Registration & Executive Networking Breakfast In The Institute Exhibit Hall
Start off the morning with breakfast and a chance to meet your fellow attendees. With over 400 executive leaders from across the country, you won't want to miss this opportunity to network with your colleagues.
Registration & Executive Networking Breakfast In The Institute Exhibit Hall
Start off the morning with breakfast and a chance to meet your fellow attendees. With over 400 executive leaders from across the country, you won't want to miss this opportunity to network with your colleagues.
Expanding The Continuum Of Care: How Molina Is Improving Care Coordination For Complex Consumers
With the opioid crisis hitting new heights, addiction treatment is top of mind for provider organization and health plan executives alike. Many executives have seen that the key to providing better care for consumers with complex conditions, including addictions, is to build partnerships among payers and providers, where incentives for both partners are aligned and both are working towards the same goals. In this session, Mario San Bartolomé, M.D., Medical Director, Substance Use Disorders, Molina Healthcare, Inc. will discuss how Molina is addressing system complexity through new care coordination models and what they are looking for from provider organization partners in the future.
Mario San Bartolomé, M.D., M.B.A., M.R.O., FASAM
Dr. Mario San Bartolomé is an Addiction Medicine specialist who is board certified in both Family Medicine and Addiction Medicine. Dr. San Bartolomé received his undergraduate degree from UC Davis, his MD from the UC Irvine School of Medicine and received a Master’s in Business Administration from the Paul Merage School of Business at UC Irvine.
Dr. San Bartolomé has leadership and health delivery experience in multiple levels of care related to substance use disorders including inpatient medical withdrawal management, residential treatment and outpatient treatment both in programs and in medical offices. Dr. San Bartolomé has served as founding Director for the Memorial Care Addiction Medicine Unit and has held directorships for several residential and outpatient treatment organizations.
Dr. San Bartolomé has been an active and passionate advocate for improving access to care for people with substance use disorders through leadership at the local, state and national level. As the Medical Director for Substance Use Disorders at Molina Healthcare, Inc., Dr. San Bartolomé´s focus is on aligning Molina’s strategy and to improve the organization’s ability to address member needs with all things related to substance use while moving forward initiatives to integrate behavioral health and physical medicine across the multiple vulnerable groups that Molina serves.
Finding New Opportunities With Health Plans: How To Market Your Services To Managed Care
While managed care has been around for years, we are seeing new consumers in managed care plans and new managed care markets. For the first time, many states are mandating that individuals with a wide range of disabilities are enrolled in managed care plans. And foster children. And the dual eligible population. Managed care in Medicare is on the rise as well. Almost 76% of consumers in the U.S. get their health care services through some type of managed care organization – and that number is increasing. To be prepare for this new wave of managed care, proactive positioning and proactive conversations with the managed care organizations that are dominant in your area is a strategic must. In this session, we'll discuss how to start these strategic conversations, as well as how to secure and optimize service agreements with health plans; how to move those agreements from fees to gainsharing; and how to optimize the geographic footprint and utilization of those agreements.
Steve Ramsland, Ed.D.
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
Dawn S. Kingsley, MSHA
Dawn Kingsley serves as Vice President of Payer contracting & Strategy for Centerstone, the nation’s largest community based behavioral healthcare provider. The non-profit organization, headquartered in Nashville, Tennessee, serves over 172,000 individuals and families annually throughout their five state footprint of Tennessee, Kentucky, Indiana, Illinois and Florida.
In her role with Centerstone she directs all payer contracting and strategy for the Centerstone’s five affiliate states. Dawn has more than 25 years of experience in healthcare and has held leadership positions with large national payers as well as national provider organizations. She has extensive experience building networks, contracting with payers, applying marketing principals to payer discussions and developing value based care strategies for her organization.
Additionally she worked for a national consulting firm providing expert guidance in Medicare Advantage network expansion, payer strategy, organizational management and reporting oversight. She has a Bachelor’s Degree in Journalism and Political Science from Eastern Illinois University and a Master’s Degree in Healthcare Administration from the University of St. Francis in Joliet, Illinois.
Preparing For An Uncertain Future In Health & Human Services: A Guide To Scenario-Based Strategy Development
In a turbulent market, the question that is top of mind for health and human service executives is – where will we be next year? The question of sustainability is where strategy comes in. Every organization needs three strategies – the 'now' strategy, the 'future sustainability' strategy, and the plan to get from one to the other. But, the best laid plans do not assure success. A great strategy needs a detailed implementation plan and management framework to assure its implementation. In this information-packed session, you will learn the field-tested, best practice models from the team at OPEN MINDS. In this session, we will discuss:
- An overview of our "best practice" strategic planning process
- Implementation planning for taking plan to action – developing an accountable implementation process
- Managing strategy implementation, and change, for success
Kristi Daugherty, LCSW, LISW, MBA
Kristi Daugherty, CEO for Emergence Health Network, has over fifteen years of experience in the behavioral health arena. As chief executive for El Paso County’s Mental Health/Intellectual Disabilities Authority for El Paso County, Ms. Daugherty is responsible for all clinical and oversight services delegated through performance contracts with Texas Health & Human Services.
Previously, Ms. Daugherty served as Chief Clinical Officer for Emergence and as Director for Sun City Behavioral Health Care, Emergence’s non-profit subsidiary. She also has extensive experience in the private behavioral health sector, serving as Director of Clinical Services University Behavioral Health in El Paso and Director of Outpatient Services Mesilla Valley Hospital in Las Cruces, New Mexico.
Ms. Daugherty is a Licensed Clinical Social Worker in the State of Texas and a Licensed Independent Social Worker in the State of New Mexico. She has a Master’s Degree in Social Work from New Mexico State University and is a graduate of the Executive MBA Program at the University of Texas at El Paso.
Rene Hurtado
Rene Hurtado was born and raised in El Paso and has nearly 20 years experience in healthcare communications and public policy. He holds a bachelor’s degree in communications and a master’s degree in business administration from the University of Texas at El Paso.
He has extensive experience in designing communication initiatives in different areas of public health to include trauma & crisis communications, children’s outreach and poison control centers. He has also led marketing and public affairs initiatives for one of the largest hospital systems in El Paso, where he designed multi-media communications/marketing initiatives for various healthcare product lines including pediatrics, kidney transplant and oncology. In the area of public policy and government relations, he served as Director of Public Affairs for Time Warner Cable, where he advocated for effective telecommunications legislation.
He currently serves as Chief of Staff for Emergence Health Network, the State-designated mental health authority responsible for designing and maintaining the public mental health/developmental disability service delivery system for the region.
Connecting The Dots From Data To Value
Sponsored by Core Solutions
Data environments throughout the healthcare landscape are growing exponentially, evolving even before effective data collection strategies can be put in place. With new regulations and requirements mandated every year, healthcare organizations are challenged with developing data collection and evaluation processes that can be standardized not only across departments, but entire organizations. However, in this ever-changing healthcare climate, it is simply not enough for organizations to collect data for the sake of collecting data. In an industry that demands higher quality of care, improved outcomes and lower costs, knowledge sharing is truly the most powerful asset that we can use to bridge the gap between the data we collect and the value that it holds to those who can learn and benefit from it.
During this session, attendees will:
- Learn the importance of embracing innovation and technology as they pertain to the use of data collection and knowledge sharing.
- Gain an understanding of the “Internet of Things” (IoT) and its role in collecting and deciphering automated data.
- Review several clinical tools that can be used to build and demonstrate data value.
- Develop an understanding of what it means to communicate with data and the importance of data visualization in storytelling.
Ravi Ganesan
Richard Louis, III
Richard Louis, III, brings extensive experience in public and for-profit behavioral healthcare administration and business development to the OPEN MINDS team. Mr. Louis was formerly the Executive Director of Strategic Development and Planning, Pacific Region, for Providence Service Corporation.
Prior to OPEN MINDS, Mr. Louis served as the Assistant Director of the San Bernardino County Department of Behavioral Health, the 4th largest county behavioral health system in California, where he was responsible for day-to-day operations of a system serving over 50,000 unduplicated consumers annually through 31 county-operated facilities and 60 contract provider organizations.
Prior to his work with San Bernardino County, Mr. Louis was the Vice President of Government Operations for College Health Enterprises. In this role, he pioneered the development of public sector partnerships, contracts, and community mental health system joint ventures in California by creating some of the first inpatient psychiatric hospital-based, outpatient, day treatment, and institutional specialty treatment programs for county, state, and federal government agencies including L.A. County Department of Mental Health, L.A. County Probation Department, California Youth Authority, California Department of Developmental Disabilities, California Department of Corrections & Rehabilitation, and U.S. Immigration Customs Enforcement/Homeland Security.
Mr. Louis has served in a number of leadership roles with several organizations in the community including: the California Hospital Association – Center for Behavioral Health, Advisory Board, and SCAN Health Plan – Advisory Board; the Board of Directors of the Forensic Mental Health Association of California, College Hospitals, and the Intercommunity Child Guidance Center of Whittier; and testified on behalf of the National Association of Psychiatric Healthcare Systems before President Bush’s New Freedom Commission on Mental Health. Mr. Louis is currently a volunteer police officer with the City of Monterey Park Police Department in East Los Angeles serving since 1987 and currently holds the rank of Captain. Mr. Louis was recently appointed to the City of Claremont Police Commission in Los Angeles County.
He is a graduate of Whittier College and of the Police Academy of Rio Hondo College.
Preparing For An Uncertain Future In Health & Human Services: A Guide To Scenario-Based Strategy Development
In a turbulent market, the question that is top of mind for health and human service executives is – where will we be next year? The question of sustainability is where strategy comes in. Every organization needs three strategies – the 'now' strategy, the 'future sustainability' strategy, and the plan to get from one to the other. But, the best laid plans do not assure success. A great strategy needs a detailed implementation plan and management framework to assure its implementation. In this information-packed session, you will learn the field-tested, best practice models from the team at OPEN MINDS. In this session, we will discuss:
- An overview of our "best practice" strategic planning process
- Implementation planning for taking plan to action – developing an accountable implementation process
- Managing strategy implementation, and change, for success
Kristi Daugherty, LCSW, LISW, MBA
Kristi Daugherty, CEO for Emergence Health Network, has over fifteen years of experience in the behavioral health arena. As chief executive for El Paso County’s Mental Health/Intellectual Disabilities Authority for El Paso County, Ms. Daugherty is responsible for all clinical and oversight services delegated through performance contracts with Texas Health & Human Services.
Previously, Ms. Daugherty served as Chief Clinical Officer for Emergence and as Director for Sun City Behavioral Health Care, Emergence’s non-profit subsidiary. She also has extensive experience in the private behavioral health sector, serving as Director of Clinical Services University Behavioral Health in El Paso and Director of Outpatient Services Mesilla Valley Hospital in Las Cruces, New Mexico.
Ms. Daugherty is a Licensed Clinical Social Worker in the State of Texas and a Licensed Independent Social Worker in the State of New Mexico. She has a Master’s Degree in Social Work from New Mexico State University and is a graduate of the Executive MBA Program at the University of Texas at El Paso.
Rene Hurtado
Rene Hurtado was born and raised in El Paso and has nearly 20 years experience in healthcare communications and public policy. He holds a bachelor’s degree in communications and a master’s degree in business administration from the University of Texas at El Paso.
He has extensive experience in designing communication initiatives in different areas of public health to include trauma & crisis communications, children’s outreach and poison control centers. He has also led marketing and public affairs initiatives for one of the largest hospital systems in El Paso, where he designed multi-media communications/marketing initiatives for various healthcare product lines including pediatrics, kidney transplant and oncology. In the area of public policy and government relations, he served as Director of Public Affairs for Time Warner Cable, where he advocated for effective telecommunications legislation.
He currently serves as Chief of Staff for Emergence Health Network, the State-designated mental health authority responsible for designing and maintaining the public mental health/developmental disability service delivery system for the region.
Connecting The Dots From Data To Value
Sponsored by Core Solutions
Data environments throughout the healthcare landscape are growing exponentially, evolving even before effective data collection strategies can be put in place. With new regulations and requirements mandated every year, healthcare organizations are challenged with developing data collection and evaluation processes that can be standardized not only across departments, but entire organizations. However, in this ever-changing healthcare climate, it is simply not enough for organizations to collect data for the sake of collecting data. In an industry that demands higher quality of care, improved outcomes and lower costs, knowledge sharing is truly the most powerful asset that we can use to bridge the gap between the data we collect and the value that it holds to those who can learn and benefit from it.
During this session, attendees will:
- Learn the importance of embracing innovation and technology as they pertain to the use of data collection and knowledge sharing.
- Gain an understanding of the “Internet of Things” (IoT) and its role in collecting and deciphering automated data.
- Review several clinical tools that can be used to build and demonstrate data value.
- Develop an understanding of what it means to communicate with data and the importance of data visualization in storytelling.
Ravi Ganesan
Richard Louis, III
Richard Louis, III, brings extensive experience in public and for-profit behavioral healthcare administration and business development to the OPEN MINDS team. Mr. Louis was formerly the Executive Director of Strategic Development and Planning, Pacific Region, for Providence Service Corporation.
Prior to OPEN MINDS, Mr. Louis served as the Assistant Director of the San Bernardino County Department of Behavioral Health, the 4th largest county behavioral health system in California, where he was responsible for day-to-day operations of a system serving over 50,000 unduplicated consumers annually through 31 county-operated facilities and 60 contract provider organizations.
Prior to his work with San Bernardino County, Mr. Louis was the Vice President of Government Operations for College Health Enterprises. In this role, he pioneered the development of public sector partnerships, contracts, and community mental health system joint ventures in California by creating some of the first inpatient psychiatric hospital-based, outpatient, day treatment, and institutional specialty treatment programs for county, state, and federal government agencies including L.A. County Department of Mental Health, L.A. County Probation Department, California Youth Authority, California Department of Developmental Disabilities, California Department of Corrections & Rehabilitation, and U.S. Immigration Customs Enforcement/Homeland Security.
Mr. Louis has served in a number of leadership roles with several organizations in the community including: the California Hospital Association – Center for Behavioral Health, Advisory Board, and SCAN Health Plan – Advisory Board; the Board of Directors of the Forensic Mental Health Association of California, College Hospitals, and the Intercommunity Child Guidance Center of Whittier; and testified on behalf of the National Association of Psychiatric Healthcare Systems before President Bush’s New Freedom Commission on Mental Health. Mr. Louis is currently a volunteer police officer with the City of Monterey Park Police Department in East Los Angeles serving since 1987 and currently holds the rank of Captain. Mr. Louis was recently appointed to the City of Claremont Police Commission in Los Angeles County.
He is a graduate of Whittier College and of the Police Academy of Rio Hondo College.
Primary & Behavioral Health Integration Models: Options For New Opportunities
Behavioral health organizations across the country are developing a number of initiatives to better meet the needs of clients via the integration of primary and behavioral health care. However, in an era when everyone in health care is talking about integration, few organizations have been able to master the process. In this exciting session, we will review several organizations’ paths to integration, the service delivery models they have created, how they work with payers under their models, and their advice for other provider organizations considering how to expand their practices into primary care. This exciting session provides an overview of:
- The range of integrated behavioral health/primary care service delivery models
- Key ingredients for success of an integrated practice
- Case study examples of successful integrated behavioral health/primary care service practices
Richard Louis, III
Richard Louis, III, brings extensive experience in public and for-profit behavioral healthcare administration and business development to the OPEN MINDS team. Mr. Louis was formerly the Executive Director of Strategic Development and Planning, Pacific Region, for Providence Service Corporation.
Prior to OPEN MINDS, Mr. Louis served as the Assistant Director of the San Bernardino County Department of Behavioral Health, the 4th largest county behavioral health system in California, where he was responsible for day-to-day operations of a system serving over 50,000 unduplicated consumers annually through 31 county-operated facilities and 60 contract provider organizations.
Prior to his work with San Bernardino County, Mr. Louis was the Vice President of Government Operations for College Health Enterprises. In this role, he pioneered the development of public sector partnerships, contracts, and community mental health system joint ventures in California by creating some of the first inpatient psychiatric hospital-based, outpatient, day treatment, and institutional specialty treatment programs for county, state, and federal government agencies including L.A. County Department of Mental Health, L.A. County Probation Department, California Youth Authority, California Department of Developmental Disabilities, California Department of Corrections & Rehabilitation, and U.S. Immigration Customs Enforcement/Homeland Security.
Mr. Louis has served in a number of leadership roles with several organizations in the community including: the California Hospital Association – Center for Behavioral Health, Advisory Board, and SCAN Health Plan – Advisory Board; the Board of Directors of the Forensic Mental Health Association of California, College Hospitals, and the Intercommunity Child Guidance Center of Whittier; and testified on behalf of the National Association of Psychiatric Healthcare Systems before President Bush’s New Freedom Commission on Mental Health. Mr. Louis is currently a volunteer police officer with the City of Monterey Park Police Department in East Los Angeles serving since 1987 and currently holds the rank of Captain. Mr. Louis was recently appointed to the City of Claremont Police Commission in Los Angeles County.
He is a graduate of Whittier College and of the Police Academy of Rio Hondo College.
Larry Smith
Larry Smith, from Claremore, Oklahoma is the Chief Operations Officer (COO), Grand Lake Mental Health Center, Inc. He began with the agency in 1995 and went to work implementing new and innovative programs and solutions to provide the best possible care to each individual served. Specializing in finance, Larry worked tirelessly to increase the annual budget by 600%. Employee growth exploded from 75 to now over 320 employees, enabling GLMHC to provide needed services to those individuals with a mental illness living in 7 counties in NE Oklahoma.
Larry's passion and desire to serve people with mental illnesses started many years before he joined Grand Lake Mental Health Center. His Mother struggled with a severe mental illness for years and passed away when she was 44 years old; Larry was only 8 yrs. old. His Father became terminally ill from cancer and at age 12 he was an orphan, prompting the state to place Larry and his siblings into a Children Home.
Larry began his professional career as a director at the children's home where he had lived until graduating high school. He was an excellent choice since he had run away about fourteen times, and already knew how to break all the rules! In a matter of years Larry was the Executive Director of that facility. From there his career took off and he found his forte in trouble-shooting and providing creative solutions for large agencies in trouble.
Larry's personal and professional experiences have given him the ability, the passion to utilize his talents at Grand Lake Mental Health Center for over 22 years, striving to ensure individuals living with a mental illness can receive the services needed to assure a quantity and quality of life.
Peggy Chase
Peggy J. Chase is President and CEO of Terros Health, a growing integrated, whole health care company that has been helping Arizonans on their recovery journeys since 1969. Peggy believes in Terros Health’s vision of Inspiring Change for Life and is proud of the Terros Health employees who make a difference in people’s lives everyday.
Terros Health is an industry leader in substance use disorder treatment; counseling and recovery services for those challenged with mental illness; family and adolescent in-home and outpatient counseling; mobile crisis response services; HIV testing and treatment; and community prevention. Annually, Terros Health helps more than 50,000 Arizonans improve their health and well-being through more than 545,000 patient interactions.
Peggy has been a progressive health care leader and innovator for 30 years. Her commitment to service leadership has positively impacted health care and behavioral health public policy through her participation on local, state, and national boards and committees. Recognized as a health management expert, she is often called on by other health care leaders and state agencies for her expertise on how to achieve successful outcomes.
With an extensive background in finance and operations, Peggy served as the Chief Financial Officer and Chief Operations Officer of several companies. She also was a leader at a Regional Behavioral Health Authority, which oversaw the services and funding for Pinal and Gila counties. Peggy deeply understands the clinical side of Terros Health’s work and has a degree in social work from Arizona State University.
Under Peggy’s strategic vision and leadership, revenues at Terros Health increased from $38 million to nearly $90 million, through the expansion of existing services, the growth of primary care services, and the acquisitions of culturally and strategically aligned companies. Peggy’s vision is to take the Terros Health model of care to other parts of the country, and realize the company’s compelling purpose of Inspiring Change for Life.
Peggy enjoys amateur photography, especially traveling to take photos of wildlife. She also enjoys spending time with her husband, Ron, including off-roading with their jeep. Family is very dear to Peggy and both sons and daughters-in-law, and grandchildren live nearby allowing her to spend quality time with them. Peggy loves to volunteer at her church and in her community.
Shifting from Reactive to Predictive: Harnessing Data to Create Positive Change in Growing Provider Organizations
Sponsored By Welligent
Are your decisions reactive or predictive? Do you know where you’re going, or only where you’ve been? By now, you most likely have an EHR implemented and it’s meeting your basic needs of documentation, auditing, and billing. But isn’t it time to harness your EHR’s power to support your agency’s evolution? Are you interested in creating a culture where data is available and decisions are made based on fact, rather than perceptions, hopes, and desires? Attend this session to hear providers like you discuss how they’ve dealt with the following:
- Are health homes, primary care, or a merger in your future?
- Is your infrastructure ready for pay-for-performance funding models?
- Will your EHR support the addition of new client populations and programs like substance abuse, residential treatment, and foster care? If not, what are your options?
- Do you use your business intelligence tools to make informed, predictive decisions?
- How can mobile technologies best support your clinical staff in the field?
Agencies in various stages of this cultural shift will discuss the hurdles they have encountered, results achieved, and ideas for the future. This session is facilitated by RCI, a certified VAR partner for iDashboards. Focusing primarily on the West Coast behavioral and mental health market, RCI has extensive regional market knowledge, vertical domain awareness, application-specific expertise, and a track record of providing a range of value-added services to their customers.
Heather Rudolph
Grayson Kelso
Jegan Anandasakaran
Dawn Vo-Jutabha
The Addiction Treatment Landscape: The California Transformation
The Drug Medi-Cal Organized Delivery System (DMC-ODS) 1115 Waiver offers counties and providers a substantial opportunity to transform the alcohol and drug service delivery network in California. The waiver is designed to test a new paradigm for the organized delivery of services for Medi-Cal beneficiaries with a substance abuse disorder and improve outcomes while decreasing other system health care costs. This workshop will illustrate the changes that are occurring, the trends, the opportunities. Our innovative team of speakers will focus on:
- The monumental system and service changes that are occurring
- The increased standardization of clinical assessments and practices
- Measurement of outcomes and cost effectiveness
- New partnerships within the health care delivery system
Steve Ramsland, Ed.D.
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
Theresa M. Stanley
Theresa “Terrie” Stanley is a Registered Nurse with 30 years experience in Health Care, and over 20 years working with commercial, Medicare and MediCal managed health plans in the state of California. She has developed and executed numerous innovative programs focused on integrating physical and behavioral health care, community based services and social determinates of health. Her varied experience as a practicing clinical and health care executive, give her unique insight into solutions to reform the current fragmented and duplicative system of care into a person-centered interconnected system that improves care and empowers individuals to be pro-active.
Terrie is a Vice President Care1st Health Plan, and is responsible for integrating clinical and social services in both San Diego and Los Angeles counties. She earned her Undergraduate Degree in Nursing from Arizona State and a Masters from Golden Gate University. She holds certifications in Utilization, Quality, and Case Management.
Elizabeth Stanley-Salazar
ELIZABETH STANLEY-SALAZAR, RN, GHA, MPH
Stanley Salazar Consulting
Ms. Stanley-Salazar, M.P.H. began her career in the substance abuse field at Behavioral Health Services in Torrance, California, as the Vice-President of Alcohol Services and Administrator of Redgate Memorial Hospital. There she directed the opening, licensing and JCAHO accreditation of the first free standing Chemical Dependency Recovery Hospital in Southern California in 1983.She left BHS in 1987 to join the Monterey County Public Health Department as the County Alcohol and Drug Program Administrator. It was her work on the Monterey County Master Plan and active participation in public policy and service committees in Sacramento that led to her appointment as the Chief Deputy Director of the State Department of Alcohol and Drug Programs. From 1990 through 1994, she was responsible for system administration, funding and continuous quality improvement of the AOD service delivery network in California. While at CDADP, she developed and supported the California Women’s Services Network and brought attention to services for substance exposed infants and teens. She began her tenure of 20 years with Phoenix Houses of California, as Regional Executive Director for Phoenix House Foundation’s California Affiliates in 1994. Phoenix House's first mental health contract was secured in 2000 with Los Angeles County serving teens with co-occurring disorders. With transformative changes occurring in the substance abuse field, she stepped into the role of Managing Director of Phoenix Academy Adolescent Program, resulting in 2010 in CARF accreditation of the continuum of care, as an Integrated Behavioral Health Program. She successfully guided the implementation of CARF accreditation for all Phoenix House Programs in the California region with re- accreditation in 2015. She implemented trauma-informed, gender-specific co-occurring services for adolescents at the Phoenix Academy, which has been named an evidenced based program on the Substance Abuse and Mental Health Services Administration’s National Registry of Evidence-Based Programs and Practices. In 2009 Phoenix House undertook the implementation of electronic health records which she was asked to lead. At the same time, an insurance and pay source expansion initiative was undertaken by Phoenix House which resulted in the design and implementation of short stay protocols and brief strategic interventions. In January 2016 she left Phoenix House to pursue consultation services reflecting the breath of her experience and passion for developing integrated care. She now serves as the Project Manager for the CIBHS, DMC-ODS Forum and supports provider organizations with the strategic planning and development of new program designs and DMC-ODS implementation. She is also currently a Senior Advisor to California Health Policy Strategies. She is a member of the board of directors of Children and Family Futures, Inc and an appointee on the California Medi-Cal Children’s Advisory Panel
Shifting from Reactive to Predictive: Harnessing Data to Create Positive Change in Growing Provider Organizations
Sponsored By Welligent
Are your decisions reactive or predictive? Do you know where you’re going, or only where you’ve been? By now, you most likely have an EHR implemented and it’s meeting your basic needs of documentation, auditing, and billing. But isn’t it time to harness your EHR’s power to support your agency’s evolution? Are you interested in creating a culture where data is available and decisions are made based on fact, rather than perceptions, hopes, and desires? Attend this session to hear providers like you discuss how they’ve dealt with the following:
- Are health homes, primary care, or a merger in your future?
- Is your infrastructure ready for pay-for-performance funding models?
- Will your EHR support the addition of new client populations and programs like substance abuse, residential treatment, and foster care? If not, what are your options?
- Do you use your business intelligence tools to make informed, predictive decisions?
- How can mobile technologies best support your clinical staff in the field?
Agencies in various stages of this cultural shift will discuss the hurdles they have encountered, results achieved, and ideas for the future. This session is facilitated by RCI, a certified VAR partner for iDashboards. Focusing primarily on the West Coast behavioral and mental health market, RCI has extensive regional market knowledge, vertical domain awareness, application-specific expertise, and a track record of providing a range of value-added services to their customers.
Heather Rudolph
Grayson Kelso
Jegan Anandasakaran
Dawn Vo-Jutabha
Primary & Behavioral Health Integration Models: Options For New Opportunities
Behavioral health organizations across the country are developing a number of initiatives to better meet the needs of clients via the integration of primary and behavioral health care. However, in an era when everyone in health care is talking about integration, few organizations have been able to master the process. In this exciting session, we will review several organizations’ paths to integration, the service delivery models they have created, how they work with payers under their models, and their advice for other provider organizations considering how to expand their practices into primary care. This exciting session provides an overview of:
- The range of integrated behavioral health/primary care service delivery models
- Key ingredients for success of an integrated practice
- Case study examples of successful integrated behavioral health/primary care service practices
Richard Louis, III
Richard Louis, III, brings extensive experience in public and for-profit behavioral healthcare administration and business development to the OPEN MINDS team. Mr. Louis was formerly the Executive Director of Strategic Development and Planning, Pacific Region, for Providence Service Corporation.
Prior to OPEN MINDS, Mr. Louis served as the Assistant Director of the San Bernardino County Department of Behavioral Health, the 4th largest county behavioral health system in California, where he was responsible for day-to-day operations of a system serving over 50,000 unduplicated consumers annually through 31 county-operated facilities and 60 contract provider organizations.
Prior to his work with San Bernardino County, Mr. Louis was the Vice President of Government Operations for College Health Enterprises. In this role, he pioneered the development of public sector partnerships, contracts, and community mental health system joint ventures in California by creating some of the first inpatient psychiatric hospital-based, outpatient, day treatment, and institutional specialty treatment programs for county, state, and federal government agencies including L.A. County Department of Mental Health, L.A. County Probation Department, California Youth Authority, California Department of Developmental Disabilities, California Department of Corrections & Rehabilitation, and U.S. Immigration Customs Enforcement/Homeland Security.
Mr. Louis has served in a number of leadership roles with several organizations in the community including: the California Hospital Association – Center for Behavioral Health, Advisory Board, and SCAN Health Plan – Advisory Board; the Board of Directors of the Forensic Mental Health Association of California, College Hospitals, and the Intercommunity Child Guidance Center of Whittier; and testified on behalf of the National Association of Psychiatric Healthcare Systems before President Bush’s New Freedom Commission on Mental Health. Mr. Louis is currently a volunteer police officer with the City of Monterey Park Police Department in East Los Angeles serving since 1987 and currently holds the rank of Captain. Mr. Louis was recently appointed to the City of Claremont Police Commission in Los Angeles County.
He is a graduate of Whittier College and of the Police Academy of Rio Hondo College.
Larry Smith
Larry Smith, from Claremore, Oklahoma is the Chief Operations Officer (COO), Grand Lake Mental Health Center, Inc. He began with the agency in 1995 and went to work implementing new and innovative programs and solutions to provide the best possible care to each individual served. Specializing in finance, Larry worked tirelessly to increase the annual budget by 600%. Employee growth exploded from 75 to now over 320 employees, enabling GLMHC to provide needed services to those individuals with a mental illness living in 7 counties in NE Oklahoma.
Larry's passion and desire to serve people with mental illnesses started many years before he joined Grand Lake Mental Health Center. His Mother struggled with a severe mental illness for years and passed away when she was 44 years old; Larry was only 8 yrs. old. His Father became terminally ill from cancer and at age 12 he was an orphan, prompting the state to place Larry and his siblings into a Children Home.
Larry began his professional career as a director at the children's home where he had lived until graduating high school. He was an excellent choice since he had run away about fourteen times, and already knew how to break all the rules! In a matter of years Larry was the Executive Director of that facility. From there his career took off and he found his forte in trouble-shooting and providing creative solutions for large agencies in trouble.
Larry's personal and professional experiences have given him the ability, the passion to utilize his talents at Grand Lake Mental Health Center for over 22 years, striving to ensure individuals living with a mental illness can receive the services needed to assure a quantity and quality of life.
Peggy Chase
Peggy J. Chase is President and CEO of Terros Health, a growing integrated, whole health care company that has been helping Arizonans on their recovery journeys since 1969. Peggy believes in Terros Health’s vision of Inspiring Change for Life and is proud of the Terros Health employees who make a difference in people’s lives everyday.
Terros Health is an industry leader in substance use disorder treatment; counseling and recovery services for those challenged with mental illness; family and adolescent in-home and outpatient counseling; mobile crisis response services; HIV testing and treatment; and community prevention. Annually, Terros Health helps more than 50,000 Arizonans improve their health and well-being through more than 545,000 patient interactions.
Peggy has been a progressive health care leader and innovator for 30 years. Her commitment to service leadership has positively impacted health care and behavioral health public policy through her participation on local, state, and national boards and committees. Recognized as a health management expert, she is often called on by other health care leaders and state agencies for her expertise on how to achieve successful outcomes.
With an extensive background in finance and operations, Peggy served as the Chief Financial Officer and Chief Operations Officer of several companies. She also was a leader at a Regional Behavioral Health Authority, which oversaw the services and funding for Pinal and Gila counties. Peggy deeply understands the clinical side of Terros Health’s work and has a degree in social work from Arizona State University.
Under Peggy’s strategic vision and leadership, revenues at Terros Health increased from $38 million to nearly $90 million, through the expansion of existing services, the growth of primary care services, and the acquisitions of culturally and strategically aligned companies. Peggy’s vision is to take the Terros Health model of care to other parts of the country, and realize the company’s compelling purpose of Inspiring Change for Life.
Peggy enjoys amateur photography, especially traveling to take photos of wildlife. She also enjoys spending time with her husband, Ron, including off-roading with their jeep. Family is very dear to Peggy and both sons and daughters-in-law, and grandchildren live nearby allowing her to spend quality time with them. Peggy loves to volunteer at her church and in her community.
The Addiction Treatment Landscape: The California Transformation
The Drug Medi-Cal Organized Delivery System (DMC-ODS) 1115 Waiver offers counties and providers a substantial opportunity to transform the alcohol and drug service delivery network in California. The waiver is designed to test a new paradigm for the organized delivery of services for Medi-Cal beneficiaries with a substance abuse disorder and improve outcomes while decreasing other system health care costs. This workshop will illustrate the changes that are occurring, the trends, the opportunities. Our innovative team of speakers will focus on:
- The monumental system and service changes that are occurring
- The increased standardization of clinical assessments and practices
- Measurement of outcomes and cost effectiveness
- New partnerships within the health care delivery system
Steve Ramsland, Ed.D.
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
Theresa M. Stanley
Theresa “Terrie” Stanley is a Registered Nurse with 30 years experience in Health Care, and over 20 years working with commercial, Medicare and MediCal managed health plans in the state of California. She has developed and executed numerous innovative programs focused on integrating physical and behavioral health care, community based services and social determinates of health. Her varied experience as a practicing clinical and health care executive, give her unique insight into solutions to reform the current fragmented and duplicative system of care into a person-centered interconnected system that improves care and empowers individuals to be pro-active.
Terrie is a Vice President Care1st Health Plan, and is responsible for integrating clinical and social services in both San Diego and Los Angeles counties. She earned her Undergraduate Degree in Nursing from Arizona State and a Masters from Golden Gate University. She holds certifications in Utilization, Quality, and Case Management.
Elizabeth Stanley-Salazar
ELIZABETH STANLEY-SALAZAR, RN, GHA, MPH
Stanley Salazar Consulting
Ms. Stanley-Salazar, M.P.H. began her career in the substance abuse field at Behavioral Health Services in Torrance, California, as the Vice-President of Alcohol Services and Administrator of Redgate Memorial Hospital. There she directed the opening, licensing and JCAHO accreditation of the first free standing Chemical Dependency Recovery Hospital in Southern California in 1983.She left BHS in 1987 to join the Monterey County Public Health Department as the County Alcohol and Drug Program Administrator. It was her work on the Monterey County Master Plan and active participation in public policy and service committees in Sacramento that led to her appointment as the Chief Deputy Director of the State Department of Alcohol and Drug Programs. From 1990 through 1994, she was responsible for system administration, funding and continuous quality improvement of the AOD service delivery network in California. While at CDADP, she developed and supported the California Women’s Services Network and brought attention to services for substance exposed infants and teens. She began her tenure of 20 years with Phoenix Houses of California, as Regional Executive Director for Phoenix House Foundation’s California Affiliates in 1994. Phoenix House's first mental health contract was secured in 2000 with Los Angeles County serving teens with co-occurring disorders. With transformative changes occurring in the substance abuse field, she stepped into the role of Managing Director of Phoenix Academy Adolescent Program, resulting in 2010 in CARF accreditation of the continuum of care, as an Integrated Behavioral Health Program. She successfully guided the implementation of CARF accreditation for all Phoenix House Programs in the California region with re- accreditation in 2015. She implemented trauma-informed, gender-specific co-occurring services for adolescents at the Phoenix Academy, which has been named an evidenced based program on the Substance Abuse and Mental Health Services Administration’s National Registry of Evidence-Based Programs and Practices. In 2009 Phoenix House undertook the implementation of electronic health records which she was asked to lead. At the same time, an insurance and pay source expansion initiative was undertaken by Phoenix House which resulted in the design and implementation of short stay protocols and brief strategic interventions. In January 2016 she left Phoenix House to pursue consultation services reflecting the breath of her experience and passion for developing integrated care. She now serves as the Project Manager for the CIBHS, DMC-ODS Forum and supports provider organizations with the strategic planning and development of new program designs and DMC-ODS implementation. She is also currently a Senior Advisor to California Health Policy Strategies. She is a member of the board of directors of Children and Family Futures, Inc and an appointee on the California Medi-Cal Children’s Advisory Panel
Lunch Break
Lunch On Your Own
Assisting Providers in Developing the Data Skills to Successfully Compete in Value Based Purchasing Models
Sponsored by Relias Learning
Relias Learning is fast becoming a data driven learning solution company. Why? Relias is a strong partner for its largest customer base—health and human service provider organizations. Therefore, they are growing their business model to assist you with successfully sustaining and growing your own during the seismic shifts in business and clinical practice models occurring across the country.
Is your organization engaged in some level of performance based payment or practice?
Are you shifting your business practices to prepare for value based payments?
Are you a CCBHC?
Have you determined the knowledge and skills which your staff need to move your agency to the new paradigm of value based care delivery and reimbursement?
Come and enjoy lunch on us and hear from Relias about a solution model for population health services—using data to identify the risk and cost-saving opportunities necessary to improve clinical practices and how Relias can assist you in this effort.
Chris Reist, M.D.
Dr. Reist is an Associate Professor (with tenure) in the Department of Psychiatry and Human Behavior at the University of California, Irvine. He has served as Assistant Dean in the College of Medicine, Director of Medical Research for the Long Beach Veterans Affairs Healthcare System, and Chief of Mental Health, overseeing full service mental healthcare delivery to over 40,000 enrollees in the Long Beach VA Healthcare System. His experience also includes serving as Director of the Southern California VA Mental Illness Research, Education and Clinical Center (MIRECC) improving long term outcomes in chronic psychotic disorders through clinical research and dissemination of evidence-based practices.
Laurie Nelson
As the Group Product Manager for Analytics, Laurie Nelson is charged with leading the effort to add Healthcare Analytics into Relias Learning's suite of products, which also includes learning and assessments. She joined Relias in September 2016 and is excited to be working with an incredible team of people to make Analytics a key component of Relias' overall solution suite which will enable Healthcare organizations to reduce costs, improve care and identify areas for key workforce development. Laurie has 20+ years of software experience in multiple industries, but has spent the last 14 years focused on Analytics, Data Warehousing, and Reporting for both government agencies and technology companies such as Peoplefluent and Teradata. Laurie is particularly passionate about working with software development organizations to build products that give software users the right information at the right time in the right format to enable them to do their jobs with greater success.
Using Technology To Improve Consumer Engagement: A Look At Successful Models For Engagement
Poor patient engagement is a well-known obstacle in the pursuit of better health care outcomes – an obstacle with mounting costs in our value-based market. The consumers who are actively engaged in their health care experiences show better outcomes and lower costs. As organizations develop patient engagement strategies, many are turning to tech tools to make the value equation work, but the list of treatment technology choices is formidable, and growing more so every day – innovative drug delivery systems, mobile and web-based interventions, diagnostics, virtual reality treatment applications, neurotech treatments, robots, etc. The question is how to choose what technologies will improve your organization’s market positioning and strategic advantage. In this exciting session, we will take a look at how technology is being used to increase consumer engagement, and review several technologies that are seeing results from using tech tools to engage consumers.
Richard Louis, III
Richard Louis, III, brings extensive experience in public and for-profit behavioral healthcare administration and business development to the OPEN MINDS team. Mr. Louis was formerly the Executive Director of Strategic Development and Planning, Pacific Region, for Providence Service Corporation.
Prior to OPEN MINDS, Mr. Louis served as the Assistant Director of the San Bernardino County Department of Behavioral Health, the 4th largest county behavioral health system in California, where he was responsible for day-to-day operations of a system serving over 50,000 unduplicated consumers annually through 31 county-operated facilities and 60 contract provider organizations.
Prior to his work with San Bernardino County, Mr. Louis was the Vice President of Government Operations for College Health Enterprises. In this role, he pioneered the development of public sector partnerships, contracts, and community mental health system joint ventures in California by creating some of the first inpatient psychiatric hospital-based, outpatient, day treatment, and institutional specialty treatment programs for county, state, and federal government agencies including L.A. County Department of Mental Health, L.A. County Probation Department, California Youth Authority, California Department of Developmental Disabilities, California Department of Corrections & Rehabilitation, and U.S. Immigration Customs Enforcement/Homeland Security.
Mr. Louis has served in a number of leadership roles with several organizations in the community including: the California Hospital Association – Center for Behavioral Health, Advisory Board, and SCAN Health Plan – Advisory Board; the Board of Directors of the Forensic Mental Health Association of California, College Hospitals, and the Intercommunity Child Guidance Center of Whittier; and testified on behalf of the National Association of Psychiatric Healthcare Systems before President Bush’s New Freedom Commission on Mental Health. Mr. Louis is currently a volunteer police officer with the City of Monterey Park Police Department in East Los Angeles serving since 1987 and currently holds the rank of Captain. Mr. Louis was recently appointed to the City of Claremont Police Commission in Los Angeles County.
He is a graduate of Whittier College and of the Police Academy of Rio Hondo College.
Joel Friedman, PhD
Joel Friedman, PhD is the Director of Outpatient Services for Center for Family Guidance, PC. He also provides clinical leadership for two organizations within the CFG Health Network, InSight Telepsychiatry and Inpathy. Dr. Friedman is a licensed psychologist with over 20 years of experience. He has provided direct clinical care, supervision, managerial services, policy development and consulting services in a wide variety of settings including private outpatient offices, several different correctional systems, hospitals, schools, and corporate offices.
Larry Smith
Larry Smith, from Claremore, Oklahoma is the Chief Operations Officer (COO), Grand Lake Mental Health Center, Inc. He began with the agency in 1995 and went to work implementing new and innovative programs and solutions to provide the best possible care to each individual served. Specializing in finance, Larry worked tirelessly to increase the annual budget by 600%. Employee growth exploded from 75 to now over 320 employees, enabling GLMHC to provide needed services to those individuals with a mental illness living in 7 counties in NE Oklahoma.
Larry's passion and desire to serve people with mental illnesses started many years before he joined Grand Lake Mental Health Center. His Mother struggled with a severe mental illness for years and passed away when she was 44 years old; Larry was only 8 yrs. old. His Father became terminally ill from cancer and at age 12 he was an orphan, prompting the state to place Larry and his siblings into a Children Home.
Larry began his professional career as a director at the children's home where he had lived until graduating high school. He was an excellent choice since he had run away about fourteen times, and already knew how to break all the rules! In a matter of years Larry was the Executive Director of that facility. From there his career took off and he found his forte in trouble-shooting and providing creative solutions for large agencies in trouble.
Larry's personal and professional experiences have given him the ability, the passion to utilize his talents at Grand Lake Mental Health Center for over 22 years, striving to ensure individuals living with a mental illness can receive the services needed to assure a quantity and quality of life.
Planning For Turbulence In The Years Ahead: How To Diversify Your Revenue Streams & Develop Marketable New Services
In the current environment of changing consumer expectations and new financial models, one essential skill that all executives need to master is the ability to evaluate and modify current services – and to develop new services to meet the challenges and opportunities in the market. In this exciting session, we will review everything you need to know about developing a new service line and hear from an executive who has been there. We will review how to analyze current service lines and determine strategic options for diversification, a structured approach for selecting new services for your organization and ensuring they are financially sustainable, and a target costing model for launching new services.
Peggy Chase
Peggy J. Chase is President and CEO of Terros Health, a growing integrated, whole health care company that has been helping Arizonans on their recovery journeys since 1969. Peggy believes in Terros Health’s vision of Inspiring Change for Life and is proud of the Terros Health employees who make a difference in people’s lives everyday.
Terros Health is an industry leader in substance use disorder treatment; counseling and recovery services for those challenged with mental illness; family and adolescent in-home and outpatient counseling; mobile crisis response services; HIV testing and treatment; and community prevention. Annually, Terros Health helps more than 50,000 Arizonans improve their health and well-being through more than 545,000 patient interactions.
Peggy has been a progressive health care leader and innovator for 30 years. Her commitment to service leadership has positively impacted health care and behavioral health public policy through her participation on local, state, and national boards and committees. Recognized as a health management expert, she is often called on by other health care leaders and state agencies for her expertise on how to achieve successful outcomes.
With an extensive background in finance and operations, Peggy served as the Chief Financial Officer and Chief Operations Officer of several companies. She also was a leader at a Regional Behavioral Health Authority, which oversaw the services and funding for Pinal and Gila counties. Peggy deeply understands the clinical side of Terros Health’s work and has a degree in social work from Arizona State University.
Under Peggy’s strategic vision and leadership, revenues at Terros Health increased from $38 million to nearly $90 million, through the expansion of existing services, the growth of primary care services, and the acquisitions of culturally and strategically aligned companies. Peggy’s vision is to take the Terros Health model of care to other parts of the country, and realize the company’s compelling purpose of Inspiring Change for Life.
Peggy enjoys amateur photography, especially traveling to take photos of wildlife. She also enjoys spending time with her husband, Ron, including off-roading with their jeep. Family is very dear to Peggy and both sons and daughters-in-law, and grandchildren live nearby allowing her to spend quality time with them. Peggy loves to volunteer at her church and in her community.
Consumers With Schizophrenia: Tools For Relapse Reduction
Sponsored by Otsuka Frameworks
The risk of relapse is great for those diagnosed with schizophrenia, with the 1-year rate as high as 50% and the 5 year rate as high as 80% — making long-term therapy goals difficult to reach.1, 2 In 2010, there were over 397,000 hospital stays for schizophrenia and other psychotic disorders and of those, approximately 1 in 4 (22%) were readmitted within 30 days.3 Patient wellness, reducing severity of symptoms, and reduced risk of future relapses are critical therapy outcomes.4,5iv,v,vi
Just as significant is the cost of mental health care and treatment services which are estimated at $113 billion annually. The cost increases to $300 billion annually when you add in the cost of lost earnings and wages, and disability benefits.4 The direct costs for schizophrenia in the U.S. were estimate at $47 billion (in 2013 dollars).6
Join Heidi Waters, PhD, Director of Outcomes Management at Otsuka Pharmaceutical Development & Commercialization, Inc. and co-presenter, Annie Medina, MBA, ACNP-BC, Senior Associate at OPEN MINDS, for this session to learn about the Frameworks In Health & Quality disease management program focusing on schizophrenia relapse reduction. In this session, faculty will discuss a program and strategies for relapse reduction with topics including:
- Current trends in population health management and health system services for the management of schizophrenia
- Models for improving outcome of consumers with schizophrenia through medication adherence, medication reconciliation, and transition of care support
- Education support resources for all stakeholders involved in the management of schizophrenia
The co-presenter is a paid consultant of Otsuka Pharmaceutical Development & Commercialization, Inc.
1. Schennach R, et al. Psychiatr Serv. 2012; 63(1):87-90.
2. Robinson D, et al. Arch Gen Psychiatry.1999; 56(3):241-247.
3. Elixhauser A, Steiner C. Readmissions to U.S. Hospitals by Diagnosis, 2010. HCUP Statistical Brief #153. April 2013. Agency for Healthcare Research and Quality, Rockville MD. http://hcup-us.ahrq.gov/reports.statbriefs/sb 153.pdf. Accessed January 27 2014.
4. Lehman AF et al. Practice Guideline for the Treatment of Patients with Schizophrenia. II. Formulation and Implementation of a Treatment Plan. Arlington, VA: American Psychiatric Publishing, Inc.; 2004.
5. Falkai P, et al. World J Biol Psychiatry. 2006; 7(1): 5-40.
6. Cloutier M, et al. J Clin Psychiatry. 2016; 77(6): 764-771Privacy Policy
© 2017 Otsuka Pharmaceutical Development & Commercialization, Inc. July 2017 MRC2.UNB.X.00150
Heidi Waters
Heidi Waters currently serves as Director of Outcomes Management/Health Outcomes at Otsuka Pharmaceutical Development & Commercialization, Inc. In that role, she partners with payers and providers to develop unbranded health services research to improve the process of care and optimize outcomes for consumers with serious mental illness and other conditions that Otsuka products help treat. Prior to joining Otsuka, Heidi worked for Ethicon as Global Franchise Director, Health Economics and Director, Health Economics for Centicor Ortho Biotech, both Johnson & Johnson companies. Heidi also has experience working in drug safety, both at J&J and Wyeth. Prior to joining the pharmaceutical industry, Heidi served as Quality Improvement Director for Magellan Behavioral Health, where she was responsible for conducting quality improvement initiatives, developing preventive health programs, and trending utilization data for both Medicaid and commercial lines of business.
Heidi has a PhD in Health Services from Walden University, a Master’s degree in Counseling from the University of Pennsylvania, and an MBA from LaSalle. Heidi’s dissertation research focused on integrated care for consumers with serious mental illness.
Annie Medina, MBA, ACNP-BC
Annie Medina, MBA, ACNP-BC, brings over ten years of experience in the health and human services industry to the OPEN MINDS team. Her expertise spans both clinical and operational functions and is focused in business operations, strategic planning, project management, training and curriculum development, and policy and procedure design. Ms. Medina currently serves as OPEN MINDS Executive Vice President of the Consulting Practice. In addition to her work with OPEN MINDS, Ms. Medina is a Hospice Nurse Practitioner for Crater Community Hospice.
Prior to joining the OPEN MINDS team, Ms. Medina was the Chief Operating Officer for Poplar Springs Hospital, a member of Universal Health Services, based in Petersburg, Virginia. In this role, she was responsible for performance improvement, policy and procedure creation, and strategy development and implementation for the hospital’s Joint Commission and CMS regulatory surveys. Prior to this role, Ms. Medina was a MBA intern for the Popular Springs CEO where she focused on business development, process improvement, training tool development and evaluation of newly offered programs.
Previously, Ms. Medina served as a Nurse Practitioner (NP) for both Hospitalist Consultants, Inc. and for VCU Health System. At Hospitalist Consultants, she was an Internal Medicine NP. As a hospitalist, she provided medical care to patients in Tucker’s Psychiatric Hospital and educated psychiatric nurses regarding the patients’ diagnoses and medical needs. At VCU, Ms. Medina was an Emergency Department NP, where she provided care to patients at a Level I Trauma Center. Additionally, she was a provider in the observation unit, a 10-bed patient unit attached to the Emergency Department, and coordinated clinical care for patients who would otherwise be medical inpatients.
Complementing her past experience, Ms. Medina remains highly involved in professional organizations and is currently a member of the Virginia Council of Nurse Practitioners, Sigma Theta Tau Honors Society of Nursing, and American College of Healthcare Executives. She was recognized in the 2011 cohort of “40 under 40” by the Virginia Nurses Foundation for activities that support her profession and community.
Ms. Medina earned her Master of Business Administration focused in Health Sector Management and Bachelor of Science in Psychology from College of William & Mary. She also earned a Master of Science in Nursing (Acute Care Advanced Practice) and a Bachelor of Science in Nursing from Virginia Commonwealth University, and later went on to teach both nursing students and medical students at the school. Ms. Medina is a registered nurse (RN) in Virginia with multistate authority and is a registered acute care nurse practitioner (ACNP-BC) in Virginia.
Planning For Turbulence In The Years Ahead: How To Diversify Your Revenue Streams & Develop Marketable New Services
In the current environment of changing consumer expectations and new financial models, one essential skill that all executives need to master is the ability to evaluate and modify current services – and to develop new services to meet the challenges and opportunities in the market. In this exciting session, we will review everything you need to know about developing a new service line and hear from an executive who has been there. We will review how to analyze current service lines and determine strategic options for diversification, a structured approach for selecting new services for your organization and ensuring they are financially sustainable, and a target costing model for launching new services.
Peggy Chase
Peggy J. Chase is President and CEO of Terros Health, a growing integrated, whole health care company that has been helping Arizonans on their recovery journeys since 1969. Peggy believes in Terros Health’s vision of Inspiring Change for Life and is proud of the Terros Health employees who make a difference in people’s lives everyday.
Terros Health is an industry leader in substance use disorder treatment; counseling and recovery services for those challenged with mental illness; family and adolescent in-home and outpatient counseling; mobile crisis response services; HIV testing and treatment; and community prevention. Annually, Terros Health helps more than 50,000 Arizonans improve their health and well-being through more than 545,000 patient interactions.
Peggy has been a progressive health care leader and innovator for 30 years. Her commitment to service leadership has positively impacted health care and behavioral health public policy through her participation on local, state, and national boards and committees. Recognized as a health management expert, she is often called on by other health care leaders and state agencies for her expertise on how to achieve successful outcomes.
With an extensive background in finance and operations, Peggy served as the Chief Financial Officer and Chief Operations Officer of several companies. She also was a leader at a Regional Behavioral Health Authority, which oversaw the services and funding for Pinal and Gila counties. Peggy deeply understands the clinical side of Terros Health’s work and has a degree in social work from Arizona State University.
Under Peggy’s strategic vision and leadership, revenues at Terros Health increased from $38 million to nearly $90 million, through the expansion of existing services, the growth of primary care services, and the acquisitions of culturally and strategically aligned companies. Peggy’s vision is to take the Terros Health model of care to other parts of the country, and realize the company’s compelling purpose of Inspiring Change for Life.
Peggy enjoys amateur photography, especially traveling to take photos of wildlife. She also enjoys spending time with her husband, Ron, including off-roading with their jeep. Family is very dear to Peggy and both sons and daughters-in-law, and grandchildren live nearby allowing her to spend quality time with them. Peggy loves to volunteer at her church and in her community.
Consumers With Schizophrenia: Tools For Relapse Reduction
Sponsored by Otsuka Frameworks
The risk of relapse is great for those diagnosed with schizophrenia, with the 1-year rate as high as 50% and the 5 year rate as high as 80% — making long-term therapy goals difficult to reach.1, 2 In 2010, there were over 397,000 hospital stays for schizophrenia and other psychotic disorders and of those, approximately 1 in 4 (22%) were readmitted within 30 days.3 Patient wellness, reducing severity of symptoms, and reduced risk of future relapses are critical therapy outcomes.4,5iv,v,vi
Just as significant is the cost of mental health care and treatment services which are estimated at $113 billion annually. The cost increases to $300 billion annually when you add in the cost of lost earnings and wages, and disability benefits.4 The direct costs for schizophrenia in the U.S. were estimate at $47 billion (in 2013 dollars).6
Join Heidi Waters, PhD, Director of Outcomes Management at Otsuka Pharmaceutical Development & Commercialization, Inc. and co-presenter, Annie Medina, MBA, ACNP-BC, Senior Associate at OPEN MINDS, for this session to learn about the Frameworks In Health & Quality disease management program focusing on schizophrenia relapse reduction. In this session, faculty will discuss a program and strategies for relapse reduction with topics including:
- Current trends in population health management and health system services for the management of schizophrenia
- Models for improving outcome of consumers with schizophrenia through medication adherence, medication reconciliation, and transition of care support
- Education support resources for all stakeholders involved in the management of schizophrenia
The co-presenter is a paid consultant of Otsuka Pharmaceutical Development & Commercialization, Inc.
1. Schennach R, et al. Psychiatr Serv. 2012; 63(1):87-90.
2. Robinson D, et al. Arch Gen Psychiatry.1999; 56(3):241-247.
3. Elixhauser A, Steiner C. Readmissions to U.S. Hospitals by Diagnosis, 2010. HCUP Statistical Brief #153. April 2013. Agency for Healthcare Research and Quality, Rockville MD. http://hcup-us.ahrq.gov/reports.statbriefs/sb 153.pdf. Accessed January 27 2014.
4. Lehman AF et al. Practice Guideline for the Treatment of Patients with Schizophrenia. II. Formulation and Implementation of a Treatment Plan. Arlington, VA: American Psychiatric Publishing, Inc.; 2004.
5. Falkai P, et al. World J Biol Psychiatry. 2006; 7(1): 5-40.
6. Cloutier M, et al. J Clin Psychiatry. 2016; 77(6): 764-771Privacy Policy
© 2017 Otsuka Pharmaceutical Development & Commercialization, Inc. July 2017 MRC2.UNB.X.00150
Heidi Waters
Heidi Waters currently serves as Director of Outcomes Management/Health Outcomes at Otsuka Pharmaceutical Development & Commercialization, Inc. In that role, she partners with payers and providers to develop unbranded health services research to improve the process of care and optimize outcomes for consumers with serious mental illness and other conditions that Otsuka products help treat. Prior to joining Otsuka, Heidi worked for Ethicon as Global Franchise Director, Health Economics and Director, Health Economics for Centicor Ortho Biotech, both Johnson & Johnson companies. Heidi also has experience working in drug safety, both at J&J and Wyeth. Prior to joining the pharmaceutical industry, Heidi served as Quality Improvement Director for Magellan Behavioral Health, where she was responsible for conducting quality improvement initiatives, developing preventive health programs, and trending utilization data for both Medicaid and commercial lines of business.
Heidi has a PhD in Health Services from Walden University, a Master’s degree in Counseling from the University of Pennsylvania, and an MBA from LaSalle. Heidi’s dissertation research focused on integrated care for consumers with serious mental illness.
Annie Medina, MBA, ACNP-BC
Annie Medina, MBA, ACNP-BC, brings over ten years of experience in the health and human services industry to the OPEN MINDS team. Her expertise spans both clinical and operational functions and is focused in business operations, strategic planning, project management, training and curriculum development, and policy and procedure design. Ms. Medina currently serves as OPEN MINDS Executive Vice President of the Consulting Practice. In addition to her work with OPEN MINDS, Ms. Medina is a Hospice Nurse Practitioner for Crater Community Hospice.
Prior to joining the OPEN MINDS team, Ms. Medina was the Chief Operating Officer for Poplar Springs Hospital, a member of Universal Health Services, based in Petersburg, Virginia. In this role, she was responsible for performance improvement, policy and procedure creation, and strategy development and implementation for the hospital’s Joint Commission and CMS regulatory surveys. Prior to this role, Ms. Medina was a MBA intern for the Popular Springs CEO where she focused on business development, process improvement, training tool development and evaluation of newly offered programs.
Previously, Ms. Medina served as a Nurse Practitioner (NP) for both Hospitalist Consultants, Inc. and for VCU Health System. At Hospitalist Consultants, she was an Internal Medicine NP. As a hospitalist, she provided medical care to patients in Tucker’s Psychiatric Hospital and educated psychiatric nurses regarding the patients’ diagnoses and medical needs. At VCU, Ms. Medina was an Emergency Department NP, where she provided care to patients at a Level I Trauma Center. Additionally, she was a provider in the observation unit, a 10-bed patient unit attached to the Emergency Department, and coordinated clinical care for patients who would otherwise be medical inpatients.
Complementing her past experience, Ms. Medina remains highly involved in professional organizations and is currently a member of the Virginia Council of Nurse Practitioners, Sigma Theta Tau Honors Society of Nursing, and American College of Healthcare Executives. She was recognized in the 2011 cohort of “40 under 40” by the Virginia Nurses Foundation for activities that support her profession and community.
Ms. Medina earned her Master of Business Administration focused in Health Sector Management and Bachelor of Science in Psychology from College of William & Mary. She also earned a Master of Science in Nursing (Acute Care Advanced Practice) and a Bachelor of Science in Nursing from Virginia Commonwealth University, and later went on to teach both nursing students and medical students at the school. Ms. Medina is a registered nurse (RN) in Virginia with multistate authority and is a registered acute care nurse practitioner (ACNP-BC) in Virginia.
Building New Payer/Provider Partnerships: A Town Hall Discussion On How To Collaborate With Managed Care Organizations
Across the country, health plans are successfully delivering treatment services to large populations and doing it in a way that saves states significant sums of money. These demonstrated savings show that value-based reimbursement and managed care arrangements aren’t going anywhere, which means that executives of provider organizations must find a way to position themselves to work closely with managed care companies. How? By developing relationships with the payers in your market, considering what metrics they are tied to and how you can help them to meet their performance requirements, discussing how you can align programs and services with the goals of the payers and health plans in your market, and providing data that proves your service lines can achieve both high quality outcomes and lower costs. In this crucial discussion session, we will discuss ways to demonstrate your organization’s value and review how to develop successful partnerships with payers in a value-based market.
Steve Ramsland, Ed.D.
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
Carole Matyas
Carole Matyas is the Vice President of WellCare’s Behavioral Health Operations. She oversees enterprise wide behavioral health activities and a key focus for Carole is to provide support for new business development and new business implementation as well as to assure that WellCare develops a fully integrated medical/behavioral program that is centered in whole person attention and care. She also participates in new product and program development that supports our integrated model.
Carole has more than 30 years of behavioral health-related experience, with 15 of those years of experience in health plan operations. She joined WellCare in 2011 and previously worked for Magellan Health Services, first as a general manager for call center operations, and then as Chief of Clinic Operations, where she led practice management and operations of 23 mental health clinics and a psychiatric urgent care center in Arizona. Her additional experience includes serving as Vice President of Public Sector Operations for Schaller Anderson, a Medicaid managed care organization and helped to develop their integrated model; and as Vice President for Value Options, a managed behavioral health care company whose contracts included carve out managed care for state and government agencies, where Carole was executive lead on a large carve out program in Texas. Carole spent her early career as a licensed social worker providing direct clinical services in a group practice, community mental health and a residential treatment center.
In February 2013, Carole was appointed to serve on the Board of Directors for Drug Abuse Comprehensive Coordinating Office, Inc. (DACCO) in Tampa, Fl. Carole has been the recipient of awards from Mental Health America and NAMI for her dedication to mental health advocacy Carole earned both her undergraduate and Master of Social Work degrees from Marywood University in Scranton, Pennsylvania.
Chris Daher
Chris Daher is the Manager of Provider Partnerships for Beacon Health Options, Beacon manages over 50 million covered lives across the US and the United Kingdom. Beacon provides behavioral health solutions for regional and specialty health plans; employers and labor organizations; as well as federal, state and local governments.
Chris leads a Southern California team of Provider Partners that interfaces with network providers using data to target interventions with the goal of shaping provider performance, identifying strategic goals and improving the member experience in services. Chris also works to partner with high performing network providers in order to build innovative models of care that meet specific market needs and improve the care delivery system.
Chris has 25 years’ experience in behavioral health both from the provider and payer perspective. He was previously the General Manager for 10 years at the Center for Autism and Related Disorders, helping them grow in size and scope across the US.
Elena Fernandez
Richard Knecht, M.S.
Richard Knecht, M.S., is the former Chief Operating Officer at Olympus View Hospital, and the former Sr. Vice President of Program Operations at the River Oak Center for Children. He recently served as California's first Transformation Manager, providing guidance and cross-system statewide technical assistance to multiple agencies in building shared management processes for children and families. From 2006-2017, Richard directed Placer County's highly regarded Children's System of Care. He is currently Chair of the Board of Directors at Ifoster.org, the country’s online resource portal for Foster and Kinship care youth and their providers.
Networking Reception In The Institute Exhibit Hall
Executive Networking Breakfast In The Institute Exhibit Hall
Redesigning Behavioral Health For The Future: The New Directions Approach To Building A Better Care Delivery System
Health care delivery systems are not always built for the people who need them the most – that’s particularly true when it comes to behavioral health. With that idea in mind, New Directions Behavioral Health in redesigning their behavioral health system to better focus on the needs of complex consumers. In her keynote presentation, Peggy DeCarlis, Senior VP and Chief Operating & Innovation Officer at New Directions will explore the broad challenges facing managers of behavioral health systems and discuss the specific innovations that her team at New Directions is putting in place. This includes evaluating provider organizations in terms of the evidence base of their services, their clinical outcomes and financial results, and their consumer experience. Don’t miss this cutting-edge presentation on how payers and provider organizations can partner together to build a better care delivery system.
Peggy DeCarlis, MSSA, LCSW-C
Peggy DeCarlis, MSSA, LCSW-C, is senior vice president and chief innovation officer of New Directions Behavioral Health. Ms. DeCarlis joined New Directions in 2010. She is responsible for clinical strategy, operations and innovations, and oversees account management and the Employee Assistance Program. Additionally, Ms. DeCarlis directs the company’s cross-functional Clinical Product and Innovation Steering Committee. Her experience in clinical innovation, national operations, large project implementation, strategic planning, organizational change, accreditation initiatives and account retention shapes her unwavering focus on our clients’ business goals and members’ clinical outcomes. Ms. DeCarlis works closely with various advocacy, professional, regulatory and trade associations on behalf of New Directions. Her deep understanding of the dynamic changes within the health care market and the importance of medical/behavioral integration places her squarely on the front lines of industry advances.
An EHR for the Future: A Valant Demo
Demonstration Track Session
The smarter the technology, the simpler it is to use. You see this in every piece of software you use on a day-to-day basis, with the exception of your EHR. This brief demo will cover the foundation of Valant EHR technology and how it’s different from what you’re using today. We’ll dive a bit into the interface to show how this underlying technology creates incredibly easy, straightforward workflows and reporting that takes very little training. We hope you’ll join us in this talk about how complex modern technology enables an intuitive EHR.
Brian Gann
Colin Flynn
Mergers & Acquisitions: Best Practices From Concept To Go Live
In recent years, studies have shown mergers to have a high failure rate – sometimes failing as often as 50%-90% of the time. However, economies of scale and organizational size are an integral part of strategy for health and human service organizations. The question – how to develop a merger and acquisition plan that makes your organizational strategy successful. Don’t miss this engaging look at how to overcome the challenges of making mergers and acquisitions work – selecting the right organizations, the M&A process, developing governance and management structures for a newly-merged organization, and the challenges of managing a bigger and more diverse organization – through the lens of organizations who have made it work.
Best Practices In Care Coordination: Health Homes, Medical Homes, & More
While the concept of medical homes has been around since the 1960s, health homes (or specialty medical homes) are a relatively new creation ushered in by health care reform. The uptake of medical homes and health homes has been rather dramatic – there are at least 20 state Medicaid plans that have medical home initiatives. Nineteen states also have Medicaid health home initiatives and another four states plan to implement health homes in the next few years. But the construct is not limited to Medicaid – medical homes are increasingly common in commercial health plans and accountable care organizations (ACOs). In this session, we'll explore how the medical home model is being utilized to coordinate care for complex consumers – from physical and behavioral health, to social services and support needs. We'll cover the different models of care, hear from provider organizations operating successful programs, and discuss the future of care coordination models for consumers with complex support needs.
Steve Ramsland, Ed.D.
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
Shauna Reitmeiter, MSW
Ms. Reitmeier serves as the Chief Executive Officer of the Northwestern Mental Health Center, Inc. for a 6 rural and frontier county Community Mental Health Center in NW Minnesota. She holds a Master of Social Work degree from the University of Michigan at Ann Arbor. After completion of her graduate work, she was employed in a variety of administrative and leadership capacities with Washtenaw County and the Community Mental Health Partnership of Southeast Michigan focused on mental health service delivery. She also worked with the National Council for Behavioral Healthcare in Washington D.C., providing technical assistance through SAMHSA and HRSAs Center for Integrated Health Solutions demonstrating the integration of primary and behavioral healthcare across the nation. Under Ms. Reitmeier’s leadership, Northwestern Mental Health Center has successfully been awarded State Innovation funding for the development of a Health Information Exchange across 7 counties and 17 entities. Most recently through the Excellence in Mental Health Act the NWMHC became a Certified Community Behavioral Health Clinic that includes the “linchpin” of care coordination in its service delivery model. With over 20 years of experience between the Developmental/Intellectual Disabilities and Behavioral Health field she comes with a broad and detailed view of coordinating care among and between individuals, agencies and systems.
Clayton Chau, M.D., Ph.D.
Clayton Chau is currently the Regional Executive Medical Director for the Mental Health Network, St Joseph Hoag Health/Providence St Joseph Health System, Southern California Orange County/High Desert Region, where he joined in January 2017. Previously, he was the Senior Medical Director for Health Services at LA Care Health Plan, the nation’s largest public health plan, responsible for behavioral health, care management, utilization management, disease management, health integration quality improvement, behavioral health long-term care, health education & cultural linguistics, physician concurrent review, strategic initiatives and provider continuing education. He was also the Co-Principal Investigator for a multi-year Center for Medicare & Medicaid Services’ Innovation grant in Transforming Clinical Practice. He is a Lecturer for the UCLA School of Public Health and an Associate Clinical Professor of Psychiatry at UC Irvine School of Medicine. Prior to joining health plan, he worked for the Orange County Health Care Agency Behavioral Health Services for 13 years providing care to people living with severe persistent mental illness and integrated care for the county’s Public Health HIV clinic. He was also the Director of the Center of Excellence in Education, Training, Research and Advocacy for Reducing Health Disparities.
Dr. Chau obtained his MD degree from the University of Minnesota and PhD in Clinical Psychology from Chelsea University. He completed his psychiatry residency at UCLA/San Fernando Valley followed by a fellowship with the National Institute of Mental Health in psychoneuroimmunology focusing on substance abuse and HIV. During his residency he was also selected for the American Psychiatric Association Mead Johnson Fellowship in Community Leadership.
Dr. Chau has conducted international trainings in the areas of health care integration, health care system reform, cultural competency, veteran’s health, trauma, homelessness and mental health policy. He is featured in the 2013 documentary “A New State of Mind: Ending the Stigma of Mental Illness” narrated by Glenn Close, produced by PBS, the 2013 Emmy Awards winner 60 Seconds PSA and the 2012 Emmy Awards winner Informational/Public Affairs Series “Profiles of Hope” produced by the LA Department of Mental Health. Dr Chau was named the 2012 Visionary Leader by the National Council for Behavioral Health. In that same year he was also awarded the prestigious Warren Williams, MD Award from the American Psychiatric Association “for his extraordinary contributions to the profession of psychiatry and the care of those with mental illness.”
Thought Leader Discussion Session With Peggy DeCarlis, Senior VP, Chief Operating & Innovation Officer, New Directions Behavioral Health
Join us for a follow-up session with our keynote speaker, Peggy DeCarlis, MSSA, LCSW-C, Senior VP, Chief Operating & Innovation Officer, New Directions Behavioral Health. Use this time to ask questions and continue the morning’s discussion with Ms. DeCarlis and OPEN MINDS CEO Monica E. Oss.
Peggy DeCarlis, MSSA, LCSW-C
Peggy DeCarlis, MSSA, LCSW-C, is senior vice president and chief innovation officer of New Directions Behavioral Health. Ms. DeCarlis joined New Directions in 2010. She is responsible for clinical strategy, operations and innovations, and oversees account management and the Employee Assistance Program. Additionally, Ms. DeCarlis directs the company’s cross-functional Clinical Product and Innovation Steering Committee. Her experience in clinical innovation, national operations, large project implementation, strategic planning, organizational change, accreditation initiatives and account retention shapes her unwavering focus on our clients’ business goals and members’ clinical outcomes. Ms. DeCarlis works closely with various advocacy, professional, regulatory and trade associations on behalf of New Directions. Her deep understanding of the dynamic changes within the health care market and the importance of medical/behavioral integration places her squarely on the front lines of industry advances.
Mergers & Acquisitions: Best Practices From Concept To Go Live
In recent years, studies have shown mergers to have a high failure rate – sometimes failing as often as 50%-90% of the time. However, economies of scale and organizational size are an integral part of strategy for health and human service organizations. The question – how to develop a merger and acquisition plan that makes your organizational strategy successful. Don’t miss this engaging look at how to overcome the challenges of making mergers and acquisitions work – selecting the right organizations, the M&A process, developing governance and management structures for a newly-merged organization, and the challenges of managing a bigger and more diverse organization – through the lens of organizations who have made it work.
Best Practices In Care Coordination: Health Homes, Medical Homes, & More
While the concept of medical homes has been around since the 1960s, health homes (or specialty medical homes) are a relatively new creation ushered in by health care reform. The uptake of medical homes and health homes has been rather dramatic – there are at least 20 state Medicaid plans that have medical home initiatives. Nineteen states also have Medicaid health home initiatives and another four states plan to implement health homes in the next few years. But the construct is not limited to Medicaid – medical homes are increasingly common in commercial health plans and accountable care organizations (ACOs). In this session, we'll explore how the medical home model is being utilized to coordinate care for complex consumers – from physical and behavioral health, to social services and support needs. We'll cover the different models of care, hear from provider organizations operating successful programs, and discuss the future of care coordination models for consumers with complex support needs.
Steve Ramsland, Ed.D.
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
Shauna Reitmeiter, MSW
Ms. Reitmeier serves as the Chief Executive Officer of the Northwestern Mental Health Center, Inc. for a 6 rural and frontier county Community Mental Health Center in NW Minnesota. She holds a Master of Social Work degree from the University of Michigan at Ann Arbor. After completion of her graduate work, she was employed in a variety of administrative and leadership capacities with Washtenaw County and the Community Mental Health Partnership of Southeast Michigan focused on mental health service delivery. She also worked with the National Council for Behavioral Healthcare in Washington D.C., providing technical assistance through SAMHSA and HRSAs Center for Integrated Health Solutions demonstrating the integration of primary and behavioral healthcare across the nation. Under Ms. Reitmeier’s leadership, Northwestern Mental Health Center has successfully been awarded State Innovation funding for the development of a Health Information Exchange across 7 counties and 17 entities. Most recently through the Excellence in Mental Health Act the NWMHC became a Certified Community Behavioral Health Clinic that includes the “linchpin” of care coordination in its service delivery model. With over 20 years of experience between the Developmental/Intellectual Disabilities and Behavioral Health field she comes with a broad and detailed view of coordinating care among and between individuals, agencies and systems.
Clayton Chau, M.D., Ph.D.
Clayton Chau is currently the Regional Executive Medical Director for the Mental Health Network, St Joseph Hoag Health/Providence St Joseph Health System, Southern California Orange County/High Desert Region, where he joined in January 2017. Previously, he was the Senior Medical Director for Health Services at LA Care Health Plan, the nation’s largest public health plan, responsible for behavioral health, care management, utilization management, disease management, health integration quality improvement, behavioral health long-term care, health education & cultural linguistics, physician concurrent review, strategic initiatives and provider continuing education. He was also the Co-Principal Investigator for a multi-year Center for Medicare & Medicaid Services’ Innovation grant in Transforming Clinical Practice. He is a Lecturer for the UCLA School of Public Health and an Associate Clinical Professor of Psychiatry at UC Irvine School of Medicine. Prior to joining health plan, he worked for the Orange County Health Care Agency Behavioral Health Services for 13 years providing care to people living with severe persistent mental illness and integrated care for the county’s Public Health HIV clinic. He was also the Director of the Center of Excellence in Education, Training, Research and Advocacy for Reducing Health Disparities.
Dr. Chau obtained his MD degree from the University of Minnesota and PhD in Clinical Psychology from Chelsea University. He completed his psychiatry residency at UCLA/San Fernando Valley followed by a fellowship with the National Institute of Mental Health in psychoneuroimmunology focusing on substance abuse and HIV. During his residency he was also selected for the American Psychiatric Association Mead Johnson Fellowship in Community Leadership.
Dr. Chau has conducted international trainings in the areas of health care integration, health care system reform, cultural competency, veteran’s health, trauma, homelessness and mental health policy. He is featured in the 2013 documentary “A New State of Mind: Ending the Stigma of Mental Illness” narrated by Glenn Close, produced by PBS, the 2013 Emmy Awards winner 60 Seconds PSA and the 2012 Emmy Awards winner Informational/Public Affairs Series “Profiles of Hope” produced by the LA Department of Mental Health. Dr Chau was named the 2012 Visionary Leader by the National Council for Behavioral Health. In that same year he was also awarded the prestigious Warren Williams, MD Award from the American Psychiatric Association “for his extraordinary contributions to the profession of psychiatry and the care of those with mental illness.”
Thought Leader Discussion Session With Peggy DeCarlis, Senior VP, Chief Operating & Innovation Officer, New Directions Behavioral Health
Join us for a follow-up session with our keynote speaker, Peggy DeCarlis, MSSA, LCSW-C, Senior VP, Chief Operating & Innovation Officer, New Directions Behavioral Health. Use this time to ask questions and continue the morning’s discussion with Ms. DeCarlis and OPEN MINDS CEO Monica E. Oss.
Peggy DeCarlis, MSSA, LCSW-C
Peggy DeCarlis, MSSA, LCSW-C, is senior vice president and chief innovation officer of New Directions Behavioral Health. Ms. DeCarlis joined New Directions in 2010. She is responsible for clinical strategy, operations and innovations, and oversees account management and the Employee Assistance Program. Additionally, Ms. DeCarlis directs the company’s cross-functional Clinical Product and Innovation Steering Committee. Her experience in clinical innovation, national operations, large project implementation, strategic planning, organizational change, accreditation initiatives and account retention shapes her unwavering focus on our clients’ business goals and members’ clinical outcomes. Ms. DeCarlis works closely with various advocacy, professional, regulatory and trade associations on behalf of New Directions. Her deep understanding of the dynamic changes within the health care market and the importance of medical/behavioral integration places her squarely on the front lines of industry advances.
Reinventing Your Organization In A Complex Market: A Guide To Building A Sustainable, Performance-Driven Organization
George Bernard Shaw once said, “Progress is impossible without change...” The health care market is in the middle of a massive transformation – one that’s designed to ultimately improve outcomes and reduce costs. But getting there is going to be a challenge. The move to value-based reimbursement is uneven at best, thwarted by lack of provider organization readiness to assume downside risk and weak financial performance. This mismatch in market direction and market capabilities means we’re in for a time of turbulence. Market share will gradually move to provider organizations that are willing to accept risk. And, there will be some spectacular successes – and some spectacular failures – in these new roles. In our closing keynote session, OPEN MINDS Chief Executive Officer Monica Oss will discuss these challenges and how executives can prepare their organizations to be sustainable in a changing complex market.