21 ST A N N U A L

H e a l t h c a r e S y m p o s i u mTEAMWORK

The Key to Healthcare Innovation & Improvement

AUGUST 18, 19 & 20, 2017 FAIRMONT ORCHID HOTEL WAIKOLOA HAWAII ISLAND HAWAII

SUSTAINING OUR HEALTHCARE SYSTEM REQUIRES TEAMWORK AT ALL LEVELS:Teamwork within each office, between primary care providers and

specialists, hospitals and physicians, health plans, employers, service providers and the community, and between patients, their families and

doctors. Agreement on shared goals, effective communication on keeping commitments, skill improvement and attitude adjustments

— This is the stuff of good teamwork anywhere.

This year’s Symposium brings together HEALTHCARE LEADERS who haveEMBRACED ADAPTIVE CHANGE and can GIVE INSIGHT into ideas on how to

MAKE HEALTHCARE A TEAM SPORT at all levels. We will receive an update on “playing field” conditions from a national perspective, understand how teamwork improves care and how to make teaming effective at the

patient and individual office level. The Symposium will look at models for improving teamwork to optimize care for complex patients.

We will also explore “business” options for organizing provider teams to DELIVER CARE EFFECTIVELY.

Dear Healthcare Colleagues:

We are pleased again this year to present the 21st Annual Healthcare Symposium, a statewide conference that gathers physicians, hospital executives, health plans and healthcare service providers to learn from nationally recognized speakers who are health system change agents. The conference provides a greatopportunity to network with your fellow colleagues in relaxed, world-class surroundings. As in past years, we plan to offer continuing medical education (CME) credits.

We appreciate our speakers carving time out of their busy schedules and, in some cases, travel through a few time zones to share their knowledge and experience with us. Thank you also to our sponsors andexhibitors. Please take some time to introduce yourselves and learn about their services.

We hope the conference will help support your collaboration efforts and give you a chance to “reboot”and relax.

Sincerely,

Kevin Kurohara, MDPresidentEast Hawaii IPA

Symposium Schedule (Speakers & Topics Are Subject to Change)

FRIDAY, AUGUST 18, 2017TIME EVENT9:00-11:30 AM Registration11:30 AM-12:30 PM Exhibit Area Open12:30-12:45 PM Welcome – Kevin Kurohara, MD, East Hawaii IPA President12:45-1:45 PM Team Playing Field Conditions – How Do We Build Effective Teams in the Current Environment?

The National View with the “Latest” from Washington, D.C. – Jennifer Jackman, MS, CEO, EdingerMedical Group

1:45-2:45 PM Organizing Provider Teams for Business Success – How Can IPAs Survive and Survive Well? Leigh Hutchins, MBA President & CEO, North American Medical Management – California, Inc.

2:45-3:15 PM Break – Exhibit Area Open3:15-4:30 PM Hawai‘i’s Physician Shortages – How to Influence Physician Decisions to Stay on the Team (in the

Community) – Panel Discussion – Donna Mills, Former CEO, Sharp Rees-Stealy Medical Clinics, Moderator: Sara Ku‘ulei Christensen, MD, John A. Burns School of Medicine; Craig Kadooka, MD, Hilo Internal Medicine, Co-Founder, East Hawaii IPA; Andy Lee, MD, Medical Director, Hawai‘i Health Partners4:30-5:30 PM Key Success Factors in Expanding Your Primary Care and Specialty Teams Via Telehealth – Brent D. Steineckert, Director, EHR, Access & Health Information Management/Telehealth Programs Oversight Leader, Sharp Rees-Stealy Medical Clinics

5:30-7:15 PM Pau Hana Event Honoring SpeakersMAHALO to Diagnostic Laboratory Services

SATURDAY, AUGUST 19, 2017TIME EVENT7:00-8:00 AM Breakfast - Exhibit Area Open

MAHALO to UnitedHealthcare8:00-9:00 AM How to Build Teams to Support Primary Care – David Margolius, MD, Medical Director,

MetroHealth System9:00-10:00 AM Empowering Physicians to Work Together as Teams to Reduce Variations in Care

– Lawrence Shapiro, MD, Palo Alto Medical Foundation10:00-10:30 AM Break – Exhibit Area Open10:30-11:30 AM Teamwork for Better Management of Complex Patients – Beth Averbeck, MD, Senior Medical Director,

Primary Care, HealthPartners Medical Group11:30 AM-12:30 PM Nurturing Teamwork Between Patients and Clinicians

– Holly Yang, MD, MSHPEd, HMDC, FACP, FAAHPM, Hospice and Palliative Care Specialist, Scripps Health

SUNDAY, AUGUST 20, 2017 TIME EVENT7:00-8:00 AM Breakfast - Exhibit Area Open

MAHALO to AlohaCare8:00-8:45 AM Best Strategies & Tools for Teamwork with Hospitalists

– Barbara Spivak, MD, CEO, Mount Auburn Cambridge IPA8:45-9:30 AM Teamwork to Achieve the Best Care Possible for Our Kūpuna (Elders)

– Jonathan Evans, MD, VP, AMDA (Society for Post-Acute and Long-Term Care Medicine)9:30-10:00 AM Break – Exhibit Area Open 10:00-11:30 AM Successful Hawai‘i Healthcare Teamwork & Collaboration

• Teamwork – Creating a Healing Experience for Patients & Their Healthcare Team– Dale Glenn, MD, Hawai‘i Pacific Health

• Using Simulation to Build Teamwork – Carolyn Ma, PharmD, BCOP, Daniel K. Inouye School ofPharmacy, University of Hawai‘i, Hilo

• Practical Lessons in Teamwork – Hawai‘i Perspective – Della Lin, MD, Queen’s Medical Center11:30 AM Closing Remarks – Kevin Kurohara, MD, East Hawaii IPA President

FRIDAY, AUGUST 18, 2017

Team Playing Field Conditions – How Do We Build Effective Teams in the Current Environment? The National View with the “Latest” from Washington, D.C.– Jennifer Jackman, MS, CEO, Edinger Medical GroupUnder the new administration, there is uncertainty about how national government and political currentswill affect healthcare. Ms. Jackman will give us the latest update explaining the key Washington, D.C.,factors/drivers that will have the biggest impact. Her insights will help Hawai‘i state “players” understandhow they can optimize their short and long term plans. She will also share thoughts on how CMS (Centersfor Medicare and Medicaid Services) might be affected.

Organizing Provider Teams for Business Success – How Can IPAs Survive and Survive Well?– Leigh Hutchins, MBA, President & CEO, North American Medical Management – California, Inc.Independent private practices have been struggling to deliver quality, cost-effective care to patients ina chaotic, fragmented environment of healthcare change at all levels. Ms. Hutchins will provide herperspective on how independent providers and their organizations have evolved and what the futureholds for how they are organized and affiliated. She will review various organizational models includingpros and cons and discuss key factors that will determine the ability to survive financially, retain talentand deliver good care.

Hawai‘i’s Physician Shortages – How to Influence Physician Decisions to Stay on the Team (in the Community) – Panel Discussion– Donna Mills, former CEO, Sharp Rees-Stealy Medical Clinics, Moderator;– Andy Lee, MD, Medical Director, Hawai‘i Health Partners;– Sara Ku‘ulei Christensen, MD, University of Hawai‘i John A. Burns School of Medicine (JABSOM);– Craig Kadooka, MD, Hilo Internal Medicine, Co-Founder, East Hawaii IPAThis panel moderated by Ms. Mills will assess whether there is a shortage of physicians in Hawai‘i. It will also explore why such shortages both current and future might exist. The discussion will focus on recruitment, retention and satisfaction of physicians in Hawai‘i from several perspectives. Panelists will talk about needs and expectations of newly graduated physicians as well as retiring providers. The speakers will also discuss possible models and solutions to address these challenges.

Key Success Factors in Expanding Your Primary Care and Specialty Teams Via Telehealth – Brent D. Steineckert, Director, EHR, Access & Health Information Management/Telehealth Programs Oversight Leader, Sharp Rees-Stealy Medical ClinicsMr. Steineckert will discuss how telehealth can be successful in Hawai‘i. He will discuss how telehealth has been successful in other communities and the key factors to those successes. He will share the critical factors needed to drive telehealth initiatives. Mr. Steineckert will also discuss how to influence physician adoption and how to overcome patient barriers.

Topic Descriptions*

SATURDAY, AUGUST 19, 2017

How to Build Teams to Support Primary Care– David Margolius, MD, Medical Director, MetroHealth SystemDr. Margolius will share the benefits of team care in the primary care office and explain the critical building blocks for effectively organizing individual practices and medical groups to work as teams. He will talk about the characteristics of a high functioning office or group and provide advice including “takeaway” tactics on how to motivate, sustain and empower office teams.

Empowering Physicians to Work Together as Teams to Reduce Variations in Care– Lawrence Shapiro, MD, Palo Alto Medical FoundationDr. Shapiro will show how the process of “Variation Reduction” can help physicians individually and as groups evaluate practice data to maximize the quality and affordability of care. He will share specific case examples and discuss how to break through the challenges and barriers of imperfect data to empower physicians to collaborate and make individual improvements.

Teamwork for Better Management of Complex Patients– Beth Averbeck, MD, Senior Medical Director, Primary Care, HealthPartners Medical GroupDr. Averbeck will discuss how separate and independent entities can partner and work collaboratively to optimize care for patients with complex needs. She will share critical success factors, how to select and engage patients and address their non-medical needs and enumerate strategies to measure the impact of outcomes including costs. Dr. Averback will provide some care management ideas to take away and talk about the infrastructure needed to sustain a successful care system.

Nurturing Teamwork Between Patients and Clinicians– Holly Yang, MD, MSHPEd, HMDC, FACP, FAAHPM, Hospice and Palliative Care Specialist, Scripps HealthDr. Yang will discuss the importance of effective communication between clinicians and patientsincluding the barriers to impactful interaction. Her talk will cover core principles for goals of careconversations enabling better experiences for patients, families and healthcare providers. Dr. Yang will provide some key tips and strategies for the audience to use.

SUNDAY, AUGUST 20, 2017

Best Strategies & Tools for Teamwork with Hospitalists– Barbara Spivak, MD, CEO, Mount Auburn Cambridge IPADr. Spivak will lead a discussion with the audience on challenges faced by primary care physicians and specialists in managing patients who are admitted to and discharged from hospital inpatient and emergency departments.  She will share strategies and tools that have been successful and talk about critical success factors for improved coordination of care between hospitals, primary care physicians, specialists and post-acute providers.

Teamwork to Achieve the Best Care Possible for our Kūpuna (Elders)– Jonathan Evans, MD, VP, AMDA (Society for Post-Acute and Long-Term Care Medicine)Dr. Evans will describe the challenges leading to fragmentation of care to the elderly. He will share the best models for providing effective care and positive patient experience. Dr. Evans will talk about new innovations for kūpuna to receive care in preferred home or homelike settings and how to best engage family members in delivering care that aligns with kūpuna preferences. He will also discuss how to overcome family resistance to palliative and hospice care for loved ones.

Successful Hawai‘i Healthcare Teamwork & CollaborationThis panel will explore three separate collaborative efforts that have contributed to the improvement of healthcare locally in Hawai’i.

Teamwork:CreatingaHealingExperienceforPatients&TheirHealthcareTeam – Dale Glenn, MD, Hawai‘i Pacific Health Dr. Glenn will share case studies of effective relationship building between patients and healthcare clinicians. He will discuss pros and cons of the impact of technology on patient experience. He will also provide some patient experience improvements that offices can easily put into practice.

UsingSimulationtoBuildTeamwork – Carolyn Ma, PharmD, BCOP, Daniel K. Inouye School of Pharmacy, University of Hawai‘i, Hilo Dr. Ma will present examples of interprofessional educational and simulation activities in Hawai’i and how these activities can be used to improve teamwork.

PracticalLessonsinTeamwork–Hawai‘iPerspective – Della Lin, MD, Queen’s Medical Center Dr. Lin will share her work on improving healthcare safety including key design elements and results. She will also provide practical lessons that care teams can easily implement.

BETH AVERBECK, MD, is the Senior Medical Director for Primary Care, HealthPartners Medical Group which includes 450 physicians, nurse practitioners and physician assistants at 35 primary care clinics, 11 urgent care sites, 4 occupational health sites and 14 work-site clinics. Through her leadership, HealthPartners has twice been awarded the American Medical Group Association (AMGA) Acclaim Award for healthcare innovation and received top honors for its Care Model Process initiative and its work to reduce disparities. HealthPartners is consistently one of the highest performing medical groups for primary care in Minnesota Community Measurement’s annual Health Care Quality Report. Since 2005, physician satisfaction with their practice has improved from the 23rd percentile to the 85th percentile as measured through the American Medical Group Association. Dr. Averbeck earned her bachelor’s degree at St. Olaf College in Northfield, Minnesota, and attended medical school at the University of Minnesota. She is currently a board member of Minnesota Community Measurement and Vice Chair of the Institute for Clinical Systems Improvement’s board of directors. In 2010, she was honored by the Minneapolis/St. Paul Business Journal, Women in BusinessIndustry Leader Award.

JOHN BALEIX, MD, MPH, joined Hawai‘i Medical Services Association (HMSA) in 2011 to lead healthcaretransformation toward more continuous, comprehensive, coordinated, and patient-centered primary care. Before joining HMSA, he was Medical Director for Tricare-Hawaii’s Multi-Service Market Management Office. As a Navy physician for 29 years, Dr. Baleix learned the foundational relation of organizational structure and function, the importance of seeking staff insights for process improvements and the leader’s role in supporting staff’s ability to succeed. He deployed with Marines to the Persian Gulf and with Joint Forces to Afghanistan. He taught Physical Diagnosis at the Naval School of Health Sciences, chaired Hospital Infection Control in Naples and developed International Occupational Safety and Health protocols for Navy Medicine in Italy. He directed Occupational Medicine, Public Health and Community Services for Naval Health Clinics, Hawai’i, led health services for Military Sealift Pacific and mentored the Afghan Military Surgeon General in Kabul. Dr. Baleix completed a Bachelor’s in Biochemistry at Cal Poly, a Medical Degree at Baylor, and a Master’s in Public Health at the Uniformed Services University. 

SARA KU‘ULEIALOHA CHRISTENSEN, MD, was born and raised in Hilo, Hawai‘i, and is the daughter oflong-time Hilo-based cardiologist Dr. Alexander Scott Keawe Miles. She graduated from the Kamehameha Schools – Kapālama and received her Bachelor of Arts degree in botany at the University of Hawai‘i at Mānoa. She earned her medical degree from the University of Hawai‘i John A. Burns School of Medicine and has recently completed her residency program in family medicine at the University of Hawai‘i, where she served as chief resident. Dr. Christensen currently resides in Waialua, O‘ahu, with her husband and new baby and will be opening her own micro-practice in the Fall of 2017, where she will focus on integrating her training in both Hawaiian and allopathic medicine to serve the community.

JONATHAN EVANS, MD, MPH, CMD, is Vice President of AMDA (The Society for Post-Acute & Long Term Care Medicine). Dr. Evans graduated from Mayo Medical School in 1989. He completed his Internal Medicine Resi-dency and Geriatric Medicine training at Mayo, and from 1994 to 2000, was a staff physician and Associate Professor of Medicine at Mayo Clinic. In 2000, he received a Bush Medical Fellows award and pursued a Masters of Public Health degree at the University of Minnesota. From 2001 to 2009, Dr. Evans was Head of Geriatric and Palliative Medicine and the Geriatric Medicine Fellowship Training Program director at the University of Virginia. Since 2009, he has been a full-time long-term care physician in Charlottesville, Virginia. He serves as medical director of two skilled nursing facilities as well as a community hospice. He is board certified in Internal Medicine, Geriatric Medicine, and Hospice and Palliative Medicine. He teaches “Aging and the Law” at the University of Virginia School of Law.

Faculty

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DALE GLENN, MD, is a practicing family physician on O‘ahu and currently serves as physician leader for Hawai‘i Pacific Health’s patient experience program. His focus is on improving relationships between staff and with patients, and in applying technology to improve communication in healthcare. Dr. Glenn attended the University of Hawai‘i John A. Burns School of Medicine and completed his residency at the Medical College of Pennsylvania in Philadelphia. He lives with his wife and three children in Kailua.

LEIGH HUTCHINS, MBA, is CEO of NAMM (North American Medical Management) California and PrimeCare Medical Network, Inc. (PMNI), affiliate organizations partnering with physicians to provide better quality and more affordable care to residents in Southern California. She also serves as the COO for OptumCare’s Pacific West Region. NAMM and PMNI coordinate care to over 400,000 members in Riverside, San Bernardino, and San Diego counties through 18 Independent Practice Associations (IPAs) comprised of over 700 contracted Primary Care Physicians. She joined NAMM in 1993 and held various positions with NAMM/PMNI including payor and provider contracting, network development, transactional services and IPA operations. Prior to joining NAMM, Ms. Hutchins worked for FHP HealthCare in both staff model and IPA operations. She serves on the Integrated Healthcare Association’s Technical Payment Committee supporting the Pay for Performance Program. Ms. Hutchins received her B.A. degree with honors in Pharmacology from the University of California, Santa Barbara, and her M.B.A. from the Anderson Graduate School of Management at the University of California, Los Angeles.

JENNIFER JACKMAN, MS, is Chief Executive Officer (CEO) of Edinger Medical Group, an independent,physician-owned primary care medical group in Orange County, California, and has 30 years of experience leading physician organizations and integrated delivery systems. Prior to joining Edinger Medical Group, Ms. Jackman was CEO for MemorialCare Medical Foundation, overseeing Strategy and Operations of the Medical Foundation, MemorialCare Medical Group, Greater Newport Physicians IPA, MemorialCare Regional Accountable Care Organization (ACO), and multiple ambulatory surgery and imaging centers. Ms. Jackman was Senior Vice President, Medical Group Operations for Monarch Healthcare in Irvine, California, responsible for OptumCare Medical Group operations in California. She led strategic, operational and financial business plans for Monarch’s ACO programs, including the successful Medicare Pioneer ACO initiative. Prior to Monarch, Ms. Jackman was President and CEO of Bright Health Physicians, where she led the not-for-profit 1206(l) Clinic Foundation. Ms. Jackman holds a Bachelor’s Degree in Public Administration from the University of La Verne and received her Master’s Degree in Health Care Ethics from Creighton University.

CRAIG KADOOKA, MD, is a private practice internal medicine physician who is a founding member of EastHawaii Independent Physicians Association (EHI IPA). Dr. Kadooka has been an active leader in EHI IPA since its beginning, serving in various positions including Treasurer, Membership & Credentialing Chair, Patient Centered Medical Home (PCMH) Director, and EHI IPA Foundation Director. Dr. Kadooka has held many leadership positions, regionally and statewide, including Hawai’i County Medical Society President and Treasurer, Hawai’i Medical Association, Hawai’i County Councilor and Delegate to the Annual House of Delegates Meetings and Community Physicians of Hawai’i Co-founder. He served in positions at Hilo Medical Center including Chief of Staff and Medical Department Chair. He is Founder of the Hawai’i Wado Karate Association and is President of Walk With A Doc, Hawai’i Island, Inc.

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ANDY LEE, MD, is Medical Director for Hawai‘i Health Partners (HHP), a wholly owned subsidiary of Hawai’i Pacific Health (HPH), providing clinical leadership and guidance for the ACO. He oversees care coordination activities with participating providers and facilities and ensures the delivery of demonstrable, patient- centered care. Dr. Lee received his undergraduate degree at the University of California, Irvine, and earned his medical degree at the University of Hawai‘i John A. Burns School of Medicine. He completed his emergency medicine residency at the Medical College of Pennsylvania-Hahnemann University/Allegheny General Hospital in Pittsburgh and is board certified in Emergency Medicine. Dr. Lee served as a HHP board member, as past president of the American College of Emergency Physicians Hawaii Chapter, assistant medical director for U.S. Acute Care Solutions and Department of Medicine Chair at Pali Momi Medical Center and is the current Chief of Staff elect. He was also a board member, regional director and quality director for the Emergency Physicians Medical Group and Emergency Medicine Physicians.

DELLA LIN, MD, is a current faculty member with the Institute for Health Care Improvement (IHI), the Jefferson School of Population Health Quality Safety Leadership Series, and a visiting faculty member with Johns Hopkins’ Armstrong Institute of Patient Safety and Quality. She is also a Senior Fellow with the Estes Park Institute and the American Hospital Association (AHA-HRET). She has been an anesthesiologist in Hawai‘i since 1989 and has been a board examiner for the American Board of Anesthesiology. She also served as Chief of Anesthesiology at Queen’s Medical Center (1995-2001). Dr. Lin pursues a passion in education, patient safety and quality and is an inaugural NPSF/Health Forums Patient Safety Leadership Fellow (2002). Dr. Lin led successful statewide collaboratives including an 81% reduction in central line infections resulting in Hawai‘i receiving the lowest ICU CLABSI SIR in the nation for three consecutive years. Currently, she is leading the statewide AHRQ initiative of Improving Surgical Care and Recovery. She completed her residency at University of California, San Diego.

CAROLYN MA, PHARMD, BCOP, is Dean & Associate Professor, Daniel K. Inouye College of Pharmacy (DKICP), University of Hawai‘i, Hilo. She received her Doctor of Pharmacy degree from the University of California, San Francisco, and completed a Clinical Pharmacy Residency at Thomas Jefferson University Hospital and an Oncology Pharmacy Specialty Residency at The Hospital of the University of Pennsylvania. Dr. Ma practiced as the first oncology clinical pharmacy specialist at The Queen’s Medical Center in Honolulu and is Board Certified in Oncology Pharmacy. She served as Vice President for Clinical Program Development for AmMed International in Hong Kong, China. Prior to her start with the DKICP, she was a pharmacy and hospital management consultant for Stanford Hospitals and Clinics with expertise in The Joint Commission Medication Management Chapter, pharmacy, hospital and clinic workflow redesign and organizational development. She serves on the Boards of the Hawai‘i State Board of Pharmacy and on the Council for Health Sciences Colleges and Social Work that addresses inter professional education in collaboration with the University of Hawai‘i John A. Burns School of Medicine (JABSOM), Schools of Nursing, Public Health and the Hawai‘i State Dept. of Health. She is contributing editor for Hawaii Journal of Medicine and Public Health. Dr. Ma is therecipient of the Bowl of Hygeia, a lifetime pharmacy service award.

DAVID MARGOLIUS, MD, is a primary care physician for The MetroHealth System in Cleveland, Ohio. He is the Medical Director of the internal medicine practice, Associate Director of the Division of General Internal Medicine, and the Director of Quality Improvement for adult primary care. He is also an Assistant Professor in the School of Medicine at Case Western Reserve University. He completed his undergraduate and medical degrees at Brown University and his internal medicine residency training at University of California, San Francisco. During that time, he worked for six years with the Center for Excellence in Primary Care where he led and studied care delivery transformation. He moved back to his home in Cleveland, Ohio, after serving as Chief Resident in 2015.

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DONNA J. MILLS is former Senior VP & CEO, Sharp Rees-Stealy Medical Clinics, San Diego. In this position for 18 years, she led a staff of more than 2,000 employees supporting the 500 physician multi-specialty medical group practices. Sharp Rees-Stealy covers more than 1.5 million visits annually at 22 locations throughout San Diego and is part of Sharp HealthCare, a fully integrated network of medical services, including four acute care hospitals, three specialty hospitals, a health plan and many ancillary support entities. Ms. Mills is an American College of Medical Practice executive, an MGMA fellowship candidate and has been honored as one of the “Women Who Mean Business” in healthcare by the San Diego Business Journal. She served on many professional boards and committees including the CAPG Board of Directors. Ms. Mills is currently a healthcare consultant/advisor who lives in Kona, Hawai‘i.

LAWRENCE SHAPIRO, MD, is a board-certified pulmonologist who has been actively involved throughout his career with the issues of appropriateness and utilization. Since 2005, he served as Managed Care Medical Director for the Palo Alto Medical Foundation (PAMF), a large multi-specialty medical group in Northern California consisting of over 1,200 physicians in 30 locations in the San Francisco Bay Area. He retired from PAMF in 2015 and continues to consult with medical groups on variation reduction. He has been involved with California’s Integrated Healthcare Association’s pay for performance as a steering committee member. Nationally, he has been faculty for the Institute for Healthcare’s prototypical community on Appropriate Use of Specialty Care. He graduated from UCLA magna cum laude with a B.A. in psychology and received his medical degree from University of California, San Francisco. He completed his internal medicine residency in New York at Kings County Hospital – Downstate Medical Center where he was Chief Resident. After residency, he went to Harbor – UCLA Medical Center for his pulmonary fellowship where he was awarded an American Lung Association Training Fellowship. Dr. Shapiro has been an invited speaker on the topic of affordability through variation reduction at numerous national and regional meetings including the Institute for Healthcare Improvement National Forum, the Integrated Healthcare Association, the Group Practice Improvement Network and the California Association of Physician Groups.

BARBARA SPIVAK, MD, is a practicing internist who has served as President and Chairperson of the Mount Auburn Cambridge Independent Practice Association (MACIPA) since 1997. She serves as a Mass Health Quality Partners (MHQP) board member and was appointed to the AMA National Committee on Delivery System Reform in 2011. MACIPA is a physician membership organization with most of the physicians in small private practices, some owned by Mount Auburn Hospital or Cambridge Health Alliance. MACIPA provides support systems to help physicians manage population health, quality improvement, electronic health records and data exchange and analytics. Dr. Spivak graduated from Tufts University School of Medicine and completed her residency at St. Elizabeth’s Hospital. She is a Clinical Instructor in the Department of Medicine at Harvard Medical School.

BRENT D. STEINECKERT, MPH, PMP, is director for Ambulatory Electronic Health Record and Patient Access & Health Information Management Departments for Sharp Rees-Stealy (SRS) Medical Clinics. He has been with SRS since 1998 where he has been involved in the integration of technology into medical operations. He has written software programs involving billing and scheduling to help physicians increase efficiency and revenue for the practice. Mr. Steineckert has been actively involved in development and imple-mentation of technological solutions including installation and integration of an ambulatory electronic health record (EHR) system, working closely with physicians to incorporate patient-centric workflows into the elec-tronic paradigm. Most recently, he has worked to expand telemedicine visits with the patient’s own physician using technology that would enable the patient to conduct the visit from the convenience of their home or anywhere they have internet access. Mr. Steineckert received his undergraduate degree in Molecular Cell Biology at the University at California, Berkeley, and his graduate degree in Public Health at San Diego State University. He is also a certified Project Management Professional (PMP) and has been trained as a California Awards for Performance Excellence (CAPE) examiner.

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LOCATION AND ACCOMMODATIONSThe Symposium will be held at the beautiful Fairmont Orchid Hotel in Waikoloa on Hawai‘i Island (Big Island). Fairmont Orchid Hotel 1 North Kaniku Drive Kamuela, Hawaii 96743 Hotel Direct: 808-885-2000; Toll free global: 800-441-1414 www.fairmont.com/orchid-hawaii/ https://resweb.passkey.com/go/ipasymposium2017 Group name: East Hawaii IPA Symposium

Special group room rates are available for Symposium participants. Group rates held until July 17, 2017.

CME CREDITSApproved for 11.5 American Academy of Family Physicians (AAFP) Continuing Medical Education (CME) Credits

QUESTIONS? Please contact Joyce Vitales at jvitales@ehiipa.com; Phone: 808-797-3113East Hawaii IPA670 Ponahawai Street, Suite 117Hilo, HI 96720Website: www.ehiipa.com

HOLLY YANG, MD, MSHPED, HMDC, FACP, FAAHPM, is a hospice and palliative medicine specialist with primary training in internal medicine at Scripps Health in San Diego. Dr. Yang strives to help patients live well by caring for the whole person. Collaborating with other team members, she focuses on providing an extra layer of support for patients and families with consideration of their physical, emotional, social and spiritual needs, no matter the stage or prognosis of their illness. She is the director of the Hospice and Palliative Medicine Fellowship Program at Scripps Mercy Hospital in San Diego, California. Her focus is inter-professional training in hospice and palliative medicine and enjoys teaching communication skills to physicians and physician trainees. Dr. Yang earned her Bachelor of Arts in biology from Northwestern University, her medical degree from Northwestern University’s Feinberg School of Medicine, completed her residency at the University of Minnesota and a fellowship at the San Diego Hospice and the Institute for Palliative Medicine. Dr. Yang serves on the boards of directors of the San Diego County Medical Society and the AAHPM (American Academy of Hospice and Palliative Medicine). She is also co-director of a joint hospice and palliative medicine fellowship program offered as a partnership between Scripps Health and UC San Diego Health System.