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-funded services into their settings, with a focus on the steps that agencies can take to address operational considerations, including policies and procedures development, staff orientation, workflow, and inventory management. This training is part of a suite of NFPRHA trainings on family planning integration in FQHC settings. Future trainings will address the topics of data collection and reporting as well as financial management.
  
  
• Human Trafficking, Intersections of Violence, and Trauma-Informed Care
  Human trafficking has severe adverse effects on the health, well-being, and human rights of millions of vulnerable adults and young people in the United States. In this three-hour learning lab, participants will spend time with health center experts and leaders specializing in trauma and human trafficking, building and strengthening knowledge and skills needed to address these issues within their health centers.
  
  
• 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.

Reflections on the Safety Net
Membership Meeting
For nearly 50 years, Title X has served a critical role in helping the family planning safety net deliver high-quality family planning and sexual health services. Yet this safety net, and the programs that fund it, are under existential threat—from the ideological changes being sought at the administrative level to the ongoing shifts being driven by the continually evolving health care economy. Title X’s upcoming 50th anniversary provides the backdrop for a conversation with NFPRHA President & CEO Clare Coleman about the past, present, and future of NFPRHA and publicly funded family planning.

Municipalities Affinity Group Meeting
Attendance by invitation only.

Opening Reception in Exhibit Hall
All attendees welcome.

Monday, March 18

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

Stemming the Tide of STDs in the United States
More than two million cases of chlamydia, gonorrhea and syphilis were reported in the United States in 2017 according to the annual Sexual Transmitted Disease Surveillance Report released by the Centers for Disease Control and Prevention (CDC). During this same time period reported cases jumped from 362 in 2013 to 918 in 2017 –the highest number of recorded cases in 20 years. This session will update the current trends in STDs and the Quality STD Service Recommendations and discuss the role family planning can play in stemming the tide of STDs in the United States.
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 CDC in 2017. Furthermore, congenital syphilis cases have more than doubled since 2013, reaching 918 cases in 2017 alone. Publicly funded family planning providers can play an essential role in addressing this public health crisis, yet overall screening rates for STDs in Title X settings remain low and instances of over-screening persist. This session will dissect some of the factors contributing to under- and over-screening for STDs in family planning settings.
• Ask the Expert: Sexual Risk Avoidance
  The US Department of Health and Human Services is developing a conceptual model to understand the pathways to sexual risk avoidance (SRA) for prevention of teen pregnancy. Two primary activities will inform this conceptual model’s development: (1) a literature review of the theoretical foundation of SRA and the evidence on the effectiveness of program approaches; and (2) input from a set of experts on teen development and risk-taking behavior. During this panel, presenters will summarize findings to date and engage participants in a discussion of how this conceptual model might be utilized to enhance the provision of family planning services.
  
  
• 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

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.

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.
  
  
• Title X in School-Based Health Center (SBHC) Settings
  School-based health centers (SBHCs), a growing entity in the Title X program, are an important source of health care for low-income adolescents and a promising strategy to address unintended pregnancy and STDs. 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.

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.

• Deconstructing Implicit Racial Bias
  Implicit racial bias refers to the negative and harmful beliefs that unconsciously affect interpersonal interactions. In this training, participants will be introduced to implicit bias through the framework of racial micro-aggressions.
  
  
• 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. While patient education on the use of these methods usually is performed by counseling staff, clinicians must be aware of their scientific basis, differences among the various methods, and their efficacy rates. This session will provide information about seven different types of FABMs currently available 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 Counseling
This session provides an opportunity to discuss the balance of “personal choice” in pregnancy intentions counseling (formerly referred to as reproductive life planning), shared decision making, and reproductive justice considerations with the public health goal of pregnancy prevention, based on maximizing the use of Tier-1 methods.

Lunch

Religion as a Force in Civic Life
The Division of Conscience and Religious Freedom at HHS’s Office for Civil Rights is just one in a series of actions taken by the current administration to elevate religious belief in federal policy. Yet efforts to assert rights of religious and/or moral objection in all corners of civic life—from health care to marriage to public accommodations—have been increasing for quite some time. This session will explore the growth of religion in civic life, including a discussion of important issues and cases and where things may be heading.

Workshops

• Implementing Depression and Substance Abuse 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 screening methods for depression and substance abuse, including how to go beyond just asking a question on form. Presenters will also discuss third-party payer coverage requirements for these services.
  
  
• 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.

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. - 10:45 a.m.

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