Meggan Christman Schilkie has over 15 years of experience in health care management, policy, and strategic consulting. She has held leadership roles at the New York City Department of Health and Mental Hygiene, managing over $200 million in behavioral health programs. Currently, she is a Principal at Health Management Associates, where she provides strategic consulting services to health care organizations. She has expertise in areas such as financing, delivery system reform, and healthcare policy.
The Practical Playbook
National Meeting 2016
www.practicalplaybook.org
Bringing Public Health and Primary Care Together: The Practical Playbook National Meeting was at the Hyatt Regency in Bethesda, MD, May 22 - 24, 2016. The meeting was a milestone event towards advancing robust collaborations that improve population health. Key stakeholders from across sectors – representing professional associations, community organizations, government agencies and academic institutions – and across the country came together at the National Meeting to help catalyze a national movement, accelerate collaborations by fostering skill development, and connect with like-minded individuals and organizations to facilitate the exchange of ideas to drive population health improvement.
The National Meeting was also a significant source of tools and resources to advance collaboration. These tools and resources are available below and include:
Session presentations and materials
Poster session content
Photos from the National Meeting
The conversation started at the National Meeting is continuing in a LinkedIn Group "Working Together for Population Health" and Twitter. Use #PPBMeeting to provide feedback on the National Meeting.
The Practical Playbook was developed by the de Beaumont Foundation, the Duke University School of Medicine Department of Community and Family Medicine, the Centers for Disease Control and Prevention (CDC), and the Health Resources & Services Administration (HRSA).
Community Health Center Growth & Sustainability: State Profiles from the Northeastern and Mid-Atlantic United States analyzes key factors related to community health center (CHC) growth and sustainability in 13 states and DC. It finds that in 2012 CHCs collectively served over 5.3 million people, with a median annual growth rate of 4.2% from 2010-2012. CHCs typically served 1 in 5 Medicaid enrollees and 1 in 6 low-income residents. The document also examines CHC financial status using data from 2009-2011, finding mixed results with some states exceeding benchmarks for days cash on hand while others fell below. Revenue sources also varied between states.
Rev. Dr. Avril L'Mour Weathers has over 15 years of experience in communications, facilitation, advancement, analysis, and research and development. She holds a Masters of Divinity from Emory University and a Doctorate of Philosophy in Organizational Behavior from Northwestern University. Currently she is the Chair of the Christian Counseling Program and Assistant Professor of Theology at African Methodist Episcopalian University, where she developed the Christian Counseling Program and serves on the National Ebola Task Force Psychosocial Services Committee. Previously she held various roles providing mental health recovery support services, counseling, and strategic planning. She has also conducted numerous professional presentations and received several awards for her outstanding service provision and leadership.
Week 5 HCS325.Long-Term Wing Expansion FinalMaile Andrus
This document discusses communication methods, relationships, and steps for planning and implementing change at a rehabilitation center. It proposes expanding services to help those with long-term mental illness and depression. Key points include hiring and training new staff, ensuring compliance with privacy laws, and estimating increased revenue and quality care will result from the expansion.
The document summarizes initiatives by several states to implement patient-centered medical homes (PCMHs) and shared care teams through Medicaid programs. It discusses how states like Alabama, Maine, Vermont, and New York have established networks, teams, or "pods" to provide support to primary care practices in order to help them function as medical homes. These support systems receive per-member-per-month payments from Medicaid and other payers. The document also covers initiatives to implement health homes for high-need patients and use of health information technology.
Medicaid Expansion has ushered in new challenges for those working in the Medicaid Industry. At the 2014 Medicaid Summit, join Medicaid Directors and industry leaders to discuss solutions to the challenges that are surfacing with Medicaid Expansion. Be a part of the discussions on the Medicaid regulations and access to care and their impact on the Medicaid industry for state operators, providers and Medicaid health plans.
http://bit.ly/MedicaidSummit
This document discusses community health workers (CHWs), including definitions, roles, skills, evidence of impact, and policy considerations. It provides an overview of CHWs, defining them as frontline public health workers who serve as liaisons between communities and health services. The document reviews the growing evidence that CHWs can improve health outcomes, increase knowledge and healthy behaviors, and reduce healthcare costs. It also examines the key policy areas states are addressing to define and support the CHW workforce.
The document discusses Pocahontas Memorial Hospital, a critical access hospital in rural West Virginia that faces numerous challenges. It conducts environmental, access, technology, market and SWOT analyses to assess the hospital's situation. Key recommendations include developing a new mission/vision, focusing on recruitment/retention, utilizing medical technologies, forming partnerships, and taking a strategic, lean approach to planning. The overall goal is for the hospital to remain competitive and continue serving its community.
The Practical Playbook
National Meeting 2016
www.practicalplaybook.org
Bringing Public Health and Primary Care Together: The Practical Playbook National Meeting was at the Hyatt Regency in Bethesda, MD, May 22 - 24, 2016. The meeting was a milestone event towards advancing robust collaborations that improve population health. Key stakeholders from across sectors – representing professional associations, community organizations, government agencies and academic institutions – and across the country came together at the National Meeting to help catalyze a national movement, accelerate collaborations by fostering skill development, and connect with like-minded individuals and organizations to facilitate the exchange of ideas to drive population health improvement.
The National Meeting was also a significant source of tools and resources to advance collaboration. These tools and resources are available below and include:
Session presentations and materials
Poster session content
Photos from the National Meeting
The conversation started at the National Meeting is continuing in a LinkedIn Group "Working Together for Population Health" and Twitter. Use #PPBMeeting to provide feedback on the National Meeting.
The Practical Playbook was developed by the de Beaumont Foundation, the Duke University School of Medicine Department of Community and Family Medicine, the Centers for Disease Control and Prevention (CDC), and the Health Resources & Services Administration (HRSA).
Community Health Center Growth & Sustainability: State Profiles from the Northeastern and Mid-Atlantic United States analyzes key factors related to community health center (CHC) growth and sustainability in 13 states and DC. It finds that in 2012 CHCs collectively served over 5.3 million people, with a median annual growth rate of 4.2% from 2010-2012. CHCs typically served 1 in 5 Medicaid enrollees and 1 in 6 low-income residents. The document also examines CHC financial status using data from 2009-2011, finding mixed results with some states exceeding benchmarks for days cash on hand while others fell below. Revenue sources also varied between states.
Rev. Dr. Avril L'Mour Weathers has over 15 years of experience in communications, facilitation, advancement, analysis, and research and development. She holds a Masters of Divinity from Emory University and a Doctorate of Philosophy in Organizational Behavior from Northwestern University. Currently she is the Chair of the Christian Counseling Program and Assistant Professor of Theology at African Methodist Episcopalian University, where she developed the Christian Counseling Program and serves on the National Ebola Task Force Psychosocial Services Committee. Previously she held various roles providing mental health recovery support services, counseling, and strategic planning. She has also conducted numerous professional presentations and received several awards for her outstanding service provision and leadership.
Week 5 HCS325.Long-Term Wing Expansion FinalMaile Andrus
This document discusses communication methods, relationships, and steps for planning and implementing change at a rehabilitation center. It proposes expanding services to help those with long-term mental illness and depression. Key points include hiring and training new staff, ensuring compliance with privacy laws, and estimating increased revenue and quality care will result from the expansion.
The document summarizes initiatives by several states to implement patient-centered medical homes (PCMHs) and shared care teams through Medicaid programs. It discusses how states like Alabama, Maine, Vermont, and New York have established networks, teams, or "pods" to provide support to primary care practices in order to help them function as medical homes. These support systems receive per-member-per-month payments from Medicaid and other payers. The document also covers initiatives to implement health homes for high-need patients and use of health information technology.
Medicaid Expansion has ushered in new challenges for those working in the Medicaid Industry. At the 2014 Medicaid Summit, join Medicaid Directors and industry leaders to discuss solutions to the challenges that are surfacing with Medicaid Expansion. Be a part of the discussions on the Medicaid regulations and access to care and their impact on the Medicaid industry for state operators, providers and Medicaid health plans.
http://bit.ly/MedicaidSummit
This document discusses community health workers (CHWs), including definitions, roles, skills, evidence of impact, and policy considerations. It provides an overview of CHWs, defining them as frontline public health workers who serve as liaisons between communities and health services. The document reviews the growing evidence that CHWs can improve health outcomes, increase knowledge and healthy behaviors, and reduce healthcare costs. It also examines the key policy areas states are addressing to define and support the CHW workforce.
The document discusses Pocahontas Memorial Hospital, a critical access hospital in rural West Virginia that faces numerous challenges. It conducts environmental, access, technology, market and SWOT analyses to assess the hospital's situation. Key recommendations include developing a new mission/vision, focusing on recruitment/retention, utilizing medical technologies, forming partnerships, and taking a strategic, lean approach to planning. The overall goal is for the hospital to remain competitive and continue serving its community.
Sara Gentile has over 15 years of experience in senior living administration. She is currently the Executive Director of Peregrines Landing Senior Community, where she oversees operations and finances, ensures regulatory compliance, and provides leadership to staff. Previously, she held executive director and administrator roles at several assisted living and skilled nursing facilities, where her responsibilities included financial management, regulatory compliance, staff development, and service quality. She also has experience in mental health counseling, creative arts programming, and marketing in senior living roles.
Kristin Hellquist has over 20 years of experience in healthcare policy, advocacy, and association management. She is currently the Director of Health Policy, Practice Advocacy & Research at the American College of Foot & Ankle Surgeons, where she oversees government relations, policy development, and research activities. Previously, she held leadership roles at the National Council of State Boards of Nursing, American Academy of Dermatology, and The Joint Commission, where she advanced key policy and advocacy initiatives.
This document presents a new organizational strategy for Arroyo Fresco Community Health Center. It provides an overview of Arroyo Fresco, including its mission, values, challenges, and current operations. The proposed strategy aims to increase net profits by decreasing patient care costs, addressing workforce gaps, and improving patient satisfaction, community relations, and employee benefits. Specific recommendations include seeking additional funds, creating healthcare apps, acquiring more clinics, and providing learning opportunities for staff. Projections estimate reductions in expenses, emergency visits and readmissions through implementing this new strategy over the next 5 years.
The document discusses strategies for writing successful grant proposals. It outlines identifying potential funding sources that match an organization's goals, such as local foundations and federal grants. Some of the greatest challenges for obtaining grants are staff time dedicated to writing proposals and the high cost of hiring grant writers. The document then discusses the accomplishments of Southwest Virginia Community Health Systems in obtaining numerous grants over the years which expanded their services and sites. It provides tips for successful grant writing such as addressing needs, partnering with other organizations, and preparing applications well in advance.
Impact of Health Systems Strengthening on HealthHFG Project
Leaders in low- and middle-income countries (LMICs) require timely and compelling evidence about how to strengthen their health systems to improve the health and well-being of their citizens. Yet, evidence on how to strengthen health system performance to achieve sustainable health improvements at scale, particularly toward Ending Preventable Child and Maternal Deaths (EPCMD), fostering an AIDS-Free Generation (AFG), and Protecting Communities against Infectious Diseases (PCID) is limited. The evidence that does exist is scattered, insufficiently analyzed, and not widely disseminated. Without evidence, decision-makers lack a sound basis for investing scarce health funds in health systems strengthening (HSS) in an environment of competing investment options.
USAID is committed to advancing the evidence base on HSS and this commissioned report clearly demonstrates that HSS can improve health in LMICs.
This report, based on a review of systematic reviews of the effects on health of HSS, presents a significant body of evidence linking HSS interventions to measureable impact on health for vulnerable people in LMICs. Making decisions on who delivers health services and where and how these services are organized is important to achieve priority health goals such as EPCMD, AFG, and PCID. The findings of this report document the value of investing in HSS.
This document provides a summary of a 2011 community health needs assessment conducted in Wexford and Missaukee counties in Michigan. It describes the process used to conduct the assessment which included collecting health and socioeconomic data as well as gathering input from community members. The assessment found that the top health issues were poverty, access to healthcare, maternal/child health, chronic disease management/prevention, mental health, substance abuse, and tobacco/alcohol abuse. These issues were linked to underlying social determinants of health like unemployment and low education levels. The assessment will help inform strategic planning and programs to address the community's needs.
Relationship Between Fiscal Decentralization and Health Care Financing in Uas...Triple A Research Journal
ABSTRACT
This study examined the relationship between fiscal decentralization and health care financing in Uasin Gishu County Kenya, the researcher sought to answer the following research questions; To what extend does the adequacy of decentralized funds influence health care financing in Uasin Gishu County Kenya? How effective was health management team in influencing health care financing in Uasin Gishu County Kenya? How does budgeting and allocation of decentralized funds affect health care financing in Uasin Gishu County Kenya? Lastly, what were the effects of decentralized fund expenditure on health care financing in Uasin Gishu County Kenya? The researcher used ex-post facto research design. Both stratified sampling and random sampling technique was used to select the respondents. The target population for the study was 98 employees working in health department with a sample size of 79 respondents whom comprised of permanent health workers working in the major hospitals in the county. Questionnaires were employed as the major data collection tools. Data were analysed through descriptive statistics and hypothesis is tested by use of chi square. The analysis of the data was done with Statistical package for social science (SPSS) version 20 and the data was presented though use of graphs and tables for clear understanding of the results. The findings from the study therefore rejected the null hypotheses and concluded that there exists statistically significant relationship between adequacy of decentralized funds, management effectiveness and budgetary mechanism and the level of health care financing. This means that whenever the health management team are effective in managing the decentralized funds well, there is an increase in the level of health care financing.
Keywords: Fiscal Decentralization and Healthcare financing
At the 2016 CCIH Annual Conference, Vuyelwa Chitimbire of the Zimbabwe Association of Church-Related Hospitals discusses how the organization works with its members to strengthen health systems and programs.
1) Local public health agencies in the St. Louis area discussed challenges accessing state health data needed for community assessments and national public health accreditation.
2) Representatives from several local health departments shared their experiences conducting community health needs assessments and preparing for accreditation.
3) The state health department acknowledged past barriers to data sharing and committed to investigating how other states provide data to local agencies and reviewing data request processes in Missouri.
Virginia AFP's lobbyist Hunter Jamerson's presentation from the 2013 SLC on the unique Medicaid reform approach being followed in the state of Virginia.
The document discusses preventive and case-managed services offered by Nevada Medicaid. It describes how the Affordable Care Act expanded Medicaid coverage in Nevada, increasing the patient population for providers. The two main Medicaid managed care organizations (MCOs) in Nevada, Amerigroup and Health Plan of Nevada, are described as well as some of the preventive services they offer. The document recommends that the MCOs use Medicaid electronic health record incentive programs and encounter data to better monitor screening rates and identify gaps in care for populations. Using this data could help the MCOs improve outreach and preventive service delivery.
This document discusses trends in peer delivered healthcare services in the United States. It notes that 47 states and territories now offer certifications for peer specialists and recovery coaches. It reviews research that has found peer support services can be effective in engaging people in care, reducing emergency room use and substance use. The document then presents projections for revenue and costs for a 3-5 person peer support team over 3 years, estimating they could generate over $4 million in revenue by the third year at a 93% gross margin.
This document will explain how a comprehensive wellness program works and how much money you should budget in order to have one. If you are ready to kick start health in your organization this is the right place to start.
The document discusses a study on Support Facilitators (SFs), a new role created by Australia's Partners in Recovery (PIR) program to improve coordination of mental healthcare. SFs work to connect clients experiencing severe mental illness to services by developing care plans, establishing partnerships between organizations, and educating providers about PIR. The study finds that SFs are building the role through trial and error by developing connections and knowledge-sharing networks. However, their work is limited by poor communication and instability from changing government policies.
The document discusses advocacy efforts for Medicaid expansion in South Carolina, including messaging around the importance of expanded access to care and treatment for people living with HIV, ongoing discussions in the state around essential health benefits and benchmark plans, and next steps advocates can take like meeting with stakeholders, elected officials, and participating in coalitions and sign-on letters.
Affordable care act NASW Annual Conference 2013Janlee Wong
The document discusses how the Affordable Care Act (ACA) affects health insurance coverage in California. It notes that around 15% of Californians are affected by the ACA because they previously lacked health insurance or had unaffordable coverage. The ACA expands Medicaid eligibility and provides subsidies for private health plans purchased through the state's health insurance exchange, Covered California. It outlines the various plans offered through Covered California and the eligibility criteria for financial assistance. The document also discusses the role of social workers and community health workers in supporting the implementation of the ACA.
This document summarizes a workshop focused on opportunities for collaboration between health care and public health. It discusses four topics: payment reform, the Million Hearts initiative, the relationship between hospitals and public health, and collaboration for asthma care. Case studies on payment reform in Ohio and the Million Hearts initiative in New York are provided. The workshop highlighted the importance of communication and partnership across different levels (e.g. state, community) and sectors (e.g. health care, public health, social services) to improve population health outcomes.
Stephen E. Dannenbaum is an experienced healthcare leader with expertise in clinical operations, quality management, and strategic planning. He has over 25 years of experience leading large behavioral health and integrated medical programs. Currently, he is the Vice President of Behavioral Health and Clinical Integration at UnitedHealthcare Military and Veterans, where he leads behavioral health network development and integrated care programs.
Michael Pelletier has over 40 years of experience in behavioral health administration and policy development. He has held several leadership roles within the Illinois Department of Human Services Division of Mental Health, including overseeing the closure of two state-operated psychiatric hospitals and developing community-based alternative care programs. Pelletier has extensive experience in hospital administration, strategic planning, program development, and contract management. He is skilled in maintaining regulatory compliance, performance management, and developing policies and procedures.
Robert Douglas Little has over 14 years of experience in healthcare, social services, and criminal justice. He currently works as a Treatment Team Leader and Outpatient Clinic Director in New York, where he has decreased clinic censuses and increased admissions. Little has a Master of Social Work from Adelphi University and a Master of Public Health from Capella University, and is currently a Doctoral of Public Health candidate at Capella as well. He has extensive experience in program management, data analysis, policy development, and community outreach.
Sara Gentile has over 15 years of experience in senior living administration. She is currently the Executive Director of Peregrines Landing Senior Community, where she oversees operations and finances, ensures regulatory compliance, and provides leadership to staff. Previously, she held executive director and administrator roles at several assisted living and skilled nursing facilities, where her responsibilities included financial management, regulatory compliance, staff development, and service quality. She also has experience in mental health counseling, creative arts programming, and marketing in senior living roles.
Kristin Hellquist has over 20 years of experience in healthcare policy, advocacy, and association management. She is currently the Director of Health Policy, Practice Advocacy & Research at the American College of Foot & Ankle Surgeons, where she oversees government relations, policy development, and research activities. Previously, she held leadership roles at the National Council of State Boards of Nursing, American Academy of Dermatology, and The Joint Commission, where she advanced key policy and advocacy initiatives.
This document presents a new organizational strategy for Arroyo Fresco Community Health Center. It provides an overview of Arroyo Fresco, including its mission, values, challenges, and current operations. The proposed strategy aims to increase net profits by decreasing patient care costs, addressing workforce gaps, and improving patient satisfaction, community relations, and employee benefits. Specific recommendations include seeking additional funds, creating healthcare apps, acquiring more clinics, and providing learning opportunities for staff. Projections estimate reductions in expenses, emergency visits and readmissions through implementing this new strategy over the next 5 years.
The document discusses strategies for writing successful grant proposals. It outlines identifying potential funding sources that match an organization's goals, such as local foundations and federal grants. Some of the greatest challenges for obtaining grants are staff time dedicated to writing proposals and the high cost of hiring grant writers. The document then discusses the accomplishments of Southwest Virginia Community Health Systems in obtaining numerous grants over the years which expanded their services and sites. It provides tips for successful grant writing such as addressing needs, partnering with other organizations, and preparing applications well in advance.
Impact of Health Systems Strengthening on HealthHFG Project
Leaders in low- and middle-income countries (LMICs) require timely and compelling evidence about how to strengthen their health systems to improve the health and well-being of their citizens. Yet, evidence on how to strengthen health system performance to achieve sustainable health improvements at scale, particularly toward Ending Preventable Child and Maternal Deaths (EPCMD), fostering an AIDS-Free Generation (AFG), and Protecting Communities against Infectious Diseases (PCID) is limited. The evidence that does exist is scattered, insufficiently analyzed, and not widely disseminated. Without evidence, decision-makers lack a sound basis for investing scarce health funds in health systems strengthening (HSS) in an environment of competing investment options.
USAID is committed to advancing the evidence base on HSS and this commissioned report clearly demonstrates that HSS can improve health in LMICs.
This report, based on a review of systematic reviews of the effects on health of HSS, presents a significant body of evidence linking HSS interventions to measureable impact on health for vulnerable people in LMICs. Making decisions on who delivers health services and where and how these services are organized is important to achieve priority health goals such as EPCMD, AFG, and PCID. The findings of this report document the value of investing in HSS.
This document provides a summary of a 2011 community health needs assessment conducted in Wexford and Missaukee counties in Michigan. It describes the process used to conduct the assessment which included collecting health and socioeconomic data as well as gathering input from community members. The assessment found that the top health issues were poverty, access to healthcare, maternal/child health, chronic disease management/prevention, mental health, substance abuse, and tobacco/alcohol abuse. These issues were linked to underlying social determinants of health like unemployment and low education levels. The assessment will help inform strategic planning and programs to address the community's needs.
Relationship Between Fiscal Decentralization and Health Care Financing in Uas...Triple A Research Journal
ABSTRACT
This study examined the relationship between fiscal decentralization and health care financing in Uasin Gishu County Kenya, the researcher sought to answer the following research questions; To what extend does the adequacy of decentralized funds influence health care financing in Uasin Gishu County Kenya? How effective was health management team in influencing health care financing in Uasin Gishu County Kenya? How does budgeting and allocation of decentralized funds affect health care financing in Uasin Gishu County Kenya? Lastly, what were the effects of decentralized fund expenditure on health care financing in Uasin Gishu County Kenya? The researcher used ex-post facto research design. Both stratified sampling and random sampling technique was used to select the respondents. The target population for the study was 98 employees working in health department with a sample size of 79 respondents whom comprised of permanent health workers working in the major hospitals in the county. Questionnaires were employed as the major data collection tools. Data were analysed through descriptive statistics and hypothesis is tested by use of chi square. The analysis of the data was done with Statistical package for social science (SPSS) version 20 and the data was presented though use of graphs and tables for clear understanding of the results. The findings from the study therefore rejected the null hypotheses and concluded that there exists statistically significant relationship between adequacy of decentralized funds, management effectiveness and budgetary mechanism and the level of health care financing. This means that whenever the health management team are effective in managing the decentralized funds well, there is an increase in the level of health care financing.
Keywords: Fiscal Decentralization and Healthcare financing
At the 2016 CCIH Annual Conference, Vuyelwa Chitimbire of the Zimbabwe Association of Church-Related Hospitals discusses how the organization works with its members to strengthen health systems and programs.
1) Local public health agencies in the St. Louis area discussed challenges accessing state health data needed for community assessments and national public health accreditation.
2) Representatives from several local health departments shared their experiences conducting community health needs assessments and preparing for accreditation.
3) The state health department acknowledged past barriers to data sharing and committed to investigating how other states provide data to local agencies and reviewing data request processes in Missouri.
Virginia AFP's lobbyist Hunter Jamerson's presentation from the 2013 SLC on the unique Medicaid reform approach being followed in the state of Virginia.
The document discusses preventive and case-managed services offered by Nevada Medicaid. It describes how the Affordable Care Act expanded Medicaid coverage in Nevada, increasing the patient population for providers. The two main Medicaid managed care organizations (MCOs) in Nevada, Amerigroup and Health Plan of Nevada, are described as well as some of the preventive services they offer. The document recommends that the MCOs use Medicaid electronic health record incentive programs and encounter data to better monitor screening rates and identify gaps in care for populations. Using this data could help the MCOs improve outreach and preventive service delivery.
This document discusses trends in peer delivered healthcare services in the United States. It notes that 47 states and territories now offer certifications for peer specialists and recovery coaches. It reviews research that has found peer support services can be effective in engaging people in care, reducing emergency room use and substance use. The document then presents projections for revenue and costs for a 3-5 person peer support team over 3 years, estimating they could generate over $4 million in revenue by the third year at a 93% gross margin.
This document will explain how a comprehensive wellness program works and how much money you should budget in order to have one. If you are ready to kick start health in your organization this is the right place to start.
The document discusses a study on Support Facilitators (SFs), a new role created by Australia's Partners in Recovery (PIR) program to improve coordination of mental healthcare. SFs work to connect clients experiencing severe mental illness to services by developing care plans, establishing partnerships between organizations, and educating providers about PIR. The study finds that SFs are building the role through trial and error by developing connections and knowledge-sharing networks. However, their work is limited by poor communication and instability from changing government policies.
The document discusses advocacy efforts for Medicaid expansion in South Carolina, including messaging around the importance of expanded access to care and treatment for people living with HIV, ongoing discussions in the state around essential health benefits and benchmark plans, and next steps advocates can take like meeting with stakeholders, elected officials, and participating in coalitions and sign-on letters.
Affordable care act NASW Annual Conference 2013Janlee Wong
The document discusses how the Affordable Care Act (ACA) affects health insurance coverage in California. It notes that around 15% of Californians are affected by the ACA because they previously lacked health insurance or had unaffordable coverage. The ACA expands Medicaid eligibility and provides subsidies for private health plans purchased through the state's health insurance exchange, Covered California. It outlines the various plans offered through Covered California and the eligibility criteria for financial assistance. The document also discusses the role of social workers and community health workers in supporting the implementation of the ACA.
This document summarizes a workshop focused on opportunities for collaboration between health care and public health. It discusses four topics: payment reform, the Million Hearts initiative, the relationship between hospitals and public health, and collaboration for asthma care. Case studies on payment reform in Ohio and the Million Hearts initiative in New York are provided. The workshop highlighted the importance of communication and partnership across different levels (e.g. state, community) and sectors (e.g. health care, public health, social services) to improve population health outcomes.
Stephen E. Dannenbaum is an experienced healthcare leader with expertise in clinical operations, quality management, and strategic planning. He has over 25 years of experience leading large behavioral health and integrated medical programs. Currently, he is the Vice President of Behavioral Health and Clinical Integration at UnitedHealthcare Military and Veterans, where he leads behavioral health network development and integrated care programs.
Michael Pelletier has over 40 years of experience in behavioral health administration and policy development. He has held several leadership roles within the Illinois Department of Human Services Division of Mental Health, including overseeing the closure of two state-operated psychiatric hospitals and developing community-based alternative care programs. Pelletier has extensive experience in hospital administration, strategic planning, program development, and contract management. He is skilled in maintaining regulatory compliance, performance management, and developing policies and procedures.
Robert Douglas Little has over 14 years of experience in healthcare, social services, and criminal justice. He currently works as a Treatment Team Leader and Outpatient Clinic Director in New York, where he has decreased clinic censuses and increased admissions. Little has a Master of Social Work from Adelphi University and a Master of Public Health from Capella University, and is currently a Doctoral of Public Health candidate at Capella as well. He has extensive experience in program management, data analysis, policy development, and community outreach.
Rozelyn D. Fields-Jackson is a highly motivated healthcare management professional seeking a challenging career opportunity to leverage her education and experience in healthcare quality improvement. She has over 8 years of experience in quality improvement, project management, healthcare operations, and auditing/compliance. Her background includes managing quality programs, developing workflows, overseeing teams, and conducting data analysis to improve efficiency and reduce costs. She holds a Bachelor's degree in Healthcare Administration and a graduate certificate in Healthcare Administration.
Topics covered in this 10-26-2007 presentation to the TWG include background and brief updates of System
Transformation Initiative projects; a benefits package update, and a housing action plan update.
This document summarizes the professional experience and qualifications of Ms. Claudia Pescetto. She has over 20 years of experience in health economics and financing, working currently as an Advisor at the Pan American Health Organization. Previously she worked at the International Monetary Fund and has a Master's degree in Applied Economics from Johns Hopkins University. Her areas of expertise include health financing strategies, health policy analysis, and economic evaluations of health interventions.
This document provides a summary of Marlene A. Wise's professional experience and qualifications. She has over 25 years of experience in healthcare management, business development, and operations leadership roles within hospice, home health, skilled nursing facilities, and assisted living organizations. Her background includes developing new programs, managing multi-million dollar budgets, and achieving growth objectives through strategic planning and relationship building. She has a track record of success developing and leading healthcare organizations and teams.
This document summarizes a presentation on a health impact assessment (HIA) of a proposed Kentucky tax credit to encourage worksite wellness programs. The HIA found that such a tax credit could reduce childhood obesity by educating parents through worksite programs. It may also increase jobs by reducing healthcare costs and improving productivity. The tax credit was also found to potentially improve social cohesion and well-being in workplaces. Preliminary recommendations included enacting the tax credit bill and conducting further research on worksite wellness programs in the state.
Annabella Roig has over 20 years of experience in health and social services administration, program development and evaluation. She has managed budgets up to $3.2 million and staffs of up to 9 people. Currently she is seeking opportunities to coordinate health services that address health disparities. She has extensive experience developing and managing public health programs and initiatives across multiple organizations.
Sara Gentile has over 15 years of experience in senior living administration. She is currently the Executive Director of Peregrines Landing Senior Community, where she oversees all operational and administrative responsibilities for a 112-bed assisted living and memory care facility. Previously, she held executive director and administrator roles at several other senior living communities, where her responsibilities included financial management, regulatory compliance, staff training, and resident care. She also has experience in counseling, creative arts programming, and marketing for senior living communities.
Madison Stephens is seeking a position in health administration. She holds a Master of Health Administration degree from Tulane University and a Bachelor of Science in Journalism from Ohio University. Her experience includes planning and market analysis for Ochsner Health System, process improvement and feasibility analysis for Tulane University Medical Group, and program development and grant writing for the Free Clinic of the New River Valley.
Presentation by Annette Gardner PhD, MPH
Assistant Professor, Department of Social and Behavioral Sciences,
and the Philip R. Lee Institute for Health Policy Studies, UCSF
Treating The Whole Person: Strategies for Integrating Care. Workshop for Physicians,
Mental Health Providers, ER nurses, Psychiatric Nurses, and Students
Barbara Sheppard is a visionary public health leader with nearly 25 years of experience managing federally and state funded prevention programs. She has expertise developing innovative programs, building partnerships, and securing over $30 million in funding. Currently she is a Senior Director at Cabarrus Health Alliance in North Carolina where she oversees $2 million annually for programs addressing issues like obesity, substance abuse, and teen pregnancy prevention.
Karley King has over 15 years of experience in health care leadership positions. She has a proven track record of designing and implementing successful community health programs and policies. Currently, she serves as the System Manager of Community Benefits at BJC HealthCare, where she developed strategies to conduct comprehensive community health needs assessments and increase community benefit reporting and funding. Previously, she held director roles with community health organizations, focusing on integrating services and obtaining grant funding to improve care for vulnerable populations.
Phillip Kwaku Duah has over 20 years of experience in healthcare administration, quality management, and small business ownership. He has a Ph.D in Health Care Administration and masters degrees in Health Care Policy and Planning and Health Care Administration. Duah has held roles managing behavioral health oversight, day-to-day operations of a home care agency, and clinical operations of TB clinics. He has a proven track record of ensuring regulatory compliance and leading quality improvement initiatives. Duah is skilled in project management, report preparation, customer service, and clinical supervision.
This document discusses opportunities and challenges for community organizations in engaging with the changing healthcare environment for aging populations. It outlines how community organizations are well-positioned to innovate through person-focused care, mitigate financial risk for healthcare entities, help transition patients through different care settings, and support end-of-life needs. However, key challenges include engaging healthcare partners who have different cultures, financially aligning, sharing data, and translating awareness of opportunities into concrete actions through organizational reinvention. The document provides strategies for community organizations to build partnerships and their business case for engagement.
- Rev. Avril L'Mour Weathers has over 15 years of experience in survey development, data analysis, and technical assistance for public health organizations. She holds a Ph.D. in Sociology and has published research. Her experience includes program development, training, and management roles in mental health recovery and psychosocial services in the U.S. and Liberia. She currently serves as Country Director for an NGO providing psychosocial support and training in Liberia.
Similar to M _Christman_Schilkie_Resume 6.30.16 (20)
1. Meggan Christman Schilkie
megganchristmanschilkie@gmail.com
Astoria, NY; (917) 673-5770
1 of 2
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PROFILE/QUALIFICATIONS SUMMARY
Demonstrated success in health, behavioral health care and social service innovation, public financing,
policy and strategy combined with extensive operational and leadership experience in the public and
non-profit sectors
Proven ability to increase efficiency, productivity and revenue
In-depth understanding of current City, State and Federal fiscal, regulatory, and legislative policy
including the Affordable Care Act and healthcare reform
Health Management Associates (11/14-Present)
HMA is a national healthcare consulting firm specializing in the fields of health system restructuring, health and
behavioral health care program development, health economics and finance, program evaluation, and strategic analysis.
HMA is a leader in providing technical and analytical services to health care purchasers,payers, and providers, with a
special concentration on those who address the needs of the medically indigent and underserved. Founded in 1985,
Health Management Associates has 19 offices around the country.
Principal, New York City Office
Manages a portfolio of health and behavioral healthcare projects for healthcare providers, payers, government
agencies and large healthcare systems
Creates successfulfunding applications including financial modeling and program design for a range of
organizations including outpatient mental health clinics, health homes, multi-service providers, trade
organizations and large hospital systems
Provides strategic planning, financial analysis, training, technical assistance,implementation support,
guidance and project management to assist providers with navigating healthcare reform including delivery
system reform (DSRIP),the carving in of behavioral health services to managed care,payment reform, the
affordable care act and Medicaid expansion and reform
Assists providers with preparing for value-based payments
Provides interim executive leadership for non-profit and government organizations
Conducts detailed analyses of organizational structure, provides technical assistance on the integration of
health and behavioral health services.
Develops and expands business opportunities specifically focused on behavioral health, delivery system
reform, development of health homes, the integration of behavioral health and primary care.
New York City Department of Health and Mental Hygiene (5/05-Present)
Chief Program Officer, Bureau of Mental Health (06/13-Present)
Oversaw $200M of behavioral health and human services including crisis, treatment,supportive housing, on
site rehabilitative services, case management,care coordination, vocational, rehabilitative, clubhouse
programs
Oversaw training programs including the masters level social work one year residency scholarship program at
Hunger College, training for the NYPD on working with individuals with mental health problems, benefits
training for employment providers, training on performance-based contracting, training on recovery-oriented
services, provider training delivered through subcontracts with NYC coalitions and trade associations,
training for mobile crisis and homeless outreach providers on legal authority for involuntary hospitalization
Managed operations including finance, contracting, budget, procurement, human resources, data governance
and administration for a Bureau of 12 offices, 180 staff
Leadership role in the Behavioral Healthcare and Medicaid Reform implementation in NYC
2. Meggan Christman Schilkie
megganchristmanschilkie@gmail.com
Astoria, NY; (917) 673-5770
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New York City Department of Health and Mental Hygiene (continued)
Accomplishments:
Expanded the Department’s data systems and IT infrastructure to improve efficiency, decision making and
performance and increase accountability of vendors.
Secured and oversaw implementation of a Federal Health Care Innovation Grant to build a new continuum
of alternative services for people experience or at risk of a psychiatric crisis in New York City ($17.6M).
Parachute NYC
Restructured a portfolio of contracts from cost-based to performance-based,reducing overhead and
improving efficiency in monitoring and management.
Deputy Director, Bureau of Mental Health (April, 2010-June, 2013)
Managed quality improvement of $150M in contracted mental health and social services and housing services
including homeless outreach and the 9/11 mental health and substance use benefit program
Created $12M in new services
Liaison on budget and financial issues with New York State government
Architect of budget restructuring and $20M growth in revenue
Reduction of costs in major cost center by 41%
Direct responsibility for 4 offices (Housing, Rehabilitation, Treatment,and Administration), 40 staff
Senior Advisor & Director, Office of the Exec. Dep. Comm., Mental Hygiene (Nov. 07-Apr, 2010)
Chief of Staff to the Executive Deputy Commissioner for Mental Hygiene
Managed intergovernmental affairs and constituent communication; Senior policy advisor
Drafted speeches,correspondence, articles, presentations and publications
Represented the Department’s interests on interagency workgroups with State and City agencies including the
NYPD,Dept. of Education, Criminal Justice, and Homeless Services defining long-term City strategy
Special Assistant to the Executive Deputy Commissioner for Mental Hygiene (2/06-11/07)
Managed restructuring of a Division of 500 staff, 8 Bureaus
Created quarterly program reviews
Prepared policy positions, State and City budget analyses, white papers, and articles
New York City Department of Health and Mental Hygiene (continued)
Legislative Liaison, Bureau of Intergovernmental Affairs (5/05-2/06)
Analyzed, tracked and led consensus-building on City, State and Federallegislation and policies affecting the
healthcare sector including mental health parity, DATA 2000, involuntary outpatient commitment and the
Zadroga bill to fund health and behavioral health services for first responders to 9/11
3. Meggan Christman Schilkie
megganchristmanschilkie@gmail.com
Astoria, NY; (917) 673-5770
3 of 2
Coalition of Voluntary MH Agencies, NY, NY (2/99-5/05) (Coalition of Behavioral Health Agencies)
Policy Advocate
Managed a $500K grant program providing crisis counseling to children & families post-9/11
Analyzed City, State and Federal budgets; drafted lobbying documents and created budget proposals on behalf of
Coalition representing 100+ health and human service providers
Testified at legislative hearings and public forums; Drafted and published biweekly newsletter for policy makers,
providers, advocates and other stakeholders
Oversaw membership services and development: Increased membership revenue by 10%
Special Projects Associate
EDUCATION
MBA, Columbia University, focus on Strategy and Management
BA, Fordham University: Presidential Scholarship and Robert J. Wotring Scholarship;
Graduated with DepartmentalHonors
NYC Leadership Institute: Class of 2011
PUBLICATIONS,PRESENTATIONS and AWARDS
Value-Based Purchasing and the Future ofBehavioral Health for the Missouri Coalition ofBehavioral
Health Providers
6/22/16 (Lake Ozark, MO)
Rubin J, Schilkie M. “The Promise and Peril of Value Based Behavioral Health Care” (Pg. 1); Summer, 2016
Mental Health News.
Value-Based Purchasing in NewYork State for the North Country Behavioral Health Network
12/5/15 (Lake Placid, NY)
The Future ofCommunity Behavioral Health: Leveraging the Transformation to Value -Based Healthcare
https://www.healthmanagement.com/knowledge-share/webinars/webinar-replay-the-future-of-community-
behavioral-health/
11/10/15 (National webinar)
Protecting What’s Precious, Making the Transition to Managed Medicaid Behavioral Health and Value-
Based Care
NewYork Association ofPsychiatric Rehabilitation Services
http://www.nyaprs.org/conferences/annual-conference/2015.cfm
9/16/15 (Albany, NY)
Children’s Summit, NewYork City and Albany, NY
http://www.ctacny.com/guiding-transformation-lessons-learned-slides.html
6/29/15 (NYC),6/30/15 (Albany)
Foundations in Essential Medicaid Managed Care Business and Operations Practices
http://mctac.org/files/misc/30/mctac-training-slides-final-pdf-syracuse-6.11.15.pdf
5/11/15 (NYC),6/11/15 (Syracuse),7/9/15 (Albany)
Employment Services in Supportive Housing
Panel Member, Aspen Institute, “Reinventing Health Care, Lessons from the Field”
Seward,Schilkie, Marsik “Supportive Housing: A Cornerstone to Recovery in a Changing World” (Pg. 6);
Winter, 2012 Mental Health News.
Sederer L, Petit, J, et. al. “Changing the Landscape:Depression Screening and Management in Primary Care, a
Policy Paper.” Joint Center Health Policy Institute, 2005.
“On the Ground After September 11th
”, (Chapter 48, “We Can’t Afford Not To”)
Panel member and contributing author: NYS/NYC Mental Health-Criminal Justice Panel
4. Meggan Christman Schilkie
megganchristmanschilkie@gmail.com
Astoria, NY; (917) 673-5770
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Recipient of New York City Department of Health and Mental Hygiene’s Distinguished Service Awards
presented by Mayor Michael Bloomberg and Commissioner Thomas Frieden (2007)
ADDITIONALWORK AND VOLUNTEER EXPERIENCE
Freelance technical assistance work in database development and information management
Extensive experience in non-profit art community
Teaching and mentoring students at Fordham University
Volunteer work in Adult Day Care Centers and Residential Adolescent Drug Treatment Facilities