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2018 REHP Course Materials

Kaiser Permanente Northern California Graduate Medical Education is pleased to announce the Residency Elective in Health Policy (REHP) will take place in October 2018.

The goals of the REHP are to orient residents and fellows to the fast changing world of health policy, increase their knowledge of key health policy issues facing their community and the nation, and prepare them to be effective physician-leaders and advocates in a systems-based practice. The REHP will be available to up to 30 KP residents and fellows from all specialties who are interested in an intensive, 2-week health policy elective.

There are two components of the course. The first is a series of web-based learning modules offered during the month preceding the two week course that can be viewed at the convenience of the participant. The second is an intensive, in-person course which incorporates didactic and experiential learning throughout the Bay Area, California. Residents will be expected to engage in a full-time schedule (i.e. in-person activities from 8 a.m.-5 p.m. with some occasional evening lectures and events) for the two-week course period.

The REHP course dates are: October 15-26, 2018.

Participants of the Residency Elective in Health Policy will:

  • Learn key aspects of U.S. health policy.
  • Participate in intensive seminars with policy experts in health disparities, health economics, public health, quality improvement, value-based care, and other fields.
  • Learn about policymaking first-hand, through visits to organizations and communities involved in shaping and implementing health policy.
  • Understand their roles and opportunities within the local, state, and national health policy landscape.
  • Apply policy analysis, assessment and recommendations to real-world challenges by completing a capstone project in health policy.
  • Translate their knowledge into practice.
  • Disseminate the information learned with their colleagues.

Accommodations will be provided for Kaiser Permanente Resident/Fellows upon request.

Questions can be directed to the lead program coordinator, Amanda Coy.

2018 Planning Committee

Tessa Stecker, MD


Prog2018 Planning Committeeram Director, Community Medicine Fellowships
Program Director, Residency Elective in Health Policy
Faculty, Napa Solano Family Medicine Residency Program
Kaiser Permanente Northern California

Tessa Stecker MD, is the Program Director for the Kaiser Permanente Northern California Community Medicine Fellowships and Program Director for the KP Northern California Resident Health Policy Elective. In addition to overseeing the community medicine fellows, she works closely with medical students and residents completing their community medicine and global health rotations and projects at the KP Napa Solano Family Medicine Residency Program. Her areas of interest include community medicine, global health, medical education, adverse childhood events, and homeless medicine.

Dr. Stecker attended the University of Southern California for her undergraduate and medical education where she developed a passion for health education, serving underserved populations and working with students as a mentor and teacher. She completed her residency at the Kaiser Woodland Hills (KWH) Family Medicine Program where she served as a chief resident in her last year. Following residency, she split her time between working at the Downtown Women’s Center and the Center for Community Health on Skid Row, teaching Introduction to Clinical Medicine at USC, and working at various local community clinics and urgent care centers. In 2014 she completed a fellowship in Community Medicine at KWH where she worked with medical students and residents in various community clinics and supervised specialty clinics in dermatology and procedures at Kaiser Woodland Hills. In August 2015, Dr. Stecker relocated to Northern California to complete the UCSF Faculty Development Fellowship and develop the Community Medicine and Global Health Fellowship at Kaiser Napa Solano. She has since assumed the roles of Program Director for the Regional Community Medicine Fellowships and Program Director for the Resident Health Policy Elective.

Calvin Wheeler, MD


Institutional Director
Undergraduate & Graduate Medical Education
Kaiser Permanente Northern California

Dr. Wheeler is the Institutional Director of Undergraduate & Graduate Medical Education and serves on the Regional Governance Committee for the Community Kaiser Permanente Medical Centers in Fremont and the Greater Southern Alameda area for the past 18 years and was a member of the Board of Directors and the Operations Management Group of The Permanente Medical Group. Dr. Wheeler joined Kaiser Permanente in 1984 as a staff pediatrician and neurologist in Hayward and Walnut Creek.

Dr. Wheeler graduated from the University of Michigan College of Pharmacy and the University of California, Irvine School of Medicine. Following medical school, he did a 6-month American Hepatic Foundation Fellowship at the Kings College Hospital on the liver failure unit in London, England. He then did residency training in Pediatrics at Boston City Hospital and Children’s Hospital of Los Angeles. His residency was followed by a fellowship in Pediatric Neurology at Boston City Hospital & the Boston University Combined Neurology Program, where he also served as a clinical instructor. He then completed a fellowship in Epilepsy/EEG and the Houston Merritt Fellowship in Cerebral Palsy at the Children’s Hospital in Boston and Harvard Medical School, where he also served as a clinical instructor. After moving to the Bay Area, Dr. Wheeler became a clinical instructor at UCSF in the Department of Pediatrics and the Division of Neurology. His research interests have been in the area of anti-epileptic medications and alternative epilepsy treatments.

A founding member of the Kaiser Permanente African American Professionals Association (KPAAPA) in Northern California, Dr. Wheeler twice served as president. He completed the KP Advanced Leadership Program at the University of North Carolina, Chapel Hill in 1997. He completed the California Healthcare Foundation Leadership Fellowship between 2003-2005.

He has served on the Board of Trustees of the California College of the Arts for 14 years, where he sits on the Committee of Trustees and the Academic Committee. In his new role he has begun serving on programs to improve our nation’s and our local communities’ health and improve the diversity of the physician pipeline.

Dr. Wheeler enjoys reading, walking, running, tennis, skiing, traveling, and spending time with his wife, Sarajane, with whom he co-owns an art gallery and design business.

Theresa Azevedo


Associate Institutional Director,
Designated Institutional Official
Undergraduate & Graduate Medical Education
Kaiser Permanente Northern California

Theresa Azevedo is the Associate Institutional Director and Designated Institutional Official (DIO) of Kaiser Permanente Northern California Undergraduate & Graduate Medical Education. She joined Kaiser Permanente in 2006 with 16 years previous experience in GME, strategic program development, with expertise in developing all phases of nonprofit business. At KPNC, Theresa develops new programs that align with KP’s workforce development goals, facilitates faculty and resident development and oversees accreditation, financial planning and marketing of KPNC’s twenty-four residency and fellowship programs which serves 1,400+ unique residents and 700 medical students who learn in KP Northern California’s twenty-one medical centers.

Before joining KPNC, Theresa was concurrently the president of an academic research institute and the executive director of a GME consortium. Theresa received her bachelor’s degree from Saint Mary’s College of California and is currently pursuing a Master’s in Public Administration at the University of San Francisco.

Theresa’s new scholarly interests are workforce development and diversity, integrating quality and performance improvement across the educational continuum, faculty development and educational research, the effects of healthcare policy on graduate medical education, and aligning community health needs assessments with resident education and care in underserved communities.

A native of California, Theresa lives in the San Francisco Bay Area and enjoys its many hiking and cycling areas. Theresa is an active volunteer, teaching healthy eating and cooking practices in a variety of settings.

Amanda Coy


Lead Program Coordinator
Regional Undergraduate & Graduate Medical Education

Amanda Coy joined Kaiser Permanente two years ago and has been joyful in her decision ever since! As Lead Program Coordinator for Regional Undergraduate and Graduate Medical Education, Amanda provides logistical support, guidance, and organization to a variety of the Region’s courses, faculty development programs, and committees meetings.

Prior to joining Kaiser, Amanda worked at University of California, Berkeley, as a Research Administrator III, supporting various Principal Investigators on their grant submissions, in addition to providing funding and budget administration and analysis for a multimillion dollar portfolio. Before this, Amanda was an Associate Program Director for Jumpstart for Young Children, Northern California, where she oversaw the direction of Jumpstart’s East-Bay, Stanford, and Seattle-satellite Jumpstart partnerships. Having served two terms with AmeriCorps and one term as an AmeriCorps VISTA, Amanda is proud to be able to say that she has continued to pursue roles within various organizations that focus on supporting underserved communities, families, and children for 17 years.

Ana Iten, MD


Community Medicine & Global Health Fellow
Kaiser Permanente Napa Solano Medical Center
2017 Residency Elective in Health Policy Participant

Ana Iten, MD, grew up in Guatemala City and moved to the United States for college where she graduated from Santa Clara University with a B.S. in Biology and B.A. in Spanish. She then joined the Jesuit Volunteer Corps and moved to Washington, D.C. to work as a Medical Case Manager at a clinic for the Latino community. This experience fueled her interest in medicine and health disparities and lead her to medical school at the UCSF-UC Berkeley Joint Medical Program, where she also participated in PRIME – US, a program for students committed to working with urban underserved communities. During medical school she was a coordinator for the UC Berkeley Free Homeless Clinic, conducted research on diabetes outcomes of Latino patients, and participated in the school admissions committee. She then completed her Family Medicine residency at Kaiser Permanente Napa Solano where she was a co-chief resident and is now a Community Medicine & Global Health Fellow. Her career interests include student and resident medial education, Latino health disparities, and mentorship/pipeline programs.

Christina Kinnevey, MD


Community Medicine & Global Health Fellow
Kaiser Permanente Napa Solano Medical Center
2017 Residency Elective in Health Policy Participant

Christina Kinnevey, MD, grew up in Riverside, CA. She went to Hobart and William Smith Colleges in upstate New York and then did a year of AmeriCorps in Sonoma County doing health outreach work. She graduated from UC Davis Medical School in 2014. Christina completed Family Practice residency at Sutter Health in Sacramento. She was in the Davis track and was chief resident her third year. She is currently doing a fellowship in Community Medicine and Global Health at Kaiser Napa Solano. Christina has extensive experience in global health work, having gone on 9 medical mission trips, but would now like to focus on gaining knowledge in health policy to enhance her work in more local community medicine. She ultimately plans to become faculty in a family practice medicine residency program and continue work in community medicine and global health.

Primitivo Rojas-Cheatham, MPH


Sr. Training and Development Consultant
Regional Undergraduate & Graduate Medical Education

Primitivo (Tivo) Rojas-Cheatham, MPH, joined Kaiser Permanente as a Senior Learning, Training, and Development Consultant. His role in KPNC’s Undergraduate and Graduate Medical Education is to develop and deliver training and innovative curriculum to support the success of residents and fellows. He works with outside experts to bring learning and experiences to residents that further enable them to be great physicians, communicators, team players, and educators. He also works on faculty development in support of developing new curriculum, improving feedback, and the on-going development of faculty as clinical educators, mentors, and facilitators of resident and fellow learners.

He brings over 20 years of experience working as a training and development consultant, coach and manager. He has an MPH in Community Health Education from UC Berkeley. Tivo enjoys running, hiking, and spending time with his three daughters and wife in the outdoors.

Accommodations are provided for Resident/Fellows in programs not based at Oakland/San Francisco or who do not live in the Berkeley, Oakland, or San Francisco areas.

Location: Lafayette Park Hotel
3287 Mount Diablo Boulevard
Lafayette, CA 94549
(855) 382-8632

Parking
Self-parking on-site is free. If you must valet, parking validation will be provided.

The Residency Elective in Health Policy (REHP) will be offered in the Northern California region during the 2018-2019 academic year, from Monday, October 15 to Friday, October 26, 2018, at the Lafayette Park Hotel & Spa, Lafayette.

There are two components to the course. The first is a series of web-based learning modules during the one-month preceding the 2-week course that can be viewed at the convenience of the participant. The second is an intensive, in-person course which incorporates didactic and experiential learning throughout the San Francisco Bay Area.  Residents will be expected to engage in a full-time schedule (e.g. in-person activities from 8 a.m.-5 p.m. with occasional evening lectures and events). Participants will be expected to have cleared clinical schedules for the 2-week period.

Interested residents and fellows must complete this application to be considered for the REHP. We are committed to a program that embraces racial, ethnic, gender, and disciplinary diversity, and we encourage candidates with diverse backgrounds to apply. In addition, candidates should:

• Demonstrate significant interest in public health and health policy;
• Be highly regarded by those overseeing their clinical duties and educational activities;
• Exhibit leadership capabilities, including setting high personal goals and motivating others;
• Be self-directed, as evidenced by past professional accomplishments;
• Possess strong communication skills to effectively communicate with a diverse group of people.

Only complete applications will be considered. Decisions will be emailed to applicants on an ongoing basis until the end August. Residents and fellows accepted to the course must confirm their participation within two weeks of receiving notice.

The Program Director Approval Form can be accessed at: https://residency-ncal.kaiserpermanente.org/rehp-pd-approval/

Questions can be directed to the lead program coordinator, Amanda Coy.

This application is closed

Day 1: Monday, October 15 – Overview of U.S. Healthcare and Health Policy

Time Topic Speaker Resources
8:00 AM – 9:30 AM Course Overview Calvin Wheeler, MD
Tessa Stecker, MD
Amanda Coy
9:30 AM – 11:00 AM A Short History of Healthcare in the U.S. Guenevere Burke, MD, MBA https://www.bloomberg.com/news/articles/2018-10-29/health-care-companies-pour-46-7-million-into-midterm-elections
11:00 AM – 11:30 AM BREAK
11:30 AM – 1:00 PM Review of Health Insurance Coverage in the U.S. Flagg, Robin_101518
1:00 PM – 2:00 PM LUNCH
2:15 PM – 3:15 PM California Health Policy – Private Insurance/Health Insurance Exchanges Walter J. Meyers, MA
3:15 PM – 3:45 PM
3:45 PM – 5:30 PM
Travel to Site Visit
Site Visit: Monument Crisis Center
Sandra Scherer https://www.monumentcrisiscenter.org/
6:00 PM – 8:00 PM Social Event: Monument Impact –
Day Laborer Program
1515 Restaurant, Walnut Creek
Dave Thompson, MA
Lorena Cruz

Day 2: Tuesday, October 16 – Public Health, Health Policy Analysis, and Health Equity

Time Topic Speaker Resources
8:00 AM – 9:00 AM Evidence-Based Care and Resource Stewardship Sameer Awsare, MD Awsare, Sameer_101618
9:00 AM – 10:15 AM Public Health Challenges in California Winston Wong, MD Wong, Winston_101618
10:15 AM – 11:30 AM Health Disparities and Role of Foundations in Health Anthony Iton, MD Iton, Tony_101618
11:30 AM – 12:30 PM Lunch: Introduction to Health Policy Analysis Tessa Stecker, MD
12:30 PM – 1:45 PM Public Health Department Panel
(Alameda, Contra Costa)
Facilitator: Theresa Azevedo
Erica Pan, MD, MPH, FAAP
Daniel Peddycord, RN, MPA/HA
1:45 PM – 3:00 PM Health and Housing for All Arnold Perkins
Candice Elder, MS
Perkins, Arnold_101618
3:00 PM – 3:30 PM Travel to Site Visit
3:30 PM – 5:30 PM Site Visit: California Healthcare Foundation Kara Carter, MBA, MSc CHCF Site Visit Agenda

CHCF Speaker Bios

https://www.chcf.org/

5:30 PM – 8:00 PM Social Event: Networking Night
Plank, Jack London Square

Day 3: Wednesday, October 17 - Health Economics, Health Systems Financing and Organization

Time Topic Speaker Resources
8:00 AM – 9:15 AM Introduction to Health Economics Joseph Houska, PhD, MA Houska, Joseph_101718
9:15 AM – 9:30 AM BREAK
9:30 AM – 10:45 AM Quality and Value-Based Care Irene Chen, MD
10:45 AM – 12:00 PM Case Example: KP School of Medicine Beth Roemer, MPH
12:00 PM – 1:00 PM LUNCH
1:00 PM – 2:30 PM Youth Uprising Prep
2:30 PM – 3:00 PM BREAK
3:00 PM – 5:00 PM Greenlining: Institute: Advancing Health Equity Through Policy and Advocacy Anthony Galace Galace, Anthony_101718

http://greenlining.org/

Day 4: Thursday, October 18 - Quality, Safety Net and Public Health

Time Topic Speaker Resources
8:00 AM – 9:15 AM Allied Health Professionals – Scope of Practice Camille Applin-Jones, MBA, BSBM, RN
9:15 AM – 10:15 AM ACA: Changes, Current Trends, and Impact Leah Newkirk, JD
10:15 AM – 11:00 AM BREAK: Project Time
11:00 AM – 12:00 PM Homelessness in the Bay Area Margot Kushel, MD Kushel, Margot_101818

Patanwala et al symptoms

Pathways to Homelessness

Residential Clusters

12:00 PM – 12:45 PM Travel to Site Visit
12:45 PM – 1:30 PM LUNCH: Lifelong
1:30 PM – 4:00 PM Site Visit: FQHC – Lifelong  Eric Henley, MD https://www.lifelongmedical.org/

Day 5: Friday, October 19 - Sacramento

Time Topic Speaker Resources
7:15 AM – 9:00 AM Travel to Sacramento:
California Dental Association Building, 1201 K Street, Conference Room 15 A/B,
Sacramento, CA 95814
Sacramento Speaker Bios
9:15 AM – 10:00 AM Introduction to the Legislative Process Teresa Stark, MBA, Senior Director, State Government Relations, Kaiser Permanente
10:00 AM – 10:30 AM Grassroots Advocacy and Physician Engagement Yna Shimabukuro, MA, Senior Director, Political Operations, California Medical Association
10:30 AM – 11:30 AM Senator Richard Pan, MD, MPH Richard Pan, MD, MPH, California State Senator (D-Sacramento)
11:30 AM – 12:45 PM Policy and Fiscal Committee Consultant Panel Brendan McCarthy, MPP, Chief Consultant, Assembly Business & Professions Committee
Lisa Murawski, MA, Principal Consultant, Assembly Appropriations Committee
Paula Villescaz, (former)Consultant, Assembly Health Committee
12:45 PM – 1:00 PM BREAK/Serve Lunch
1:00 PM – 2:00 PM LUNCH/Discussion Diana Dooley, Executive Secretary, California Governor’s Office
2:00 PM – 2:15 PM BREAK/Walk to the State Capitol
2:15 PM – 2:45 PM Tour of the State Capitol
2:45 PM – 3:00 PM BREAK
3:00 PM – 4:00 PM Lobbyist Panel (Hearing Rm #126, State Capitol) Alex Hawthorne, Legislative Advocate, California Hospital Association
Juan Thomas, California Medical Association
Jennifer Alley, Legislative Advocate, California Association of Health Plans
4:00 PM – 4:15 PM Wrap-up Calvin Wheeler, MD
4:30 PM – 6:00 PM DINNER: Claim Jumper Restaurant

Day 6: Monday, October 22 - Conflicts, Corrections and Mental Health

Time Topic Speaker Resources
8:00 AM – 8:45 AM Week in Review/Introduction to Week #2 Tessa Stecker, MD
Calvin Wheeler, MD
8:45 AM – 10:00 AM Youth Development Networks
(Panel Discussion)
Facilitator: Calvin Wheeler, MD
Ruben Gonzalez, MD
Kevin Skelly, PhD
Stalfana Bello, MPA
10:00 AM – 11:15 AM Adverse Childhood Experiences Anne Menahemy, MD Menahemy Slides
11:15 AM – 11:30 AM BREAK
>11:30 AM – 12:30 PM Trauma-Informed Care Alana Shackelford, EdD Shackelford Slides
12:30 PM – 1:30 PM LUNCH
1:30 PM –2:30 PM Mental Health Policy: A Case-based discussion Jeffrey Seal, MD
Aislinn Bird, MD, MPH
Mental Health Policy Case-Based Discussion_102218
2:30 PM – 3:15 PM Travel to Site Visit
3:15 PM – 5:00 PM Site Visit: Youth Uprising Sharon Brown https://www.youthuprising.org/
5:00 PM – 5:15 PM Health Fair Set-up
5:15-6:15 pm Health Promotion Event

Day 7: Tuesday, October 23 - Social Determinants of Health

Time Topic Speaker Resources
9:00 AM – 10:15 AM Frequent ED Users: Separating Fact from Fiction Maria Raven, MD, MPH, MSc
Hemal Kanzaria, MD, MSc
Raven & Kanzaria Slides
10:15 AM – 10:30 AM BREAK
10:30 AM – 11:30 AM Migrant Farmworker Health Policy Jesus Rodriguez, MD Rodriguez Slides
11:45 AM – 12:45 PM Transgender Health Policy Erica Metz, MD Metz Slides
12:45 PM – 1:30 PM LUNCH and Project Prep
1:30 PM – 2:45 PM Career Panel Facilitator: Tessa Stecker, MD
Amanjot Sethi, MD
Shannon Udovic-Constant, MD
Pratima Gupta, MD, MPH, FAAP
2:45 PM – 3:30 PM Travel to Site Visit
3:30 PM – 5:30 PM Site Visit: TRUST Amanda Jones TRUST-Lifelong Resources

https://www.lifelongmedical.org/locations/our-locations/trust-health-center.html

Day 8: Wednesday, October 24 - Health Workforce

Time Topic Speaker Resources
8:00 AM – 9:00 AM Social Mission in Medicine Fitzhugh Mullan, MD Mullen Slides

Dr. Mullan – Pre-Course Resources

9:00 AM – 10:00 AM GME/California Workforce Development Conrad Amenta Amenta Slides
10:00 AM – 10:15 AM BREAK
10:15 AM – 12:00 PM Journal Club
  1. What motivates Us?
  2. Curiosity and what equality really means
  3. Automated Health Care Offers Freedom from Shame, But Is It What Patients Need?
12:00 PM – 1:45 PM LUNCH and Project Prep
1:45 PM – 2:45 PM KP: From Community Benefits to Community Health Sherry Novick
2:45 PM – 4:00 PM Promotores Maria Lemus Lemus Slides

Promotores Resources – Maria Lemus

Day 9: Thursday, October 25 - Global Health

Time Topic Speaker Resources
8:00 AM – 8:30 AM Global Health Policy Overview Tessa Stecker, MD
8:30 AM – 11:00 AM Comparative Health Systems Neelam Feachem, MS Ms. Feachem -Healthcare Comparison Resources
11:00 AM – 11:15 AM BREAK
11:15 AM – 12:30 PM US Healthcare System of the Future Vivian Tan, MBA NEJMP US Healthcare from Last to First
12:30 PM – 1:30 PM Health Information Technology Patricia Conolly, MD
1:30 PM – 2:45 PM Travel to Site Visit
2:45 PM – 4:15 PM Site Visit: Vallejo People’s Garden Vilma Aquino http://www.vallejopeoplesgarden.org/

Day 10: Friday, October 26 - Final Presentations

Time Topic Speaker Resources
8:00 AM – 9:00 AM Health Law Allison Hoffman, JD
9:00 AM – 10:30 AM Presentation Preparation
10:30 AM – 12:30 PM Final Evaluation Session
12:30 PM – 1:30 PM Lunch: Keynote Speaker Doniece Sandoval – Founder of Lava Mae
1:30 PM – 4:00 PM Health Policy Presentations 2018 Residency Elective in Health Policy Participants
4:00 PM – 4:30 PM Certificate Distribution Tessa Stecker, MD
Calvin Wheeler, MD
4:30 PM – 6:30 PM End of Elective Celebration
Conrad Amenta
Director of Health Policy
California Academy of Family Physicians
Camille Applin-Jones, MBA, BSBM, RN
Managing Director, Medical Group Support Services
Regional Nurse Leader
The Permanente Medical Group
Sameer Awsare, MD, FACP
Associate Executive Director, Pharmacy, Adult & Family Medicine, Risk Adjusted Coding, Revenue Cycle, Outside Medical Services, Opioid Initiative
The Permanente Medical Group
Stalfana Bello, MPA
Executive Director
Physicians Medical Forum
Aislinn Bird, MD, MPH
Psychiatrist
Alameda County Health Care for the Homeless
GBurke Guenevere Burke, MD, MBA
Co-Director, Health Policy & Social Mission Collaboration
Assistant Professor, Emergency Medicine
George Washington University
Irene Chen, MD, CPPS
Associate Executive Director
The Permanente Medical Group
Patricia Conolly, MD
Associate Executive Director, Technology Group
The Permanente Medical Group
Lorena Cruz
Program Manager,
Mentes Positivas en Accion
Monument Impact
Candice Elder, MS
Founder & Executive Director
The East Oakland Collective (EOC)
Robin Flagg, PhD, MPH
Lecturer,
Undergraduate Program, Health Policy and Management (HPM) Department and Online Onsite MPH Program (OOMPH)
Field Supervisor,
Health Policy and Management MPH Program
School of Public Health
University of California, Berkeley
Anthony Galace
Health Equity Director
Greenlining Institute
Ruben Gonzalez, MD
Chief, Health Education & Diversity
Kaiser Permanente Napa Solano Medical Center
Assistant Medical Director, School of Allied Health
Pratima Gupta, MD, MPH
Department of OB/Gyn,
Kaiser Permanente San Francisco
Allison Hoffman, JD
Professor of Law,
University of Pennsylvania Law School
Senior Fellow
Leonard Davis Institute of Health Economics
Joseph Houska, PhD, MA
Lecturer, Strategic Management and the Health Sector
University of California, Berkeley School of Public Health
Anthony Iton, MD
Senior Vice President, Healthy Communities
The California Endowment
Hemal Kanzaria, MD, MSc
Associate Professor of Emergency Medicine,
University of California, San Francisco
Margot Kushel, MD
Professor of Medicine,
Division of General Internal Medicine
Zuckerberg San Francisco General Hospital and Trauma Center
Director,
UCSF Center for Vulnerable Populations
Maria Lemus
Founding Executive Director
Vision y Compromiso
Anne Menahemy, MD
Adult Psychiatry
Kaiser Permanente Richmond Medical Center
Erica Metz, MD
Regional Medical Director, Transgender Health
Kaiser Permanente San Francisco Medical Center
Walter J. Meyers, MA
Executive Director,
Strategic Market Planning
Kaiser Permanente
FMullan Fitzhugh Mullan, MD
Co-Director, Health Policy & Social Mission Collaboration
Murdock Head Professor, Medicine and Health Policy
George Washington University
Leah Newkirk, JD
Legislative Counsel,
Government Relations Department
Kaiser Foundation Health Plan
Sherry Novick, MPA
Managing Director, Community Benefit Programs
Kaiser Permanente in Northern California
Erica Pan, MD, MPH, FAAP
Interim Health Officer
Director, Division of Communicable Disease Control and Prevention
Clinical Professor
Pediatric Infectious Diseases
University of California, San Francisco
Daniel Peddycord, RN, MPA/HA
Director of Public Health
Contra Costa County Health Services
Arnold Perkins
Retired
Former Director of the Alameda County Public Health Department
Maria Raven, MD, MPH, MSc
Associate Professor, Emergency Medicine
University of California, San Francisco
Jesus Rodriguez, MD
Family Medicine
Kaiser Permanente Fresno Medical Center
Beth Roemer, MPH
Assistant Dean, Admissions, Outreach, Diversity & Inclusion
Kaiser Permanente School of Medicine
Doniece Sandoval
Founder, Lava Mae
Neelam Sekhri Feachem, MS
Associate Professor, Comparative Health Systems and Financing
Institute for Global Health Sciences
University of California, San Francisco
Amanjot Sethi, MD
Regional Director of Wellness Operations
The Permanente Medical Group
Alana Shackelford, EdD
Chief Partnerships & Community Engagement Officer
Vallejo City Unified School District
Kevin Skelly, PhD
Superintendent of Schools
San Mateo Union High School District

CHCF Cohort 16 Portraits Photo by Noah Berger

Jeffrey Steal, MD
Interim Director and Medical Director
Alameda County Healthcare for the Homeless
Tesser Stecker headshot Tessa Stecker, MD
Program Director, Community Medicine Fellowships
Program Director, Residency Elective in Health Policy
Faculty, Napa Solano Family Medicine Residency Program
Kaiser Permanente Northern California
Vivian Tan, MBA
Vice President, Strategic Information Management & Global Relationships
Kaiser Permanente
Dave Thompson, MA
Program Director
Monument Impact
Shannon Udovic-Constant, MD
Pediatrics
Kaiser Permanente San Francisco Medical Center
The Permanente Medical Group
Winston Wong, MD
Medical Director, Community Benefit
Kaiser Permanente

Final Presentation Topic Descriptions and Groups

Instructions:

Policy Analysis Presentation Instructions and Group Information

Topic 1- Medical-legal partnerships

Your community is affected by high unemployment and crime rates and stagnant economic growth. Your local FQHC has decided that it wants to tackle the socioeconomic issues that are affecting its patients. It has put some funds aside but would like to develop a plan to use the allocated funds most effectively. Medical-legal partnerships are a unique model for addressing social determinants of health by bringing legal services to healthcare settings. The FQHC is considering implementing a medical-legal partnership but is unsure if this is the best course of action to address the social determinants of health. As a community health policy and advocacy group the FQHC board has asked you to develop a plan for a medical-legal partnership and how this would be an effective use of the funds. Consider also alternative strategies to address social determinants of health.

Topic 2- Stemming the opioid crisis

As of October 2nd, 2018, it is mandatory for medical providers to consult CURES (Controlled Substance Utilization Review and Evaluation System) prior to prescribing a controlled substance for the first time and every 4 months as part of a patient’s treatment plan. As the planning committee of a physician’s group in a suburban area, you are preparing for the institution of the new CURES database policies. The group has been asking about the evidence for this policy and how this policy might affect clinical workflows. You’ve been asked to prepare a presentation to the group explaining the rationale used to implement this policy, the possible cost implications, and how this might affect clinic efficiency.

Topic 3- School safety

Between 2000 and 2013, there were 160 active shooter incidents in schools. The local city council would like to develop policies to decrease the likelihood of a school shooting occurrence in the district. They’ve developed a task force to consider which policies would be most effective. As the task force, you’ve been asked to consider the strategies and policies that could be implemented to reduce gun violence in your school to present to the city council.

Topic 4- Drug pricing

The California Department of Correctional Health Care Services has been notified that it’s healthcare budget will be cut by 10% next year. Simultaneously, new and effective treatments for liver, pancreatic, and colon cancer are now available. On average, the needs to develop a plan for treating cancer patients. new treatments for liver, pancreatic, and colon cancer are available – on average each treatment course costs $125K per patient. You’re the task force that needs to come up with the treatment algorithm for patients (who will receive treatment and under want circumstances) and health spending budget recommendations for the next year considering the new treatment options for these cancers.

Topic 5- Physician Shortage

You’re an advocacy coalition of PAs’, NP’s, and mid-wives in the mid-West. Recently the state legislator has proposed new legislation limiting the number of mid-level providers in the state. Many providers within your coalition service rural areas where there is a shortage of physicians. You will be lobbying a group of state senators to oppose the legislation. Prepare your recommendations and supporting rationale for the meeting with legislators

Group 1

Yamira, Marie, Ted C., Kayla, Jessica, Christian

Group 2

Andrea C., Emily, Clifton, Roderick, Ryon

Group 3

Shefali, Kelsey, Ted H., Brandon, Vinod

Group 4

Deepti, Shweta, Andrea N., Dat, Rami

Group 5

Betsy, Allison, Nathan, Trisha, Avanthi

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