The 28th National Conference on Primary Health Care Access to be held in New Orleans, April 10-12, 2017

For the first time, the Coastal Research Group will host the invitational National Conferences on Primary Health Care Access at the Hyatt Regency New Orleans. The National Conference will take place April 10 through 12, 2017. Invitations and registration forms will be mailed to invitees during the summer of 2016.

The Hyatt Regency New Orleans

The Hyatt Regency New Orleans

The theme of the 28th National Conference will be “Access”.

The founding of the Coastal Research Group 33 years ago and the establishment of the National Conferences on Primary Health Care Access in 1990 were both based on the premise that the American health care system was in need of substantive reform.

Although there are many admirable features of American medicine and comprehensive reform has been attempted through 2010’s Patient Protection and Affordable Care Act (PPACA), very serious deficiencies still exist in how American health care is organized and financed.

Over the past 27 National Conferences, much of the discussion has not only identified what should be changed in the health system, but has assessed the intended and unintended consequences of past federal legislation (i.e, Medicare, Medicaid and the prescription drug benefit).

PPACA, to which the media have assigned the nicknames “ACA” and “Obamacare” has had a transformative impact on some aspects of the health care system. Yet, although the ACA, at the time of the 28th National Conference will have been enacted for more than a half-decade, its ultimate efficacy and impact is still a source of intense debate.

Whatever its ultimate impact, the problems that brought forth the National Conferences – the geographic and specialty distribution of physicians, the lack of an appropriately functioning system of primary care, the lack of effective integration of medicine and public health – all remain concerns.

These concerns are at the center of discussion of each of the National Conferences.

The Political Climate in 2016

The Patient Protection and Affordable Care Act has yet to gain the widespread popularity predicted by the legislation’s proponents.

The strategic decisions of the two political parties to stake their political fortunes on support or opposition to the act as a whole has made, at least for the time being, the legislative process for modifying the Act in any significant way seemingly unlikely.

A principal concern for the plans’ proponents would be if participating health care plans, as many predict, were to increase rates substantially to cover their costs, and if such cost increases were to erode ACA’s political support among the electorate in such a way to complicate the implementation process.

A Brief History of the Concept of Primary Health Care Resources

Over a half century ago (1964), the treatise “Health Care is a Community Affair”, called the Folsom Report, was published. The next year (1965), the two principal federal programs for funding health care, Medicare and Medicaid passed, followed in the subsequent year, by the publication of the reports of the Millis and Willard Commissions.

The three reports and two financing mechanisms have had profound results, the former on development of public and private sector policies the latter on how the structure of American health care evolved.

The reports resulted in such familiar concepts as the idea of primary and tertiary health care, programs to address geographic and specialty maldistribution of physicians, especially in rural and “inner city” areas, and creation of new primary health care personnel.

In the meantime, multiple efforts to address poverty in America at the federal level led to the creation of the Office of Economic Opportunity, which promoted such ideas as Neighborhood Health Centers.

With the change in administrations at the federal level in 1968, many of the OEO ideas were institutionalized (made politically more “acceptable”) in federal legislation supporting the Community Health Centers and the National Health Service Corps. Legislation funding the new primary care discipline of Family Medicine passed at the same time as the other “safety net” programs, that had consequences for the evolution of training the family physician.

The effects of the two financing mechanisms were outsized, impacting the structure and organization of any entity that received funding from either. Neither Medicare and Medicaid were developed in concert with the policy recommendations of the Commissions, and thus a half-century of accumulated evidence suggests that the policy bases of health care financing do not synchronize with the policy bases would underlie a rational American health care system.

Some issues for consideration by the 28th National Conference 

The following questions, all of which were posed for and discussed at the previous National Conferences, are posed for the faculty and invited participants for the 28th National Conference as well.

  1. What were the changes in American Health Care intended by passage of the “ACA”? To what extent have such changes been effected, with the likelihood that the change is permanent?
  1. Are there unintended changes that have occurred through passage of the “ACA”? Are those changes good or bad?
  1. Because Medicaid historically has differed significantly from state to state, ACA attempted to impose a more consistent approach to the financing of Medicaid recipients between states. To what extent has this effort been successful, and where do problems still exist?
  1. Insurance companies, which evolved historically to assess and contain risk, have been assigned the task of advancing the “rights” of health care recipients to care (who are now obligated to enroll in a health plan) while charging them with the plan’s actuarial costs. Is this the best way to increase access to health care?
  1. Has the “ACA” enhanced or impeded primary health care access in rural communities, and to “underserved” and disadvantaged populations? What is the anticipated impact of the November 2016 election on the ACA’s progress in providing care access?
  1. What are the effects of changes being implemented in the accreditation of medical schools and postsecondary physician training programs?
  1. How are such innovations as primary care medical homes, teaching community health centers, rural training tracks, hospital-centered community health plans, and accountable care organizations faring? Are there examples of programmatic successes (or failures) that would be of general interest?

Invitations to the 28th National Conference will be sent out in Summer 2016. Those interested in the National Conference and the Invitation Conference should e-mail the conference coordinator, William H. Burnett, at whburnett@coastalresearch.org.

27th National Conference Fourth Day’s Breakout Session Topic (Thursday, April 7, 2016)

On Thursday morning, April 7, 2016, at Dondero’s Restaurant at the Grand Hyatt Kauai, the breakfast breakout groups will assemble. 

The assigned topic for discussion is the following quote of the Doctor Mark E. Clasen from the Third Charles E. Odegaard Lecture, “The Culturally Incompetent Physician” presented March 29, 1996 at the Seventh National Conference on Primary Health Care Access, held at the Williamsburg Inn and Lodge, Williamsburg, Virginia.

Dr Clasen will be memorialized at the 28th National Conference on Primary Health Care Access, on April 10, 2017 at the Hyatt Regency New Orleans.

Mark Clasen, MD, PhD

Mark Clasen, MD, PhD

“[Health belief systems] guide many of our personal decisions in matters of health and illness. These belief systems also guide our notions of adherence with medical authority, or with the teachings and beckonings of health providers.

“An entire hour could be devoted to issues of compliance or adherence; yet, we as healthcare professionals know that most compliance occurs in the milieu of a trusting relationship that is culturally competent. In this major thrust, that creating a real change in behavior, occurs best when the message is negotiated in one’s own language, articulated with the proper mixture of science, theology, and always love. There is little doubt that a culturally competent care giver is more valuable than the high priest of technology who possesses 100% knowledge to heal, but who lacks the human translation about how to heal.

“Does the title of this presentation suggest that our medical school graduates are inadequately prepared to deal with a diverse population? Does the title imply that interpersonal skills are not fully developed or as finely honed as they should be by graduation? Does it imply that 20th century physicians have been egocentric, dogmatic creature and practitioners of the art? Does it imply that 20th century physicians have not made tremendous strides in conquering disease and delaying premature death? The title was not selected to caste blame, shame, or dispersions on 20th century medical education, it was selected to look forward into the 21st century – pondering the questions about what knowledge, skills, and attitudes are needed to equip the 21st century physician. What types of educational activities will prepare the medical student of the future to enter this profession, and what are the threats and promises of such a career?

“To loosely paraphrase an old adage: ‘a physician is frequently in error, but never in doubt.’ For those in the audience who are not physicians, I want to assure you that ego strength is required to deal with pain and suffering, and demands a decisive, take charge approach, and is more egocentric than George Patton, especially when life and death matters hang in the balance.

“As a consumer of healthcare, we prefer to be clients or customers when the issues are superficial. However, when the issues are weakness, being sick unto death, being rendered helpless, we more likely want to be a patient of a loving, caring physician who will guide us through the storm to the shoreline of restoration, health, and well-being.”

The Assigned Discussion Groups

Group One (Freeman, Lead; Pugno, Scribe; Allen, Boltri, Chiang, Erickson)   

Group Two (Christman, Lead; Norris, Scribe; Babitz, Baird, Bejinez-Eastman, Clarke)

Group Three (Flinders, Lead; Partlow, Scribe; Buller, Crawford, Goodman, Smith)

Group Four (Burnett WH, Lead; Rush-Kolodzey, Scribe; McGaha, Means, Renteria, Sawyer)

Group Five (Wilke, Lead; Flores, Scribe; Burnett (Lee), Hansen, McKennett)

Group Six (Haughton, Lead; Carriedo, Scribe; Fowkes, Norcross, Osborn)

Group Seven (LeRoy, Lead; Woolsey, Scribe; Herman, Lee, Spalding

27th National Conference Third Day’s Breakout Session Topic (Wednesday, April 6, 2016)

On Wednesday morning, April 6, 2016, at Dondero’s Restaurant at the Grand Hyatt Kauai, the breakfast breakout groups will assemble. 

The assigned topic for discussion is the following quote of Doctor John Geyman, from his April 22, 2011 Thought Provocateur presentation at the Twenty-Second National Conference on Primary Health Care Access, held at the Hyatt Regency San Francisco (California).

John Geyman, MD

John Geyman, MD

“[T]here are a couple of alternatives for 2020. Consider a chart where the multi-payer system is on the left – that’s what we’ve have now – and a single-payer with universal coverage is on the right. On the left there will be a series of “noes”. There won’t be universal coverage. There won’t be cost containment, nor affordability, nor comprehensive benefits. On the right, yes we would have all of that.

“How about choice of physician and hospital? Not with the multi-payer systems. These ACO’s are going to get us more consolidation, so there will be less choice, in more restrictive networks. Quality of care will be highly variable. The bureaucracy will have greatly increased.

“Will there be health care equity?  No! disparities will increase even more. Is the system sustainable? No; there will be widespread system collapse!”

The Assigned Discussion Groups

Group One (Burnett (Lee), Lead; Frey, Scribe; Geyman, Goodman, Hansen, Wilke,)   

Group Two (Bejinez-Eastman, Lead; Baird, Scribe; Lee, LeRoy, Partlow, Woolsey)

Group Three (Flores, Lead;  Buller, Scribe; Crawford, McGaha, Osborn, Sawyer)

Group Four (McKennett, Lead; Herman, Scribe; Burnett (WH), Clarke, Flinders, Norris)

Group Five (Norcross, Lead; Babitz, Scribe; Allen, Boltri, Christman, Means)

Group Six (Pugno, Lead;  Carriedo, Scribe; Erickson,  Palafox, Renteria, Spalding)

Group Seven (Webster, Lead; Fowkes, Scribe; Chiang, Freeman, Rush-Kolodzey, Smith)

27th National Conference Second Day’s Breakout Session Topic (Tuesday, April 5, 2016)

On Tuesday morning, April 5, 2016, at Dondero’s Restaurant at the Grand Hyatt Kauai, the breakfast breakout groups will assemble. 

The assigned topic for discussion is the following quote of Doctor David Sundwall, from his presentation of April 20, 1990 at the First National Conference on Primary Health Care Access, held at the American Club in Kohler, Wisconsin.

David N. Sundwall

David N. Sundwall

“[O]ne observation I have made of ‘Washington policy’ is that part of the mess we’re in is because our policy makers for two decades have focused almost exclusively on financing of care and they’ve let so many other things essential in public health efforts slide. 

“The reasons for this focus is understandable, given that those who benefit from the financing are clearly the most vocal lobbyists.

“The providers, meaning doctors, hospitals, pharmaceuticals, medical devices, many more who are employed in our “medical-industrial complex,” are in a position to benefit from attention being paid to the financing.

“Unfortunately, the poor and the disadvantaged don’t have a very effective lobby.  The other observation I have made is that we have, in fact, “medicalized” or made part of the health care system things which really are not traditional health concerns.

“And I don’t mean to say they aren’t eventually a health problem, but if you look at the big-ticket items we’re dealing with, many are the result of social-behavioral problems.

“Alcohol abuse and dependence is far and away the biggest problem statistically and cost-wise for the country.  Perhaps second is tobacco use.  Other costly social problems are drug abuse, sexually transmitted diseases, (the cost of care for uninsured AIDS patients being the most pressing of these), injuries, premature births, and infant mortality.  All of those are theoretically preventable, saving the costs of medical treatment.  But we’ve medicalized them and put them on the shoulders of the health care system.”

The Assigned Discussion Groups

Group One (Fowkes, Lead; Hansen, Scribe; Allen, Bejinez-Eastman, Buller, Burnett (Lee))

Group Two (Burnett (WH) Lead; Crawford, Scribe; Carriedo, Clarke,  Goodman, Partlow) 

Group Three (Geyman, Lead; Flinders, Scribe;  Chiang, Christman, Hara, Sawyer)

Group Four (Herman, Lead; Haughton, Scribe;  McGaha,  Norcross, Renteria, Webster)

Group Five (Kahn, Lead; Spalding, Scribe; Baird, Flores, Osborn)

Group Six (LeRoy, Lead; McKennett, Scribe; Means, Schwartz, Sundwall)

Group Seven (Boltri, Lead; Pugno, Scribe; Babitz, Norris, Rush-Kolodzey)

Group Eight (Ross, Lead; Freeman, Scribe; Erickson, Frey, Smith, Woolsey)

27th National Conference First Day’s Breakout Session Topic (Monday, April 4, 2016)

On Monday morning, April 4, 2016, at Dondero’s Restaurant at the Grand Hyatt Kauai, the breakfast breakout groups will assemble. 

The assigned topic for discussion is the following quote from the Second Charles E. Odegaard Lecture, presented by Doctor J. Jerry Rodos (1933-2016) April 8, 1995 at the Sixth National Conference on Primary Health Care Access, held at the Park Hyatt Beaver Creek, Avon, Colorado.

Dr Rodos will be memorialized in the plenary session later that morning.

For the lecture in its entirety, see The Second Charles E. Odegaard Lecture by J. Jerry Rodos, DO, D.Sc.

Jerry Rodos, DO

Jerry Rodos, DO

“It is proposed that medical schools assume the responsibility for instruction in the humanities and that it be done in a clinical context – that the Department of Humanities, if one is created, become a clinical department. What a wonderful way, by the way, to teach history taking, to teach a whole other group of activities as some of us have had the opportunity to do in our medical curriculums.

“To set the tone for the rest of the curriculum, it would seem relevant to begin with the study of intact man and human life before he is taken apart and his component parts scattered among the disciplines for minute study. This would establish human organisms and human lives and human values as the context in which the components function and in which the components collectively make possible. Is it not ironic from this viewpoint that a profession dedicated to the enhancement to the quality of life should begin training with the inert pickled remains of life and that the training should be regarded as well begun when those remnants have been reduced to disposable rubble?

“Most of our knowledge about man’s component parts and processes at levels extending from molecule to the organ system has come from the study of lower animals and mammals in particular. At these levels, human organisms differ hardly at all from other mammals. Nevertheless, man is a totally different organism, living a totally different life, in man-made and man-transformed environments, with hand-me-down biological machinery that evolved under circumstances vastly different from those of human life.”

The Assigned Discussion Groups

Group One (Pugno, Lead; Burnett (WH), Scribe; Burnett (Lee), Burnett (WJ), LeRoy, Ross)

Group Two (Babitz, Lead; Webster, Scribe; Carriedo, Chiang, Geyman, Renteria)

Group Three (Christman, Lead; Goodman, Scribe; Clarke, Norris, Sundwall)

Group Four (Flinders, Lead; Rush-Kolodzey, Scribe; Allen, Crawford, Kahn, Woolsey)

Group Five (Frey, Lead; Lee, Scribe; Baird, Flores, Schwartz)

Group Six (Hansen, Lead; Erickson, Scribe; Bejinez-Eastman, McGaha, Osborn)

Group Seven (Hara, Lead; Boltri, Scribe; Fowkes, Herman, Means, Smith)

Group Eight (Haughton, Lead; Norcross, Scribe; Buller, Freeman, Partlow, Spalding)

“What Happens Next” – April 7, 2016, Day Four of the 27th National Conference on Primary Health Care Access

The schedule for April 7, 2016 (fourth day of the 27th National Conference on Primary Health Care Access) is as follows:

6:30 AM Breakout Groups (with Breakfast) Dondero’s Restaurant (conference registrants only)

8:15 AM Call to Order (Gary L. LeRoy, MD, Wright State University Boonshoft School of Medicine, Dayton, Ohio) [Doctor LeRoy is a Senior Fellow of the National Conferences]

John Boltri, MD; Chair Department of Family and Community Medicine Northeast Ohio College of Medicine Rootstown, Ohio

John Boltri, MD; Chair
Department of Family and Community Medicine
Northeast Ohio College of Medicine
Rootstown, Ohio

8:20 AM The First Mark E. Clasen MD, Ph.D. Invitational Panel on Medical Education

  John M. Boltri, MD, Northeast Ohio School of Medicine, Rootstown, Ohio [Doctor Boltri is a Senior Fellow of the National Conferences] 

  Janice Spalding, MD, Northeast Ohio School of Medicine, Rootstown, Ohio 

8:50 AM Audience Questions and Comments – Lead Question: Joshua Freeman, MD, Kansas University Medical Center, Kansas City [Doctor Freeman is a Senior Fellow of the National Conferences]

9:00 AM Medical Education in the CHC Part II

  Denise R. Crawford, MBA, Family Health Center, Kalamazoo, Michigan

  Allan J. Wilke, MD, MA, Western Michigan University School of Medicine, Kalamazoo [Doctor Wilke is a Senior Fellow of the National Conferences]

Denise Crawford, President and CEO of Family Health Center.

Denise Crawford, President and CEO of Family Health Center.

9:20 AM  Audience Questions and Comments – Lead Question: Virginia Fowkes, FNP, MHS, Stanford University [Ms Fowkes is a Senior Fellow of the National Conferences]

9:25 AM Medical Education in the CHC Part III

  Dennis E. Means, MD, MMM, CPE, Family Health Center, Kalamazoo, Michigan 

  Eileen Chiang, CMA,  Family Health Center, Kalamazoo, Michigan

9:45 AM Audience Question and Comments – Lead Question: Jimmy H. Hara, MD, Los Angeles [Doctor Hara is a Senior Fellow of the National Conferences]  

Marianne McKennett, MD; Scripps Health Center, Chula Vista, California

Marianne McKennett, MD; Scripps Health Center, Chula Vista, California

9:50 AM Medical Education in the CHC Part IV 

  Marianne McKennett, MD, Scripps Chula Vista Medical Center, Chula Vista, California [Doctor McKennett is a Senior Fellow of the National Conferences]

   Maria T. Carriedo-Ceniceros, MD, San Ysidro Health Center, San Ysidro, California

10:10 AM Audience Questions and Comments – Lead Question: Hector Flores, MD, Los Angeles, California [Doctor Flores is a Senior Fellow of the National Conferences]

10:15 AM Roundtable on Transforming Primary Care, Part I (the Heartland)

   Mark D. Goodman, MD, Creighton University, Omaha

  Amy McGaha, MD, Creighton University, Omaha

Donald Frey, MD; Creighton University, Omaha, Nebraska

Donald Frey, MD; Creighton University, Omaha, Nebraska

  Donald R. Frey, MD, Creighton University, Omaha [Doctor Frey is a Senior Fellow of the National Conferences]

10:45 AM Audience Questions and Comments –  Lead Question: Thomas J. Hansen, MD, Advocate Health Care, Chicago, Illinois [Doctor Hansen is a Fellow of the National Conferences]

10:50 AM Roundtable on Transforming Primary Care, Part II

   Jamie Osborn, MD, QuadMed Healthpointe Center, Pleasanton, California

   Andrea Clarke, MD, Kaiser Permanente, Napa, California

   J C Buller, MD, Touro University, Vallejo, California

11:20 AM Questions and Comments – Lead Question: Perry A. Pugno, MD, MPH [Doctor Pugno is a Senior Fellow of the National Conferences]

11:25 AM Roundtable on Transforming Primary Care, Part III: Evaluating Primary Care Transformations

   Jill Rush-Kolodzey, MD, MPH, Louisiana State University, Shreveport

   James Herman, MD, MSPH, University of Oklahoma – Tulsa [Doctor Herman is a Senior Fellow of the National Conferences]

11:45 Audiences Questions and Comments – Lead Question: William A. Norcross, University of California, San Diego [Doctor Norcross is a Fellow of the National Conferences]

11:50 Summary of the 27th National Conference and Anticipation of the 28th National Conference in New Orleans

   J. Scott Christman, MPDS, Office of Statewide Health Planning and Development, Sacramento, California [Mr Christman is a Fellow of the National Conferences]

12:00 PM Adjournment of the National Conference

"What Happens Next?" – April 6, 2016, Day Three of the 27th National Conference on Primary Health Care Access

A river pool at the Grand Hyatt Kaua'i

A river pool at the Grand Hyatt Kaua’i

The schedule for April 6, 2016 (third day of the 27th National Conference on Primary Health Care Access) is as follows:

6:30 AM Breakout Groups (with Breakfast) Dondero’s Restaurant (conference registrants only)

8:15 AM Call to Order (Marc E. Babitz, MD, Utah Department of Health, Salt Lake City, Moderator) [Doctor Babitz is a Senior Fellow of the National Conferences]

Suzanne Allen, MD; University of Washington Vice-Regent, Community Programs, Boise, Idaho

Suzanne Allen, MD; University of Washington Vice-Regent, Community Programs, Boise, Idaho

8:20 AM Special Theme Presentation: Geographic Strategies to Meet Physician Needs in the Northwestern States – WWAMI and the UW Family Medicine Residency Network

  John P. Geyman, MD, University of Washington School of Medicine Emeritus, Friday Harbor, Washington [Doctor Geyman is a Senior Fellow of the National Conferences] 

  Suzanne M. Allen, MD, University of Washington School of Medicine, Boise, Idaho

  Thomas E. Norris, MD University of Washington School of Medicine, Emeritus, Seattle

8:50 AM Audience Questions and Comments – Lead Question: Joshua Freeman, MD, Kansas University Medical Center, Kansas City [Doctor Freeman is a Senior Fellow of the National Conferences]

Kevin Haughton, MD; Providence Health Systems, Olympia, Washington

Kevin Haughton, MD; Providence Health Systems, Olympia, Washington

9:00 AM WWAMI University of Washington Strategies for the Olympic Peninsula

  Kevin Haughton, MD, Providence Health Systems, Olympia, Washington [Doctor Haughton is a Fellow of the National Conferences]

  Devin Sawyer, MD, Providence Health Systems, Olympia, Washington

9:20 AM  Audience Questions and Comments – Lead Question: Marianne McKennett [Doctor McKennett is a Senior Fellow of the National Conferences]

9:30 AM Roundtable: The Teaching Hospital and Primary Care

  Thomas J. Hansen, MD, Advocate Health Systems, Chicago, Illinois [Doctor Hansen is a Fellow of the National Conferences]

  Rick Flinders, MD, Santa Rosa Family Medicine, Santa Rosa, California [Doctor Flinders is a Senior Fellow of the National Conferences]

9:50 AM Audience Questions and Comments – Lead Question: Ana Bejinez-Eastman, MD [Doctor Bejinez-Eastman is a Senior Fellow of the National Conferences] 

10:00 AM Break

Neal Palafox, MD JA Burns School of Medicine; University of Hawai'i, Mililani

Neal Palafox, MD
JA Burns School of Medicine; University of Hawai’i, Mililani

10:15 AM Strategies for the Pacific Trust Territories

   Neal Palafox, MD [Doctor Palafox is a Fellow of the National Conferences.]

10:30 AM Audience Questions and Comments – Lead Question: Lee A. Burnett, LTC, 2nd Infantry Division, Camp Red Cloud, Republic of Korea [Doctor Burnett is a Fellow of the National Conferences]

10:40 AM Michigan Medical Education Strategies

   Daniel M. Webster, MD, Michigan State University, Traverse City, Michigan [Doctor Webster is a Fellow of the National Conferences]

  Allan J. Wilke, MD, MA Western Michigan University School of Medicine, Kalamazoo [Doctor Wilke is a Senior Fellow of the National Conferences]

11:00 AM Audience Questions and Comments – Lead Question: Donald R. Frey, D, Creighton University, Omaha, Nebraska

Joshua Freeman, MD; Kansas University Medical Center

Joshua Freeman, MD; Kansas University Medical Center

11:10 AM The Legacy of the National Conferences on Primary Health Care Access

   William A. Norcross, MD, University of California, San Diego [Doctor Norcross is a Fellow of the National Conferences]

11:20 AM The 23rd Charles R. Odegaard Lecture: “’Good enough for Government Work’: Quality, cost, and gaming the system”

   Joshua Freeman, MD, Kansas University Medical Center, Kansas City Kansas [Doctor Freeman is a Senior Fellow of the National Conferences]

 11:50 AM Audience Questions and Comments – Lead Question: Allan J. Wilke, MD, MA, Kalamazoo, Michigan [Doctor Wilke is a Senior Fellow of the National Conferences] 

12:00 PM Adjournment of Third Day

"What Happens Next": April 5, 2016, Day Two of the 27th National Conference on Primary Health Care Access

The Saltwater Lagoon adjacent the South Pacific at Grand Hyatt Kaua'i

The Grand Hyatt’s Saltwater Lagoon adjacent the South Pacific Ocean

The schedule for April 5, 2016 (second day of the 27th National Conference on Primary Health Care Access) is as follows:

6:30 AM Breakout Groups (with Breakfast) Dondero’s Restaurant (conference registrants only)

8:15 AM Call to Order (Ana Bejinez-Eastman, MD, Presbyterian Intercommunity Hospital, Whittier, California, Moderator) [Doctor Bejinez-Eastman is a Senior Fellow of the National Conferences]

Virginia Fowkes, FNP, MHS; Stanford University, Palo Alto, California

Virginia Fowkes, FNP, MHS; Stanford University, Palo Alto, California

8:20 AM Theme Session: Medical Education in the Community Health Center, Part I

   Frederic N. Schwartz, DO; A. T. Still University/School of Osteopathic Medicine of Arizona, Mesa

  Virginia Fowkes, FNP, MHS, Stanford University, Palo Alto, California [Ms Fowkes is a Senior Fellow of the National Conferences]

 

8:40 AM Audience Questions and Comments – Lead Question: Perry A. Pugno, MD, MPH, CPE, AAFP Emeritus, Delaware, Ohio [Doctor Pugno is a Senior Fellow of the National Conferences]

8:50 AM A Retrospective on Health Resources and Services Administration (HRSA) Programs to Promote Primary Health Care

  David Sundwall, MD, University of Utah, Salt Lake City [Doctor Sundwall is a Senior Fellow of the National Conferences]

   Marc E. Babitz, MD, Utah State Department of Health, Salt Lake City [Doctor Babitz is a Senior Fellow of the National Conferences]  

9:10 AM Audience Questions and Comments – Lead Question: To Be Announced 

Hector Flores, MD; White Memorial Medical Center, Los Angeles

Hector Flores, MD; White Memorial Medical Center, Los Angeles

9:20 AM Geographic Strategies to Meet Critical Urban Health Care Needs (Los Angeles County)

  Hector Flores, MD, White Memorial Medical Center, Los Angeles, California [Doctor Flores is a Senior Fellow of the National Conferences]

  Keosha Partlow, Ph.D., MPH, Charles R. Drew University of Medicine and Science, Los Angeles

  Jimmy H. Hara, MD, Charles R. Drew University, Los Angeles [Doctor Hara is a Senior Fellow of the National Conferences]

9:50 AM Audience Questions and Comments – Lead Question: William H. Burnett, Coastal Research Group [Mr Burnett is a Senior Fellow of the National Conferences]

10:00 AM Break

Jay W. Lee, MD; President, California Academy of Family Physicians

Jay W. Lee, MD; President, California Academy of Family Physicians, Long Beach

10:20 AM Impact of New Initiatives on Primary Care

  Jay W. Lee, MD, MPH, President, California Academy of Family Physicians, Long Beach, California

  Robert Ross, MD, MScEd, Saint Charles Health System, Bend, Oregon [Doctor Ross is a Senior Fellow of the National Conferences] 

10:40 AM Audience Questions and Comments – Lead Question: Kevin M. Haughton, MD, Providence Health Systems, Tacoma, Washington [Doctor Haughton is a Fellow of the National Conferences]

10:50 AM Student Doctor Network: Status and Projections

  Lee A. Burnett, DO, Student Doctor Network [Doctor Burnett is a Fellow of the National Conferences]

  Laura A. Turner, MS, Student Doctor Network

Macaran Baird, MD, MS, University of Minnesota

Macaran Baird, MD, MS, University of Minnesota

11:10 AM Audience Questions and Comments – Lead Question: Gary L. LeRoy, MD, Wright State University, Dayton, Ohio

11:20 AM The 26th G. Gayle Stephens Lecture

 Macaran Baird, MD, MS, University of Minnesota, Minneapolis

11:50 AM Questions and Comments – Lead Question: David N. Sundwall, MD, University of Utah, Salt Lake City [Doctor Sundwall is a Senior Fellow of the National Conferences.]

12:00 PM Adjournment of Second Day

"What Happens Next": April 4, 2016, Day One of the 27th National Conference on Primary Health Care Access

The Grand Hyatt Kaua'i - site of the 27th National Conference on Primary Health Care Access

An aerial view of the Grand Hyatt Kaua’i

The schedule for April 4, 2016 (first day of the 27th National Conference on Primary Health Care Access) is as follows:

6:30 AM Breakout Groups (with Breakfast) Dondero’s Restaurant (conference registrants only)

Jimmy H. Hara, MD Charles R. Drew University Los Angeles, California

Jimmy H. Hara, MD
Charles R. Drew University
Los Angeles, California

8:15 AM Welcome and Review of the Previous 26th National Conference

   Jimmy H. Hara, MD, Charles R. Drew University of Medicine and Science,  Los Angeles, California [Doctor Hara is a Senior Fellow of the National Conferences]

8:25 AM Opening Statement of the First Plenary Session (Robert Ross, MD, MScEd, St Charles Health System, Bend, Oregon, Moderator) [Doctor Ross is a Senior Fellow of the National Conferences]

8:30 AM Keynote Panel: The Status of Health Care Reform – A Review of the Past Year 

   Hector Flores, MD, White Memorial Medical Center, Los Angeles, California [Doctor Flores is a Senior Fellow of the National Conferences]

   Norman Kahn, MD, Council of Medical Specialty Societies, Chicago, Illinois [Doctor Kahn is a Senior Fellow of the National Conferences]

For further information on this presentation, see: “What Happens Next”: Doctors Norman Kahn, Hector Flores, Jimmy Hara Open 27th National Conference April 4, 2016

8:50 AM Discussion between Doctors Flores and Kahn

8:55 AM Questions and Comments – Lead Question: John M. Boltri, MD, Northeast Ohio College of Medicine, Rootstown [Doctor Boltri is a Senior Fellow of the National Conferences]

John P. Geyman, MD; Author; University of Washington Emeritus Professor

John P. Geyman, MD;
Author; University of Washington Emeritus Professor

9:05 AM Thoughts on the Implementation of PPACA, Part 1

   John P. Geyman, MD, University of Washington Emeritus Faculty; Friday Harbor, Washington [Doctor Geyman is a Senior Fellow of the National Conferences]

9:25 AM Thoughts on the Implementation of PPACA, Part 2

   David N. Sundwall, MD, University of Utah, Salt Lake City [Doctor Sundwall is a Senior Fellow of the National Conferences]

9:45 AM  Discussion between Doctors Geyman and Sundwall

 9:50 AM Questions and Comments – Lead Question: Joshua Freeman, MD University of Kansas School of Medicine, Kansas City [Doctor Freeman is a Senior Fellow of the National Conferences]

Thoughts on the Implementation of PPACA, Part 2

For further information on this presentation, see: “What Should Happen Next”: Doctors John Geyman, David Sundwall discuss Obamacare

10:00 AM Break

Frederic Schwartz DO School of Osteopathic Medicine of Arizona

Frederic Schwartz DO School of Osteopathic Medicine of Arizona

10:15 AM Strategic Initiatives of the Past Half-Century for Creating and Diffusing Primary Health Care Resources 

 William H. Burnett, MA, Coastal Research Group  [Mr Burnett is a Senior Fellow of the National Conferences]

   Perry A. Pugno, MD, MPH, Vice President Emeritus, American Academy of Family Physicians  [Doctor Pugno is a Senior Fellow of the National Conferences]  

For futher information on this presentation, see: 27th National Conference: A Century of Change in Primary Health Care

10:35 AM Questions and Comments – Lead Question: Rick Flinders, MD [Doctor Flinders is a Senior Fellow of the National Conferences]

10:45 AM Memorializing J. Jerry Rodos, DO

   Lieutenant Colonel Lee A. Burnett, United States Army, Camp Red Cloud, Republic of Korea [Doctor Burnett is a Fellow of the National Conferences]

   Frederic Schwartz, DO, A. T. Still University School of Osteopathic Medicine Arizona, Mesa

James Herman, MD, Dean University of Oklahoma Tulsa School of Community Medicine

James Herman, MD, Dean University of Oklahoma Tulsa School of Community Medicine

For further information on this presentation, see: J. Jerry Rodos (1933-2016) to be Memorialized at 27th National Conference on Primary Health Care Access

 11:10 AM Questions and Comments – Lead Question: Gary LeRoy, MD, Wright State University, Boonshoft School of Medicine, Dayton, Ohio

11:20 AM The 22nd J. Jerry Rodos Lecture

 James Herman, MD, MSPH, University of Oklahoma Tulsa School of Community Medicine [Doctor Herman is a Senior Fellow of the National Conferences]

11:50 AM Questions and Comments – Lead Question: Norman Kahn, MD [Doctor Kahn is a Senior Fellow of the National Conferences]

12:00 PM Adjournment of First Day

 

The National Conferences' Named Lectures

G. Gayle Stephens, MD (right) with 12th Stephens Lecturer John Geyman, MD

The Coastal Research Group has sought to honor major intellectual leaders in the Family and Community Medicine movements.  Typically, each of the National Conferences on Primary Health Care Access has one of three named lectures associated with the conference.  One honors G. Gayle Stephens, MD, one honors the late Charles E. Odegaard, Ph.D. and the third honors J. Jerry Rodos, DO.  The lecturers in each series include many eminent figures in these movements.

The National Conferences have established named lecture series to honor three colleagues who have achieved prominence in their professional careers, and have additionally made significant contributions to the National Conferences. Continue reading