Agenda

WEDNESDAY, JULY 19

2-6 p.m.
Registration Opens

THURSDAY, JULY 20: CONCURRENT MEETINGS

10 a.m. – 4 p.m.
AdminLeadership Conference

THURSDAY, JULY 20: PRE-CONFERENCE

7 a.m. – 6 p.m.
Registration Opens

7:30 – 8:30 a.m.
Continental Breakfast

7:45 a.m. – 2 p.m.
THT Golf Tournament

8:30 a.m. – 4 p.m.
Advanced Board Strategies Workshop

8:30 a.m.-Noon
What’s NXT in Governance and What Does It Mean for Boards and Executives?
Les Wallace, Signature Resources, Inc., Aurora, Colorado

We have entered an age of disruption and uncertainty unmatched in the history of hospitals and health care systems. Within this environment governance models are morphing to better align with the risk and speed of change. What may Boards of Directors envision that might strengthen their ability to be great fiduciaries of their hospital’s future? In this provocative presentation Les Wallace, Ph.D., a nationally recognized governance expert and past board member of the World Future Society, will explore the future of governance and what it means for healthcare. Be prepared to have some of our common assumptions challenged about our board makeup, the traditional ways we’ve approached strategy and how we can more effectively and efficiently provide better oversight with sleek and exciting new governance processes.

Noon-1 p.m.
Pre-Conference Luncheon: Inside the Beltway: Health Policy Realities and Crystal Ball Outlook
Ilisa Halpern Paul, president, District Policy Group, Washington, DC

Ilisa Halpern Paul, president of the District Policy Group, will provide a current state-of-play overview of federal health policy six months into the new Congress and provide a look ahead for key issues of priority and concern to Texas hospitals, including Medicare, Medicaid, Children’s Health Insurance Program, and other health policies and programs.

1-2:30 p.m.
Advanced Hospital Finances
Chris Clark, partner; and Tom Watson, managing partner – Dallas/Waco, BKD, LLP, Dallas

This session, geared toward the more experienced hospital board member, dives deeper into the complexities of hospital financing and the mechanisms through which hospital payments are made. We will also discuss the changing reimbursement landscape and some Texas specific reimbursement matters.

2:30-2:45 p.m.
Break

2:45-4 p.m.
Really? Really? They Actually Did That?
Fletcher Brown, J.D., partner, Waller, Lansden, Dortch & Davis, LLP, Austin and Kevin Reed, J.D., partner, Reed, Claymon, Meeker, & Hargett, PPLC, Austin

Yes, ethics matter and there is actually a lesson on doing the right thing! Join us for the this interactive session on common ethics issues faced by Boards. The discussion will include what happens when good organizations make bad decisions or when an organization exhibits a pattern of bad behavior. This session will include video, group discussion, and hopefully occasional laughter.

8:30 a.m. - 4 p.m.
New Board Member Orientation

8:30 – 10:30 a.m.
Welcome to the Board or Welcome Back!
Fletcher Brown, J.D., partner, Waller, Lansden, Dortch & Davis, LLP, Austin and Kevin Reed, J.D., partner, Reed, Claymon, Meeker, & Hargett, PPLC, Austin

This program provides an overview of the basics of health care, a review of the role of the trustee, and a discussion of the issues faced by both new trustees and those with years of experience. Significant time is devoted to the role of the hospital trustee as a policymaker and not as a manager.

The goal will be to provide the trustee with a better understanding of the health care world and an understanding of the practical implications of their actions as a trustee. Trustees will be provided with the tools to effectively communicate with each other and those they govern.

10:30-10:45 a.m.
Morning Break

10:45 a.m. – Noon
Introduction to Parliamentary Procedure
David Koempel, senior consultant, Leadership Team Services, Texas Association of School Boards

When used appropriately, parliamentary procedure can help your board meetings run more efficiently, but knowing every detail of Robert’s Rules of Order isn’t necessary. This session covers the basics of the rules that apply to boards, reviews the most commonly used motions, and explains common misunderstandings about the rules. A great overview for new board presidents, officers, and new board members alike.

Noon-1 p.m.
Pre-Conference Luncheon: Inside the Beltway: Health Policy Realities and Crystal Ball Outlook
Ilisa Halpern Paul, president, District Policy Group, Washington, DC

Ilisa Halpern Paul, President of the District Policy Group, will provide a current state-of-play overview of federal health policy six months into the new Congress and provide a look ahead for key issues of priority and concern to Texas hospitals, including Medicare, Medicaid, Children’s Health Insurance Program, and other health policies and programs.

1 – 2:30 p.m.
Understanding Hospital Finances
Andrea Sartin, manager; and Deborah Whitley, partner, BKD, LLP, Waco

Health care finance is certainly different than other industries. In this session, we will learn some of the unique aspects of health care finance and how to better understand key items on the hospital’s financial statements and key financial statement metrics. We will discuss what board members need to understand about how hospitals are paid for services provided and unique areas of cost.

2:30 – 2:45 p.m.
Afternoon Break

2:45-4 p.m.
A Board Member’s Role in Quality
Susan Mellott, PhD, RN, CEO, Mellott & Associates, Inc., Houston

What does effective board oversight of quality and patient safety look like? This session will define quality and patient safety and why these areas should matter to board members. Learn how quality scores drive cost and reimbursement for hospitals. Alternately, Mellott will cover the non-financial implications of patient safety errors and declining quality scores.

9:30 a.m. – 5 p.m.
Exhibit Hall Open

4 - 5 p.m.
Welcome to San Antonio Riverwalk Reception

FRIDAY, JULY 21: DAY 1

7 a.m. – 4 p.m.
Registration Open

7 a.m. – 6 p.m.
Exhibit Hall Open

7 – 8 a.m.
Continental Breakfast

8 – 10:15 a.m.
Opening General Session
Ball of Confusion: Trends and What They Mean for Leadership and Governance
Jamie Orlikoff, president, Orlikoff & Associates, Inc., Chicago, Illinois

Things are getting curiouser and curiouser. Across the country, state budget cuts are resulting in significant payment reductions to hospitals, while in several states, hospital tax-exempt status has been successfully challenged. Then there are MACRA, MIPS, Bundled Payment models, the impending repeal of the ACA and a whole host of other dizzying changes in the payment system. Jamie Orlikoff examines the trends impacting hospitals and health systems and discusses the implications for leaders. He also will address the changing role of governance and the increased time demands on volunteer board members to fulfill missions that seem under siege from all quarters.

10:15 – 10:45 a.m.
Morning Break in the Exhibit Hall

10:45 a.m. – Noon
Concurrent Breakout Sessions

Breakout #1:
Utilizing Board Self-Assessment Best Practices to Promote Exceptional Governance
Scott Alarcon, CEO, Georgetown Health Foundation, Georgetown

This session will focus on the use of Board Self Assessments, to include both full board and individual member assessment, and Governance Dashboards to drive board engagement and exceptional governance.

Breakout #2:
Federal, State, and Local Politics: How Healthcare Fared in the Legislative Boxing Ring
John Hawkins, senior vice president, government relations, Texas Hospital Association, Austin; and David Pearson, FACHE, president and CEO, Texas Organization of Rural & Community Hospitals, Austin

John Hawkins and Dave Pearson who will touch on a wide variety of legislative trends and hot topics that’s sure to spur lively conversation. Hawkins and Pearson will discuss the national political landscape, the 2017 Texas legislative session and the impact on health care policy.

Breakout #3:
Interactive Governance Clinic
Jamie Orlikoff, president, Orlikoff & Associates, Inc., Chicago, Illinois

Bring your thorniest governance issues to one of the nation’s preeminent health care governance experts. You’ll gain practical solutions and proactive ideas for improving governance performance. No issue is off the table. Come prepared to talk, to question and be challenged! Jamie Orlikoff will discuss issues that frequently arise, but this session is shaped by YOUR issues and questions.

Breakout #4:
The OIG – Potential Roles in Your Facility’s Compliance Activities
Kenya Woodruff, partner, Haynes and Boone, Dallas

The Office of Inspector General of Health and Human Services is a key agency in addressing, fraud, waste and abuse in various federal healthcare programs, including Medicare and Medicaid. The Opinions that they issue can give valuable compliance guidance as an entity embarks upon new provider relationships and delivery models. In that vein we will review the OIG Opinions from the last year and a half. On the other hand, a subpoena or inquiry from the OIG may be your first indicator that some activity at your facility is under investigation by the OIG or the Department of Justice. This session will also explore best practices for institutional preparedness for investigations and inquiries in those situations.

Breakout #5:
The Board’s Role in Quality
Susan Mellott, PhD, RN, CEO, Mellott & Associates, Inc., Houston

Mellott will dive deeper into the board's role in quality and patient safety during this breakout session. Attendees will learn the importance and responsibilities of quality committees, including how to facilitate strong working relationships with the medical staff and chief medical officer. This session will also touch on the board's role in the patient experience and how to interpret and leverage data metrics in oversight, including HCAHPS scores and hospital reimbursement.

Noon – 1:30 p.m.
Trustee Awards Luncheon

Join us for this special luncheon as we honor the recipients of the THT Advocate of the Year Award and THT Founders' Award.

1:30 – 2:45 p.m.
Concurrent Breakout Sessions

Breakout #1:
The Board’s Role in Setting Organizational Direction and Strategy
Scott Alarcon, CEO, Georgetown Health Foundation, Georgetown

This session will review the Board’s role in setting organizational direction as well as discuss differences between strategic and tactical planning. At the end of this session, attendees should be able to clarify and reach consensus on the Board’s role and expectations in planning and developing strategy

Breakout #2:
Federal, State, and Local Politics: How Healthcare Fared in the Legislative Boxing Ring (Repeat Session)
John Hawkins, senior vice president, government relations, Texas Hospital Association, Austin; and David Pearson, FACHE, president and CEO, Texas Organization of Rural & Community Hospitals, Austin

John Hawkins and Dave Pearson who will touch on a wide variety of legislative trends and hot topics that’s sure to spur lively conversation. Hawkins and Pearson will discuss the national political landscape, the 2017 Texas legislative session and the impact on health care policy.

Breakout #3:
A Texas Sized Approach to Implement Rural Innovations through Partnerships
Moderator: Harris Brooks, CEO, Palo Pinto General Hospital
(Panel members – Invited CEOs)

Description coming soon.

Breakout #4:
Creative Financing that would Make Your Momma Proud!
Chris Janning, managing director, Hilltop Securities, Inc., Dallas

Description coming soon

2:45 – 3:15 p.m.
Afternoon Break in the Exhibit Hall

3:15 – 4:30 p.m.
Afternoon General Session – Shared Decision Making and Care Coordination – Life or Death
Benjamin Anderson, MBA, MHCDS, Chief Executive Officer, Kearny County Hospital, Lakin, Kansas

In March of 2013, Benjamin’s 34-day-old daughter was hospitalized with an acute cardiac condition that caused her heart rate to increase to over 300 beats per minute. Within 24 hours, she was transported by ambulance and airplane through three states and to three different hospitals. By the time she arrived at her final destination, she was in critical condition. With this true story, Benjamin leads his audience through an exhilarating and, at times, disheartening journey of seeking healing for his vulnerable, first-born daughter. His experience was complicated by the fact that as the CEO of the first hospital where she received care, he felt partly responsible for the disjointed systems that led to her extreme suffering. Fueled by knowing that much it would have been avoided with integrated care coordination and effective shared decision-making, Benjamin makes a compelling case and offers tools for developing integrated healthcare delivery systems, including collaborative processes that allow patients and their providers to make evidence-based health care decisions together.

4:30 – 6 p.m.
Noble Allen Silent Auction & Reception

SATURDAY, JULY 22: DAY 2

7:30 a.m. – Noon
Registration Open

8 - 9 a.m.
Certified Healthcare Trustee Breakfast – Invitation only
Speaker TBD

8 - 9 a.m.
Biscuits, Bacon and Breakouts Table Talk

9 – 10:15 a.m.
General Session: Physician Leadership Development
Thomas Atchison, Ed.D, president and founder, Atchison Consulting LLC, Le Claire, Iowa

In this interactive session Tom Atchison will focus on the fundamentals of leading and managing. In addition, he will emphasize physician behavioral dynamics. The presentation will close with a list that will really get the attention of the audience, a list of the "things that can go wrong." Tom’s information for this list is based on real physician case studies. After sitting through this session, audience members will get a true feel for this extremely important topic area.

10:15 – 11:30 a.m.
Closing General Session: The Future of the Healthcare Marketplace: What’s Next?
Ian Morrison, healthcare futurist, consultant, and author, California

The Trump Administration is committed to Repeal and Replace Obamacare in 2017. This is causing all stakeholder to re-examine strategy and respond to a potentially dramatic shift in the policy and regulatory environment. Organizations and individuals need to be flexible to adjust to a new reform agenda, including the push for more widespread reimbursement reform, changes in coverage, growth in transparency and accountability, and the relentless quest for value in healthcare driven by patients and purchasers. This presentation will focus on the political, economic, and strategic context of change in healthcare, describe the possible scenarios we face and examine how the various actors are preparing for the future. Drawing on experience from around the country and around the world, it will identify the leadership challenges and opportunities that lie ahead and will provide strategic insights on how organizations and individuals can flourish in the future.

Learning Objectives

  1. To identify the key trends creating change in healthcare in particular the impact that the repeal and replace will have on healthcare
  2. To identify how health system leaders are responding to these key trends drawing on lessons from around the country and around the world
  3. To identify the implications for health systems strategy

11:30 a.m.
Adjourn