2007 Rural Health
Clinic and Critical
Rural Health Clinic
October 2-3, 2007
Critical Access Hospital
October 3-5, 2007
Crowne Plaza Riverwalk
San Antonio, Texas
Two Conferences Rural Health Clinic
Packed With Tuesday, OcTOber 2
Information You 10:30 a.m. – 1:00 p.m.l
Can Use Registration
1:00 p.m. - 1:15 p.m.l
Welcome and Opening Comments
Rural Health Clinic Conferencee George Miller
The 2007 Rural Health Clinic Conference has NRHA President
been tailored to provide firsthand information from Tommy Barnhart
key leaders in the field on the latest updates and Group Chair, Rural Health Clinic Constituency
research regarding the Rural Health Clinic (RHC) Welcome attendees and open the Rural Health Clinic
Program. This conference also offers attendees with Conference.
a review, clarification and answers to questions on
1:15 p.m. - 2:00 p.m.l
some of the fundamental administrative aspects of
operating an RHC program Washington Update
Maggie Elehwany, JD
NRHA Critical Access Hospital Vice President of Government Affairs and Policy, National Rural
Conference The Rural Health Clinic Program faces significant legislative
The purpose of the 2007 Critical Access Hospital and regulatory issues in 2007. During this time, we will look at
Conference (CAH) is to highlight emerging infor- pending legislative and regulatory changes for the RHC program,
mation and research that can impact the day-to-day and how these changes could impact the daily business of Rural
operations of these rural hospitals. This conference Health Clinics in the coming year.
is a venue for CAH administrators, practitioners, 2:00 p.m. - 2:45 p.m.l
and staff to learn from their peers and gain the
skills necessary to keep their CAH competitive in a Success Stories from the Field
dynamic and changing environment. Individuals currently operating both freestanding and provider
based Rural Health Clinics will share their stories of success and
provide attendees with an opportunity to contribute their own
Exhibit Opportunities examples of best practices. This session provides an opportunity
Exhibits are available during the conferences. Please to learn from others with similar experiences, and impart hands-
contact Kathy Siress at Siress@NRHArural.org or at on knowledge from others “in the field.
816-756-3140 for more information. 2:45 p.m. – 3:15 p.m.l
3:15 p.m. - 4:15 p.m.l
Capt. Corinne Axelrod, M.P.H., L.Ac. Dipl.Ac.
Center for Medicare Management, Centers for Medicare &
The Medicare program is a critically important payer for the
Rural Health Clinic Program. This session includes an update
from CMS staff on the status of proposed RHC regulations, and
will include a review of significant provisions of the proposed
4:15 p.m. – 5:15 p.m. l 11:30 a.m. - 12:00 a.m.l
Survey and Certification Workshop Wrap-up Panel
Craig Jimerfield, George Miller
Texas Department of State Health Services NRHA President
CMS oversees compliance with the Medicare health and safety Tommy Barnhart
standards through state-based survey and certification proce- Group Chair, Rural Health Clinic Constituency
dures. This session will provide an overview of the process The NRHA President and Rural Health Clinic Constituency
and substance of state inspection procedures, and what a Rural Group Chair will close out the 2007 conference with an open
Health Clinic must do to meet and exceed those requirements. town hall meeting on issues and concerns impacting Rural
This session is provided by the Texas Department of State Health Clinics and membership in the NRHA.
5:30 p.m. to 6:30 p.m.l
Opening Night Reception / View Exhibits
Attendees will have the opportunity to meet and interact with
other attendees, businesses and organizational sponsors of the
Conference who share NRHA’s commitment to rural health. Critical Access Hospital
Wednesday, OcTOber 3 Wednesday, OcTOber 3
8:00 a.m. – 8:30 a.m.l
Continental Breakfast / View Exhibits 10:30 a.m. – 1:00 p.m.l
8:30 a.m. – 10:00 a.m.l CAH Registration
Billing and Cost Reporting 1:00 p.m. - 1:15 p.m.l
Michael Bell & Company, PLLC CAH Welcome and Opening Comments
Certified Public Accountants & Consultants, Spokane, Washington
Many Rural Health Clinics have overlooked opportunities to NRHA President
improve Medicare and Medicaid reimbursement. This session
will provide accurate and updated billing information for pro- Lance Keilers
vider-based and freestanding Rural Health Clinics in a hands-on CAH Leadership Group Chair
learning format. Brock Slabach
Group Chair, Rural Hospital Constituency
10:00 a.m. – 10:30 a.m.l
Welcome attendees and open the 2007 CAH Conference.
Break / View Exhibits
1:15 p.m. - 2:00 p.m.l
10:30 a.m. - 11:30 a.m.l
The Future of Rural Health Care
Compliance and Operations Under the New Tim Size, MBA
Program Regulations Executive Director, Rural Wisconsin Health Association (RWHC)
Ramsey Longbotham Keith J. Mueller, PhD
Executive Director, Texas Association of Rural Health Clinics Professor & Director, Nebraska Center for Rural Health Research
This session will provide an interactive discussion regarding new George N. Miller
regulations impacting the RHC program, and how they can be President, NRHA Regional President and Chief Executive Officer,
addressed. Success stories from the field will be shared, as well as Community Mercy Health Partners
operational practices that should be avoided. Hear three perspectives on what opportunities and challenges of
“The best benefits of going to the CAH Conference is
that you can interact with your peers and you know the
agenda is will be relevant to the challenges we face.”
D. David Sniff
President, Midwest Consultants for Rural Health, Inc.
Critical Access Hospital Thursday, OcTOber 4
Conference (cont.) 7:00 a.m. - 8:00 a.m.l
Continental Breakfast / View Exhibits
2:00 p.m. - 3:00 p.m.l
8:00 a.m. - 9:30 a.m.l
Maggie Elehwany, JD CAH Replacement Facility National Study
Vice President of Government Affairs and Policy, National Rural (Year III)
Health Association Legislative and Regulatory Update Eric K. Shell, CPA, MBA
The Critical Access Hospital Program faces significant legisla- Principal, Stroudwater Associates
tive and regulatory issues in 2007. During this time, we will As a follow up to the 2006 national study, which looked at the
look at pending legislative and regulatory changes for the CAH impact of new CAH facilities on healthcare operations, this ses-
program, and how these changes could impact the daily business sion will examine the progress of these facilities to date, and also
of Critical Access Hospitals in the coming year. explore the economic impact within the communities where
these new facilities have produced.
3:00 p.m. – 3:15 p.m.l
9:30 a.m. -10:15 a.m.l
Break / View Exhibits
3:15 p.m. - 4:00 p.m.l
10:15 a.m. - 11:00 a.m.l
This session will provide attendees an overview of the CAH Swimming with the Big Fish: Surviving
program from the perspective of the Centers for Medicare & Marketing for the CAH
Medicaid Services. New regulations important to CAHs will be Sherald Wood
addressed in this presentation as well as clarification on current Director of Marketing, Limestone Medical Center
regulations impacting this program.
Rural and community hospitals may not have competition in
their local areas, but they do experience the impact of compe-
tition from their urban counterparts. CAHs must develop a
4:00 p.m. - 5:00 p.m.l strategic marketing plan that ensures their patient base. This
Medicare Update presentation will introduce ways for developing these strategies
and discuss how to survive in the competitive market.
John Sheehan, CPA,
Partner, Baird, Kurtz & Dobson 11:00 a.m. – 12:00 p.m.l
CPA, Partner, Baird, Kurtz & Dobson, St. Louis, Missouri Toward Greater Transparency for CAHS
This discussion will explore questions and concerns regarding John Supplitt
CAH payment issues under the Medicare program, and how Senior Director, AHA
Critical Access Hospitals are addressing payment and regulatory Walt Gregg
concerns from a national perspective. Jr. Senior Research Fellow, UMN Rural Health Research Center
John A. Gale
Maine Rural Health Research Center
5:30 p.m. - 7:00 p.m.l
Federal Policy makers as well as the public in general are hold-
Reception ing health care providers to increasingly higher standards of
transparency. This session will outline the public’s expectations,
Attendees will have the opportunity to meet and interact with current status of CAH compliance, and ways to fill the gaps to
other attendees, businesses and organizational sponsors of the meet community benefit standards.
Conference who share NRHA’s commitment to rural health.
12:00 p.m. - 1:30 p.m.l
3:45 p.m. - 4:30 p.m.l
1:30 p.m. - 2:30 p.m.l
Concurrent Sessions (Select from A, B or C) Break/View Exhibits
A. Gonzales Hospital – Best Practices in EHR 4:30 p.m. - 5:30 p.m.l
The Pharmacist, a Vital Component to
Leslie Janssen Medication Safety
Director of HIM, Gonzales Healthcare Systems
Elaine King Director, American Society of Health System Pharmacists Section of
Healthcare Product Manager, Optio Software Inpatient Care Practitioners
This session will provide a detailed overview of the status quo This session will discuss the pharmacist’s role in medication
of EHR technology today as it pertains specifically to the small safety. Data will be shared on the impact that pharmacists can
hospital and healthcare facility. This case study will focus on make, and case examples of innovative pharmacists’ services.
preparation, vendor selection, financial strategies for success and
how to avoid common implementation pitfalls.
B. Accreditation as A Performance Improvement Process
Friday, OcTOber 5
Darlene Christiansen, ED 7:45 a.m. - 8:45 a.m.l
Accreditation and Certification Services
Breakfast in Exhibit Hall
Accredited health hospitals improve their performance, raise
the level of patient care, and demonstrate accountability in 8:45 a.m. - 10:00 a.m.l
the rapidly changing healthcare marketplace. This session will
highlight how hospitals can use accreditation to improve perfor- Succession Planning for Rural Hospitals
mance and enhance patient safety.
David Sniff, MA FACHE
C. Institute for Healthcare Improvement Midwest Consultants for Rural Health
This presentation will focus on the 5 Million Lives Campaign Much has been written about succession planning for larger
and examples of best practices in rural health care quality hospitals, but often there is a perception that there is no one
improvement. This campaign has been instrumental in improv- to succeed a rural hospital CEO, so a plan is not allowed. This
ing quality patient care in hospitals and saving lives around session will dispel that myth by providing methods and logical
the country. The number of rural hospitals participating in the steps that can be followed in a planned or unplanned departure
campaign continues to rise as a result of the program’s continued of the CEO.
10:00 a.m. - 11:00 a.m.l
2:30 p.m. - 3:45 p.m.l
Aligning Employed Physician Incentives
Chief Executive Officers / Chief Financial Within a CAH
Officers / Chief Nursing Executives Jeffrey Johnson
Discussion Groups Partner Wipfli LLP
Back by popular demand, this interactive breakout session pro- Implementing an employed physician compensation plan can
vides facilitated peer-to-peer interaction. easily be one of the more time-consuming, frustrating and
expensive operational issues for a health care organization. This
session will demonstrate how the process of developing and re-
vising a physician compensation plan can lead to the long-term
success of a CAH.
11:00 a.m. - noonl
CAH Financing Options
Charles A. Wells, Jr.
“This conference is focused exclusively on Critical President, Healthcare Financial Advisers, Inc.
Access Hospitals and the unique challenges we face. This session provides an opportunity to hear about the various
You’ll learn the latest and share ideas, but most impor- financing options when it comes to building a Critical Access
tantly, build a network of friends and colleagues that Hospital facility. Valuable information on interest rates and
construction costs will be provided.
understand our language and issues.”
Administrator, Field Memorial Community Hospital Conference Adjourns
Things to Do In San Antonio
Alamo River Walk (Paseo Del Rio)
On the east side of Alamo Plaza is the most famous spot in Texas Paseo Del Rio in the heart of downtown, is the pride of the city.
where 189 defenders fell on March 6, 1836. Mission San Antonio Lush green foliage lines the banks of this peaceful, historic river.
de Valero (The Alamo) was established in 1718 as the city’s first Cobblestone walkways lead visitors to the river-level restaurants
mission. The chapel, one of the most photographed facades in the and shops. The river bubbles to the surface on the grounds of the
nation, and the Long Barracks are all that remain of the original University of the Incarnate Word and flows to downtown, thread-
fort. Long Barracks Museum and Library are near the chapel. The ing its way through the city one level below the hustle and bustle of
museum contains relics and mementos from the Republic of Texas city streets. First called Yanaguana by the Payaya Indians, meaning
and offers narration on the fall of the Alamo. The Alamo is located “place of refreshing waters.” Along the horseshoe shaped riverbend,
in the heart of the city, inside beautifully landscaped grounds the river is shaded by towering cypresses, oaks and willows and
bordered by gardens of flowering ornamental plants. River cruis-
Casa Navarro State Historical Park ers travel the River Walk’s three miles past unique retail shops,
www.tpwd.state.tx.us/park/jose restaurants and nightclubs. See Rio San Antonio Cruises, listed in
The home site of Jose Antonio Navarro (1795-1871), a Texas legis- Activites and Rides.
lator under Mexico, the Republic of Texas and the U.S. The site of
Navarro’s furnished house, first residence, and store. Navarro’s life San Antonio Botanical Garden
illustrates Texas’ rich Mexican history and heritage. www.sabot.org
This 33-acre living museum, one can enjoy colorful seasonal floral
King William Historic Area displays, a serene native forest walk, exotic plant specimens from
www.kingwilliamassociation.org around the world, modernistic glass pyramids, and even an authentic
A 25-block area near downtown on the south bank of the San Anto- log cabin. Highlights include the Old Fashioned Perennial Garden,
nio River. In the late 1800’s the King William District was the most Rose Garden, Sacred Garden, Garden for the Blind, Kuamoto En
elegant residential area in the city. Prominent German merchants (an authentic Japanese Garden), and extensive native collections
originally settled the area. It was zoned as the state’s first historic representing the hill Country, East Texas and Southwest Texas. The
district, and has once again become a fashionable neighborhood. futuristic Lucile Halsell Conservatory features plants from around
The area includes the following attractions. the world displayed in the Exhibit Room, Desert Pavilion, Tropical
Forest Room, Palm House and Fern Grotto. The Aquatic Garden
La Villita Pool is the central feature of the Conservatory Courtyard.
A unique arts and crafts community with shops, working artists, res- San Antonio Missions National Historical Park
taurants and a post office. The Old San Antonio Exhibit (located in
Bolivar Hall) houses a collection of art objects, artifacts and symbols www.nps.gov/saan
relevant to the history. This beautifully landscaped historic district The chain of missions established along the San Antonio River in
offers leisurely shopping, dining and five rental venues for special the 18th century are reminders of one of Spain’s most successful at-
events. tempts to extend its New World dominion from Mexico. More than
just churches on the Spanish Colonial frontier, the missions also
Market Square - El Mercado served as vocational and educational centers, economic enterprises
www.marketsquaresa.com involved in agricultural and ranching endeavors and regional trade.
They were the greatest concentration of Catholic missions in North
From early morning until late at night, Market Square is alive with America and formed the foundation for what is today the thriving
activity. Visitors browse through the 32 shops at “El Mercado,” an city of San Antonio. The park contains the historically and archi-
area patterned after an authentic Mexican market. In addition, there tecturally significant structures of missions Concepción, San José,
are 80 specialty shops in Farmers Market Plaza. Market Square is San Juan and Espada.
also the scene of many Hispanic festivals where food and beverage
booths spring up alongside the Guadalajara lamps and the strains of San Antonio Zoological Gardens and Aquarium
mariachi music blend with the excitement of Mexican dances.
Ranked as one of the best zoos in the nation exhibiting over 3,500
Old Spanish Trail animals of 750 species. At the headwaters of the San Antonio River,
the zoo encompasses 35 landscaped acres. Includes one of the largest
www.oldspanishtrailcentennial.com bird collections in the world.
During the 1920s San Antonio’s Gunter Hotel was the headquarters
for the building of the southern U.S. transcontinental Auto High- Spanish Governor’s Palace
way commemorated by the 0-Mile Stone on City Hall lawn. From A national historic landmark, labeled ”the most beautiful building in
St. Augustine, Florida to San Diego, California, the Old Spanish San Antonio” by the National Geographic Society, it once housed
Trail links cities of Spanish conquest and settlement the officials of the Spanish Province of Texas.
Register today to save on fees!
by mail: National Rural Health Association; 521 East 63rd Street; Kansas City, Missouri 64110-3329
(Please include payment with registration form)
by Fax: (816) 756-3144 (Please include your credit card number and signature on the registration form)
hOTel: For room reservations, please call (888) 623-2800. Please mention the NRHA Conference in order to receive
our contracted $149 room rate. Hotel reservations can also be booked online by following the link from the
NRHA website, conference section.
QuesTiOns? Contact Bob Marsh at 816-756-3140.
cancellaTiOn Cancellations made at least 3 weeks prior to the event, will be charged a 30% administrative fee or alternatively
POlicy: may choose to receive full credit towards a future NRHA event.
Rural Health Clinic Conference Critical Access Hospital Conference
Before September 7, 2007l Before September 7, 2007l
❏ $179 NRHA Individual, Organizational or ❏ $299 NRHA Individual, Organizational or
Supporting Members Supporting Members
❏ $379 All others* ❏ $499 All others*
After September 7, 2007l After September 7, 2007l
❏ $199 NRHA Individual, Organizational or ❏ $349 NRHA Individual, Organizational or
Supporting Members Supporting Members
❏ $399 All others* ❏ $549 All others*
*Will include a one-year complimentary individual membership in NRHA.
❏ Check or Purchase Order (payable to NRHA) Credit Card: ❏ Visa ❏ MasterCard ❏ Discover ❏ American Express
Card Number:_________________________________________Expiration Date: ______________________________________________
Name on Card:________________________________________Signature: ____________________________________________________
Come to beautiful San Antonio
to connect and learn at the NRHA
Rural Health Clinic and Critical
Access Hospital Conferences!
OctObe tonio , texas
San Antonio offers a wealth of attractions including the historic
Alamo battle site and Botanical Garden. The NRHA confer-
ence location is on the world-famous River Walk, where you’ll
find superb shopping, dining and entertainment.
Kansas City, Missouri 64110-3329
521 East 63rd Street
National Rural Health Association
Kansas City, MO
Permit No. 202