Education event

Behavioral Health Care Symposium
Seize the Day — Maximizing the potential of our patients and practice

December 3 – 4, 2012
Hilton Waterfront Beach Hotel and Resort, Huntington Beach


This is our time. Though marginalized before, behavioral health issues are now included in state and federal health care policy discussions.  The time is right to take the lead and shape our role in the continuum of care. Join us this year as we explore avenues to promote and innovate care for our patients and profession.

Special Day One Agenda: ED Care Crisis and Solutions
This year, the first day’s program will focus on the swelling numbers of behavioral health patients in emergency departments. More than rehashing the problems, these sessions will share success stories from EDs and offer best practices to take back to your facilities. Plus, a special panel presentation will feature innovative collaborations that improve access to much-needed services. Make sure your ED leadership joins you for this special day.

Day two features general and breakout sessions on a range of operational, financial and policy topics including: how health care reform may play out and the impact on providers, tips to maximize managed care revenue, and ways to demonstrate the value of behavioral services. Working models of integrated care and sensory interventions that improve care and patient transitions will also be covered, and much more.  

Take a few minutes to review this year’s agenda and make plans now to join us in Huntington Beach.


Monday, December 3

8:30 a.m. – Noon | Registration/Check-in

1:00 – 1:30 p.m. | Welcome and Opening Comments
State and Federal Update

C. Duane Dauner, President/CEO, California Hospital Association 

1:30 – 2:30 p.m. | Opening Session
Managing the New Norm: Best Practices for Today’s ED

Scott Zeller, MD, Chief, Psychiatric Emergency Services, Alameda County Medical Center and Daman Mott, RN, MSN Director of Emergency/Trauma Services, NorthBay Healthcare
The new norm for EDs includes crowded conditions, and a mix of ill and upset people — but, there’s a lot of good happening. Listen to leaders from the front lines share proven best practices that will change your view and treatment of patients. Learn about intervention techniques that reduce use of medication and restraint, and improve safety and transition of care.

2:30 – 3:30 p.m. | General Session
The BETA Program: Best Practices in Evaluation and Treatment of Agitation

Scott Zeller, MD, Chief, Psychiatric Emergency Services, Alameda County Medical Center and Michael Wilson, MD, PhD, FAAEM, Director, Department of Emergency Medicine Behavioral Emergencies Research, University of California, San Diego
Crowded conditions and long waits in EDs can be a volatile mix for behavioral patients. Agitation is commonplace and if improperly handled can put patients and staff at risk. Find out how the BETA program has helped frontline ED clinicians improve patient flow and transfer times, while decreasing patient boarding and staff injury.

4:00 – 5:15 p.m. | General Session
Building Services through Community Alliances — Panel

Susan Bower, MSW, MPH, Director of Operations for Behavioral Health, San Diego County, Lynne Ashbeck, MA, MS, RD, and Scott Seamons, Regional Vice Presidents, Hospital Council
In response to declining county mental health resources, stakeholders in three California counties forged alliances to create acutely-needed services. Faculty will share insights on the development of crisis respite services and a “community conversations” group that will spearheaded access to new services. Learn about a successful serial inebriate treatment program which eased the burden on local EDs. 

5:15 – 6:30 p.m. | Reception
Join your colleagues to relax, unwind and discuss the day’s sessions over wine and hors d’oeuvres.

Tuesday, December 4

7:00 – 8:00 a.m. | Continental Breakfast

8:00 – 9:00 a.m. | General Session
Operationalizing the Unknown — How Reform May Play Out

Anne McLeod, MPH, Senior Vice President, Health Policy, California Hospital Association
Hear an update on coverage expansion efforts through the California Health Benefit Exchange and Medi-Cal, and learn about the transition to new coordinated care initiatives for populations that are eligible for both Medicare and Medi-Cal. Engage in discussions about how strategic planning efforts for 2014 and beyond can help you transform for tomorrow.

9:00 – 10:00 a.m. | General Session
Prepare to Report: HBIPS Core Measures

Elizabeth Stallings, RN, MSN, Chief Operating Officer, John Muir Behavioral Health Center and Alyssa Keefe, Vice President, Federal Regulatory Affairs, California Hospital Association
It’s official. Psychiatric hospitals and psychiatric units in hospitals reimbursed under Medicare IPF PPS must report data on six core measures to CMS. While the first report begins July 1, 2013, data must be collected starting October 1, 2012. Learn about measures to report and CMS’ implementation plans. A psychiatric hospital currently reporting on core measures will share insights on the process and pitfalls to avoid.

10:30 – 11:30 a.m. | Breakout Sessions (Choose One)
Finding What Works — The Integrated Care Model

Stuart Buttlaire, PhD, MBA, Regional Director, Inpatient Psychiatry and Continuing Care, Kaiser Permanente
What exactly is “integrated care”? How does it translate to the behavioral environment? There are several model programs in operation right now that have successfully implemented the integrated concept. Hear how they made the transition to improve access to care and join physical and behavioral services. Learn how electronic medical records and data collection efforts can help improve care and make the case for increased services.

Maximizing Managed Care Revenue
Paul Rains, RN, MSN, President, St. Joseph’s Behavioral Health Center
Faced with mounting bad debt and administrative write offs, one facility set out to turn the tide of their declining managed care revenue — and did. Learn how each denial of payment was tracked and worked — through appeal, decision and arbitration — to recover revenue that others may have written off.

11:45 a.m. – 1:00 p.m. | Hosted Luncheon
Simanek Distinguished Service Award

LPS/5150 Rewrite Update
M. Steven Lipton, Partner, Hooper Lundy and Bookman, PC

1:30 – 2:30 p.m. | Breakout Sessions (choose one)
Engaging Patients to Bridge the Gap in Care

Mary Ann Nihart, MA, APRN, PMHCNS-BC, PMHNP-BC, Nurse Manager, Outpatient Mental Health Services, San Francisco Veterans Affairs Medical Center
Patients with cognitive loss or dementia in an acute care setting can be challenging. If behavioral issues surface, transition to the next level of care can be sidetracked. Learn about an innovative VA program which utilizes sensory interventions to calm patients and improve the care transition process.

The Impact of Public Safety Realignment
Tom Gilevich, Senior Counsel, California Department of Corrections and Rehabilitation (CDCR)
Under Realignment, responsibilities for former non-violent, non-serious, non-sexual (N3s) inmates shift from the state to counties. N3s need support to stay on the right course, and many need mental health services. Learn about CDCR’s transition plan and resource options to help smooth the way for this unique population.

3:00 – 4:00 p.m. | General Session
Making the Case — Demonstrating the Value of Behavioral Services

Elizabeth Stallings, RN, MSN, Chief Operating Officer, John Muir Behavioral Health Center and John Boyd, PsyD, MHA, FACHE, Chief Administrative Officer, Regional Behavioral Health & Continuing Care, Sutter Health Sacramento Sierra Region
This session will provide you with a “leadership toolkit” to help position your behavioral health services in the care continuum. What’s inside? Direction on creating dashboards and financial management strategies necessary to make your case. Explore best practices implemented within freestanding psychiatric environments, EDs and med/surge units.


Scott Zeller, MD, is chief of Psychiatric Emergency Services for the Alameda County Medical Center of Oakland, CA, where he leads one of the busiest crisis intervention/stabilization programs in the nation. Dr. Zeller is co-founder of JSA Health Telepsychiatry, a provider of on-demand psychiatric consultation to hospitals and winner of the American Psychiatric Association’s Gold Award for Innovation in Mental Health. Dr. Zeller is co-editor and author of Emergency Psychiatry: Principles and Practice, considered to be the first comprehensive textbook of emergency psychiatry, and he has written numerous book chapters and peer-reviewed journal articles. Dr. Zeller was named the 2009 “Physician of the Year” of the Alameda County Medical Center and recently won the San Francisco Business Times 2012 “Heroes in Healthcare” Award.  In addition, Dr. Zeller served as a volunteer medical director for the Emergency Psychiatry clinic for Hurricane Katrina refugees at the Houston Astrodome in 2005.

Lynne Ashbeck, MA, MS, RD, is the Regional Vice President, Central Coast, Fresno/Madera, Kern/Eastern Sierra, and Tulare/Kings Sections, for the Hospital Council of Northern and Central California. Ms. Ashbeck joined the Hospital Council in September 2006 and is based out of the Fresno office. Prior to joining the organization, her work experience extended to several areas including: higher education as the extension programs director at California State University, Fresno; health care as the director of education at Children’s Hospital Central California; and agriculture, with nearly 20 years of work on behalf of California’s dairy industry as the vice president of program services for Dairy Council of California. Ms. Ashbeck is also serving her second term as a councilmember in the City of Clovis. She is a Registered Dietitian, holds a master’s degree in nutrition and is a trained mediator.

Susan Bower, MSW, MPH, has been in the alcohol and drug treatment field for 20 years, working with pregnant and parenting women, youth, in the prevention field, and in the justice arena. In her current role, Ms. Bower oversees 350+ contracts and a $431 million dollar budget for mental health and substance abuse prevention, treatment and recovery services. Ms. Bower was involved with the implementation of the Adult Drug Court system in San Diego, as well as the planning and implementation of Proposition 36, the formation of the Prescription Drug Abuse Task Force. In addition, she is deeply involved in the implementation of treatment services for the realigned criminal justice population. In addition, Ms. Bower is the vice president of the County Alcohol and Drug Program Administrators Association of California.

John Boyd, PsyD, MHA, FACHE, has an extensive background in health care administration including behavioral health care. Prior to joining Sutter in 2008, he served as assistant administrator, Operational Support Services for Kaiser Permanente in Sacramento. Prior to that, he worked eight years for Shriners including roles as administrative fellow and hospital administrative director for Shriners Hospitals for Children Northern California in Sacramento. Later, he served two years as development director for Shriners Hospitals for Children International Headquarters. Additionally, he also worked as both an inpatient and outpatient therapist in several organizations throughout his career. Mr. Boyd is active in community leadership including prior service as a Planning Commissioner for the City of Sacramento and current service as a board member with the Sacramento Area Commerce and Trade Organization (SACTO).

Stuart Buttlaire, PhD, MBA, has over 30 years of clinical and management experience providing leadership and direction in health care delivery. In his current role at Kaiser Permanente, he is responsible for acute care services and intensive treatment for both inpatient and ambulatory psychiatric care. Dr. Buttlaire assumes leadership for The Permanente Medical Group, Kaiser Foundation Hospitals, and Health Plan in the strategy and delivery of mental health and substance use services for Kaiser members in Northern California. He is also a regional leader at Kaiser Permanente in the development of best practices, and has developed and led major program redesigns including Integrated Urgent Services, Emergency Room Consultation, Gero-Psychiatry, Multi-Family Groups in the Treatment of Severe Psychiatric Conditions, Intensive Outpatient Treatment Programs, and Crisis Residential Services for Teens, Adults, Older Adults, and Co-Occurring Disorders. 

C. Duane Dauner was appointed president/CEO of the California Association of Hospitals and Health Systems (CAHHS) in November 1985. On Jan. 1, 1996, CAHHS transformed into the California Hospital Association (CHA) and Mr. Dauner was appointed president/CEO of this new organization, as well. CHA is devoted to statewide representation and advocacy for California’s health care organizations and is one of the nation’s largest state health care associations, representing more than 400 hospitals and health systems. Mr. Dauner has been active in national hospital and health care issues, serving on numerous American Hospital Association (AHA) and American College of Healthcare Executives (ACHE) committees. He is a fellow of ACHE and has served as a member of the AHA Board of Trustees and the Hospital Research and Educational Trust Board of Trustees, an affiliate of AHA.

Thomas L. Gilevich is a senior counsel for the California Department of Corrections and Rehabilitation (CDCR). Prior to joining CDCR, he worked as senior counsel for the Department of Managed Health Care, HMO Help Center and for the Health Plan Division, Department of Corporations where he had worked since November 1998 in various capacities including medical surveys, consumer complaints and legislative analyses and implementation. Before entering state government service, Mr. Gilevich served as a judge advocate in the U.S. Navy, specializing in health law in the latter part of his 20-year career. In addition to criminal defense and prosecution tours of duty, he was a felony trial judge, headed the medical malpractice branch of Navy Claims and retired as the senior legal advisor to the Surgeon General of the Navy and Staff Judge Advocate, Bureau of Medicine and Surgery.

Alyssa Keefe is vice president, regulatory affairs, with the California Hospital Association (CHA). At CHA, Ms. Keefe is responsible for policy development and analysis of federal regulation impacting California hospitals and health systems, and serves as a liaison between CHA and federal agencies, including the Centers for Medicare & Medicaid Services. Prior to joining CHA, Ms. Keefe was managing director of the Hospital Quality Alliance, a national public/private collaboration committed to making meaningful, relevant and easily understood information about hospital performance accessible to the public, and to informing and encouraging efforts to improve quality. Ms. Keefe also has served as senior associate director for policy at the American Hospital Association.

Steve Lipton is an attorney and partner in the San Francisco law office Hooper Lundy and Bookman, PC. Mr. Lipton is recognized as a national expert on EMTALA and patient anti-dumping laws. In his practice, he has worked extensively with hospitals on EMTALA civil sanction matters and on compliance interpretation, policy develop¬ment and education. Mr. Lipton is a frequent health care presenter and is the author of CHA’s manual, EMTALA — A Guide to Patient Anti-Dumping Laws.

Anne McLeod, MPH, is CHA’s senior vice president for Health Policy and serves as a health care reform resource for member hospitals. Using her knowledge of both federal and state health care reform legislation and regulations, Ms. McLeod coordinates CHA’s efforts on the development, communication, and implementation of CHA’s strategic plan for health care reform. Most recently, she provided leadership for the design, development and implementation of the hospital fee program. Additionally, Ms. McLeod represents hospitals’ interests with the California Health Benefit Exchange.

Daman Mott, RN, MSN, a nursing director with NorthBay Healthcare, has a health career spanning 20 years with experience in human resources, emergency medical services, disaster preparedness and trauma nursing in hospital and military field settings. Mr. Mott directs Emergency and Trauma Services at both NorthBay Medical Center and VacaValley Hospital where he recently created the first and only accredited Trauma and STEMI centers in Solano County. A decorated officer of the Armed Forces, his 15-year military career spanned three wars on four continents. Mr. Mott has served on numerous boards and committees at local and state levels and is a frequent speaker for professional organizations’ annual programs.

Mary Ann Nihart, MA, APRN, PMHCNS-BC, PMHNP-BC, is a nationally known psychiatric-mental health nurse practitioner and clinical nurse specialist with recognized expertise in psychopharmacology, integration of biology into psychiatric nursing practice, and reduction of the use of seclusion and restraint. Currently, Ms. Nihart is nurse manager for nine outpatient mental health programs at the San Francisco Veteran Affairs Medical Center, including the Psychosocial Rehabilitation and Recovery Center, a program focused entirely on facilitating recovery and integrating recovery principles throughout veterans’ mental health services. Ms. Nihart is the recipient of numerous awards including the 1999 Excellence Award for Outstanding Teaching and Service at UC Davis; Washington state’s 2003 Nursing Excellence Award from the Association of Advanced Practice Psychiatric Nurses; and the 2012 American Psychiatric Nurses Association’s Psychiatric Nurse of the Year Award.

Paul Rains, RN, MSN, began his 20-year health care career in Charlotte, North Carolina as a clinical assistant at Amethyst Treatment Center for Substance Abuse. As a registered nurse, Mr. Rains worked in long-term adolescent behavioral health treatment, acute psychiatric treatment, correctional facilities, and public health. Mr. Rain’s career as an executive in health care includes: multi-site director of nursing, program manager, assistant administrator, consultant for Keystone Education and Youth services (Nashville TN), and hospital administrator for Stanislaus Behavioral Health Center (Modesto CA). Mr. Rains is a member of the Bay Area Managers of Acute Psychiatric Services (MAPS), serves on CHA’s Center for Behavioral Health Advisory Board, and the Hospital Council of Northern and Central California and HealthPlus Shared Services Board of Directors.

Scott Seamons is regional vice president for the Hospital Council and based in the Sacramento office. At Hospital Council, Mr. Seamons is responsible for the Sacramento-Sierra, Stanislaus-Merced and San Joaquin-Mother Lode sections. Previously, he served as vice president of Little Company of Mary (Providence Health Systems), as CEO for Central California Rehabilitation Hospital, and assistant administrator for Providence Saint Joseph Medical Center. Mr. Seamons has over 31 years of management and administrative experience in operations, strategic planning and budgeting, physician relations, program development, trade association leadership and system-level management. Currently, Mr. Seamons serves as a member of the San Joaquin County Health Commission.

Elizabeth Stallings, RN, BSN, is a veteran health care executive and psychiatric RN who has specialized in the management of the full continuum of behavioral health services for over 30 years. As COO of John Muir Behavioral Health Center, Ms. Stallings has developed and managed all levels of psychiatric and chemical dependency services. The Behavioral Health Center specializes in the psychiatric treatment of children, adolescents and adults, and also offers the full continuum of chemical dependency services including dedicated medical detox through residential care. Ms. Stallings is a past chair of the Psychiatric and Substance Abuse section of the AHA and served on the AHA Mental Health Task Force and The Joint Commission Technical Expert Panel for the development of core measures for behavioral health. Currently, Ms. Stallings is Chair of CHA’s Center for Behavioral Health and serves on the CMS Committee for the development of Core Measures for Behavioral Health.

Michael Wilson, MD, PhD, FAAEM, is currently an attending physician at the University of California, San Diego (UCSD) Department of Emergency Medicine. In addition, he serves as director of Emergency Psychiatry Research for the American Association for Emergency Psychiatry, director of the UCSD Department of Emergency Medicine Research Associates program, and director of UCSD Department of Emergency Medicine Behavioral Emergencies Research (DEMBER). The DEMBER lab’s research primarily focuses on psychiatric emergencies such as agitation and suicide, with recent projects concentrating on investigations of atypical antipsychotics to treat agitated patients in the ED setting.


Hilton Waterfront Beach Resort
21100 Pacific Coast Highway
Huntington Beach, CA 92648
Driving directions

Located on the coastline of Southern California and in the heart of Surf City USA™, this resort hotel is a coastal oasis featuring stylish accommodations. The resort’s proximity to the beach and year-round sunshine attract visitors from across California and the nation. Travel to this coastal resort is easy — John Wayne/Orange County Airport is located nearby.

Discounted sleeping rooms are available for $224, single or double occupancy. For reservations, call (714) 845-8000 and mention “California Hospital Association.” Don’t delay — room reservation deadline is November 12 and availability is limited.



Register by November 12 and save
Monday and Tuesday: Members $425, Nonmembers $550
Monday Only: Members $195, Nonmembers $250
Registrations received after November 12, add $100.

Tuition includes reception, luncheon, symposium materials and CEs.

Confirmations: A confirmation will be sent to all registrants who register at least one week in advance. On-site registrations and any unpaid registrations may be subject to an additional 10% fee.

Cancellation Policy/Late Payment: A $75 non-refundable processing fee will be retained for each cancellation. Cancellations must be made in writing seven or more business days prior to the scheduled session and faxed to (916) 552-7506. No refunds will be made after these dates. Substitutions are encouraged. Cancellation and substitution notification may be faxed to (916) 522-7506 or e-mailed to In the unlikely event that the program is cancelled, refunds will be issued to paid registrants within 30 days.

Special Accommodations or Questions: If you require special accommodations pursuant to the American’s with Disabilities Act, or have other questions, please call (916) 552-7637.

Continuing Education

Full attendance at each day’s educational sessions is a prerequisite for receiving continuing education. Attendees must sign in each day at the symposium and include their professional license number, if required. CE certificates will be available at the end of each day of the symposium.

Compliance — Compliance Certification Board (CCB) has approved
this program for up to 12.8 Compliance Certification Board (CCB) Continuing Education Units in one or more of the following areas: Application of Management Practices for the Compliance Professional; Application of Personal and Business Ethics in Compliance; Written Compliance Policies and Procedures; Designation of Compliance Officers and Committees; Compliance Training and Education; Communication and Reporting Mechanisms in Compliance; Enforcement of Compliance Standards and Discipline; Auditing and Monitoring for Compliance; Response to Compliance Violations and Corrective Actions; and HIPAA Privacy Implementation. Granting of prior approval in no way constitutes endorsement by CCB of the program content or the program sponsor.

Health Care Executives — CHA is authorized to award up to 8.75 hours of pre-approved ACHE Qualified Education Credit (non-ACHE) for this program toward the advancement, or recertification in the American College of Healthcare Executives. Participants in this program wishing to have the continuing education hours applied toward ACHE Qualified Education credit should indicate their attendance when submitting application to the American College of Healthcare Executives for advancement or recertification.

Nursing — Provider approved by the California Board of Registered Nursing, CEP 11924, for up to 10.5 contact hours.

Psychologists — Application has been made to the California Psychological Association to provide continuing education for this program.

Social Work — This course meets the qualifications for up to 8.75 hours of continuing education credit for MFTs and/or LCSWs as required by the California Board of Behavioral Sciences, PCE 1735.


On behalf of the California Hospital Association, we would like to thank our corporate sponsors for their support of the 7th Annual Behavioral Health Care Symposium.

Platinum Sponsor:


Gold Sponsor:


Silver Sponsors:


For sponsor opportunities, call the CHA Education Department at
(916) 552-7502 or e-mail Lisa Sbragia Hartzell.

Click here to download a sponsor registration form.