2019 National Conference Agenda*

Sunday, March 17

12:00 p.m. - 3:00 p.m.

Trainings
Pre-registration required.
Lunch will be served.

• Telehealth in Sexual and Reproductive Health
  Telehealth services are increasing in popularity as a way to minimize barriers to patient care, improve patient and provider satisfaction, and meet the demands of a rapidly changing health care workforce and infrastructure. This session will explore how telehealth can be incorporated into sexual and reproductive health centers, explore various features of telehealth platforms, examine existing models of telehealth, and discuss challenges and opportunities to adding telehealth services, including reimbursement strategies, data collection, and policy development. During the session, there will be a live demonstration of mock telehealth visits where participants will be able to see both what the patient and what the provider see on the screen.
  
  
• Title X Policies and Procedures Bootcamp
  Policies and procedures (P&P) are an integral part of health center operations. However, it can be daunting to create and maintain P&P. This interactive training will allow participants the opportunity to review their own P&P in real time to identify areas of improvement. Presenters will walk through steps to ensure an organization’s suite of P&P is complete and kept up-to-date, and presenters will also share current industry recommendations.
  
  
• Integration of Title X Family Planning Services into Primary Care Settings
  This training will examine how FQHC-based family planning providers have successfully integrated Title X into their settings, with a focus on the steps that agencies can take to address operational considerations, including policies and protocols development, staff orientation, workflow, and inventory management. This training is part of a suite of NFPRHA trainings on family planning integration in FQHC settings.
  
  
• Healing Informed Approaches to Address Intimate Partner Violence, Reproductive Coercion, and Human Trafficking in Family Planning Settings
  This interactive training will explore the dynamics of intimate partner violence (IPV), reproductive coercion (RC), and human trafficking (HT). It will introduce evidence-based prevention strategies and trauma-informed practices, as well as explore how they can be integrated into family planning settings.
  
  
• Toward Health Equity for Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+) People in Family Planning
  Research suggests that LGBTQ+ patients often face significant barriers to receiving high-quality health care and experience a variety of health disparities related to pregnancy, sexually transmitted diseases, HIV, cervical cancer screening, and more. Family planning health centers can play a unique role in breaking down barriers to health care by implementing some key best practices. This session will provide an overview of LGBTQ+ terminology and health disparities and offer guidance on how participants can create tailored strategies for bringing high-quality, affirming, and inclusive health care to LGBTQ+ people into their family planning setting.

Family Planning in the Courts
This session will provide an overview of the current legal environment, including litigation related to family planning and sexual health and how the current makeup of the courts – particularly the Supreme Court – may shape current and future litigation. This session will also provide an update on pending and potential future legal action by NFPRHA.

Municipalities Affinity Group Meeting
Attendance by invitation only.

Opening Reception in Exhibit Hall
All attendees welcome.

Monday, March 18

7:30 a.m. - 8:30 a.m.

A Modern Solution to Stocking and Dispensing Contraceptives
Presented by Stellar Rx
Stellar Rx is pleased to host a panel discussion and a live demo of the Xpedose Contraceptive Dispensing System. The Xpedose provides point of care dispensing completely eliminating "Buy & Bill" and enabling single-visit contraception. The three panelists will provide real-world insights and experience from Payer, Administrator and Clinician perspectives.
No CME or CEU credit is offered. Breakfast will be provided by NFPRHA.

7:30 a.m. - 8:30 a.m.

A Review of LILETTA
Presented by Medicines360
No CME or CEU credit is offered. Breakfast will be provided by NFPRHA.

8:30 a.m. - 9:45 a.m.

Stemming the Tide of STDs in the United States
Rates of STDs have increased in recent years, with nearly 2.3 million cases of chlamydia, gonorrhea, and syphilis reported to the Centers for Disease Control and Prevention (CDC) in 2017. Furthermore, congenital syphilis cases have more than doubled since 2013, reaching 918 cases in 2017 alone. CDC also reports that approximately 23% of new HIV infections are transmitted by individuals who are unaware of their infection. Publicly funded family planning providers can play a significant role in addressing this public health crisis, yet overall screening rates for STD and HIV in Title X settings remain low as does the provision of PrEP.
Breakfast will be served.

10:15 a.m. - 11:30 a.m.

Workshops

• Dissecting Low Rates of STD Screening in Family Planning Settings
  Rates of sexually transmitted diseases (STDs) have increased in recent years, with nearly 2.3 million cases of chlamydia, gonorrhea, and syphilis reported to the Centers for Disease Control and Prevention (CDC) in 2017. Furthermore, congenital syphilis cases have more than doubled since 2013, reaching 918 cases in 2017 alone. CDC also reports that approximately 23% of new HIV infections are transmitted by individuals who are unaware of their infection. Publicly funded family planning providers can play a significant role in addressing this public health crisis, yet overall screening rates for STD and HIV in Title X settings remain low as does the provision of PrEP.
  
  
• Reproductive Justice and Health Equity: From Research to Practice
  To successfully address persistent racial/ethnic disparities in reproductive health outcomes, the family planning field requires a better understanding of the factors that influence women’s decisions to use or not use birth control, and how these factors are influenced by lived experiences with racism, classism, and provider bias. This session will explore current research on the complexity of family planning decision-making, and how research findings have been utilized to improve service provision.
  
  
• Legislative Advocacy That Builds Support for Family Planning
  During this session, a panel of presenters will provide an overview of how the November election is shaping the agenda of the 116th Congress and state legislatures. The panel will then provide training on engaging with legislators, with a particular focus on moving moderate and hostile members. Participants will have an opportunity to practice in-person meetings, discuss approaching partner organizations and supporters to participate in advocacy, develop talking points on publicly funded family planning, and rehearse responses to difficult questions.

Awards Luncheon

Workshops

• The Keys to Building Strong Referral Networks
  Robust referral networks improve patient outcomes through greater access to appropriate treatment and services outside of family planning, such as broader medical care and social services. However, it can be challenging for health centers to maintain and implement these relationships in ways that benefit patients and providers. This session will address strategies for building a strong referral process and improving partnerships with other organizations.
  
  
• Delivering Family Planning and Sexual Health Services at School-Based Health Centers
  School-based health centers (SBHCs) are an important source of health care for low-income adolescents and a promising way for addressing unintended pregnancy and STDs. More and more, SBHCs are receiving funds from the Title X program. This session will provide an overview of the benefits of and barriers to delivering sexual and reproductive health services in school-based settings and explore different models for implementing Title X in SBHC settings.
• Implementing and Fine-Tuning Revenue Cycle Management Activities
  Effective revenue cycle management (RCM) is an important part of health center sustainability. This session will discuss the necessary steps to implement revenue cycle management from the ground up. Presenters will also review steps a health center can take to improve upon its current RCM practices to ensure revenue maximization. This session is appropriate for both entities new to billing and those with advanced billing practices.
  
  
• Medicaid Peer-to-Peer, Part 1: Medicaid Trends and Advocacy
  As the largest source of funding for publicly funded family planning, Medicaid underpins many agencies’ sustainability. Yet Medicaid is changing like never before, as states seek to alter their programs and providers. This session will provide an overview of the latest in Medicaid policy, including family planning expansions, full-benefit Medicaid waivers, and reimbursement.

Hill Education Day Prep/Meet Up
This is a required session for Hill Day attendees to review logistics, receive materials, and plan meetings.

Save Title X
NFPRHA will present its current work to protect Title X, expand access and block harmful policies, as well as discuss the challenges ahead for the nation’s family planning program. This session will include an overview of NFPRHA resources and ample time for Q&A.

Roundtables

Family Planning Councils of America Meeting
Attendance by invitation only.

State Family Planning Administrators Meeting
Attendance by invitation only.

Tuesday, March 19

Workshops
Breakfast will be served.

• Understanding Racial Microaggressions in Health Care
  Microaggressions are common, harmful behaviors perpetrated against members of marginalized communities. In this session, participants will receive an introduction to racial microaggressions in health care settings, including a historical analysis and how such bias impacts care today.
  
  
• New Perspectives in Fertility Awareness-Based Methods of Family Planning
  Approaches to fertility awareness-based methods (FABMs) have evolved over the decades, from the calendar rhythm method to sophisticated apps that factor-in multiple fertility signals. This session will provide information about seven different types of FABMs currently available, including the differences among the various methods and their efficacy rates, and how to discuss them with women interested in fertility-awareness based options.
  
  
• How to Repurpose Your Existing Materials for Advocacy and Communications
  Family planning agencies utilize a host of materials and data that illustrate their needs and impact. This session will discuss how to repackage your organization’s materials in a way that is most compelling for communicating your priorities to external stakeholders. Activities covered in the session will demonstrate how even organizations without dedicated policy or communications staff can use their existing materials to support family planning advocacy with policymakers, community partners, and the broader public.
  
  

Balancing Personal Preferences and Public Health Goals in Contraceptive Care
Single-metric public health goals related to reducing unintended pregnancy (which emphasize maximizing use of most-effective contraceptive methods) sometimes are at odds with concepts of “personal choice” in reproductive intentions counseling, shared decision-making, and reproductive justice considerations. This session will discuss the importance of achieving balance and explore strategies for realigning public health goals with an increased focus on reproductive autonomy.

Lunch

The Intersection of Religious Belief and Health Care Access
The Trump administration has made significant efforts to elevate religious and moral belief in federal policy. From the creation of a new Conscience and Religious Freedom Division at the US Department of Health and Human Services’ Office of Civil Rights; to the administration’s ongoing efforts to undermine the Affordable Care Act’s contraceptive coverage requirement; to a proposed rule that seeks to significantly expand the ability of individuals and entities to withhold treatment and medical information based on their religious or moral beliefs; the prioritization of religious objections of people and organizations over patients’ rights to access high-quality health care is increasingly at odds. This session will explore the intersection of religious belief and health care access, including a discussion of important issues and cases and where things may be heading.

Workshops

• Implementing Substance Use Disorder Screening Into Your Health Center
  Family planning providers are often the only source of health care for their patients, which makes these clinical encounters opportune times to screen patients for other health care needs. This session will discuss the importance of integration and assessment of behavioral health into family planning settings, particularly related to substance use disorder screening and referral to treatment. Presenters will discuss best practices for implementation and tools for providers to use when screening patients.
  
  
• Understanding the News Media
  Navigating how to communicate about the complex issue of publicly funded family planning coupled with a quick-moving, round-the-clock news cycle can make the task of getting your messages heard feel daunting. Fortunately, reporters need sources like you because your work has implications for patients and the health of the broader community. Learn from a panel of health journalists, what they look for in pitches, what drives news coverage, and how you can help them do their jobs better.
  
  
• Coding and Documentation Updates for Family Planning Providers
  Each year, the Centers for Medicare and Medicaid Services (CMS) and the CDC make edits to ICD-10-CM, the set of codes used to express medical diagnoses in a clinical setting. This session will review the timeline for these annual updates, as well as the most recent changes made. Presenters will also discuss the final rule issued by CMS related to guidelines for procedure coding of evaluation and management (E&M) visits.
  
  
• Medicaid Peer-to-Peer, Part 2: Challenges and Opportunities Discussion
  Given the policy changes being sought by states in Medicaid programs around the country, this session will facilitate a discussion among attendees about the challenges and opportunities in their respective state Medicaid programs and provide an opportunity for peer-to-peer learning and conversation about policies impacting the provision of Medicaid-funded family planning.

Responding to Assaults on the Science of Family Planning
This presentation will describe the most commonly-made criticisms of contraceptive products and services and what evidence-based medicine shows to be true. This session will also discuss the history and potential impact of a ban on provision of full and accurate information could have on the provision of family planning services.

Conference Close

Annual Reception

Wednesday, March 20

9:30 a.m. - 10:30 a.m.

11:00 a.m. - 4:00 p.m.