Webinars & Events

BEYOND TPO: The Real Minimum Necessary Information About the HIPAA Minimum Necessary Rule (Copy)
Dec
18

BEYOND TPO: The Real Minimum Necessary Information About the HIPAA Minimum Necessary Rule (Copy)

Join us for an informative webinar designed to demystify the HIPAA Minimum Necessary Rule and go BEYOND TPO (Treatment, Payment, and Operations). This session will equip healthcare professionals, compliance officers, and administrators with a clear understanding of what "minimum necessary" really means, how it applies in everyday scenarios, and practical steps to ensure your organization complies effectively.

Join Julie Janeway, MSA, JD on Thursday, December 18 at 12 PM ET and discover actionable insights, real-world examples, and compliance strategies that help you safeguard patient privacy while streamlining your workflows. Whether you're new to HIPAA or seeking a refresher, this webinar delivers the essential information you need to confidently navigate the complexities of the Minimum Necessary Rule.

•             Clarify the Minimum Necessary standard and its application beyond TPO

•             Learn best practices for compliance

•             Get answers to common challenges and questions

•             Strengthen your organization's privacy protocols

Don’t miss this opportunity to enhance your HIPAA expertise and ensure your team is prepared for regulatory scrutiny. Register now to secure your spot!

CE: This is event is being submitted for 2.0 CPHQ CE through NAHQ

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Leveraging the QAPI Requirement for Enhanced Organization-Wide Strategic Alignment
Jan
22

Leveraging the QAPI Requirement for Enhanced Organization-Wide Strategic Alignment

Unlock the full potential of your hospital’s Quality Assurance and Performance Improvement (QAPI) program with this dynamic 90-minute session designed for healthcare leaders ready to move beyond compliance. Attendees will discover how QAPI can drive culture change, foster accountability, and build a foundation for long-term sustainability. Ideal for those seeking to transform QAPI from a mandate into a mission.

Objectives:

1. Differentiate between a compliance-based and strategically aligned QAPI Program

2. Map the five CMS QAPI elements to hospital strategic goals and priorities

3. Apply practical strategies to integrate QAPI activities into hospital-wide PI and governance structures

4. Evaluate opportunities to use QAPI as a driver for culture change, accountability, and long-term sustainability

About the Speaker:

Heather Gibbons, BA,  Regulatory Compliance Project Manager, Mount Auburn Hospital, Cambridge, MA

For twenty years, Heather Gibbons-Perez has been a dedicated leader at Mount Auburn Hospital, advancing patient safety, regulatory excellence, and performance improvement across the organization.

 She began her career as Regulatory Project Manager, then Patient Safety Manager, before moving into roles as Director of Regulatory Affairs and, most recently, Director of Performance Improvement and Regulatory Affairs.  Her work is deeply aligned with the values of Mount Auburn Hospital and Beth Israel Lahey Health, with a strong emphasis on patient safety, health equity, and high-reliability performance. She has played a pivotal leadership role in achieving Health Equity Certification, advancing QAPI goal alignment, and preparing the organization for Joint Commission surveys and Stroke Center certification. 

Known for her integrity, inclusivity, and respect, Heather has demonstrated ability to translate strategy into meaningful operational outcomes.  She continues to lead initiatives that strengthen quality, safety, and equitable care for all patients.

Heather currently chairs Workplace Violence Prevention Committee, Quality Review Committee, Health Disparities Committee, Performance Excellence Committee and Patient and Family Advisory Council and manages the Performance Improvement and Regulatory functions in the Quality and Safety Department.

NAHQ pending 1.5  hour CPHQ CE credits 

FREE event for members of NEAHQ, MAHQ, OrAHQ, NCAHQ, FAHQ, AzAHQ, GAHQ, OAHQ, TGCAHQ by selecting your association's ticket type and using discount code provided by your association

$35 for Non-Members

Register Here
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Ethics and Compliance in the Use of Artificial Intelligence in Healthcare (Copy)
Feb
18

Ethics and Compliance in the Use of Artificial Intelligence in Healthcare (Copy)

This series of 3 webinars will delve into the ethics and compliance considerations for using AI healthcare.

This 3-part series will guide participants through the role of Ethics and Compliance when considering the use of AI in a healthcare setting.

Speaker:

For 19 years, Susan L. Boldt, MS, CPHQ CHC has worked in the areas of performance and quality improvement, accreditation, compliance, and patient safety. She has worked in psychiatric settings for children, adolescents, and young adults, payers in one of Oregon’s Coordinated Care Organizations, a Federally Qualified Health Center working directly with providers, payers, and accrediting organizations, and currently with Qualiance Healthcare Consulting, providing consultation services to providers, clinics, and payers on quality measurement and management, performance improvement, root cause analysis, compliance, including policy and procedure development, and accreditation preparation. Ms. Boldt earned her undergraduate and graduate degrees at Southern Oregon University. She earned her CPHQ certification in 2017, and CHC designation in May 2024. She currently serves as the President of the Oregon Association for Healthcare Quality.

Topics covered:

1. Distinguish between ethics and compliance when considering the use of AI in a healthcare organization

2. Understand the regulatory landscape surrounding AI use in healthcare

3. Learn how to conduct a risk assessment specific to AI use in healthcare

4. Identify the risk associated with AI use in healthcare

5. Calculate prioritization of risks for mitigation

6. Identify protective measures and risk mitigation strategies if choosing to use AI in a healthcare organization

CE: This program is pending approval for 4.5 CEUs from the National Association for Healthcare Quality

Program Fee:

FREE for OrAHQ, AzAHQ, FAHQ, MAHQ, OAHQ, NEAHQ, TGCHQA, UAHQ & NCAHQ Members;

▪ $25 for Non-Members

Register Here
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The Structure of Success: Defining Team Roles to Navigate Process Change
Feb
23

The Structure of Success: Defining Team Roles to Navigate Process Change

Learn about a strategic blueprint for enhancing performance and process improvement in an evolving healthcare environment. Explore practical methodologies for establishing effective improvement teams, clearly defining their roles and responsibilities, and scoping their work to maximize impact and efficiency. healthcare system.

SPEAKER: 

Keyausha King  |  Owner/Fractional Chief of Staff  |  KMI Planned Solutions, LLC

Ms King's expertise is rooted in driving Operational Excellence and Process Improvement across the healthcare landscape. Her foundational understanding of mission-critical execution and structured leadership was initially forged during her dedicated service in the United States Army. This strategic and methodical approach lends a critical focus on human-centered design and team dynamics to the execution of process change. King excels at establishing effective teams and ensuring their success through defining clear roles, responsibilities, and scope.

OBJECTIVES:

  1. Learn to design and formally charter a cross-functional improvement team

  2. Learn how to implement a structured framework (such as RACI) to clearly define and communicate the specific roles, responsibilities, and decision-making authority for each team member.

  3. Learn to translate high-level organizational objectives into specific, actionable process metrics.

CE: Will be submitted to NAHQ for approval of 1.0 credit hour of CPHQ CE credit.

FREE event for members of AzAHQ, FAHQ, MAHQ, NEAHQ, OAHQ, NCAHQ, OrAHQ, TGCAHQ, and UAHQ by selecting your association's ticket type.

Non-members: $35.    Registration ends midnight Feb 22, 2026

Register Here
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Ethics and Compliance in the Use of Artificial Intelligence in Healthcare (Copy) (Copy)
May
20

Ethics and Compliance in the Use of Artificial Intelligence in Healthcare (Copy) (Copy)

This series of 3 webinars will delve into the ethics and compliance considerations for using AI healthcare.

This 3-part series will guide participants through the role of Ethics and Compliance when considering the use of AI in a healthcare setting.

Speaker:

For 19 years, Susan L. Boldt, MS, CPHQ CHC has worked in the areas of performance and quality improvement, accreditation, compliance, and patient safety. She has worked in psychiatric settings for children, adolescents, and young adults, payers in one of Oregon’s Coordinated Care Organizations, a Federally Qualified Health Center working directly with providers, payers, and accrediting organizations, and currently with Qualiance Healthcare Consulting, providing consultation services to providers, clinics, and payers on quality measurement and management, performance improvement, root cause analysis, compliance, including policy and procedure development, and accreditation preparation. Ms. Boldt earned her undergraduate and graduate degrees at Southern Oregon University. She earned her CPHQ certification in 2017, and CHC designation in May 2024. She currently serves as the President of the Oregon Association for Healthcare Quality.

Topics covered:

1. Distinguish between ethics and compliance when considering the use of AI in a healthcare organization

2. Understand the regulatory landscape surrounding AI use in healthcare

3. Learn how to conduct a risk assessment specific to AI use in healthcare

4. Identify the risk associated with AI use in healthcare

5. Calculate prioritization of risks for mitigation

6. Identify protective measures and risk mitigation strategies if choosing to use AI in a healthcare organization

CE: This program is pending approval for 4.5 CEUs from the National Association for Healthcare Quality

Program Fee:

FREE for OrAHQ, AzAHQ, FAHQ, MAHQ, OAHQ, NEAHQ, TGCHQA, UAHQ & NCAHQ Members;

▪ $25 for Non-Members

Register Here
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Ethics and Compliance in the Use of Artificial Intelligence in Healthcare
Dec
17

Ethics and Compliance in the Use of Artificial Intelligence in Healthcare

This series of 3 webinars will delve into the ethics and compliance considerations for using AI healthcare.

This 3-part series will guide participants through the role of Ethics and Compliance when considering the use of AI in a healthcare setting.

Speaker:

For 19 years, Susan L. Boldt, MS, CPHQ CHC has worked in the areas of performance and quality improvement, accreditation, compliance, and patient safety. She has worked in psychiatric settings for children, adolescents, and young adults, payers in one of Oregon’s Coordinated Care Organizations, a Federally Qualified Health Center working directly with providers, payers, and accrediting organizations, and currently with Qualiance Healthcare Consulting, providing consultation services to providers, clinics, and payers on quality measurement and management, performance improvement, root cause analysis, compliance, including policy and procedure development, and accreditation preparation. Ms. Boldt earned her undergraduate and graduate degrees at Southern Oregon University. She earned her CPHQ certification in 2017, and CHC designation in May 2024. She currently serves as the President of the Oregon Association for Healthcare Quality.

Topics covered:

1. Distinguish between ethics and compliance when considering the use of AI in a healthcare organization

2. Understand the regulatory landscape surrounding AI use in healthcare

3. Learn how to conduct a risk assessment specific to AI use in healthcare

4. Identify the risk associated with AI use in healthcare

5. Calculate prioritization of risks for mitigation

6. Identify protective measures and risk mitigation strategies if choosing to use AI in a healthcare organization

CE: This program is pending approval for 4.5 CEUs from the National Association for Healthcare Quality

Program Fee:

FREE for OrAHQ, AzAHQ, FAHQ, MAHQ, OAHQ, NEAHQ, TGCHQA, UAHQ & NCAHQ Members;

▪ $25 for Non-Members

Register Here
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Star Ratings Unpacked: What’s Behind the Hype, Why It Matters, and Strategies to Win
Dec
15

Star Ratings Unpacked: What’s Behind the Hype, Why It Matters, and Strategies to Win

Deepen your expertise in the Medicare Star Quality Rating system, learning about how the Star Rating calculation comes together, the levers of influence to drive action and performance improvement, red flags and pitfalls to program performance, and strategies to promote organizational alignment and activation.

SPEAKERS:

Kimberly Switlick-Prose, MPH  |  Vice President, Quality Solutions  |  Pareto Intelligence

Kimberly is a healthcare leader passionate about building healthier, more equitable communities. She blends strategy, analytics, and behavioral design to help organizations transform systems and improve population outcomes.

Damian Kearney   |   VP of Analytics   |   Pareto Intelligence
As the Vice President of analytics at Pareto, Damian brings over a decade of experience in strategy consulting, Medicare Advantage Stars business outcomes, and advanced analytics. 

OBJECTIVES: 

  1. Understand more deeply the Star Quality Rating systems and components that comprise the overall Star Rating that Plans receive

  2. Articulate the value proposition to Health Plans and why Star Ratings matter so much

  3. Define the levers of influence and leading indicators of success for Star Rating performance

  4. Understand strategies to promote organizational alignment and activation to improve Star Rating performance

CE: NAHQ approved for 1.5 credit hour of CPHQ CE credit.

FREE event for members of AzAHQ, FAHQ, MAHQ, NCAHQ, NEAHQ, OAHQ, OrAHQ, TGCAHQ, and UAHQ by selecting your association's ticket type.

Non-members: $35.    Registration ends midnight 12/14/25

Register Here
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Breaking Down Data Specifications for Successful Analysis
Dec
1

Breaking Down Data Specifications for Successful Analysis

Description of approach to understanding data specifications for quality metrics to be able to design successful data analysis. The presenter will utilize examples to explore the different components of data specifications and discuss validation as a strategy for data vetting to set up the stage for action to follow.

Participants will be able to:

  • Understand the importance of data specifications.

  • Delineate the benefits of understanding data.

  • Apply concepts in respective work setting.

Speaker:  

 
Ann E. McCulloch, MS, RN, CPHQ, CPPS

Ann holds a Bachelors in Science in Nursing from Brigham Young University-Idaho and a Masters in Medical Management from University of Rochester Simon Business School. Ann is a Certified Professional in Health Care Quality (CPHQ) and is Certified in Patient Safety (CPPS). She has worked at the Defense Health Agency for 1 year and a half as a Clinical Measurement RN where she is a member of the Clinical Measurement Team that supports The Leapfrog Safety Grade Program for Military Treatment Facilities across the nation. Ann has worked in the healthcare and regulatory affairs field for more than 15 years, including her work as a Project Nurse for the CDC through network NY state collaboration with the University of Rochester.

Program Description:

NAHQ approved for 1.0 hour of CPHQ CE credit.

Registration Fee: Multi-state Collaborative member- free Non-member $30.00

REGISTRATION CLOSES NOVEMBER 28, 2025

To register, Select HERE. For additional information, Select the FLYER.

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What’s in the AI Black Box? Auditing & Monitoring AI in Healthcare
Nov
13

What’s in the AI Black Box? Auditing & Monitoring AI in Healthcare

AI is rapidly entering healthcare, but quality professionals can’t rely on governance alone—we must learn how to audit the unknown. This engaging session equips you with practical tools to track AI in use, from building an organizational inventory to setting pre- and post-implementation baselines. You’ll learn how to detect bias, hallucinations, and model drift, and walk away with checklists and audit templates you can apply the next day. Move beyond the hype and into hands-on quality oversight—ensuring AI delivers safe, fair, and reliable results for patients and providers alike.

TOPICS:

                  1.              Develop and maintain an organizational AI inventory aligned with NAHQ’s Quality framework.

                  2.              Establish pre-AI baselines and post-AI monitoring plans using key performance and safety metrics.

                  3.              Apply bias detection and hallucination audit methods to AI outputs in clinical workflows.

                  4.              Implement drift detection strategies to monitor performance degradation over time.

                  5.              Integrate AI monitoring and audit activities into existing Quality, Safety, and Compliance processes.

Speaker:   
Lindsey Bruchhaus, MSN, RN, CPHQ
brings over 17 years of experience in nursing and healthcare quality. She began in pediatric and perioperative care before transitioning into quality improvement, leading efforts to reduce hospital-acquired conditions and improve outcomes. Since 2020, she has served as Director of Patient Experience at Houston Methodist The Woodlands, where she champions a culture of safety, empathy, and excellence.  Currently she serving as a Board Member and Secretary of TGCAHQ promoting professional development for quality professionals.

CE: NAHQ approved for 1.0 hour of CPHQ CE credit.

Registration Fee: Multi-state Collaborative member- free Non-member $25.00

To register, Select HERE. For additional information, Select the FLYER.

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From Conflict to Collaboration: Managing Challenging Interactions in The Clinical Setting
Oct
30

From Conflict to Collaboration: Managing Challenging Interactions in The Clinical Setting

In today’s high-pressure healthcare environment, conflict is inevitable—but it doesn’t have to be destructive. This insightful webinar equips clinicians with practical tools grounded in emotional intelligence to navigate difficult interactions, de-escalate negative behaviors, and foster trust-based collaboration. Participants will learn how to identify emotional triggers, regulate their own responses, and apply clear, compassionate communication strategies that support a culture of safety and respect. Ideal for nurses, leaders, and frontline staff seeking to strengthen teamwork and improve patient outcomes.


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Lead with Purpose: Discover Your Why and Activate Your Strengths
Oct
23

Lead with Purpose: Discover Your Why and Activate Your Strengths

In a world where complexity and change are constant, the most effective leaders aren’t those with all the answers. They are the ones who know who they are and lead from that place of clarity. This dynamic and reflective session is designed to help you uncover your personal leadership “why” and align it with your natural strengths. Rooted in Simon Sinek’s Start With Why and Gallup’s Strengths Finder, this session invites you to look inward in order to lead outward, more purposefully, confidently, and effectively.

SPEAKER:  John Matthews, MBA  |  Professor, Graduate Leadership Programs  |  University of Wyoming 

CE: NAHQ approved for 0.7 hour of CPHQ CE credit.

Objectives: 

  1. A clear understanding of your personal leadership “why”

  2. Insight into your top strengths and how to use them intentionally

  3. Tools to lead with authenticity in any environment

  4. Permission to lead your way, not someone else’s version of success

Registration Fee: Multi-state Collaborative member- free Non-member $35.00

REGISTER HERE to register for the event. For additional information, select Event Flyer

Register by Oct 22nd

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