Innovations: Best Practices in Ambulatory Care

Thursday, April 4, 2019

Hershey Country Club

1000 E. Derry Road
Hershey, PA 17033

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Conference ID



Ambulatory care environments have become central to health care improvement as team-based care and population health models are being implemented. This conference will highlight ambulatory best practices across the region. Particular emphasis on population specific care and improving efficiencies through care transitions will be presented.


Members of ambulatory care teams including providers and clinical staff as well as other healthcare professionals will benefit from attending.

Planning Committee

Lindsey Ford, MSN, RN
Director Nursing Education, Magnet and Quality
Geisinger Wyoming Valley and Geisinger Community Medical Center
Wilkes Barre, PA

Janice Mills, MPsSc, RN-BC
Clinical Nurse Educator
Nursing Education and Professional Development
Department of Nursing and Penn State Health Medical Group
Penn State Health Milton S. Hershey Medical Center
Hershey, PA

Juliann Molecavage, DHA
Associate Vice President, Quality and Primary Care Services
Medicine Institute
Danville, PA

Aislynn Moyer, DNP, RN
Director of Ambulatory Nursing
Penn State Health Milton S. Hershey Medical Center
Hershey, PA

Connie Ross, MHA, BS, RN
Clinical Case Manager
Shoulder/Elbow Service and Sports Medicine Service
Penn State Bone and Joint Institute
Penn State Health Milton S. Hershey Medical Center
Hershey, PA

Mary Schoening
Registered Medical Assistant
Project Improvement Analyst
Penn State Health Community Medical Group
Lancaster, PA

Ashley Visco, MSW, LCSW, CCM
Manager, Case Management
Penn State Health Medical Group
Hershey, PA



Penn State College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Penn State College of Medicine designates this live activity for maximum of 3.75 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Pennsylvania State Nurses Association (PSNA)

3.75 contact hours awarded

This activity has been submitted for approval of continuing nursing education. Penn State Health Milton S. Hershey Medical Center is an approved provider of continuing nursing education by the Pennsylvania State Nurses Association an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Social Work

Penn State is an approved provider as defined by Pa. Code Sections 47.36(a)(3), 48.36(a) (3), and 49.36(a)(3). Social workers, marriage and family therapists, and professional counselors licensed by the state of Pennsylvania can earn 3.75 clock hours of continuing education for completing this course.


7:30 a.m. to 1:30 p.m.

  • 7:30 a.m. | Registration/Continental Breakfast/Visit Exhibitors
  • 8 a.m. | Welcome/Opening Remarks
  • 8:15 a.m. | Health Topics in Pennsylvania
    Rachel Levine, MD

    • Discuss the impact of the opioid epidemic in Pennsylvania
    • Identify the key strategies to combat opioid addiction
  • 9 a.m. | Coordination Across the Continuum: An SNF Pilot
    Jennifer Goldstein, MD
    Lauren C. Pond, MS, BSN, RN, CCM, CMAC
    Nicole Osevala, MD, FACP

    • Establish a framework to identify high-impact areas for intervention across the continuum
    • Describe the development, implementation and assessment of an innovative care delivery intervention
    • Illustrate how to implement best practices for communication from hospital to skilled nursing facility providers
  • 9:30 a.m. | Break/Visit Exhibits
  • 10 a.m. | Escaping the Trap of Burnout
    Timothy D. Riley, MD

    • Define burnout
    • Describe common sources of burnout in healthcare
    • Explain approaches to prevent and address burnout in healthcare
  • 10:30 a.m. | Best Practices in Care Management
    Joann Sciandra, MHA, BSN, RN, CCM

    • List the three to five reasons why patients are readmitted and interventions to prevent readmission
    • Define the role that the case manager plays outside the walls of primary care
    • Define the role that the care manager plays with the care team
  • 11 a.m. | Lunch/Visit Exhibits
  • Noon | High-Risk Clinics: Steps for Creation
    Alison MacCombie, MSW, LSW

    • Discuss the creation of a pilot to identify and serve superutilizers within the health system
    • Describe how to develop a medical-legal partnership
  • 12:30 p.m. | Generational Awareness Training to Alleviate Generational Bullying
    Lindsey Ford, MSN, RN

    • Define the characteristics and differences between generations
    • Identify ways to have generations work together collaboratively
  • 1 p.m. | Partnering with the Community for the Community
    Judy Dillon, MSN, MA, RN
    Joseph Arthur

    • Define food insecurity and the impact on health
    • Review data that highlights food insecurity as a priority for our region
    • Describe health initiatives to address food insecurity and improve health
  • 1:30 p.m. | Adjournment


Joseph Arthur
Executive Director
Central Pennsylvania Food Bank
Harrisburg, PA

Judy Dillon, MSN, MA, RN
Director of Community Health
Penn State Health
Hershey, PA

Lindsey Ford, MSN, RN
Director, Nursing Education, Magnet and Quality
Geisinger Wyoming Valley and Geisinger Community Medical Center
Wilkes Barre, PA

Jennifer Goldstein, MD
Assistant Professor of Medicine
Associate Chief Medical Officer
Penn State Health Milton S. Hershey Medical Center
Hershey, PA

Rachel Levine, MD
Pennsylvania Secretary of Health
Pennsylvania Department of Health
Harrisburg, PA

Alison MacCombie, MSW, LSW
Program Supervisor
Care Connections
Penn Medicine Lancaster General Health
Lancaster, PA

Nicole Osevala, MD, FACP
Board Certified Internal Medicine
Board Certified/Fellowship in Geriatric Medicine
Assistant Professor of Medicine
Medical Director, Post-Acute Care
Penn State Health Milton S. Hershey Medical Center
Hershey, PA

Lauren C. Pond, MS, BSN, RN, CCM, CMAC
Director, Care Transitions
Penn State Health Milton S. Hershey Medical Center
Hershey, PA

Timothy D. Riley, MD
Assistant Professor
Associate Vice Chair for Wellness
Department of Family and Community Medicine
Co-Director for Well-Being and Burnout Prevention
Office of Faculty and Professional Development
Penn State College of Medicine
Hershey, PA

Joann Sciandra, MHA, BSN, RN, CCM
Vice President, Care Coordination and Integration
Geisinger Health Plan
Wilkes-Barre, PA


Fee of $155 per person includes cost of instruction, all listed meals and online handout materials.

Registrations received after April 3, 2019, will incur a $25 late fee.


Cancellations received after March 27, 2019, will incur a $25 processing fee.

No refunds will be given after March 29, 2019.

The University reserves the right to cancel or postpone any course or activity because of insufficient enrollment or other unforeseen circumstances. If a program is canceled or postponed, the University will refund registration fees but cannot be held responsible for any related costs, charges, or expenses, including cancellation/change charges assessed by airlines or travel agencies. Preregistered participants will be notified if a program is filled or canceled.

Access (ADA)

Penn State encourages persons with disabilities to participate in its programs and activities. If you anticipate needing any type of special accommodation or have questions about the physical access provided, please contact Continuing Education at least one week in advance of your participation or visit.


Content and speakers for all programs are subject to change. Registrants will be notified of any significant updates.

Disclosure and Conflict of Interest (COI and educational balance)

It is our policy to ensure balance, independence, objectivity, and scientific rigor in all of our educational programs. Faculty and course directors have disclosed relevant financial relationships with commercial companies, and Penn State has a process in place to resolve any conflict of interest. Complete faculty disclosure will be provided to program participants at the beginning of the activity.

University Nondiscrimination Policy

This publication is available in alternative media on request. The Pennsylvania State University is committed to the policy that all persons shall have equal access to programs, facilities, admission, and employment without regard to personal characteristics not related to ability, performance, or qualifications as determined by University policy or by state or federal authorities. It is the policy of the University to maintain an academic and work environment free of discrimination, including harassment. The Pennsylvania State University prohibits discrimination and harassment against any person because of age, ancestry, color, disability or handicap, genetic information, national origin, race, religious creed, sex, sexual orientation, gender identity, or veteran status and retaliation due to the reporting of discrimination or harassment. Discrimination, harassment, or retaliation against faculty, staff, or students will not be tolerated at The Pennsylvania State University. Direct all inquiries regarding the Nondiscrimination Policy to the Affirmative Action Director, The Pennsylvania State University, 328 Boucke Building, University Park, PA 16802-5901; tel 814-863-0471/TTY. US M.Ed. J6331

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