Schedule
Improving Outcomes for People with Disabilities
February - November 2022; 2nd Tuesday of Every Month; 12:00-1:00 via Zoom
All roundtables are one-hour, live (virtual) sessions with experts from a variety of disciplines and backgrounds. Attendees can register for individual sessions or the whole series. Continuing education units are available. Roundtables follow this format:
- 12:00 - 12:20
- Case-based Presentation/Sharing of "Lived Experience"
- 12:20 - 12:40
- Didactic Exploration of Core Competency
- 12:40 - 1:00
- Small Group Discussion/Question & Answer
February 8, 2022
Core Competencies on Disability: Guiding Principles & Values
Susan Havercamp, PhD
The first roundtable will provide an overview of the Core Competencies on Disability for Health Care Education. Developed in partnership with people with disabilities, disability experts, health educators, and health care providers, these are the skills and attributes essential to providing quality health care to patients with disabilities.
Learning Objectives
After completing this training, attendees will:
- Recognize and describe the health disparities that exist for disadvantaged groups, including people with disabilities.
- Tell how Americans with disabilities experience barriers to routine clinical and preventive services and public health and wellness initiatives.
- Summarize how inadequate knowledge and limited skills in diagnosing, treating, and providing care to people with disabilities play a role in perpetuating health care inequalities for this population.
- Identify how the Core Competencies define standards for disability training to improve health care for people with disabilities.
- List some of the ways health care professionals may underestimate the capabilities, health, and quality of life experienced by people with disabilities.
- Analyze how values held by healthcare providers impact high quality healthcare for people with disabilities.
March 8, 2022
Core Competency #1: Conceptual and Contextual Frameworks on Disability
Kara Ayers, PhD
Disability can be considered in multiple contexts beyond the medical cause and its implications, and these contexts may be relevant to patients with disabilities. Learners should recognize multiple conceptual frameworks of disability and understand that disability exists within a socio-historical context.
Learning Objectives
After completing this training, attendees will:
- Acquire a conceptual framework of disability in the context of human diversity, the lifespan, wellness, injury, and social and cultural environments.
- Compare and contrast disability and disease using the Medical, Social, and World Health Organization International Classification of Functioning models and recognize their application to health care of people with disabilities.
- Describe the civil rights and independent living history of people with disabilities and their access to services. Understand how such history has both informed current thinking and improved access to care and equal rights for people with disabilities.
- Connect how social determinants of health directly impact people with disabilities (e.g., discrimination, employment, education, transportation, housing, poverty, access to healthcare).
April 12, 2022
Core Competency #2: Professionalism & Patient-Centered Care Panel
featuring Jodi Collins, Dean Fadel, Michelle Motil and Katie Robinson
Adherence to principles of professionalism, communication, and respect during interactions with people with disabilities, as well as building an understanding of the patient’s perspective, is essential for effective health care for patients with disabilities.
Learning Objectives
After completing this training, attendees will:
- Summarize the historical health care experiences of many people with disabilities, including encounters with untrained providers, poor treatment, and denial of care.
- Explore and mitigate their own implicit biases and avoid making assumptions about a person’s abilities or lack of abilities and lifestyle.
- Identify and utilize strategies to best meet the needs/abilities of the patient, including: communication needs, level of health literacy, supported decision making.
- Discuss issues of trust, confidence, and confidentiality with patients who receive support during health care encounters.
- Recognize how people with disabilities may consider their devices and equipment an extension of their person and describe implications for practice (e.g., wheelchair, assistive communication device, crutches, service animal, etc.).
May 10, 2022
Core Competency #3: Legal & Ethical Responsibilities and Obligations in Caring for Patients with Disabilities
Dr. James Duffee, MD, MPH, FAAP
Christopher C. Camboni, Esq.
There are significant legal and ethical considerations in treating patients with disabilities. Federal laws are in place to protect the civil rights of patients with disabilities and prevent discrimination in health care settings. The pandemic brought to the forefront ethical issues such as “rationing of care”. Learners will deepen their understanding of these issues to meet the individual needs of people with disabilities.
Learning Objectives
After completing this training, attendees will:
- Identify legal requirements for providing health care in a manner that is, at minimum, consistent with federal laws such as the Americans with Disabilities Act (ADA), Rehabilitation Act, and Social Security Act to meet the individual needs of people with disabilities, including the areas of physical access, communication, and accommodations.
- Discuss strategies for meeting access requirements (e.g., needed accommodations) of the ADA, Rehabilitation Act, and related laws and policies.
- Apply the medical code of ethics to patients with disabilities, considering issues related to communication, decision-making, confidentiality, and care.
- Recognize issues related to legal guardianship (e.g., consent to treatment, HIPAA, privacy) in the health care system.
- Assess their own ability and the ability of others in their practice (including support staff) to provide services that meet the needs of the patient with a disability (e.g., knowing how to appropriately transfer a patient with a mobility limitation to an exam table).
- Determine their own need for further training and/or skill development in caring for patients with disabilities and take action to address those needs based on current best practices.
June 14, 2022
Core Competency #4: Teams & Systems-based Practice
Dr. Corey A. Keeton, MD
The input of professionals from multiple disciplines is often required to address the complex health needs of patients with disabilities in various health and community support systems. Learners better understand how to engage and collaborate with team members within and outside their own discipline to provide high quality, inter-professional team-based health care to people with disabilities.
Learning Objectives
After completing this training, attendees will:
- Recognize how the input of professionals from multiple disciplines is often required to address the complex health needs of patients with disabilities in various health and community support systems.
- Describe various models of team approaches when supporting people with disabilities in health care systems (e.g., interdisciplinary, multidisciplinary, inter-professional).
- Explain the discipline-specific responsibilities of team members in addressing health needs of patients with disabilities and in partnering with the patient as a central member of the team.
- Discuss challenges in creating a person-centered or family-centered system of care and strategies to build an effective healthcare team.
- Demonstrate skills in teamwork including flexibility, adaptability, open communication, assertiveness, conflict management, referral, use of evidence-based practice to support decision-making and mutual goal setting with patients with disabilities and other team members.
July 12, 2022
Deeper Dive: Teams & Systems-based Practice
Billing, Coding, Referring, and Coordinating Care
Dr. Christopher Hanks, MD
Polly Irwin, RN
Dr. Heather Saha, MD
This session will focus on the practice-level application of Core Competency #4, Teams and System-Based Practice, addressing many of the barriers to team-based care, including issues around billing, coding, referring, and coordinating care.
Learning Objectives
After completing this training, attendees will:
- List coding/billing mechanisms to improve care coordination and team-based care.
- Discuss strategies to improve referral and follow up.
- Identify ways to keep patients (and families/guardians as appropriate) informed and aware of referrals, health care records, electronic communication, etc.
- Describe systems of community-based services and supports that may be useful for patients with disabilities outside of the clinical care system. Be prepared to consider cultural factors and interact with these systems and make relevant referrals to ensure comprehensive care coordination, particularly during times of transition.
August 9, 2022
Core Competency #5: Clinical Assessment
Dr. Garey Noritz, MD
This session will focus on the practical application of Core Competency #4, Team and System-Based Practice, addressing many of the barriers to team-based care, including issues around billing, coding, referring, and coordinating care.
Learning Objectives
After completing this training, attendees will:
- Recognize that the patient with disabilities should be the primary source of information regarding their care, but the caregiver(s) can be helpful to inform or enhance assessments and interventions
- Construct a framework for evaluating patients who cannot give a complete history
- Summarize key clinical features of common syndromes
- Recognize and defend against “diagnostic overshadowing
October 11, 2022
Deeper Dive: Clinical Care Over the Lifespan and During Transitions
Intervening Early
Dr. Laura Sorg, MD
Many families who suspect their child has a developmental delay are told to “wait and see.” However, decades of research demonstrate the danger of this approach. It is critical to identify as early as possible those infants and toddlers in need of services to ensure that intervention is provided when the developing brain is most capable of change. Services to young children who have or are at risk for developmental delays have been shown to positively impact outcomes across developmental domains, including health, language and communication, cognitive and social/emotional development.
Learning Objectives
After completing this training, attendees will:
- Describe how intervening early can change a child’s developmental trajectory.
- Discuss how intervening early can improve outcomes for children, families, and communities.
- Identify barriers families experience in referral and follow up.
- Demonstrate knowledge of validated screening tools and timelines for screening.
- Describe the importance of parent-completed tools.
- Compare and contrast available screening tools and the limitations and strengths of these tools.
- Summarize providers federal obligations related to Early Intervention under the Individual with Disabilities Act, Part C (IDEA, Part C).
- Demonstrate knowledge of how to make a referral to Ohio Early Intervention.
- Identify ways to improve the likelihood of follow up.
November 8, 2022
Deeper Dive: Clinical Care Over the Lifespan and During Transitions
Dr. Carl V. Tyler, MD, MSc
Dr. Laurie Glader, MD
Particularly relevant transitions in the life of people with disabilities include transitioning from preschool or early intervention to kindergarten, graduating from high school, transitioning from the pediatric to adult care system, moving from parents’ home, marriage, birth of a child, changing job, home, or housemate, coping with the death of parent, retirement, health in aging, and end of life. Health care providers must plan adequate time to address related care issues during the clinical visit and be knowledgeable about effective strategies to engage patients with disabilities in creating a coordinated plan of care with needed services and supports.
Learning Objectives
After completing this training, attendees will:
- Describe how successful transitions improve adult outcomes and reduce health care utilization and cost.
- Discuss the core elements of health care transition, and patient/family experiences across the lifespan.
- Summarize areas of assessment and planning in health care transition, including: health care access; patient independence with self-care; access to community supports.
- Identify ways to engage the patient, family, and medical home in health care transitions.
- Demonstrate understanding that disability should not limit self-determination in health care decisions (including end-of-life care) for people with disabilities, regardless of disability type and severity. Assess ability to present the same treatment options that would be presented to similar-aged peers without disabilities.
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Ohio Association of Health Plans
20 E. Broad Street, Suite 701
Columbus, Ohio 43215
(614) 228-4662
info@oahp.com
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OCALI
470 Glenmont Avenue
Columbus, Ohio 43214
(614) 410-0321
ocali@ocali.org