2015 Presentations


Day One Thursday February 12
Day Two Friday February 13
8:30 am - 9:30 am
A New Future For Behavioral Health: Using Public Health Models To Manage Population Health

Keynote Address

  • Arthur C. Evans Jr., Ph.D.

    Commissioner, Philadelphia Department of Behavioral Health & Intellectual disAbility Services

    Policymaker, clinical and community psychologist, healthcare innovator, Arthur C. Evans Jr., Ph.D, is the Commissioner of Philadelphia’s Department of Behavioral Health and Intellectual disAbility Service (DBHIDS) – a $1 billion healthcare agency.

    Serving 120,000 people every year, DBHIDS has undergone a system-wide transformation under the leadership of Dr. Evans, focusing on recovery for adults, resilience for children and self-determination for people in need of intellectual disability services. The transformation of the Philadelphia service system has improved outcomes for people accessing services and has resulted in fewer inpatient admissions, visits to crisis centers, and significant cost savings that the City has reinvested in community-based services and supports. His work as Commissioner continues his lifelong commitment to serving people who are underserved and ensuring that effective, high-quality healthcare is accessible to all.

    Dr. Evans holds faculty appointments at the University of Pennsylvania School Of Medicine and the Philadelphia College of Osteopathic Medicine and has held faculty appointments at the Yale University School of Medicine and Quinnipiac University.

    Often hailed as a visionary, Dr. Evans has been recognized nationally for his work in behavioral healthcare policy and the transformation of service delivery systems. In 2013, he received the American Medical Association’s top government service award in health care, the Dr. Nathan Davis Award for Outstanding Government Service, for his leadership in transforming the Philadelphia behavioral health system, particularly around the adoption of a public health approach. Dr. Evans is also regarded as a strong advocate for people experiencing behavioral health conditions and was recognized by Faces and Voices of Recovery with the Lisa Mojer-Torres Award.

    Dr. Evans has served in several national leadership roles, including: Chair of the federal Substance Abuse and Mental Health Services Administration (SAMHSA) Partners for Recovery Initiative Steering Committee, Chair of the National Advisory Committee for the Robert Wood Johnson Foundation’s Paths to Recovery Project, and President of the Board of Directors of the New England Institute of Addiction Studies. In 2014, the Melville Charitable Trust, the nation’s largest philanthropy focused exclusively on ending homelessness, announced that Dr. Evans has joined its Board of Directors.

    Prior to his work in Philadelphia, Dr. Evans was the Deputy Commissioner for the Connecticut Department of Mental Health & Addiction Services, where he led major strategic initiatives for the Connecticut behavioral healthcare system. He was instrumental in implementing a recovery-oriented policy framework, addressing healthcare disparities, and increasing the use of evidence-based practices, leading edge research, and community engagement.

    With a proven track record of innovative and effective solutions to complex systems change, Dr. Evans brings diverse training and experience as a scientist-practitioner and policymaker. He is in high demand as a resource for his fellow psychologists, healthcare administrators, and community, service, and government leaders. An adept and versatile public speaker, Dr. Evans speaks to behavioral health leaders and organizations across the country.

    Arthur Evans lives in the great city of Philadelphia with his wife Claudene Pinder Evans; they have three daughters, Salihah, Akilah, and Jamila.

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9:45 am - 11:00 am
Maximizing Your Team's Performance: A Look At Productivity Management & Performance-Based Compensation Models

Breakout Session

  • Ken Carr

    Chief Financial Officer, Guild Incorporated, & Advisory Board Member, OPEN MINDS

    Ken Carr, Advisory Board Member, M.DIV., brings more than 18 years of finance, technology, and human resource experience in the health and human service field. He is currently the Chief Financial Officer of Guild Incorporated in St. Paul, Minnesota, a mental health treatment center. Mr. Carr started his career at Guild Incorporated in 1989 as Director of Finance and Administration, where he remained for eleven years before leaving the organization and returning in 2006. For the past eight years, in his role at Guild, Mr. Carr has used his expertise in change management and business process improvement to lead staff in the effort to implement Guild Incorporated’s electronic medical record system, which resulted in the organization’s ability to integrate its scheduling, service documentation, and billing. After eleven years, Mr. Carr went on to work with Goodwill Industries and the American Red Cross. While at Goodwill Industries, he served as the Manager of Financial Planning and Analysis, where he managed an operating budget of $26 million and oversaw financial planning and analysis of the growing organization. As the Director of Finance for the Red Cross, Mr. Carr was responsible for a budget of $12 million and led an effort to set standards and reorganize the financial systems. He also helped reorganize the timing and coordination of purchases to end emergency orders, resulting in a 38% reduction in shipping costs. Mr. Carr returned to Guild Incorporated in 2006 to serve in his current role as Chief Financial Officer.

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  • Karen Brannon, Ph.D.

    Director of Research & Organizational Development, Family Services of Western Pennsylvania

    Dr. Brannon is Director of Research and Organizational Development with Family Services of Western Pennsylvania where she is responsible for organizational outcomes, research projects, quality management and improvement, risk management and compliance, and staff training and development. She earned a master’s degree in adult education from the University of Pittsburgh and her doctorate in Industrial/Organizational Psychology from Northcentral University. She has over 15 years of experience in outcomes and program evaluation, staff development, adult learning, quality improvement, and integrating organization-wide efforts.  She is trained in facilitation techniques, and enjoys providing training in both formal and informal venues.

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  • Melanie Teves Bell, Ed.S., LMFT

    Senior Vice President of Clinical Services, Manatee Glens

    Melanie Teves Bell is a senior manager, currently serving as the Senior Vice President of Clinical Services at Manatee Glens and has worked there for the past 14 ½ years. She has been working in the behavioral health field for the past 19 years with experience in crisis intervention, couples and family counseling and intensive outpatient and traditional outpatient services for children, adolescents, adults and co-occurring populations. She is also a Licensed Marriage and Family Therapist.

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Understanding The CMS Five-Star Quality Rating System: How Provider Organizations Can Help Payers Close The Quality Gap

Breakout Session

  • Philip Micali

    CEO & Founding Principal, bWell International & Advisory Board Member, OPEN MINDS

    Philip Micali, Founder and Principal of bWell International, Inc., and Advisory Board Member, OPEN MINDS possesses over 30 years of experience developing, operating, and managing innovative health and wellness companies, in the U.S. and in Europe. His innovative work in designing and implementing public sector behavioral health programs and health savings account models of reimbursement has earned him national acclaim. In addition He has worked within two of the nation’s leading managed mental health companies, including Value Options and Magellan. Mr. Micali’s vast consultation portfolio includes IBM, Microsoft, Intel, Chevron, Thomson Reuters and States of Iowa and New York.

    Since 2005, Mr. Micali has led a boutique consulting practice, bWell International, Inc., focused on marketing planning and execution of innovations in chronic care patient engagement, closing gaps of care, and health insurance marketplace (exchange) technologies. He also developed a software-as-a-service window shopper (consumer decision support) technology for private and public health insurance marketplaces, called bWell-informed, LLC. It enables exchanges to operate more transparently. In the early 2000s, he led sales and government program initiatives, as well as direct to consumer education programs at the nation’s leading consumer driven health plan, Lumenos, later sold to Wellpoint/Anthem.

    Mr. Micali held other prestigious positions such as Managing Director of Eldercare and Family Caregiver Web Portal at Angelini Pharmaceutical Company in Rome, Italy, where he lived and worked for four years. And during his experience in Europe, Mr. Micali was one of the founding adjunct professors of the Masters in International Health Management Economics and Policy at the Bocconi University in Milan, Italy.

    Mr. Micali studied Health Economics and Organizational Behavior at the University of Michigan and is currently enrolled in an Executive MBA Program – Healthcare at Baldwin Wallace University in Cleveland, Ohio.

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The Six Sigma Approach To Leveraging Predictive Analytics & Improving Quality Of Care

Knowledge Partner

  • Michael Croghan

    SVP, Chief Product Strategist & Technology Officer, Care Management Technologies & Certified Six Sigma Black Belt Instructor

    Michael Croghan has over 25 years of experience in software engineering and quality management in aerospace, commercial software and managed care industries. Before joining CMT, he was Director of Clinical Analytics at Affordable Care, Inc., a nationwide managed dental care company. He helped database software provider, Sybase grow from a $20 million to a billion dollar company, while holding the positions of Director of Data Warehousing & Business Intelligence, Director of Enterprise Applications and Vice President Global Infrastructure. Mr. Croghan’s career began as a software engineer in the aerospace industry at Lockheed with projects at NASA, DARPA and the NTSB. He earned his Bachelor’s degree at the University of South Carolina and completed graduate studies in computer science at the University of Southern California and the University of California at Berkeley.

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  • W. Chad Stephens, M.D.

    Chief Medical Officer, Centerpoint Human Services

    W. Chad Stephens, M.D. is the Chief Medical Officer at CenterPoint Human Services, a Medicaid 1915bc waiver MCO in Winston Salem, NC.  He graduated from Duke Medical School then the Family Medicine residency at Wake Forest University.  He began his career in family medicine and has primary care experience in the US and in Kenya.  He later retrained in psychiatry in the Wake Forest University Psychiatry residency. He has administrative experience in medical and behavioral health settings. He is board certified by the ABPN, the ABAM, and the APFM.

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  • Joel Leonard

    Quality Management Director, Centerpoint Human Services

    Joel Leonard, M.P.A. is the Quality Management Director of CenterPoint Human Services in Winston-Salem, NC.   His 10 years of Quality Management experience include LME/MCO settings and a clubhouse model program for adults with mental illness.  Joel has led or overseen URAC accreditation of the LME/MCO and ICCD (International Center for Clubhouse Development) accreditation for the clubhouse program.  He currently oversees QM Compliance, QM Data Analysts and Grievances and Appeals, leads the QM Cross Functional Team and is the staff liaison to the Global Quality Improvement Committee and the Human Rights Committee.   Joel has a Master’s degree in Public Administration and a B.S. degree in Finance and Economics. He is Six Sigma Green Belt Certified (SSGBC).

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  • Carol Clayton, Ph.D.

    Chief Executive Officer, Care Management Technologies

    Dr. Clayton is a licensed, practicing psychologist with 25 years of healthcare experience in the public and private sector, including non-profit and private practice work.  Before joining CMT, Dr. Clayton was the Executive Director for the North Carolina Council of Community MH/DD/SA Programs.  She began her career at a local NC state psychiatric facility followed by leading regional public child and family services under a capitated Medicaid waiver in NC from 1991 - 1994. Dr. Clayton also served as the Executive Director for Magellan Health Services for the South Atlantic states of North Carolina, South Carolina, Tennessee and Georgia from 1994 - 1999.  In that capacity, Dr. Clayton oversaw risk and non-risk based behavioral healthcare service for over two million lives. She received her PhD from the University of North Carolina at Chapel Hill, Chapel Hill, NC.

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11:15 am - 12:30 pm
The Payer Perspective On Provider Collaboration: Performance Measurement, P4P, Gain-Sharing, & Risk-Based Contracting

Breakout Session

  • Joseph P. Naughton-Travers, Ed.M.

    Senior Associate, OPEN MINDS

    Joseph P. Naughton-Travers, Ed.M., Senior Associate, has more than 30 years of experience in the health and human service field. In this tenure as senior associate with OPEN MINDS since 1998, he has served as lead of dozens of client initiatives, served as editor of OPEN MINDS publications, and is the author of many groundbreaking articles and presentations.

    Mr. Naughton-Travers brings to OPEN MINDS a broad range of experiences in private and public sector delivery of behavioral health and social services. He started his career as a behavioral health clinician, working in both child welfare and community mental health clinic settings. Subsequently, Mr. Naughton-Travers held a senior business operations management position for a psychiatric hospital system and its community mental health clinics.  Later, he was vice president of a firm specializing in information systems and billing and receivables management for community-based mental health programs.

    Since joining OPEN MINDS, Mr. Naughton-Travers has developed business solutions for provider and professional organizations, state and county government, technology companies, and venture capital firms. His primary areas of expertise include strategic planning and metrics-based management, electronic health record (EHR) and technology selection and implementation, operations improvement, and corporate compliance. For the past decade, over half his consulting practice has focused on aiding organizations in technology selection and implementation, including all aspects of strategic technology planning, functional specifications development, request for proposal development, vendor selection, and contracting.

    He has written numerous articles, including “Winning the Human Resource Wars: Tried, True and New Strategies for Behavioral Health and Social Service Organizations,” “Five Pillars of Management Competency,” “Data Driven Decision Making: Moving to an Organizational Measurement Culture,” “Survival of the Smartest: What is Your Organization’s Information Literacy IQ?,” and “Strategic Human Resource Management: Aligning Compensation with Employee Performance and Organizational Strategy.” Mr. Naughton-Travers is also a nationally recognized speaker, having conducted hundreds of executive and professional executive training events around the nation.

    Mr. Naughton-Travers received his Bachelor’s degree from Miami University of Ohio and his Masters’ of Education in Counseling Psychology from Boston University.

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  • D. Bruce Condit RN, BSN, CCM

    Head of Behavioral Health Program Development, Aetna

    Mr. Condit is the Head of Behavioral Health Program Development for Aetna Behavioral Health, reporting directly to the Chief Medical Officer. His psychiatric nursing career includes work in the Pennsylvania State Hospital system, as well as clinical roles in both adult and adolescent residential treatment. He has been involved in managed behavioral healthcare for over 16 years, developing experience in the areas of utilization management, network development, appeals and program development, with an emphasis on the use of technology. He is a Certified Case Manager, as well as a member of the American Telemedicine Association and the American Organization of Nurse Executives.

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  • Anita Soutier

    Director of Contracting, Cigna

    Ms. Soutier joined the Cigna organization in 1995 and has held positions across the Total Health and Network Organization, most notably within the Behavioral Clinical and Network Operations divisions. In her current role, Anita is a member of the Behavioral Network Management Team and is responsible for the development and oversight of the Behavioral Contracting, Reimbursement and Unit Cost Strategy. Over the last 2 years Anita has been a key contributor in the development and implementation of Cigna’s Pay for Performance for Behavioral Hospitals Initiative. Anita received her Bachelor’s degree from the University of Massachusetts in Psychology.

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  • Matt Miller

    National Vice President, BH Network Management and Operations, Magellan Health Services

    As vice president of network, Matt Miller is responsible for the oversight and direction of the provider Network department for Magellan’s Behavioral Health business. In this role, Matt leads Magellan’s network development, management and provider relations activities for new business development opportunities, and implementation of new programs and manages Network activities in Magellan’s existing behavioral programs nationwide including unit cost and reimbursement strategies.

    Matt has extensive experience working with commercial and public sector programs and stakeholders to develop effective systems of care. Prior to his current role, he served as vice president of network and as director of business development for Magellan’s public sector division. His responsibilities included strategic planning and proactive outreach to providers and other key stakeholders related to new business opportunities. His background also includes serving as network director for Magellan's HealthChoices programs in Pennsylvania. There his role included developing network strategy, provider reimbursement methodologies, monitoring and reporting mechanisms and implementing a meaningful provider relations-based approach to ensure provider input into the system. Matt also led the efforts in Pennsylvania to develop new programs and services for the HealthChoices program while serving as service systems development manager.

    Prior to joining Magellan, Matt held many positions within community mental health centers and freestanding psychiatric hospitals in and around the Philadelphia area. He holds a Bachelor of Arts degree from Gustavus Adolphus College in St. Peter, Minnesota where he majored in Psychology and Criminal Justice.

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Adherence, Coordination & Integration: What The New SMI HEDIS Measures Mean For The Field

Breakout Session

  • Monica E. Oss

    Chief Executive Officer, OPEN MINDS

    Monica E. Oss, M.S., Chief Executive Officer and Senior Associate, is the founder of OPEN MINDS. For the past two decades, Ms. Oss has led the OPEN MINDS team and its research on health and human service market trends and its national consulting practice. Ms. Oss is well known for her numerous books and articles focused on the strategic and marketing implications of the evolving health and human service field. She has unique expertise in payer financing models, provider rate setting, and service pricing. She has led numerous engagements with state Medicaid plans, county governments, private insurers, managed care programs, service provider organizations, technology vendors, neurotechnology and pharmaceutical organizations, and investment banking firms – with a focus on the implications of financing changes on delivery system design.

     

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  • Junqing Liu, Ph.D., MSW

    Research Scientist, Performance Measurement, National Committee for Quality Assurance

    Dr. Junqing Liu, a behavioral health researcher, joined the National Committee for Quality Assurance in 2011 as a research scientist. Dr. Liu serves as a researcher and project director on several federally funded child and adult behavioral health measurement projects at NCQA. As the champion of NCQA’s behavioral health measures, Dr. Liu guides the re-evaluation and updates of HEDIS behavioral health measures. Dr. Liu’s research focuses on access to mental health services, evidence-based treatment for behavioral health problems, and child welfare services. Prior to joining NCQA, Dr. Liu was a research assistant professor at University of Maryland School of Social Work and conducted the evaluation of a federally funded research project on the implementation of evidence-based practices in child welfare systems in six states. She holds a Ph.D. and a Master in Social Work from University at Albany, State University of New York. She received her undergraduate degree from China Youth University for Political Sciences.

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Optimizing Performance Measurement Through Culture Change & Technology Adoption

Knowledge Partner

  • Christy Winter, LMSW

    Manager of Clinical Informatics & Outcomes, Qualifacts

    Ms. Winter is the Manager of Clinical Informatics and Outcomes for Qualifacts. At Qualifacts, Christy is responsible for assisting customers with outcomes measurement, analyzing and benchmarking outcomes data, and providing guidance for product development. Prior to that role, she was the Director of Continuous Quality Improvement (CQI) and Practice-based Research at Families First in Atlanta. During her 10-year tenure at Families First, she conducted and managed multiple program evaluation and research projects, and developed and implemented an extensive outcomes measurement and CQI system for the agency. Christy has conducted numerous CQI, performance management, and outcomes measurement trainings nationally and internationally. Christy received her Bachelor’s degree from Emory University in Psychology and her Master’s degree in Social Work from Georgia State University.

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  • Karen Brannon, Ph.D.

    Director of Research & Organizational Development, Family Services of Western Pennsylvania

    Dr. Brannon is Director of Research and Organizational Development with Family Services of Western Pennsylvania where she is responsible for organizational outcomes, research projects, quality management and improvement, risk management and compliance, and staff training and development. She earned a master’s degree in adult education from the University of Pittsburgh and her doctorate in Industrial/Organizational Psychology from Northcentral University. She has over 15 years of experience in outcomes and program evaluation, staff development, adult learning, quality improvement, and integrating organization-wide efforts.  She is trained in facilitation techniques, and enjoys providing training in both formal and informal venues.

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1:45 pm - 3:00 pm
How To Develop Financial Modeling Tools To Improve Performance: A Mental Health Outpatient Services Case Study

Breakout Session

  • Joseph P. Naughton-Travers, Ed.M.

    Senior Associate, OPEN MINDS

    Joseph P. Naughton-Travers, Ed.M., Senior Associate, has more than 30 years of experience in the health and human service field. In this tenure as senior associate with OPEN MINDS since 1998, he has served as lead of dozens of client initiatives, served as editor of OPEN MINDS publications, and is the author of many groundbreaking articles and presentations.

    Mr. Naughton-Travers brings to OPEN MINDS a broad range of experiences in private and public sector delivery of behavioral health and social services. He started his career as a behavioral health clinician, working in both child welfare and community mental health clinic settings. Subsequently, Mr. Naughton-Travers held a senior business operations management position for a psychiatric hospital system and its community mental health clinics.  Later, he was vice president of a firm specializing in information systems and billing and receivables management for community-based mental health programs.

    Since joining OPEN MINDS, Mr. Naughton-Travers has developed business solutions for provider and professional organizations, state and county government, technology companies, and venture capital firms. His primary areas of expertise include strategic planning and metrics-based management, electronic health record (EHR) and technology selection and implementation, operations improvement, and corporate compliance. For the past decade, over half his consulting practice has focused on aiding organizations in technology selection and implementation, including all aspects of strategic technology planning, functional specifications development, request for proposal development, vendor selection, and contracting.

    He has written numerous articles, including “Winning the Human Resource Wars: Tried, True and New Strategies for Behavioral Health and Social Service Organizations,” “Five Pillars of Management Competency,” “Data Driven Decision Making: Moving to an Organizational Measurement Culture,” “Survival of the Smartest: What is Your Organization’s Information Literacy IQ?,” and “Strategic Human Resource Management: Aligning Compensation with Employee Performance and Organizational Strategy.” Mr. Naughton-Travers is also a nationally recognized speaker, having conducted hundreds of executive and professional executive training events around the nation.

    Mr. Naughton-Travers received his Bachelor’s degree from Miami University of Ohio and his Masters’ of Education in Counseling Psychology from Boston University.

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Performance Management Through Training & Staff Development: Managed Care & National Provider Perspective

Knowledge Partner

  • Leslie Mariner

    Senior Business Development Executive, Relias Learning

    Ms. Mariner has over 25 years of business development experience in health and human services. Over the past decade, she has focused her efforts on the field’s growing e-learning and training market, including her current role with Relias Learning where she leads the development of educational contracts for large provider organizations and government agencies. Prior to this endeavor, Ms. Mariner worked as the director of business development for an electronic health record software company.
    Having held executive management and operations positions with community mental health and social service agencies in several states, Ms. Mariner has diverse expertise in the behavioral health, Medicaid, child welfare, intellectual and developmental disabilities, addictions, and managed care industries. She was actively involved in Arizona’s early implementation of capitated Medicaid and was one of the early CEOs of a Regional Behavioral Health Authority (RBHA) when that system was first launched. Ms. Mariner was also heavily involved in the development and implementation of the Washington D.C. Medicaid Rehabilitation waiver program and has extensive business development and sales experience with many leading national managed care organizations. She has worked as a national, senior level consultant for government entities and private sector organizations. Ms. Mariner holds a Bachelors Degree in Social Work and a Masters in Business Management.

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  • Amrita Sethi, M.B.A., D.H.A.

    Training & Workforce Administrator, Mercy Maricopa Integrated Care

    Amrita Sethi, M.B.A., D.H.A., is the Training and Workforce Administrator for Mercy Maricopa Integrated Care, the nation’s largest fully integrated physical/behavioral carve out plan.  Amrita has been employed in the field of Medicaid managed care for 10 years working for Schaller Anderson, Aetna and Mercy Maricopa.  Previous to her training management roles within Aetna Medicaid, Amrita led corporate training teams for the financial industry, and educators in allied health professions.  Amrita’s passion is to continue researching the Medicaid consumer experience throughout the nation.

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  • Natasha Walsh

    Chief Learning Officer, Providence Services Corporation

    Natasha (Tasha) S. Walsh is the Chief Learning Officer for Providence Service Corporation. She has played many roles in her 19 year tenure with the organization and led the effort to establish the Corporate University of Providence. Tasha currently directs the efforts of the Corporate University of Providence in providing key strategic resources and guidance in leadership and professional development and replication of evidence based practices.

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3:45 pm - 5:00 pm
Revenue Cycle Management: Improving Collections With Analytics

Breakout Session

  • Ken Carr

    Chief Financial Officer, Guild Incorporated, & Advisory Board Member, OPEN MINDS

    Ken Carr, Advisory Board Member, M.DIV., brings more than 18 years of finance, technology, and human resource experience in the health and human service field. He is currently the Chief Financial Officer of Guild Incorporated in St. Paul, Minnesota, a mental health treatment center. Mr. Carr started his career at Guild Incorporated in 1989 as Director of Finance and Administration, where he remained for eleven years before leaving the organization and returning in 2006. For the past eight years, in his role at Guild, Mr. Carr has used his expertise in change management and business process improvement to lead staff in the effort to implement Guild Incorporated’s electronic medical record system, which resulted in the organization’s ability to integrate its scheduling, service documentation, and billing. After eleven years, Mr. Carr went on to work with Goodwill Industries and the American Red Cross. While at Goodwill Industries, he served as the Manager of Financial Planning and Analysis, where he managed an operating budget of $26 million and oversaw financial planning and analysis of the growing organization. As the Director of Finance for the Red Cross, Mr. Carr was responsible for a budget of $12 million and led an effort to set standards and reorganize the financial systems. He also helped reorganize the timing and coordination of purchases to end emergency orders, resulting in a 38% reduction in shipping costs. Mr. Carr returned to Guild Incorporated in 2006 to serve in his current role as Chief Financial Officer.

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  • David Wawrzynek, MS, MBA

    Chief Financial Officer, Spectrum Human Services

    David E. Wawrzynek MS, MBA is Senior Vice President for Finance and Chief Financial Officer at Spectrum Health and Human Services which is a private, non-profit community behavioral health organization, recognized as one of the most effective behavioral healthcare providers in Western New York. David has more than 37 years’ experience in public behavioral health and in his career has worked as a Substance Abuse Counselor, Mental Health Clinician/Supervisor, Clinical Program Director and Executive Management CFO. David has joined his clinical training and experience with his business/financial training and experience to bring a unique perspective and set of skills to the efficient and effective management of behavioral health services. In recent years David has been concentrating on the development of analytic modeling tools, communication platforms, and knowledge management supports to transform raw data into meaningful information to enable more effective strategic and operational insights and decision-making.

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Partnerships, Collaborations, & Mergers: Opportunities To Gain Economies Of Scale & Competitive Edge In A Changing Children’s Service Market

Breakout Session

  • Howard Shiffman

    Senior Associate, OPEN MINDS

    Mr. Shiffman has over 30 years of successful organizational and business experience in human service fields including expertise in executive management, strategic planning, business development, finance, marketing, market intelligence research, fundraising, and board development. He has hands-on expertise that comes from successful management and consulting with a number of programs. Prior to joining OPEN MINDS Mr. Shiffman served as Chief Executive Officer of Griffith Centers for Children, a COA-accredited, full-service treatment program for severely troubled youth and their families. He also developed one of the first offense-specific sex offender program in the United States.

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  • Tom Tantillo, MSW, MBA

    Vice President, Penn Foundation Behavioral Health, & Advisory Board Member, OPEN MINDS

    Tom Tantillo, Advisory Board Member, brings 30 years of experience as a senior level manager in non-profit, academic, governmental, and for-profit health care and human service organizations on both the provider and payer side. He is a seasoned behavioral healthcare executive with expertise in entrepreneurial organizational design and development, start-up and operations, proposal and business development and risk based third party contracting. Mr. Tantillo currently holds the position of Vice President at Penn Foundation Behavioral Health where he is the chief marketing and business development officer. Before his transition to VP he was Executive Director of Penn Foundation’s Recovery Center, responsible for top rated ambulatory and residential substance use disorder programs. Concurrently, Mr. Tantillo is a subject matter expert for NIATx and the National Council for Behavioral Health, advising providers on behavioral health financing, payer contracting and managing culture change associated with migrating from program funding to fee-for-service or P4P. He recently retired after 17 years on the adjunct faculty of the University of Pennsylvania School of Social Policy and Practice.

    Before his tenure at Penn Foundation, Mr. Tantillo served for 12 years as the Chief Administrative and Financial Officer of the Department of Child and Adolescent Psychiatry at The Children’s Hospital of Philadelphia (CHOP). In this role he merged the operations and culture of three precursor organizations, developed a model billing compliance program for CHOP, and planned and oversaw installation of multiple information systems.

    Prior to his position at CHOP, Mr. Tantillo was the principal at Managed Healthcare Solutions. In this consulting practice, he led the design and implementation for the complete infrastructure of a 200,000-member managed behavioral health organization (MBHO).

    Preceding his consultation practice with Managed Healthcare Solutions, as Senior Vice President of Managed Care Programs at Northwestern Human Services (NHS), Mr. Tantillo directed strategic efforts to move corporate focus from a traditional public sector program funded model to fee-for-service reimbursement, and developed an internal management service organization for contracting and intake of NHS’s Pennsylvania based programs. Earlier in his career, Mr. Tantillo developed and was Executive Director of a Physician Hospital Organization that was a partnership between major Philadelphia acute care and psychiatric health systems, and participated in the genesis of managed behavioral health care in the Eastern U.S. as Vice President for Provider Relations at AGCA, one of the pre-curser MBHO’s that came to be Magellan.

    Mr. Tantillo earned his MBA at La Salle University, his MSW at the University of Pennsylvania, and his BA at Villanova University.

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How An Online, Consumer Administered Tool Can Improve Assessment, Recovery & Outcomes While Reducing Costs

Knowledge Partner

  • Joseph P. Naughton-Travers, Ed.M.

    Senior Associate, OPEN MINDS

    Joseph P. Naughton-Travers, Ed.M., Senior Associate, has more than 30 years of experience in the health and human service field. In this tenure as senior associate with OPEN MINDS since 1998, he has served as lead of dozens of client initiatives, served as editor of OPEN MINDS publications, and is the author of many groundbreaking articles and presentations.

    Mr. Naughton-Travers brings to OPEN MINDS a broad range of experiences in private and public sector delivery of behavioral health and social services. He started his career as a behavioral health clinician, working in both child welfare and community mental health clinic settings. Subsequently, Mr. Naughton-Travers held a senior business operations management position for a psychiatric hospital system and its community mental health clinics.  Later, he was vice president of a firm specializing in information systems and billing and receivables management for community-based mental health programs.

    Since joining OPEN MINDS, Mr. Naughton-Travers has developed business solutions for provider and professional organizations, state and county government, technology companies, and venture capital firms. His primary areas of expertise include strategic planning and metrics-based management, electronic health record (EHR) and technology selection and implementation, operations improvement, and corporate compliance. For the past decade, over half his consulting practice has focused on aiding organizations in technology selection and implementation, including all aspects of strategic technology planning, functional specifications development, request for proposal development, vendor selection, and contracting.

    He has written numerous articles, including “Winning the Human Resource Wars: Tried, True and New Strategies for Behavioral Health and Social Service Organizations,” “Five Pillars of Management Competency,” “Data Driven Decision Making: Moving to an Organizational Measurement Culture,” “Survival of the Smartest: What is Your Organization’s Information Literacy IQ?,” and “Strategic Human Resource Management: Aligning Compensation with Employee Performance and Organizational Strategy.” Mr. Naughton-Travers is also a nationally recognized speaker, having conducted hundreds of executive and professional executive training events around the nation.

    Mr. Naughton-Travers received his Bachelor’s degree from Miami University of Ohio and his Masters’ of Education in Counseling Psychology from Boston University.

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  • Albert J. Villapiano, Ed.D.

    Vice President of Clinical Development, Inflexxion, Inc.

    Albert J. Villapiano, Ed.D., is Vice President of Clinical Development for Inflexxion, Newton, MA and is in charge of the behavioral health product line. He is also a licensed Psychologist who received his doctorate from Boston University. Dr. Villapiano has over 25 years of experience as a clinician, trainer, researcher, administrator and consultant. He is a co-principal investigator on several National Institute of Health (NIH) grants at Inflexion and is interested in the development and implementation of innovative processes and tools to improve the quality of behavioral health assessment, treatment and education. He leads Inflexxion’s efforts in the ongoing clinical enhancement of Addiction Severity Index—Multimedia Version (ASI-MV) and the Comprehensive Health Assessment for Teens (CHAT). He has held academic appointments at Harvard University and Boston University Medical Schools, and the Northeastern Society for Group Psychotherapy Training Program. Among his publications is Time-Effective Treatment: A Best Practices Manual for Substance Abuse Professionals, (2003). Chiauzzi, E., Villapiano, A., Budman, S., & Goldman, R., Center City, MN: Hazelden Foundation.

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  • Philip O. Toal, Ed.D., LMHC, CET

    Sr. Vice President, Residential Services, Aspire Health Partners

    Philip O. Toal is the Senior Vice-President of Residential Services for Aspire Health Partners the largest Behavioral Health Care Provider in Florida. Philip is a Florida State Licensed Mental Health Counselor and has worked in the area of behavioral health care and substance abuse for over 35 years. Philip’s work has included stress management, pain management and biofeedback, behavioral medicine, psychoneuroimmunology, depression, HIV/AIDS, sex therapy and substance abuse. He has helped to develop and conduct stress management for an inpatient cardiac unit. He has worked with the Central Florida AIDS community since 1985 and his work using relaxation and imagery with AIDS patients has been widely recognized. He is also an adjunct Professor at Valencia College in the areas of Sex Therapy and Substance Abuse Disorders. He is currently a member of the Florida Bureau of HIV and AIDS Prevention Planning Group as well as the chair of the Florida Substance Abuse and Mental Health Planning and Advisory Council with the Florida Department of Children and Families Substance Abuse and Mental Health office. Philip graduated from the University of Central Florida with a Master of Science in Clinical Psychology and Doctorate in Clinical Sexology from The Institute for the Advanced Study of Human Sexuality.

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9:00 am - 10:00 am
The Challenges & Opportunities Of Moving To Integrated Care Management

Keynote Address

  • Manuel Arisso, JD, LHRM

    Chief Executive Officer, Magellan Complete Care of Florida

    As Chief Executive Officer, Manny’s leadership ensures the mission of Magellan Complete Care is the foundation for all aspects of the specialty health plan. The challenge of transforming a system to better serve individuals dealing with serious mental illness starts with the commitment to help members, caregivers, providers and community share the success of brighter futures and a better life. Magellan Complete Care believes innovation starts by always doing the right thing. As a result, the member is the center of the care model and Magellan Complete Care strives to do what’s right for them.

    The specialty health plan in Florida is fortified by Manny’s experience in management, compliance, legal, health policy, health delivery systems, governmental affairs, public health, Medicaid and managed care. He has expertise in Florida state affairs; a deep understanding of important issues to the State and can effectively navigate the regulatory environment. He holds a juris doctor from Florida State University College of Law and a bachelor of arts in Political Science from Florida International University. Additionally, he achieved certification in Health Care Risk Management from the University of South Florida and certification in Rate Setting and Regulation from Michigan State University.

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10:15 am - 11:30 am
Developing A Case Rate Model For Behavioral Health: How To Make The Numbers Work For Your Organization

Breakout Session

  • George Braunstein, M.A., FACHE

    Senior Associate, OPEN MINDS

    George Braunstein, M.A., FACHE, Senior Associate, brings more than 35 years of experience in leading both private and public sector health and human service organizations – in both institutional and ambulatory settings. Prior to joining OPEN MINDS, Mr. Braunstein served as executive director of the Fairfax-Falls Church Community Services Board (CSB) in Fairfax, Virginia, which provides community-based mental health, substance abuse and developmental disabled services. During his six-year tenure with the CSB, which had a $150+ million budget and over 1,200 employees, he both reduced the budget and increased service access. Before his role in Fairfax County, Mr. Braunstein was the executive director of the Chesterfield County CSB. In his eight years in that role, he restructured management to flatten the organization, which improved both service and budget performance and eliminated a $1.5 million deficit with no reductions in staff. Mr. Braunstein also served as the head of behavioral health for Aurora Healthcare in Milwaukee – the largest integrated healthcare system in Wisconsin with 13 hospitals, 20,000 employees and $1.5 billion in annual revenue. Additionally, Mr. Braunstein brings managed care experience to the OPEN MINDS team, having served as the director of behavioral health for Family Health Plan Cooperative, a Wisconsin HMO. Well respected in the behavioral health community, Mr. Braunstein has served on several boards of local and national associations including the SAMHSA National Leadership Council, and the National Association of Community Behavioral Health. He is also a fellow with the American College of Healthcare Executives.

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  • Sonia Handforth-Kome, M.A.

    Chief Operating Officer, Valley Cities Counseling & Consultation

    Sonia Handforth-Kome, M.A., Chief Operating Officer, has been working in medical and behavioral health care systems for over 27 years. Her first job in the medical field was in 1987, as an office manager for a physical and occupational therapy management company in North Carolina. Sonia’s experience in health system management has run the gamut from providing technical support on practice management systems and electronic health record systems, to coding, medical transcription, billing and collections, organizational change management, EHR/EPM selection and implementation, grant writing, strategic planning, advocacy and policy development; and from for-profit urban office-based specialty care to non-profit rural/frontier facility-based integrated care, including primary care, emergency care, dental, substance abuse, mental health, and alternative medicine.

    Sonia has worked in health systems in North Carolina, California, Alaska and Washington, and in payment systems including fee-for-service, capitated, grant-funded, and case rate. In July of 2001 she moved from an OB/Gyn physician practice in California to a position as Executive Director for the Iliuliuk Family and Health Services, Inc. community health center/frontier extended stay clinic in Unalaska, Alaska. During her time as ED of IFHS, Sonia also served on the board of the Alaska Primary Care Association (as President for five years), and on the board of the Northwest Regional Primary Care Association (as a member of the Executive Committee of that board for four years). Sonia also volunteered with many community organizations, including the Ballyhoo Lions Club and the Aleutian Arts Council, as well as serving for eleven years on the School Board, and for ten years as a Yoga instructor for the local community center. In October 2011 she retired as ED of IFHS and started consulting with local non-profits and CHCs in the state of Alaska.

    In June 2013 she began working for Valley Cities Counseling and Consultation, a community behavioral health center in Washington as Chief Operating officer.

    Sonia received her Bachelor’s degree in Physics with Honors from the University of North Carolina at Chapel Hill, and her Masters’ degree in Organization Management from the University of Phoenix in Oakland.

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Pay-For-Performance In Emerging Care Coordination Models: How ACOs & New Models Of Care Are Managing Value In Health Care

Breakout Session

  • Steve Ramsland, Ed.D.

    Senior Associate, OPEN MINDS

    Steven Ramsland, Ed.D., Senior Associate, has more than 25 years of experience in the development and delivery of health and human service programs. He has held senior leadership positions in the development of several innovative service systems including Medicare Shared Savings Program ACOs, a primary care provider network, several national managed behavioral health initiatives, and innovative community programming.

    Dr. Ramsland recently served as chief executive officer at Redwood Community Health, a network of 17 community health centers, with over 40 sites in northern California.     The organization provides primary care, behavioral health and oral health to over 240,000 patients each year. While at Redwood he managed the implementation of an ACO, a capitated Medicaid managed care contract, and a pay-for-performance quality improvement program.

    Prior to this, he was the executive director of Buckelew Programs, a leading provider of community-based, recovery-oriented behavioral health programs in Northern California. The organization provides supported housing and employment, and recovery supports, as well as two social enterprise businesses.

    Dr. Ramsland was previously vice president and practice leader for United Behavioral Health’s Public Sector Practice (now Optum).   In that role, he analyzed opportunities and implemented strategies to expand public sector business – and collaborated with executive leadership at United to design and build organizational capabilities in public sector behavioral health, disease management, and consumer-directed care to support revenue growth.

    In addition to his work with Optum, Dr. Ramsland also served as the chief development officer and Public Sector President for Comprehensive Behavioral Care, and as vice president, Government Programs, for ValueOptions. He has worked with government policy leaders throughout the nation to develop new, recovery-oriented approaches to delivering behavioral health and integrated medical services. He was also the Chief Executive Officer of a community mental health center, SERV Behavioral Health in New Jersey.

    Dr. Ramsland earned a Doctoral Degree in Psychology from Rutgers University, a Master’s Degree in Psychology from Duquesne University, and a Bachelor’s Degree in Psychology and English from Trinity College.

    • Areas of Expertise
    • Managed care program design, development, and operations
    • Management of accountable care organizations
    • Integrated primary care/behavioral health service systems
    • Business development – program design, payer contracting, and proposal and grant writing
    • Professional Highlights
    • Chief executive officer, Redwood Community Health
    • Executive director, Buckelew Programs
    • Chief development officer and president, Public Sector
    • Vice president & public sector practice leader, United Behavioral Health
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  • Sheila Fusé

    Chief Executive Officer, Primary Partners, LLC

    Sheila Fusé is CEO of Primary Partners, LLC, an independent-physician Accountable Care Organization, located in Clermont, Florida. Sheila led Primary Partners, LLC through the regulatory application process to successfully receive one of the nation’s first ACOs approved in April 2012 and a second time with the approval of Primary Partners’ second ACO, Primary Partners ACIP, LLC in January of 2013. Sheila is a national speaker and educator on Accountable Care Organizations.

    After working 12 years in global banking with RBS and JPMorgan Chase, Sheila is well-versed in risk management, client-relationship management, process re-engineering, bank mergers and operational integrations.

    In 2008, she served as Chief of Staff for the Chief Risk Officer at RBS Americas. Seeing the change coming in regulations, Sheila moved into regulatory risk and compliance. She worked for the global head of compliance where she developed and ran a global team and then worked with regulators, regulatory waivers and managing onsite visits utilizing her strategic and regulatory affairs skills. Forecasting a similar tsunami of change, Sheila then transitioned into health care.

    Prior to her career in global banking, she was Managing Partner at PC Education Systems, LLC a consulting and executive training services company. She began her career as a business analyst and today has two decades of experience successfully working with small businesses and Fortune 500 companies developing, implementing and overseeing strategic business solutions.

    Sheila is involved in the local and regional business community and is a Health Information Technology Advisory Committee Member of Lake Sumter State College. Sheila holds a Bachelor of Science in Information Systems with a business concentration from the University of Massachusetts and an Advanced Certificate in Regulatory Risk & Compliance from the International Compliance Association.

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Optimizing Organizational Performance: An Executive Roadmap For Managing With Metrics

Breakout Session

  • Joseph P. Naughton-Travers, Ed.M.

    Senior Associate, OPEN MINDS

    Joseph P. Naughton-Travers, Ed.M., Senior Associate, has more than 30 years of experience in the health and human service field. In this tenure as senior associate with OPEN MINDS since 1998, he has served as lead of dozens of client initiatives, served as editor of OPEN MINDS publications, and is the author of many groundbreaking articles and presentations.

    Mr. Naughton-Travers brings to OPEN MINDS a broad range of experiences in private and public sector delivery of behavioral health and social services. He started his career as a behavioral health clinician, working in both child welfare and community mental health clinic settings. Subsequently, Mr. Naughton-Travers held a senior business operations management position for a psychiatric hospital system and its community mental health clinics.  Later, he was vice president of a firm specializing in information systems and billing and receivables management for community-based mental health programs.

    Since joining OPEN MINDS, Mr. Naughton-Travers has developed business solutions for provider and professional organizations, state and county government, technology companies, and venture capital firms. His primary areas of expertise include strategic planning and metrics-based management, electronic health record (EHR) and technology selection and implementation, operations improvement, and corporate compliance. For the past decade, over half his consulting practice has focused on aiding organizations in technology selection and implementation, including all aspects of strategic technology planning, functional specifications development, request for proposal development, vendor selection, and contracting.

    He has written numerous articles, including “Winning the Human Resource Wars: Tried, True and New Strategies for Behavioral Health and Social Service Organizations,” “Five Pillars of Management Competency,” “Data Driven Decision Making: Moving to an Organizational Measurement Culture,” “Survival of the Smartest: What is Your Organization’s Information Literacy IQ?,” and “Strategic Human Resource Management: Aligning Compensation with Employee Performance and Organizational Strategy.” Mr. Naughton-Travers is also a nationally recognized speaker, having conducted hundreds of executive and professional executive training events around the nation.

    Mr. Naughton-Travers received his Bachelor’s degree from Miami University of Ohio and his Masters’ of Education in Counseling Psychology from Boston University.

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  • David Wawrzynek, MS, MBA

    Chief Financial Officer, Spectrum Human Services

    David E. Wawrzynek MS, MBA is Senior Vice President for Finance and Chief Financial Officer at Spectrum Health and Human Services which is a private, non-profit community behavioral health organization, recognized as one of the most effective behavioral healthcare providers in Western New York. David has more than 37 years’ experience in public behavioral health and in his career has worked as a Substance Abuse Counselor, Mental Health Clinician/Supervisor, Clinical Program Director and Executive Management CFO. David has joined his clinical training and experience with his business/financial training and experience to bring a unique perspective and set of skills to the efficient and effective management of behavioral health services. In recent years David has been concentrating on the development of analytic modeling tools, communication platforms, and knowledge management supports to transform raw data into meaningful information to enable more effective strategic and operational insights and decision-making.

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11:45 am - 12:45 pm
The (Inescapable) New Value Equation In Health & Human Services: Why It Will Determine Who Succeeds

Keynote Address

  • Monica E. Oss

    Chief Executive Officer, OPEN MINDS

    Monica E. Oss, M.S., Chief Executive Officer and Senior Associate, is the founder of OPEN MINDS. For the past two decades, Ms. Oss has led the OPEN MINDS team and its research on health and human service market trends and its national consulting practice. Ms. Oss is well known for her numerous books and articles focused on the strategic and marketing implications of the evolving health and human service field. She has unique expertise in payer financing models, provider rate setting, and service pricing. She has led numerous engagements with state Medicaid plans, county governments, private insurers, managed care programs, service provider organizations, technology vendors, neurotechnology and pharmaceutical organizations, and investment banking firms – with a focus on the implications of financing changes on delivery system design.

     

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