Arizona Rural Health Conference Agenda

Day 1: Tuesday, June 3

7:30-9:00 Continental Breakfast

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Dr. Dan Derksen

Daniel Derksen, MD, Walter H. Pearce Endowed Chair & Director, Arizona Center for Rural Health, Professor of Public Health, Medicine & Nursing

University of Arizona Health Sciences Associate Vice President for Health Equity, Outreach & Interprofessional Activities. He is a tenured Professor of Public Health in the Mel and Enid Zuckerman College of Public Health with joint appointments in the College of Medicine and the College of Nursing. His current service, education and research activities include informing legislative, regulatory and program policy to improve access to health care and health insurance coverage; narrowing health disparities; developing, implementing and evaluating interprofessional service-learning sites; and working to assure a well-trained and distributed health workforce to meet the health needs of all Arizonans. 

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Dr. Carlos Gonzales

Carlos Gonzales, MD, Assistant Vice President of Indigenous Affairs for the U of A Health Sciences New Initiatives, Associate Professor of FCM- UofA College of Medicine-Tucson. Carlos advises on Traditional Indian-Western Medicine Collaboration at the College. 

Dr. Gonzales received his B.A. from Carleton College- Northfield, MN- 1977; M.D. from University of Arizona, College of Medicine- Tucson, AZ- 1981; a FM Residency at UNMH- Albuquerque, NM- 1984. Carlos is a sixth generation Tucsonan of Yaqui and Mexican descent. He participates in the Traditional Easter Ceremonies at the New Pascua Yaqui Pueblo. Also leads Yaqui-Inipi Way Sweat Lodge Ceremonies.

Overview of the Primary Care Office, Health Professional Shortage Area Designations, updates on the Governor's Health Workforce Cabinet, and other programs aimed at increasing the health care workforce in Arizona.

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Sheila Sjolander

Sheila Sjolander, Interim Director, Arizona Department of Health Services (ADHS) 

Sheila Sjolander serves as the Interim Director of the Arizona Department of Health Services (ADHS).  Sheila has been a dedicated public health leader at ADHS for 24 years, most recently serving as Deputy Director for Public Health Services.  She has a Master of Social Work degree, and received the Outstanding Achievement in Rural Women’s Health from the Arizona Rural Women’s Health Association, and the CHW Champion Award from the Arizona Community Health Worker Association. 

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Male provider

William A. (Bill) Kennard, Administrator of Healthcare Workforce Development, Arizona Health Care Cost Containment System (AHCCCS) 

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Edith Di Santo

Edith Di Santo, Arizona Health Care Workforce Initiatives & Programs, Arizona Department of Health Services

Edith Di Santo is the Chief for the Primary Care Office, ADHS. The Primary Care Office oversees workforce programs aimed at increasing access to primary care with emphasis on the health needs of undeserved people and areas. Edith has a Master’s Degree in Public Health focused on health policy from George Washington University and has over 16 years of experience, working at the federal, state, local and non-profit sectors. 

Humphreys: Workforce Development

Arizona Center for Rural Health - Health Workforce Data Resources

overview of the health workforce data resources available from the Arizona Center for Rural Health (AzCRH), focusing on the Arizona Health Workforce Profile Report. This report uses health workforce licensure data from the Arizona licensing boards to present a snapshot of the health workforce in 2019, 2021, and newly added 2023 data on occupational therapists, respiratory therapists, and physical therapists. This presentation will summarize other data resources including mapping and reports available from the AzCRH as well as important state and federal health workforce data sources.  Attendees will learn from examples of how health workforce data from the AzCRH and other sources have informed assessment, planning, grant application efforts in rural Arizona. As time permits, attendees will also engage in a discussion and feedback to identify what next steps should be implemented in Arizona to support workforce planning and development efforts.

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Bryna Koch

Bryna Koch, Assistant Research Professor, Arizona Center for Rural Health, Zuckerman College of Public Health, University of Arizona

Bryna Koch is an Assistant Research Professor at the University of Arizona, Zuckerman College of Public Health, Department of Public Health Practice, Policy, and Translational Research.  Dr. Koch has 18 years of experience in public health policy analysis, research, and evaluation.  Dr. Koch’s work at the Arizona Center for Rural Health (AzCRH) began in 2016 and focuses on analysis of rural public health and healthcare systems, including health workforce analysis to inform public health and health care organizations.  


Doyle/Rees: Strengthening Resilience

Strengthening communities to address overdose prevention and substance use care in rural Arizona

In 2023, there were 1,603 opioid overdose deaths among Arizona residents. The leading cause was prescription and synthetic opioids (97.9%). According to the 2023 National Survey on Drug Use and Health (NSDUH), polysubstance abuse is a critical issue, with 37% of people who misuse opioids also misusing other substances like alcohol, benzodiazepines, or stimulants like cocaine. (SAMHSA, 2023). For rural Arizona, substance and opioid use disorders (SUD/OUD) have limited resources. Yet, rural communities are resilient and have natural supports that may serve as protective factors and enhance health equity. 

The AzCRH, Arizona Department of Health Services (ADHS) - Centers for Disease Control and Prevention (CDC) Overdose Data to Action State (OD2A-S) initiative expands education and prevention programs for community health workers and health professionals. We develop and deliver content on overdose recognition and naloxone administration, assess, developed and maintained a centralized database of non-Medicaid addiction resources, and developed training and technical assistance plans to support healthcare organizations to implement and integrate the 2022 CDC Clinical Practice Guideline.  By educating health care professionals, we ensure that persons have equitable access to safer and effective pain care while reducing risks associated with prescription opioids. Prevention, harm reduction, treatment, and recovery work.

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Bianca SantaMaria

Bianca SantaMaria, MPH, Research Program Administration Officer II, University of Arizona Center for Rural Health

Bianca SantaMaria, MPH works on the Overdose Data 2 Action-State (OD2A-S) grant at the University of Arizona, Center for Rural Health, and the Maricopa Opioid Prevention Program at the College of Public Health. She led the development and facilitation of Overdose recognition and Naloxone Administration training, as well as program operations and coordination. She is an author on “Opioid stewardship program implementation in rural and critical access hospitals in Arizona, "which was published last year. Her background is in substance use, clinical research, health promotion, and harm reduction. She is pursuing her PhD at the University of Arizona. 

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Maria Rocio Torres

Rocio Torres, MPH, Project Management Assistant III, University of Arizona Center for Rural Health  

Maria Rocio Torres, MPH (she/her/ella), is part of the Centers for Disease Control & Prevention (CDC) Overdose Data to Action-States (OD2AS) Arizona Department of Health Services (ADHS) and Arizona Center for Rural Health (AzCRH). In her role as program management assistant with OD2A-S, Rocio develops and reviews informed-product development of Clinician/Health Engagement System and CDC Clinical Practice Guideline for Prescribing Opioids for Pain. Ms. Torres is also part of the Arizona Geriatrics Workforce Enhancement Program (AZ GWEP) where she supports the health workforce and rural hospitals in geriatrics clinical education and organization certification as Age-Friendly Health Systems (AFHS).

 

 

 


Abineau/Fremont: Systems Innovation

 Moving Systems for Rural Communities

Traditional approaches to social impact are not solving our world’s most complex challenges. We need a shift in the system, and it will take all of us. This session will introduce the concept of systems and systems thinking, highlighting the often-implicit conditions holding problems in place. We’ll explore the central role of collaboration to drive any system change effort and discuss common pitfalls and opportunities when we seek to collaborate—particularly across lines of difference. Whether you’re exploring a new collaborative initiative or deeply engaged in an existing effort, participants will come away with practical tips and strategies for more effectively collaborating to advance lasting change.

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David Martinez III

David Martinez III, Director, Vitalyst Health Foundation

David Martinez III (he/him/his) is Vitalyst Health Foundation's Director for Strategic Community Partnerships. In this role, he oversees the foundation’s capacity-building and grant programs and Civic Health portfolio. This includes managing the Vitalyst Grants & Partnerships Team to build and steward community and partner relationships.
Born and raised in Marana, Arizona, and one of six children, David is a first-generation graduate of the University of Arizona. David currently lives in Central Phoenix and loves to travel and explore Arizona.

Please visit with our Exhibitors:

Humphreys: Workforce Development

Recruiting and Retaining International Medical Graduates to Meet Workforce needs

For over 20 years our boutique law firm has been dedicated to assisting employers in the medical field to hire and retain U.S.-trained International Medical Graduates (IMGs). This presentation will include an overview of the process to recruit and hire IMGs completing their U.S. residency or fellowship in J-1 status, and who will require a waiver and visa sponsorship. It will also include information for sponsoring "cap-exempt" H-1B physicians and other allied healthcare providers. Finally, we will discuss the process to sponsor a physician for permanent residence, setting up incentives for retention. 

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Rachel Bus

Rachel Bus, Managing Attorney, Brelje & Bus Immigration Law PC

Rachel Bus has been practicing immigration law since 2007. She has been selected by her peers for inclusion in The Best Lawyers in America © each year since 2021, in the field of Immigration Law.  

Prior to a career in law, Rachel was a Peace Corps Volunteer in Ecuador from 2001 to 2003. Rachel graduated from the University of Arizona in 2001 and earned her J.D. from the University of Arizona’s James E. Rogers College of Law in 2007. 

Rachel is a member of the Texas bar, the International Medical Graduate Taskforce and the American Immigration Lawyers Association.  


Doyle/ Rees: Strengthening Resilience

Navigating Confidentiality In Rural Communities

Navigating Confidentiality in Rural Communities explores the unique challenges of maintaining survivor confidentiality in rural settings, where close-knit communities, limited services, and overlapping relationships can create barriers to privacy. This training highlights the importance of confidentiality for survivor safety, trust, and empowerment while addressing legal protections such as VAWA, HIPAA, and FERPA. 

The presentation examines specific obstacles faced by rural and Indigenous survivors, including geographic isolation, lack of anonymity, stigma, and cultural barriers. It also discusses best practices for advocates, such as setting clear confidentiality boundaries, securing data, and implementing organizational policies that protect survivors' information. 

Practical solutions are provided, including strategies for discreet service delivery, alternative meeting locations, and intentional boundary-setting to maintain trust while upholding ethical responsibilities. Participants will gain insights into the legal and ethical considerations surrounding confidentiality and leave with concrete strategies for supporting survivors in rural communities while respecting their privacy and autonomy.


Abineau/Fremont: Systems Innovation

Leveraging AI to Mitigate Operational Risks in Rural Healthcare

Rural hospitals face unique challenges, from staff retention to compliance management and cybersecurity threats. AI-driven tools can help mitigate enterprise risks and  automate administrative workflows to optimize operational efficiency. This session will explore how rural hospitals can implement cost effective AI solutions to fully leverage limited resources and enhance hospital financial sustainability.

 

Naren Koka, President, HealthDox

Naren is the founder of HealthDox, a pioneer in AI-assisted Governance, Risk, and Compliance (GRC) solutions for healthcare. Starting his tech career in robotics, he went on to build HealthDox 25 years ago, launching its first Policy Management solution at Scottsdale Healthcare. Since then, the platform has grown to include ten integrated modules, serving organizations from large networks like Behavioral Health Group to rural hospitals such as Morris County in Kansas. Outside of work, Naren explores sustainable living, having converted a school bus into an RV and a shipping container into an off-grid tiny home. 

 

Haritha Mogilisetti, Director of Operations, HealthDox

Haritha leads Global Operations and Customer Success at HealthDox, delivering AI-driven GRC solutions to healthcare organizations nationwide. With a background in enterprise healthcare IT and semiconductor program management, she combines technical expertise with client-focused delivery. Haritha has led successful Cloud and on-premise deployments, trained professionals across the U.S., and streamlined policy, risk, and compliance. She also volunteers teaching math to high schoolers in the Gila River community, reflecting her commitment to both technology and rural communities. 

Humphreys: Workforce Development

An Emergency Department Story of Success with Peer Support "All We Did Was Say Yes"

A culmination of 2 1/2 years of work from a HRSA RCORP Grant that involved a partnership with a community Consortium, a Peer Run Organization, Hope Inc, and Summit Regional Medical Center to put Peer Support Specialists (PSS)  in the ED and Hospital.  With personal stories, implementation and outcome and return on investment data this presentation was chosen first place by over 650+ attendees in Washington DC, March 6, 2025, at the HRSA RCORP Reverse Site Visit Innovation Tank Presentation.  

 

Sean Hopler, Director of Emergency Department, Summit Healthcare Regional Medical Center

 

Lindsay Westbrook, Lead Peer Support Specialists at Summit Regional Medical Center, HOPE Inc.  


Doyle/ Rees: Strengthening Resilience

Amplifying Community Voices: listening sessions identify opportunities and challenges for environmental justice organizations

The WEST Environmental Justice Center at the University of Arizona conducted a needs assessment in Arizona to understand capacity, strengths and needs related to environmental justice. The needs assessment included listening sessions in English and Spanish with 32 participants representing grassroots organizations, non-profit organizations and Tribal communities, including many rural and remote areas of Arizona. The listening sessions were co-designed and co-facilitated with community partners. The needs assessment integrated primary data from the listening sessions and WEST EJ Center documentation with secondary data including environmental needs and funding data for environmental justice work in Arizona. The key results from the needs assessment include: 

  • Communities in Arizona are confronting diverse environmental justice challenges in Arizona, and local knowledge is essential to addressing them
  • There is a need to support local capacity to find and manage funding to address local environmental justice issues
  • Community engagement efforts for environmental and energy justice should focus on understanding local history and context, showing up in both in-person and virtual spaces, and building relationships with trusted local leaders.  

In this session, we will discuss the needs assessment methods and results and engage participants in further discussion about the strengths and priorities of their communities.

 

Georgia Weiss-Elliott, Participatory Evaluation Specialist, Participatory Evaluation Institute, Center for Participatory Prevention, Evaluation and Action Research (PEAR), University of Arizona College of Public Health

 

Maia Ingram, Center for Participatory Prevention, Evaluation and Action Research (PEAR). University of Arizona College of Public Health


Abineau/Fremont: Systems Innovation

Leveraging Technology-Driven RPM: Enhancing Data, Analytics & Reporting to Advance Rural Healthcare Equity

Leveraging Technology-Driven RPM: Enhancing Data, Analytics & Reporting to Advance Rural Healthcare Equity, explores the transformative potential of Remote Patient Monitoring (RPM) in rural healthcare. Dr. Kang opens by defining RPM’s role in improving data collection, patient engagement, and reporting, framing the discussion around its impact on primary care and mental health integration. The session outlines best practices for RPM deployment, including strategies for overcoming operational and reimbursement challenges, and features real-world success stories from rural settings. Dr. Michels discusses how RPM integrates into primary care workflows, enhancing chronic disease management and care coordination. Dr. Ergie highlights RPM’s role in mental health, focusing on mood tracking, medication adherence, and bridging behavioral health gaps in underserved areas. The presentation concludes with a dynamic group discussion, where speakers reflect on cross-disciplinary insights and explore future opportunities for RPM. The session wraps up with an interactive Q&A, fostering deeper engagement and offering a platform for discussing RPM’s potential to shape the future of rural healthcare delivery.

 

Dr. Xiaoxu Kang, Founder & CEO, KangarooHealth

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Ergi Gumasaneli

Dr. Ergi Gumusaneli, CEO, Fitz ILias

 

Dr. Alan P. Michels, CEO and founder, Ponderosa Family Care

Humphreys: Workforce Development

Building a Practice-Based Research Network to Improve Primary Care Practice Across the State

Practice-Based Research Networks (PBRNs) are groups of primary care clinics and researchers working together to answer community-based health care questions that translate research findings into practice. PBRNs support and execute studies that evaluate the effectiveness of interventions across settings and can accelerate evidence-based innovations into practice through collaborations between researchers and providers. The development and expansion of PBRNs and other high-quality primary care research is a priority for the Agency for Health Research and Quality (AHRQ), especially in communities with high rates of patients traditionally underrepresented in biomedical research. Historically, PBRN studies have created significant change in clinical practice. By centering research questions on individual clinic experiences, they provide community- and clinic-informed research experiences. In collaboration with the College of Medicine-Phoenix, the College of Medicine-Tucson is building a statewide PBRN that includes any interested primary care clinics across the state. Our presentation will explore the value and structure of PBRNs, explain initially identified studies, and discuss the process for becoming a participating clinic.

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Karen Lutrick

Karen Lutrick, PhD, University of Arizona, College of Medicine-Tucson, Family & Community Medicine

Karen Lutrick, PhD, is an Associate Professor and Vice Chair of Research in Family and Community Medicine at the University of Arizona. Her primary research is focused on designing and implementing community and clinical research on issues related to primary care. Additionally, she has expertise in research education, building research infrastructure, rural health, social drivers of health, data science, and dissemination and implementation science (D&I), and practice-based research networks. 


Doyle/ Rees: Strengthening Resilience

Arizona Geriatrics Workforce Enhancement Program (AZ-GWEP): What is an Age-Friendly Health Systems (AFHS) and Why should my site become involved?

The Arizona Geriatrics Workforce Enhancement Program (AZ-GWEP) works to educate and train health and supportive care workforces to care for our state’s growing older adult population. Our goal is to improve health outcomes for older adults living in medically underserved, rural, and federally recognized tribal areas by engaging patients and families, integrating geriatrics into care, and creating age- and dementia-friendly clinical care sites. 

The AFHS Initiative has been an international movement since 2017. Currently over 4,000 hospitals, ambulatory practices, and long-term care sites are recognized as Age-Friendly. It is led by the Hartford Foundation, Institute for Healthcare Improvement, and the American Hospital Association. There are NO COSTS involved for clinics or hospitals to be recognized as Age-Friendly, and the process is designed to integrate into a site’s current quality improvement and care processes, rather than add new layers. Importantly, AFHS recognition will enhance a hospital’s ability to meet the new, mandatory 2025 CMS Hospital Measures, avoiding penalties and positioning for proposed incentives. Ambulatory measures and associated penalties/incentives are believed to be coming soon. There are two stages of implementation: Participation and Recognition. During this breakout session, we will discuss the AFHS 4M Framework, benefits to sites, specific steps for implementation, application forms, and submission process.

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Mindy Fain

Mindy J. Fain, MD, Anne & Alden Hart Professor of Medicine, Chief, Division of General Internal Medicine, Geriatrics and Palliative Medicine, Co-Director, University of Arizona Center on Aging, Director, Arizona Geriatrics Workforce Enhancement Program (AZ-GWEP)


Abineau/Fremont: Systems Innovation

Smart Solutions, Stronger Communities: The Future of Rural Health

Summit Healthcare Regional Medical Center is a not-for-profit healthcare organization, including a cancer center, serving a population of over 90,000 residents in a 3,000 square mile area across the White Mountains of Northeastern Arizona.  Summit has been able innovate by creating unique programs that reach patients where they are through remarkable digital excellence. This success wasn't achieved overnight. They overcame resource limitations through innovative IT strategies. Join us to discover Summit’s valuable lessons and learn how your rural health system can achieve similar innovation success.  

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Tina Burbine

Tina Burbine, Founder, Rural Health Community

Tina is recognized as an industry leader passionate about combining care innovation and digital health to drive unique care models and advocating for rural health resiliency. Over her career, Tina has focused on shaping the strategic approach for provider and payer organizations modernizing their operating models and establishing new models of evidence-based, cost-effective care delivery. Successful track record of serving clinical and operational teams with digital and IT alignment.  Tina holds an MBA, PMP, PgMP, and multiple industry certifications. She serves as the current Arizona HIMSS Chapter President and lectures at the University of Arizona’s BioMedical Informatics College Fellowship program.

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Jay Larson

Jay Larson, CIO, Summit Healthcare

Jay has spent most of his career working in healthcare IT. Jay holds degrees in Computer Systems Networking and Network Design and Management, as well as a diploma from Arizona Institute for Healthcare Leadership. Jay holds multiple CompTIA certifications incorporating cybersecurity, project management, and governance. Jay also supports the Infragard Joint FBI and Private Sector Partnership working to improve American cyber security. Jay is married to his high school sweetheart, and together, they have 4 wonderful children. In his spare time, Jay can usually be found with his family at The Dance Academy in Lakeside taking classes and coaching.

Humphreys: Workforce Development

Integrating Incentives in Rural Provider Compensation

Rural hospitals face unique challenges when recruiting and retaining physicians and advanced practice providers (APPs). Implementing effective incentive compensation models is a key strategy to enhance provider engagement, align organizational goals, and improve patient care—yet many rural facilities struggle with limited resources, data constraints, and market variability.

This session will provide rural hospital leaders with a practical framework for designing and implementing incentive compensation programs tailored to rural settings. Using real-world case studies from critical access and small PPS hospitals, we will explore how organizations have successfully developed compensation plans that drive performance, support provider satisfaction, and maintain financial sustainability.

Participants will gain insights into key components of effective incentive models, including productivity and quality metrics, regulatory compliance, stakeholder engagement, and change management. The session will also address pitfalls to avoid and offer tools for adapting plans to evolving organizational needs.

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Opal Greenway

Opal H. Greenway, Principal, Stroudwater

Opal Greenway is an expert in provider compensation, strategy, and clinic operations with 15 years of experience advising hospitals, health systems, and physician-owned groups. For over a decade, she has focused on rural healthcare, developing compliant, competitive compensation models and improving patient access. Drawing on her legal background, Opal ensures regulatory compliance while crafting alignment strategies. She also educates clients and partners on rural-specific challenges such as call burdens, provider burnout, recruitment difficulties, and staffing efficiencies, helping both independent clinics and health systems create sustainable, effective solutions tailored to the unique needs of rural communities.

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Shad Ritchie

Shad Ritchie, Senior Consultant, Stroudwater Associates

Shad Ritchie brings nearly 30 years of experience in provider compensation, practice operations, service line development, and network governance. He has led the growth of large physician networks, managed provider compensation plans, and developed primary care and women’s health service lines. Shad has worked across both urban and rural settings with primary and specialty care practices. He supports organizations in optimizing operations, developing service lines, and designing effective compensation strategies. Additionally, he has taught healthcare finance, project management, and strategic planning at the undergraduate and graduate levels, shaping future healthcare leaders through academic instruction and practical expertise. 


Doyle/ Rees: Strengthening Resilience

Freestanding Birth Center to Hospital Perinatal Transfers of Care: A Multi-Method Study of Outcomes and Experiences in Arizona

In the state of Arizona, perinatal transfers of care are associated with significant geographic and communication barriers that likely lead to the increased severe maternal morbidity rates associated with perinatal transfers of care. Between 2016-2019, a stunning 27.4% of all births (n = 73,593) in the state occurred following a transfer of care before delivery. The severe maternal morbidity (SMM) rate among these births is 1.5 times higher than the rate among births in which a transfer of care did not occur, increasing to 2.1 times higher when transfer travel times were > 1 hour. The purpose of this proposed research is to analyze perinatal transfers of care outcomes from community birth practices (freestanding birth centers, home birth) to hospitals in the state of Arizona. and conduct a multi-method study to evaluate and explore perinatal transfers of care outcomes and experiences. We will achieve this purpose through 1) a secondary data analysis of Arizona community birth outcomes in the American Association of Birth Centers Perinatal Data Registry 2) a survey of perinatal transfer experiences among community birth midwives in Arizona and 3) qualitative interviews conducted with a subset of survey respondents to further explore transfer experiences.

 

Erin K. George, Postdoctoral Research Fellow, The University of Arizona

Dr. Erin George, PhD, CNM, is a Postdoctoral Research Fellow at the University of Arizona College of Medicine. Dr. George practiced midwifery for over 10 years in hospital and freestanding birth center settings. She completed her PhD in Nursing at Boston College in 2023. Dr. George's research interests include perinatal decision-making, community birth experiences and outcomes, and midwifery workforce culture. Her work has been supported through various organizations, including the American College of Nurse-Midwives Foundation, the Association of Women’s Health, Obstetric, and Neonatal Nurses and Sigma/Western Institute of Nursing. Dr. George is also an Editorial Advisory Board member for JOGNN. 

 

Abineau/Fremont: Systems Innovation

Video AI to Transform Nursing Forever

Highly engaging presentation with real video footage from the ICU that demonstrates the ability of cameras with video AI to reduce burnout of nurses and give them more patient facing time. How cameras with video AI can inspect skin for pressure ulcers, sedation monitoring, pain and agitation monitoring, etc.

Addressing Language Barriers in Healthcare: The Impact of Informal Translation and Resource Gaps in Rural Communities

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Angel Avila Ortega

Avila Ortega Angel, Medical Studies BS, ASU

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Elizabeth Kizer

Elizabeth Kizer, DrPH, Associate Teaching Professor, ASU


CONECTATE: Community health workers improving community resilience by addressing chronic disease and social connectedness in the wake of COVID-19

  • Georgia Weiss-Elliott, Participatory Evaluation Specialist, Participatory Evaluation Institute, Center for Participatory Prevention, Evaluation and Action Research (PEAR), University of Arizona College of Public Health
  • Elexia Reyes, Chronic Disease Program Coordinator, Health Promotions, Yuma County Public Health Services District

Exploring Students' Perceptions and Experiences of Rural Occupational Therapy Practice: A Research Protocol

  • Heidi Carpenter, Assistant Professor, Doctoral Capstone Coordinator, Huntington University
  • Mary Schmitz, OTD, OT/L, Secretary, Community Emergency Response Team (CERT), Bullhead City, AZ

Forensic Nursing at Gila River Health Care

  • Ramona Butler, Forensic Nurse, Gila River Health Care

Harm Reduction and Cannabis Conversations in Arizona

  • Josue Cruz, Health Education Coordinator, Comprehensive Center for Pain & Addiction
  • Alyssa R. Padilla, MPH, Operations Director, Comprehensive Center for Pain & Addiction

Multimodal Telerehabilitation of Rural Patients with Metastatic Prostate Cancer

  • Joseph Finkelstein MD, PhD, University of Utah
  • Aref Smiley, PhD, University of Utah

Obstetric Simulation Training in Rural Arizona Communities without Birthing Centers

  • Elizabeth A Kizer, Executive Committee, Arizona Rural Health Association
  • Erin McMahon, CNM, EdD, Founding Midwifery Specialty Coordinator, College of Nursing, University of Arizona
  • Jill Bullock, Associate Director, AZ Center for Rural Health
  • Ashley Brock, MS student in Health Care Administration and Policy, Arizona State University

Strategies for Workforce Development and Improving Health Outcomes: Practice-Based Research & QI

  • Christy Pacheco, FNP; Assoc Clin Prof; Dir, UA CON AzAHEC Rural Health Professions Program, University of Arizona

Day 2: Wednesday, June 4

7:30-9:00 Continental Breakfast

Humphreys

An overview of system wide barriers that exist in obtaining perinatal mental health care, with a focus on the unique needs of rural areas. This will include review of the state of Arizona’s current standing in comparison to other states in their maternal health rating, discussion regarding predictors of maternal mortality, and barriers for accessing equitable care within the United States and Arizona. 

Resources to improve referral networks, access to care, and strategize for working with diverse populations with cultural humility will be reviewed and shared among attendees. The presentation will also include fictional case studies with opportunities for collaborative plans to actions.

Humphreys: Workforce Development

Personalized Medicine in Practice: Leveraging Pharmacogenetics for Optimized Medication Therapy in Complex Patients

This dynamic presentation explores the transformative potential of pharmacogenetics in modern healthcare, with a focus on optimizing medication therapy, particularly for patients facing complex, chronic conditions. Attendees will begin by gaining a foundational understanding of pharmacogenetics—how genetic differences influence drug metabolism, therapeutic response, and risk of adverse effects. Key biomarkers, black box warnings, drug-drug interactions, and compliance-related challenges will be examined to build a comprehensive clinical picture. Building on this foundation, we will delve into the application of pharmacogenetic data to individualize medication selection and dosing. The presentation emphasizes integrating these insights with lifestyle factors, over-the-counter (OTC) medication use, and holistic patient assessments to enhance outcomes, especially in polypharmacy scenarios. Finally, participants will evaluate real-world strategies for implementing Medication Therapy Optimization (MTO) through pharmacogenetic testing in clinical practice. Through the lens of electronic health records (EHRs), community health initiatives, and rural health settings, this session will provide actionable guidance for engaging stakeholders and overcoming implementation barriers. Whether you're a clinician, pharmacist, or healthcare administrator, this session will equip you with the knowledge and tools to leverage pharmacogenetics for more precise, effective, and patient-centered care.

 

Mike Tilton, Chief Growth Officer, DecisionRX


Doyle/Rees: Strengthening Resilience 

The power of using a Closed Loop Referral System to address SDOH

Using Insights, a Tableau-driven data dashboard to show the impact of using CommunityCares, Arizona's Closed Loop Referral System (CLRS) to address Social Determinants of Health (SDoH) in rural communities. We will reflect real-life information from a rural community in Arizona as an example of the effectiveness of CLRS' in Rural Communities along with case scenarios.

 

Ben Fisher, Community Programs Advisor, Contexture


Abineau/Fremont: Systems Innovation

Telemedicine Optimization, Reimbursement, and Policy Updates

A timely overview of key developments in telehealth to help organizations optimize service delivery and improve compliance with evolving policies and regulations. Attendees will learn how to enhance virtual care operations, navigate key reimbursement and regulatory considerations, and stay informed on evolving telehealth policy. The session will also highlight recent and proposed federal rulings that are expected to impact virtual prescribing, in-person visit requirements, and cross-state practice for controlled substance treatment. These insights are especially critical for rural communities, where telehealth provides a vital option for expanding access to care. Participants will leave with practical up-to-date knowledge and resources to strengthen and sustain their telemedicine services.

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Carrie Foote

Carrie Foote, Associate Director, Administration, ATP & Program Administrator, SWTRC, Arizona Telemedicine Program and Southwest Telehealth Resource Center

Carrie Foote, BS, BA serves as the Associate Director of Administration for the Arizona Telemedicine Program (ATP) and the Program Administrator for the Southwest Telehealth Resource Center (SWTRC). In these roles, she provides strategic leadership and administrative oversight, coordinating initiatives and cultivating partnerships across the Southwest region to strengthen telehealth infrastructure and expand access to care. She also provides tailored education, strategic consultation, and support to a wide range of stakeholders. In addition to representing ATP and SWTRC at local, regional, and national forums, she also oversees the development of public-facing communications, serving as editor of both organizations’ blogs, newsletters, and social media to help shape national conversations around telehealth policy, innovation, and best practices. 

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Michael Holcomb

Michael Holcomb, Interim Director and Associate Director, Information Technology, ATP & PI, SWTRC, Arizona Telemedicine Program and Southwest Telehealth Resource Center

Michael J. Holcomb, BS, is the Interim Director and the Associate Director for Information Technology for the Arizona Telemedicine Program (ATP) and Co-Principal Investigator and technology expert for the Southwest Telehealth Resource Center. He leads the Arizona Telemedicine Council’s quarterly meetings, serves as an instructor on privacy and cybersecurity in ATP training programs, has co-authored peer-reviewed publications about telemedicine and telehealth, and is a past chair of the Technology Special Interest group of the American Telemedicine Association. 

Humphreys

summary of the bills that were passed during Arizona's 2025 legislative session. I'll focus on the new laws that will be good for public health, those that are likely to be harmful, and the close calls (those that the governor vetoed). It will also cover key aspects of the final 2025-26 budget. 

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Portrait Will Humble

Will Humble, Executive Director, Arizona Public Health Association

Will Humble is a long-time public health enthusiast and is currently the Executive Director for the Arizona Public Health Association (AzPHA). His 40 years in public health include more than 2 decades at the Arizona Department of Health Services, where he served in various roles including as the Director from 2009 to 2015.  He continues it be involved in health policy in his role as the Executive Director for the AZPHA.   

Will is a believer in using evidence-based health policy to improve health outcomes and in leading and managing with emotional intelligence. Follow him on Twitter @willhumble_az 

Humphreys: Workforce Development

The Elev8 Initiative

Gila River Health Care’s Elev8 Initiative is committed to strengthening its tribal healthcare system and its workforce now and the future by elevating each individual’s journey.

  • LIC Medical and other health professions students as mentors and members
  • Fostering the interests of K-12 students in healthcare careers. Focusing on the concept of “growing your own.”
  • Cultivating community health and wellness.

 

Charlotte Mitchell BS, MPH, AHEC (Elev8) Program Coordinator, Gila River Healthcare 

Charlotte Mitchell BS, MPH, is the Elev8/AHEC Program coordinator for Gila River Healthcare, where she has served since 2017. A proud member of the Navajo Nation, Charlotte has over 15 years of experience in public health, focusing on education and outreach to improve health outcomes for school-aged children and families. She has worked across various tribal settings including schools, hospitals, and community centers, contributing to health promotion and disease prevention initiatives. Outside of work, Charlotte enjoys spending time with her family, playing sports, hiking, cooking listening to music, and sharing laughter.  

 

Frances Antone, BS, MS, PAC

Frances Antone, BS, MS, PAC, is a proud member of the Gila River Indian Community and dedicated youth mentor. Raised in in District 1, Blackwater, she earned her Bachelor of Science in Human Biology from Grand Canyon University in Phoenix, Arizona.  She went on to complete her Master of Science in Physician Assistant Studies at the Arizona School of Health in Mesa, Arizona. Since 2005, Frances has serves as a Physician Assistant at Gila River Healthcare. She plays a key role in the Elev8 Initiative, which empowers indigenous youth to pursue careers in healthcare.   

 

Frances Rios Villescaz, MPH, Medical Education Coordinator, Gila River Healthcare

Frances Rios Villescaz, MPH is the Medical Education Coordinator, bringing over 15 years of experience supporting Gila River Health Care (GRHC). She holds a Bachelor of Science in Health Care Administration and Master of Public Health from Grand Canyon University. Frances is dedicated to advancing patient-centered care for Indigenous families through healthcare and community outreach. She plays a key role in GRHC’s Elev8 Initiative, supporting the implementation of the AIH-AHEC grant, which promotes healthcare career education for Indigenous youth and undergraduates from K-12 to ages 13–16, helping shape the next generation of healthcare professionals. 

 

Jennifer Harvey, BBA, MHA Student, Manager, Medical Staff Services, Gila River Healthcare

Jennifer Harvey, BBA, MHA Student is the Manager of Medical Staff Services at Gila River Health Care (GRHC) and a Master of Healthcare Administration student. A citizen of the Navajo Nation from Fruitland, New Mexico, she has called San Tan Valley, Arizona, home for over two decades. She oversees medical staff services and provider enrollment operations, ensuring regulatory compliance and quality standards. She leads GRHC’s student programs with Arizona universities expanding rural healthcare training and facilitates the Elev8 Initiative, which empowers Indigenous youth to pursue healthcare careers, helping shape and strengthen the next generation of rural healthcare professionals.  


Doyle/Rees: Strengthening Resilience 

Multi-System Responsiveness, Vicarious Trauma, and Missed Handoffs - How System Changes Impact Both Patients and Employee Well-being and Retention

Over the past four years, Mr. Haglund, the “khaki farmer”, and Ms. Schulte, the “recovering politician,” have encountered the struggles of outdated behavioral health systems and policies firsthand. Through their collaborative leadership on various state, regional, and organizational projects across rural, remote, and frontier areas of the country, they have witnessed the pressing need for a comprehensive overhaul of the behavioral healthcare and justice systems. Their experiences and insights can be followed, listened to, and learned from on their podcast Stepping in It.

This presentation will highlight the growing trauma responses triggered by chronic stressors that have gone unaddressed over the past few years. Anxiety, depression, and isolation have reached epidemic levels in rural, remote, and frontier America. Compounding these issues is the rising tide of substance use and abuse, which exacerbates the challenges faced by these communities. Many rural and frontier states struggle with complex needs, workforce retention, and care coordination. As a result, employees are increasingly burned out, leaving providers without critical resources to meet the ever growing need. 

The facilitators of this session will examine the gap between policymakers' well-intentioned designs of trauma-informed integrated care and the stark realities of implementation. The post-pandemic era has revealed a healthcare workforce traumatized by ongoing challenges and resource shortages. By exploring these issues, this presentation aims to propose solutions and initiate conversations on the urgent need for a thoughtful, well-planned structural overhaul of rural behavioral health systems.

 

Jason Haglund, Senior Consultant, Rural Policy Partners

 

Renee Schulte, Senior Consultant, Rural Policy Partners


Abineau/Fremont: Systems Innovation

Tele-Nephrology at Critical Access Hospitals in Arizona

Tele-Nephrology is being provided throughout the state of Arizona in where 4 CAHs and their clinical teams are keeping their patients in the community versus transferring them to the urban hospitals.  Nephrology patients are high utilizers of healthcare, it is always better for the patient, their family and the community in providing care locally.  Not only is it impacting the hospital, but also the other healthcare providers in the community - a win/win solution for all involved.

Some of the lessons to be learned are; how to analyze your CKD population, projection of the hospitalizations, and why they are being hospitalized.   How the clinical team became the champions of a new service line within the CAH and the development of proven clinical processes, procedures and the competencies required to deliver quality care locally and the halo effect it had on a hospital.

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Rhonda Mason

Rhonda Mason, COO / CNO, TeleNeph

As the CNO/COO of TeleNeph, Rhonda is responsible for onboarding new clients and leads the account management team, ensuring the successful launch of dialysis/nephrology services at each facility as well as ongoing support.  

Rhonda is a master’s-prepared RN with over 30 years of experience in the acute hospital setting. She has spent a large part of her nursing career in leadership roles, most recently as the Chief Nursing Officer at a busy critical access hospital in Arizona. Prior to this, Rhonda held several positions including Nurse Manager, Case Manager/UR, Director of Quality, and CNO at critical access hospitals in Washington.  

 

Lori Green, Vice President/CNO, Mt. Graham Regional Medical Center

Lori is a master’s-prepared nurse serving as the Vice President/Chief Nursing Officer at Mt. Graham Regional Medical Center in Safford, Arizona. She has held this position over the past 20 years, leading patient-centered initiatives and focused on providing exceptional services to her community and the outlying areas.  

Nephrology/acute dialysis services was just one of the specialty areas identified as a need and under Lori’s leadership. These services are available to the community as of November 2024. 

Extreme heat poses a growing threat to community health and wellbeing, directly endangering lives and exacerbating existing health disparities. As one of the leading weather-related causes of death in the U.S., extreme heat claims thousands of lives annually, with vulnerable populations bearing the brunt of its impacts. Heat risk is amplified for vulnerable community members including older individuals, those with chronic illnesses, and outdoor workers. Rural communities face unique challenges in mitigating the effect of extreme heat making it important to identify, document and plan for opportunities to increase resiliency in rural populations. This session seeks to understand the impact of extreme heat on rural communities including existing support systems, community response efforts and needs to creating opportunities for heat relief and resilience. The Southwest Center for Outreach and Resilience in Climate and Health (SCORCH) and the Center for Rural Health at the University of Arizona in collaboration with Arizona Department of Health Services seek to engage rural partners in building heat resilience in Arizona communities. We will present information on current heat risk, vulnerability factors and weather trends in rural communities; followed by breakout group discussions on heat resilience and response strategies.

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Mona Arora

Mona Arora, PhD, MsPH, Director, Community Engagement Core, Southwest Center On Resilience for Climate Change and Health Assistant Research Professor, Environmental Health Science, Mel and Enid Zuckerman College of Public Health, University of Arizona

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Karina Duenas

Karina Duenas, LMSW, Research Project Manager, Mel and Enid Zuckerman College of Public Health, University of Arizona

A very special thank you to our 2025 Arizona Rural Health Conference Sponsors