative Aide in the Ohio Senate; and Legislative Assistant to a Member of Congress in

Washington, D.C.

CONTUING PROFESSIONAL EDUCATION

Conference Learning Objectives:

Objective 1: Participants will understand health care policy changes that are driving behavioral health clinical and administrative

services delivery toward better integration of physical and behavioral health care, enhanced care coordination, and a focus on

improved health outcomes of persons served.

Objective 2: Participants will learn how changes in the health care marketplace will require changes in administrative practices to

support clinical service delivery specifically as integrated care delivery models and payment reforms evolve that require new or

different collaborations or partnership, use of evidenced based or evidence informed practices, and new payment models and

contracting for services.

CEU’s have been approved for Social Workers & Counselors (RCS058802). MCE’s have been approved for Psychologists

(310951018). The Ohio Council of Behavioral Health & Family Services Providers is approved by the Ohio Psychological Association-

MCE Program to offer continuing education for psychologists. The Ohio Council, #310951018, maintains responsibility for the

program. Recognized Clock Hours (RCH’s) for Chemical Dependency Professionals have been applied for. CPE’s have been approved

for Accountants by the Accountancy Board of Ohio (CPE.248).

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REGISTRATION FEES

Two-Day Fee One-Day Fee

Ohio Council 1st Staff Member $330 $230

Ohio Council Additional Staff Member(s) $270 $230

Non-Ohio Council Member(s) $405 $305

Note: Breakfast, lunch, reception, and break refreshments are included along with training materials.

Deadline for registrations is Thursday, September 25, 2014. No refunds will be made after this date. However, substitutions are

welcome. For “no shows” who pre-register but do not pay, a $50 service fee (for one day registrations) and a $100 service fee (for two

day registrations) will apply (to cover the cost of hotel food & beverage).

ONLINE REGISTRATION

For online registration, please click here or visit the Ohio Council’s website at www.theohiocouncil.org.

SPECIAL ACCOMMODATIONS

Please call the Ohio Council office at (614) 228-0747 or send an email to cornett@theohiocouncil.org by September 25, 2014 if you

need special accommodations.

HOTEL ACCOMMODATIONS

If you would like to stay at the host hotel, please don’t wait to make your reservation – the deadline has been extended to September 4,

2014. Call 1-888-864-8055 or click here for online reservations. The room block is under the Group Name “Ohio Council of Behavioral

Health & Family Services Providers/2014 Annual Conference” and the Group Code is “OCBH14”. If you prefer to contact the hotel

directly, please call (614) 885-1600 and ask for the Reservations Department. The discounted room rate is $143 plus taxes. It is

imperative that you indicate your group affiliation when making your reservation. Please make your reservation as soon as possible –

the room block will be released Thursday, September 11, 2014. The discounted room rate and room availability cannot be

guaranteed after this date. There is no additional charge for parking.

LOCATION

Hilton Columbus/Polaris

8700 Lyra Drive – Columbus, Ohio 43240

www.columbuspolaris.hilton.com

614-885-1600

For Reservations: 1-888-864-8055

or click here for online reservations

Treat yourself to a luxurious stay at the Hilton Columbus/Polaris. The full-service, 100%

non-smoking, upscale suburban hotel is ideally located on the north side of Columbus,

directly off Ohio Interstate I-71 at Exit 121. The hotel is positioned near the thriving

Polaris Centers of Commerce and the Polaris Mall.

DIRECTIONS: If you're traveling I-270 or I-70, proceed to I-71 North to Exit 121 which is Polaris Parkway. Turn left (West) onto Polaris Parkway

and proceed to the first traffic light, Lyra Drive. Turn right at Lyra Drive.

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Mark your calendar for the Ohio Council’s 2015 Annual Conference & Exhibit Hall –

October 22-23, 2015 at the Hilton Columbus/Polaris

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