Putting Care at the Center 2025 agenda

All times listed are in Pacific Time

Tuesday, October 14 Pre-conference events

12:30 – 4:30 pm PT | Advisory Councils Transformed: Creating meaningful partnerships with patients, families, and communities (hosted by PFCCpartners)

2 – 5 pm PT | Complex care essentials: Principles, partnerships, and practice (hosted by Camden Coalition)

Wednesday, October 15

9 – 9:30 am PT | Welcome address

9:30 – 10 am PT | Keynote: Zalika Gardner

10 – 11 am PT | Story share

Speakers:

• Luis Ortega, Storytellers for Change (moderator)
• Aracelis Quinones, National Consumer Scholar
• Charlotte Garner, Consumer Board Member
• Shanice Sims, National Consumer Scholar
• Tom Norris, National Consumer Scholar

11:30 am – 12:30 pm PT | Workshop sessions

• Advancing individual autonomy and preventing the need for guardianship in complex care systems & practice (2-hour session)
• Avoiding the cliffs: Using a priority score to deliver on-time care to complex pediatric patients
• Developing effective cross-sector partnerships for case conferencing of vulnerable populations
• Leveraging integrated data to build and measure interventions for people with substance use disorder
• Redefining complex care: Integrating caregivers into Medicaid, Medicare, and dementia care models
• Shifting from a delinquency model to a health & wellness model of care
• What matters to you? A leadership approach to joy in work through conversations

12:30 – 1:15 pm PT | Lunch 

1:30 – 2:30 pm PT | Workshop sessions

• A continuum of re-entry supports: Addressing health-related social needs pre- through post-release
• Improving culturally specific care: A cross-sector co-design of a culturally specific care and payment model
• Leveraging community health workers in integrated behavioral health for pediatric care
• Multi-perspective approaches to complex care research: Integrating data, clinical insights, and lived experience
• Real talk: Challenges and effective solutions for health system MLP implementation
• Removing barriers to care for survivors of violence: The evidence-based Trauma Recovery Center model
• Twenty years and going strong: Sustaining a fully integrated PFCC organization through committed partnerships

2:45 – 4:15 pm PT | Beehive

4:30 – 5:30 pm PT | Workshop sessions

• Bridging the divide: Innovative systems to link healthcare and immigration legal services
• Comparing benefit-based vs risk-based outreach: Impact on ED and hospital use in Medicaid
• Complex care coordination for patients with intellectual and developmental disabilities
• GID! Utilizing barbershops & salons as trusted messengers (Get it Done Initiative)
• Healthcare transformation for the most vulnerable: “Honey, who’s watching the kids?”
• Meeting the moment with renewed spirits: Shake, move, and hum!
• The future of integrated care for dual eligibles with complex needs
• The power of indigenous knowledge and co-creation: Decolonizing evidence-based practices in behavioral health

5:45 – 7:30 pm PT | Welcome reception

Thursday, October 16

7:15 – 8 am PT | Breakfast

8 – 9:30 am PT | Beehive

9:30 – 10 am PT  |  Day two welcome

10 – 10:30 am PT | Fireside chat: Navigating the moment in federal policy

Join us for a fireside chat featuring high-level updates on federal policy under the current administration. With many in the complex care community navigating challenges such as funding losses, shifting priorities, and restrictive policy changes, this timely conversation will offer critical insights into what’s happening in Washington.

Speakers:

• Dr. Purva Rawal
• Dr. Shereef Elnahal, OHSU
• Kathleen Noonan, Camden Coalition (moderator)

10:30 – 11:15 am PT | Plenary session: CoORdinated care: Oregon’s model for whole person health

Oregon has long been a leader in integrating funding for whole person health through a regional ecosystem structure. The Coordinated Care Organization (CCO) is a local entity that is accountable to local stakeholders to manage a fixed budget and a network of physical health, behavioral health, and dental providers serving Medicaid beneficiaries. This model has been touted for promoting collaboration, flexibility and innovation.  As state and federal policies and funding shifts have created new constraints, local leaders are finding creative ways to adapt and continue delivering comprehensive care to the most vulnerable communities.

This session will offer a brief overview of the Oregon CCO model and candid conversation about the challenges and triumphs of innovating within a constrained environment. It will provide practical insights on how other states and organizations can operate in the current climate. Learn from Oregon’s coordinated care leaders as they continue to push the boundaries of what’s possible in a changing world.

Speakers:

• Amit Shah, CareOregon
• Andy Mendenhall, Central City Concern
• LaKeesha Dumas, None Left Behind
• Mindy Stadtlander, Health Share of Oregon
• Mark Humowiecki, Camden Coalition (moderator)

11:30 am – 12:30 pm PT | Workshop sessions

• Building sustainable network models: lessons learned from Washington’s accountable communities of health (Part I of II)
• Bridging gaps: Evaluating medical-legal partnerships to address social determinants of health in underserved communities
• Building healthy futures: A whole-person approach to perinatal substance use care
• Developing skills to supervise complex care teams
• From pilot to practice: Early lessons from bold partnerships scaling care continuums in recuperative care
• The medically tailored meal sustainability blueprint

12:30 – 1:15 pm PT | Lunch

1:30 – 2:30 pm PT | Workshop sessions

• State and local partnerships: Advancing population health initiatives through community care hubs (Part II of II)
• Aligning dollars through dialogue: Defining value for value based payment models with people with lived experience
• Camden faith and mental health work group: Working with healing institutions in urban communities
• Engaging social media influencers to expand knowledge and enrollment in CalAIM services
• Integrating Medicaid waivers into health system strategy: Lessons from CalAIM
• Operating a syringe access program in complex care: Challenges, strategies, and lessons learned
• Perinatal medical-legal partnership: Complex care for families in the community and in the NICU
• Shifting power: Co-designing with communities to create equitable data practices for meaningful change

2:45 – 5:30 pm PT | Offsite site visits & excursions

• Asian Health Service Center
• Central City Concern (CCC)
• Lift UP
• Native American Rehabilitation Association of the Northwest (NARA NW)
• New Avenues for Youth
• Oregon Change Clinic (OCC)
• Rose Haven
• Portland Art Museum
• Oregon Historical Society
• Oregon Museum of Science and Industry (OMSI)
• Washington Park Hike and International Rose Test Garden

Friday, October 17

7:45 – 8:30 am PT | Breakfast

8:45 – 9:45 am PT | Workshop sessions

• A fireside chat centering people with lived experience (PWLE) working on the front lines of the complex care community
• Addressing social needs: Enhancing health outcomes through Oregon’s health-related social needs climate benefit
• Finding system and policy change levers to provide culturally sensitive and equitable mental health services
• Lessons from Medicaid and beyond: Integrating homeless response partners into policy and ecosystems of care
• Mateo’s journey: Transforming reentry through California’s only ACH-funded justice-involved collaborative
• Supporting opioid use disorder treatment and recovery through medical-legal partnerships
• Using stakeholder engagement and quality improvement principles to implement PROMs in complex care

10 – 10:50 am PT | Plenary session: AI in complex care: Applications, ethics, and opportunities

Artificial Intelligence (AI) is rapidly transforming our society with implications for healthcare. While it offers promising opportunities for people with complex health and social needs, this population has not been the primary focus of AI innovators. AI has the potential to improve efficiency and quality, while also enhancing accessibility and care coordination. At the same time, it poses risks, including concerns about bias, lack of transparency, and unintended consequences that may disproportionately affect vulnerable populations. This plenary session will examine current applications of AI in healthcare and explore its potential to better support people with complex needs. Through a dynamic conversation featuring real-world examples and forward-looking insights, panelists will discuss the practical implications of AI, as well as the broader ethical, clinical, and systemic questions shaping its role in complex care.

Speakers:

• Daniel Van Leeuwen , Health Hats
• Sadiq Patel, Waymark
• Aaron Truchil, Camden Coalition (moderator)

10:50 – 11 am PT | Closing remarks