top of page
HR: Naked & Afraid

Brian Bouchard

Sheehan Phinney Bass & Green, PA

Who's Paying the Bill?
Understanding Today's Payment Models and the Data You Need for a Strong Bottom Line

Cheryl Field, Chief Product Officer
PrimeCare Technologies

We ask a lot of questions in post-acute care (PAC) but the first is “Who’s Paying the Bill?” New metrics are making their way into the changing reimbursement system, demanding new data from you. This session will answer the question, who is paying the bill “today” exploring payers and payment models emerging in the SNF space. Case examples will be used to illustrate key performance metrics to focus on to ensure a healthy bottom line.

Participants will:

  • Explore three major changes in the Payer landscape and the key data metrics each demands

  • Define three changes in payment models that represent the shifting of risk

  • Identify through case study 5 key data elements you need from each of for success in the changing reimbursement environment.


Cheryl Field is the Chief Product Officer at Prime Care Technologies. Cheryl has more than 25 years' experience in professional nursing specializing in post-acute care with a concentration in reimbursement. She is certified in Rehabilitation Nursing and Health Care Privacy and is a nationally-known lecturer and consultant. She holds a Bachelor of Science in Nursing from University of Rochester and a Master of Science in Nursing from Boston College.

The day to day existence of a human resources professional can, at some times, feel as a survival game where contestants, without much, if any prior notice, must use their just wits and whatever tools they have at their finger-tips to respond to any number of pressing workplace issues. The Discovery Channel’s very popular TV show, Naked and Afraid, actually describes the exposure and discomfort, as well as the sense of accomplishment, HR professionals may experience in this ever-changing and increasingly hostile environment. In keeping with our theme in recent years, we decided to frame our annual employment law update as an interactive game show. We call it “HR: Naked and Afraid”. Just as with the popular TV show, HR contestants in this game, after sitting through a riveting legal update (which will provide some clues that will later be useful in the game), will be asked to answer increasingly complex employment law questions. Contestants will be given a hypothetical situation with possible answers. They will be asked to pick the correct answers. The clock will be ticking, there will be hidden dangers, you will be exposed (standing up, but fully clothed) and the answers must be 100% correct to survive the experience.


Nerves, knowledge and skills will be tested. (If you are concerned by the theme wear an extra sweater or two.) Prizes will be awarded to all who participate. The program promises to be both fun and informative.

Brian is an attorney and a member of Sheehan Phinney’s Labor and Employment and Litigation practice groups.  His practice focuses on business litigation and counseling where he helps businesses navigate the complex world of labor and employment law, including wage and hour issues, discrimination disputes, harassment training, and federal contractor issues.  


Brian is a lecturer for the University of New Hampshire’s Professional Development and Training program and has written and lectured on legal topics throughout the Granite State.   Admitted in New Hampshire and Massachusetts, Brian is dedicated to client service and is never unimpressed by the complex issues facing employers, businesses, and individuals on a daily basis.

Dental disease is indeed a concern of the dental profession but oral disease needs to be a concern of all health care providers to improve the quality of life for those we care for. This discussion will look at the inter-relationship of oral and systemic diseases.  Poor oral health significantly impacts quality of life as well as health care expenditures, are there strategies to reduce the oral disease burden?


Participants will learn

  • The role of oral biofilm in oral and systemic diseases

  • The critical role saliva plays in a healthy mouth

  • About new therapies for addressing dental caries and why maintaining a healthy dentition is important for overall health

  • How reducing oral disease can reduce healthcare costs



Elizabeth J (BJ) Brown RDH, MS, CPHDH, received her dental hygiene degree from Westbrook College in Portland Maine, her MS in Dental Public Health from Boston University’s Goldman School of Dental Medicine and is a Certified Public Health Dental Hygienist. Her clinical experience includes 15 yrs. in private practice and over 25 years working in long term care settings. She received advanced training in geriatrics and nursing home dentistry at Universities of Minnesota and Texas, San Antonio during her 10-year position at the Edith Nourse Rogers Memorial VA Medical Center in Bedford MA. BJ currently provides dental hygiene services at 2 NH nursing homes and is an adjunct clinical instructor in the dental hygiene program at NHTI, Concord’s Community College. Most recently BJ received the Dental Hygienist of the Year Award by the NH Dental Association and was published in the Evidence-Based Dental Practice Annual Report on Dental Hygiene (Elsevier, June 2016).

Aging and living a long life offers challenges and opportunities; who knows this more than the older adults who reside in a nursing home? As part of the Learning by Living Nursing Home Immersion Project from the University of New England College of Osteopathic Medicine, medical students volunteer to be “admitted” into nursing homes to live the life of an elder resident for 10-12 days – 24/7 – complete with medical diagnosis and “standard” procedures of care (toileting, transferring, bathing, feeding, etc). This unique medical education research and learning experience increases skills in working with older adults for the students, but has also created action for the homes who admit these students. The project will be presented including information on student experiences and learning; but the true pearls will be shared by nursing home staff who hosted the students. Life altering events happen to these students as they live the life of a resident and staff consciousness is raised by contributing to student learning. Conversations with session attendees will be encouraged. You won’t believe it until you hear it!

See Closing Keynote for Presenter Biography

The Most Overlooked Wound in Health Care

Elizabeth Brown RDH, MS, CPHDH

CPHDH Program Coordinator

NHTI, Concord's Community College

Learning by Living Nursing Home Immersion Project: Lessons Learned and Applied

Marilyn R. Gugliucci, MA, Ph.D

Professor & Director Geriatrics Education and Research - Department of Geriatric Medicine
University of New England College of Osteopathic Medicine

Afternoon Breakout Sessions (1:15p)


Each Session is 1.5 hours, and participants will earn 1.5 CEUs for these programs, except as marked


bottom of page