Beyond the Horizon: What s Next? Session PH6, March 5, 2018 Don Calcagno, President, Advocate Physician Partners
|
|
- Willis Booth
- 5 years ago
- Views:
Transcription
1 Beyond the Horizon: What s Next? Session PH6, March 5, 2018 Don Calcagno, President, Advocate Physician Partners 1
2 Conflict of Interest Don Calcagno Has no real or apparent conflicts of interest to report. 2
3 Agenda Advocate Overview Healthcare Value Chain Understand and Optimize Care Disruption 3
4 Learning Objectives Describe the sustainability of a changing business model to accelerate the population health movement Explore advanced and disruptive technologies and their role in enabling innovative care delivery models Illustrate that population health will require understanding and optimization of a personalized longitudinal plan inclusive of clinical, behavioral, socioeconomic, and other factors 4
5 Advocate and APP Overview 5
6 $6.4 billion of revenue 1.6 million unique patients 1,007,000 value based lives 35,000 associates Advocate Health Care Physicians/Ambulatory 1,400 employed APCs Over 6,000 physicians in 450+ sites of care Hospitals (11) 4 teaching 5 level 1 trauma centers 1 children's 1 critical access 2 LTACH Post-acute Home health, hospice, SNF and palliative care 6
7 Outpatient Acute Care Post Acute UC Hosp Phy ED Hospital HH SNF LTACH 3,500 APP Independent 1,500 AMG 1,600 independent PLURALISTIC PHYSICIAN PLATFORM > 1M Lives: 666K shared savings 344K capitated $1.3B Funds Flow: Capitated, CI and Shared Savings Quality: MSSP: Top Decile/Top Quartile NCQA physician measures Largest MSSP ACO (saved > $134M last 2 years) MANAGED CARE 7
8 Performance Highlights TOP DECILE level based on available NCQA benchmarks on 28 CI MEASURES TOP QUARTILE on 7 CI MEASURES 8
9 Decreasing Variation across Populations %Patients who had a HbA1c Performed Diabetes: HbA1c >=9 9
10 AdvocateCare Performance 5.0% 4.0% 3.0% 2.0% 1.0% 3.1% 2.4% 2.4% 1.5% 3.5% 1.1% National Medical Services Inflation* %Change RBC Medical Expense 0.0% -1.0% -0.6%
11 Beneficiaries 145, ,617 Expenditure $11,229 $10,995 Quality Score 94.2% 97.28% Total Savings $73 M $61 M Earned Savings $34 M $29 M 11 MSSP Savings Top Top
12 Value 12
13 13
14 Health Care Value Chain Provider Employer Payer & Product Distributor Consumer 14
15 Payor-Provider Relationships Provider Employer Payer & Product Distributor Consumer Transactional Partnership Operational Excellence 15
16 Provider Employer Payer & Product Distributor Consumer Who bears financial risk? Who s capable of bearing risk? 16
17 IDN Financial Forecast Provider Employer Payer & Product Distributor Consumer 17
18 Changing Paradigms Provider Employer FROM... Silo care management Episodes of care Discharges Utilization management Caring for the sick Production (volume) TO... Enterprise care management Coordination of care Transitions Right care at the right place at the right time Keeping people well Performance (value) 18 Payer & Product Distributor Consumer
19 Provider Employer Payer & Product Distributor Consumer 19
20 Employers Payer & Product Provider Distributor Employer Consumer 20
21 Employers Provider Employer Promotion of high-performing providers Offer clinically integrated delivery models (ACOs, PMCHs) Centers of excellence for certain non-transplant procedures Payer & Product Distributor Consumer 15% 54% 11% 49% 29% 51% Direct contract with hospitals/health providers in specific locations Narrow network offered through independent entity Narrow network offered through health plan 9% 32% 1% 29% 15% 47% Current Future Source: 2017 Aon Health Survey, 560 employer respondents 21
22 Triple Aim 1. Improving the patient experience Payer & Product Provider Distributor Employer Consumer 2. Improving health outcomes 3.Reducing the total cost of care 4. Improving clinician experience* 22 *Triple to Quadruple Aim: Care of the Patient Requires Care of the Provider. Ann Fam Med 2014; 12: doi: /afm.1713.
23 Consumer Provider Employer Patient out of pocket costs are up 63% Payer & Product Distributor Consumer High deductible plans & premium increases AHA 2016 Full TrendWatch Chartbook 23
24 Provider Employer Payer & Product Distributor Consumer Health care spend is crowding out discretionary spending 24
25 Affordability Index Provider Employer Payer & Product Distributor Consumer JAMA. Published online November 02, doi: /jama Copyright 2017 American Medical Association. All Rights Reserved.
26 Prisoner s Dilemma The prisoner's dilemma is a standard example of two completely "rational" individuals might not cooperate, even if it appears that it is in their best interests to do so. 26
27 What is a providers business model? 27
28 2 streams 1 Rewarded income when we provide services 2 Rewarded when we do not provide inappropriate services IF. Non-negotiable Quality and Safety most important Management is given tools to actively manage Physicians are given tools to actively manage Payors partner with providers to structure 28
29 29
30 Lot s of forms of Financial Risk 1 Global Capitation 2 DRG/Case Rate 3 Shared Savings 4 Fee for Service 30
31 Total Provider Financial Value Margin on Services Shared Savings/ Risk Surplus + = Total Margin 31
32 Understand and Optimize Care 32
33 Analysis Framework Access Leading Indicators Low Acuity ED Visits $x $x PMPM ED Visits/ 1,000 $x $x PMPM Drivers ED Expense $x $x PMPM True North Acute Care Chronic Disease Hospitalizations $x $x PMPM Hospitalizations / 1,000 $x $x PMPM Hospitalizations Expense $x $x PMPM ACI Total Expense PMPM $x $x PMPM Post Acute Discharge to PAN SNF Program % Discharge to SNF/ 1,000 SNF Expense $x $x PMPM 33
34 Interdisciplinary Delivery Team (IDT) What is it? Multidisciplinary team that reviews polychronic individuals pre- and post- discharge to ensure needs are met Findings Strengthened cross continuum collaboration Enhanced use of disease management resources, (eg chronic care clinics) Multidisciplinary support for difficult outpatient cases = more effective care plans Group problem-solving for more appropriate setting Create culture for effective financial risk management 34
35 Integrated Care Management What is it? Care Management, unified and coordinated across the continuum Findings In design phase, pilot in ED starting. Clear from design work, operations were independent 35 From To
36 Disruption 36
37 Where does technology disruption occur? Personal Technology Benefit Design Data & Analytics Transparency Policy Medical Technology Process Improvement Payor Provider Distributor Employer Consumer 37
38 Connected Data Sources Registration and Billing Electronic Health Records Claims and Payers Labs Pharmacy Benefit Management 11 14, ,000+ 5,000+ Immunizations Master Person Indexes 38
39 Social Determinants of Health 39
40 The goal Integrated View of Care Patient Centered Care Hospital Provider Enabling Hospital Provider Scorecard Patient Home care Physician s office Home care Physician s office 40
41 What s Next for APP? Works in progress Patient Engagement phone app Payor analytics systems Asthma phone app Network utilization Tele-medicine Population Health platform Mobile eye exams 41 Lessons Members/Patients Engage how they want to Bandwidth for apps/videos Follow-through Some technology disrupts care continuum Administrative burden Systematic vs individual solutions
42 Questions? Please complete online session evaluation 42
Advocate Physician Partners approach to Population Health
Advocate Physician Partners approach to Population Health Don Calcagno President, Advocate Physician Partners March 9, 2016 Who are Advocate Health Care and Advocate Physician Partners? 1 Advocate Health
More informationFrom Bundles to Global Capitation: Aligning Care Models to Payment Models. The 16 th Annual Population Health Colloquium Philadelphia, PA
From Bundles to Global Capitation: Aligning Care Models to Payment Models The 16 th Annual Population Health Colloquium Philadelphia, PA March 8, 2016 The U.S. Payer Market is Committed to Dramatically
More informationA Practical Approach Toward Accountable Care and Risk-Based Contracting: Design to Implementation
A Practical Approach Toward Accountable Care and Risk-Based Contracting: Design to Implementation Daniel J. Marino, President/CEO, Health Directions Asad Zaman, MD June 19, 2013 Session Objectives Establish
More informationUsing Data for Proactive Patient Population Management
Using Data for Proactive Patient Population Management Kate Lichtenberg, DO, MPH, FAAFP October 16, 2013 Topics Review population based care Understand the use of registries Harnessing the power of EHRs
More informationAccountable Care Organizations Creating A Culture Of Engaged Physicians
Accountable Care Organizations Creating A Culture Of Engaged Physicians Judith Miller, VP Medical Services & CI Advocate Physician Partners August 14, 2014 1 Sites Of Care Advocate Health Care 13 Hospitals
More informationConnected Care Partners
Connected Care Partners Our Discussion Today Introducing the Connected Care Partners CIN What is a Clinically Integrated Network (CIN) and why is the time right to join the Connected Care Partners CIN?
More informationAdvocate Cerner Partnership Creates Big Data Analytics for Population Health
Advocate Cerner Partnership Creates Big Data Analytics for Population Health Tina Esposito, VP Center for Health Information Services Rishi Sikka, MD, Senior VP Clinical Operations Scottsdale Institute
More informationAccelerating the Impact of Performance Measures: Role of Core Measures
Accelerating the Impact of Performance Measures: Role of Core Measures Mark McClellan, MD, PhD Director, Engelberg Center for Health Care Reform Senior Fellow, Economic Studies Leonard D. Schaeffer Chair
More informationAccountable Care and the Laboratory Value Proposition. Les Duncan Director of Operations Highmark Health - Home and Community Services
Accountable Care and the Laboratory Value Proposition Les Duncan Director of Operations Highmark Health - Home and Community Services Agenda The Goals and Status of Delivery System Reform and Alternative
More informationLong term commitment to a new vision. Medical Director February 9, 2011
ACCOUNTABLE CARE ORGANIZATION (ACO): Long term commitment to a new vision Michael Belman MD Michael Belman MD Medical Director February 9, 2011 Physician Reimbursement There are three ways to pay a physician,
More informationHealthcare Financial Management Association October 13 th, 2016 Introduction to Accountable Care Organizations and Clinically Integrated Networks
Healthcare Financial Management Association October 13 th, 2016 Introduction to Accountable Care Organizations and Clinically Integrated Networks Agenda Define ACO, CIN, and Coordinated Care Review ACO/CIN
More informationThe Alternative Quality Contract (AQC): Improving Quality While Slowing Spending Growth
The Alternative Quality Contract (AQC): Improving Quality While Slowing Spending Growth Dana Gelb Safran, ScD Senior Vice President, Performance Measurement and Improvement Presented at: MAHQ 16 April
More informationPost-Acute Care Networks: How to Succeed and Why Many Fail to Deliver JULY 18, 2016
Post-Acute Care Networks: How to Succeed and Why Many Fail to Deliver HEALTH FORUM AND AHA LEADERSHIP SUMMIT JULY 18, 2016 SAN DIEGO, CALIFORNIA Please note that the views expressed are those of the conference
More informationACOs: California Style
ACOs: California Style ACO Congress John E. Jenrette, M.D. Chief Executive Officer Sharp Community Medical Group November 2, 2011 California Style California Style A CO California Style California Style
More informationDRIVING VALUE-BASED POST-ACUTE COLLABORATIVE SOLUTIONS. Amy Hancock, CEO Presented to: CPERI April 16, 2018
DRIVING VALUE-BASED POST-ACUTE COLLABORATIVE SOLUTIONS Amy Hancock, CEO Presented to: CPERI April 16, 2018 Cross-Continuum Road-Mapping Post-acute partners are beginning to utilize tools to identify new
More informationGetting Started in a Medicare Shared Savings Program Accountable Care Organization
1 Getting Started in a Medicare Shared Savings Program Accountable Care Organization Tuesday, September 16 th Pam Maxwell, Chief Growth Officer What is an ACO? Accountable Care Organizations (ACOs) are
More informationPopulation Health or Single-payer The future is in our hands. Robert J. Margolis, MD
Population Health or Single-payer The future is in our hands Robert J. Margolis, MD Today s problems Interim steps Population health Alternatives Conclusions Outline $3,000,000,000,000 $1,000,000,000,000
More informationPost-Acute Care Networks: How to Succeed and Why Many Fail to Deliver JULY 18, 2016
Post-Acute Care Networks: How to Succeed and Why Many Fail to Deliver HEALTH FORUM AND AHA LEADERSHIP SUMMIT JULY 18, 2016 SAN DIEGO, CALIFORNIA Please note that the views expressed are those of the conference
More informationReforming Health Care with Savings to Pay for Better Health
Reforming Health Care with Savings to Pay for Better Health Mark McClellan, MD PhD Director, Initiative on Health Care Value and Innovation Senior Fellow, Economic Studies October 2014 National Forum on
More informationPhysician Engagement
Pathways for Successful Accountable Care Organizations: Physician Engagement Thomas Kloos, MD Jim Barr, MD Atlantic ACO & Optimus Healthcare Partners ACO Helping providers Care Better for their patients.
More informationOne Medicine: Incorporating Population Health Principles and Best Practices into Clinical Workflow
One Medicine: Incorporating Population Health Principles and Best Practices into Clinical Workflow March 5, 2018 Jayne Bassler President, Population Health Services Organization Senior Vice President,
More informationSaint Francis Care and Cigna CAC Meeting the Triple Aim Together
Saint Francis Care and Cigna CAC Meeting the Triple Aim Together Christopher M. Dadlez, President and CEO Saint Francis Care Jess Kupec, President and CEO Saint Francis HealthCare Partners 22 nd Annual
More informationAn Overview of NCQA Relative Resource Use Measures. Today s Agenda
An Overview of NCQA Relative Resource Use Measures Today s Agenda The need for measures of Resource Use Development and testing RRU measures Key features of NCQA RRU measures How NCQA calculates benchmarks
More informationHealth System Transformation. Discussion
Health System Transformation Patrick Conway, M.D., MSc CMS Chief Medical Officer Deputy Administrator for Innovation and Quality Director, Center for Medicare & Medicaid Innovation Director, Center for
More informationBuilding an Ambulatory System of Care: Using Population Health to Combat Secular Trends & Achieve the Triple Aim
Building an Ambulatory System of Care: Using Population Health to Combat Secular Trends & Achieve the Triple Aim Christopher T. Olivia, MD, President June 11, 2014, All Rights Reserved and CONTINUUM HEALTH
More informationBuilding a Multi-System Clinically Integrated Network
Building a Multi-System Clinically Integrated Network 22 nd Annual AHA Leadership Summit July 2014 Valence Health Has Been Helping Provider Organizations Progress Toward Value-Based Care Since 1996 Technology-enabled
More informationRoadmap to accountable care: The chicken or the egg technology investment or clinical process improvement?
Roadmap to accountable care: The chicken or the egg technology investment or clinical process improvement? August 29, 2012 Meet the Presenters Michael Griffis CIO Innovative Practices Tucson, AZ Beth Hartquist,
More informationOptimizing Operations through Data Collection and Dissemination. Raymond Belles, Jr. Managing Consultant
Optimizing Operations through Data Collection and Dissemination Raymond Belles, Jr. Managing Consultant rbelles@bkd.com Learning Objectives Define the changing healthcare landscape Identify trends in home
More informationMedicare / Accountable Care Organization CHS Finance Division CPE Day November 2, 2015
Medicare / Accountable Care Organization CHS Finance Division CPE Day November 2, 2015 Steve Neorr Chief Administrative Officer, Triad HealthCare Network Jeff Jones Chief Financial Officer, Cone Health
More informationRedesigning Post-Acute Care: Value Based Payment Models
Redesigning Post-Acute Care: Value Based Payment Models Liz Almeida-Sanborn, MS, PT President Preferred Therapy Solutions This session will address: Discussion of the emergence of voluntary and mandatory
More informationA Partnership Approach to Getting Your Patient s Status Right
A Partnership Approach to Getting Your Patient s Status Right Karen Haesloop, RN, FNP, MSN, McBee Debra Schardt, RN, CPUR, MultiCare Health System Copyright 2017 by McBee Associates, Inc. All rights reserved.
More informationTransforming Delivery Systems for Population Health
Transforming Delivery Systems for Population Health George Isham, M.D., M.S. Senior Advisor, HealthPartners Senior Fellow, HealthPartners Institute for Education and Research October 9, 2015 Presenter
More informationA legacy of primary care support underscores Priority Health s leadership in accountable care
Priority Health has been at the forefront of supporting primary care, driving accountability, improving quality and improving care for patients. A legacy of primary care support underscores Priority Health
More informationUsing Data to Yield High Impact Business Intelligence Wednesday, July 25, 2012
Using Data to Yield High Impact Business Intelligence Wednesday, July 25, 2012 Brent J. Estes President and CEO, Rush Health About Rush Rush University Medical Center 673 Beds 36,000 admissions 391,700
More informationCritical Access Hospitals and Cost-Based Reimbursement
Critical Access Hospitals and Cost-Based Reimbursement Jared Heim, CPA, Partner jheim@eidebailly.com 563.557.6169 Agenda for Today Overview of Critical Access Hospitals Overview of Health Care Reform Behavioral
More informationThe New Frontier: Value- Based Payment Models
The New Frontier: Value- Based Payment Models Target Audience: Pharmacists and Pharmacy Technicians ACPE#: 0202-0000-18-026-L04-P/T Activity Type: Knowledge-based Target Audience: ACPE#: Activity Type:
More informationIntro to Global Budgeting
Intro to Global Budgeting Jim Hester House Health Care Committee & Senate Health & Welfare Committee 1/21/10 Agenda Goal of global budgeting Global budget models and examples Global payment model and examples
More informationCultural Transformation and the Road to an ACO Lee Sacks, M.D. CEO Mark Shields, M.D., MBA Senior Medical Director
Cultural Transformation and the Road to an ACO Lee Sacks, M.D. CEO Mark Shields, M.D., MBA Senior Medical Director AMGA Pre-conference Workshop 1 April 14, 2011 Washington, D.C. Disclosure Nothing in Today
More informationPopulation Health: Tamara Cull, MSW, LCSW, ACM National Director, Care Management, Value Based Programs and Operations November, 2014
In the Hospital and Health System ACO Tamara Cull, MSW, LCSW, ACM National Director, Care Management, Value Based Programs and Operations November, 2014 What We ll Be Discussing Who is CHI What are we
More informationPOPULATION HEALTH PLAYBOOK. Mark Wendling, MD Executive Director LVPHO/Valley Preferred 1
POPULATION HEALTH PLAYBOOK Mark Wendling, MD Executive Director LVPHO/Valley Preferred www.populytics.com 1 Today s Agenda Outline LVHN, LVPHO and Populytics Overview Population Health Approach Population
More informationManaging Risk Through Population Health Initiatives
Managing Risk Through Health Initiatives Vicki DeBaca, DNS, RN Vice President, Health & Provider Services Sharp Rees-Stealy Medical Centers 1 Sharp Rees-Stealy Medical Centers San Diego s Multi-Specialty
More informationThe Value of Integrating EMR and Claims/Cost Data in the Transition to Population Health Management
The Value of Integrating EMR and Claims/Cost Data in the Transition to Population Health Management By Jim Hansen, Vice President, Health Policy, Lumeris November 19, 2013 EXECUTIVE SUMMARY When EMR data
More informationEmblemHealth Advocate for Quality
EmblemHealth Advocate for Quality 2013 Average Health Care Spending per Capita, 1980 2009 Adjusted for differences in cost of living 1 Dollars Source: OECD Health Data 2011 (June 2011). THE COMMONWEALTH
More informationHealth Care Evolution
Health Care Evolution Patient-Centered Medical Home to Clinical Integration & Accountable Care Ken Bertka, MD bertka@mindspring.com 419-346-8719 Agenda Top 3 Challenges of Health Care Reform PCMH & ACO
More informationJumpstarting population health management
Jumpstarting population health management Issue Brief April 2016 kpmg.com Table of contents Taking small, tangible steps towards PHM for scalable achievements 2 The power of PHM: Five steps 3 Case study
More informationPost-Acute Care. December 6, 2017 Webinar Louise Bryde and Doug Johnson
Post-Acute Care December 6, 2017 Webinar Louise Bryde and Doug Johnson Topics for Discussion Background What Is Post Acute Care? Lexicon Levels of Care Why Focus on Post Acute Care? Emerging PAC Trends
More informationAmbulatory Care Delivery Strategy: The Key to Successful Population Health Management
Ambulatory Care Delivery Strategy: The Key to Successful Population Health Management Christopher T. Olivia, MD, President Michael Renzi, DO, Chief Medical Officer March 18, 2014 2014, Continuum Health
More informationFuture of Patient Safety and Healthcare Quality
Future of Patient Safety and Healthcare Quality Patrick Conway, M.D., MSc CMS Chief Medical Officer Director, Center for Clinical Standards and Quality Acting Director, Center for Medicare and Medicaid
More informationHealthcare Executive JULY/AUG 2016
10 Imperatives for Population Health Management by Laura Ramos Hegwer Taking an organization s population health management capabilities to the next level requires healthcare leaders to boldly rethink
More informationBundled Payments. AMGA September 25, 2013 AGENDA. Who Are We. Our Business Challenge. Episode Process. Experience
Bundled Payments AMGA September 25, 2013 Who Are We AGENDA Our Business Challenge Episode Process Experience 1 Cleveland Clinic is transforming Fee for service Fee for value 3 Fast Facts 41,200 employees
More informationReinventing Health Care: Health System Transformation
Reinventing Health Care: Health System Transformation Aspen Institute Patrick Conway, M.D., MSc CMS Chief Medical Officer Director, Center for Clinical Standards and Quality Acting Director, Center for
More informationExecutive, Legislative & Regulatory 2018 AGENDA. unitypoint.org/govaffairs
Executive, Legislative & Regulatory 2018 AGENDA unitypoint.org/govaffairs Dear Policy Makers and Community Stakeholders, In the midst of tumultuous times, we bring you our 2018 State Legislative Agenda.
More informationValue-Based Models: Two Successful Payer-Provider Approaches March 1, 2016
Value-Based Models: Two Successful Payer-Provider Approaches March 1, 2016 Clifford T. Fullerton, MD, MSc President, Baylor Scott & White Quality Alliance Chief Population Health Officer, Baylor Scott
More informationAccountable Care Organizations
Accountable Care Organizations Randy Wexler, MD, MPH, FAAFP Associate Professor Vice Chair, Clinical Services Department of Family Medicine The Ohio State University Wexner Medical Center Objectives To
More informationPHCA Webinar January 30, Latsha Davis & McKenna, P.C. Kimber L. Latsha, Esq.
PHCA Webinar January 30, 2014 Latsha Davis & McKenna, P.C. Kimber L. Latsha, Esq. 1 2 Intended to: Encourage the development of ACOs in Medicare Promotes accountability for a patient population and coordinates
More informationUC HEALTH. 8/15/16 Working Document
1) UC Health Mission Our mission is to make health care better. Each UC health system works to advance this mission in its community and as a system of health systems, we work together to catalyze innovation
More informationCommunity Paramedicine Seminar July, 20th 2015
Community Paramedicine Seminar July, 20th 2015 Partners DHS/MDH Hospitals EMS Medical Directors Primary care Home health Hospice Public health Affiliated clinics FQHC's CHC Look-alikes Commercial & Gov
More informationMedical Home as a Platform for Population Health
Medical Home as a Platform for Population Health Population Health Colloquium March 8, 2016 Emily Brower Vice President, Population Health Atrius Health Emily_Brower@atriushealth.org 2016 Atrius Health,
More informationAdvancing Primary Care Delivery
Advancing Primary Care Delivery Tenth National Pay for Performance Summit March 3, 2015 Simeon Schwartz, MD CEO, WESTMED Medical Group, P.C. WESTMED Medical Group Established 1996 by 16 physicians 300
More informationIntegrated Health System
Integrated Health System Please note that the views expressed are those of the conference speakers and do not necessarily reflect the views of the American Hospital Association and Health Forum. Page 2
More informationSharp HealthCare ACO. Presented by: Donald C. Balfour, M.D. President and Medical Director Sharp Rees-Stealy Medical Group
Sharp HealthCare ACO Presented by: Donald C. Balfour, M.D. President and Medical Director Sharp Rees-Stealy Medical Group Institute for Quality Leadership Annual Conference October 4, 2012 Sharp ACO Collaborations
More informationTransforming Healthcare Through Collaboration
Transforming Healthcare Through Collaboration June 7, 2016 12:00 1:00 pm ET **Audio for this webinar streams through the web. Please make sure the sound on your computer is turned on and you have speakers.
More informationValue-Based Care Contracting and Legal Issues
Session 4b Value-Based Care Contracting and Legal Issues Presented by: Janet Walker Farrer General Counsel and Insurance Legal Department Chair Ascension Health Leah Stewart Associate Vice President for
More informationImproving patient outcomes & health economics through connected health innovation
Improving patient outcomes & health economics through connected health innovation Session 103, February 21, 2017 Jeroen Tas, Chief Innovation & Strategy Officer, Philips Dr. Kevin Dellsperger, MD, PhD,
More informationFrom Reactive to Proactive: Creating a Population Management Platform
Session D9 / E9 From Reactive to Proactive: Creating a Population Management Platform Richard Gitomer, MD Director, Brigham and Women s Primary Care Center of Excellence Vice Chair, Primary Care, Dept.
More informationPanel Discussion: Home-Based Primary Care Led Population Management
Panel Discussion: Home-Based Primary Care Led Population Management Moderator: Steven Merhan, MD Panelists: Barbara Sutton, MSN APRN ACHPN Terri Hobbs Christopher Day, MPH MBA Faculty Disclosures Day Kindred
More informationPlanning a Course to Population Health Management
Planning a Course to Population Health Management A Complimentary Webinar From healthsystemcio.com Your Line Will Be Silent Until Our Event Begins at 12:00 ET Thank You! Slide Deck: http://goo.gl/1w119j
More informationCan We Have Healthcare Reform without Supply Chain Reform? Eugene S. Schneller, Ph.D.
Can We Have Healthcare Reform without Supply Chain Reform? Eugene S. Schneller, Ph.D. Gene.Schneller@asu.edu www.hcsxi.com What Other Business Would Work Like This? Health Care Wake Up! Supply chains (SC)
More informationVolume to Value Transition in the USA
Volume to Value Transition in the USA Lee A. Fleisher, M.D. Robert D. Dripps Professor and Chair of Anesthesiology Perelman School of Medicine at the University of Pennsylvania Email: lee.fleisher@uphs.upenn.edu
More informationActionable Data and Physician Engagement Drive ACO Success
Actionable Data and Physician Engagement Drive ACO Success Session #100, February 21, 2017 Christy Cawthon, University of Texas Southwestern Medical Center Sam Stearns, Verscend Technologies 1 Speaker
More informationOur Response to Health Reform: Collaborative Initiatives for Success
Our Response to Health Reform: Collaborative Initiatives for Success February 11, 2012 Joseph R Swedish, FACHE President and CEO Trinity Health Trinity Health: Unified Enterprise Ministry Serving Ten States
More informationTrinity Health Population Health Journey : Advanced Alternative Payment Models. March 23, 2017
Trinity Health Population Health Journey : Advanced Alternative Payment Models March 23, 2017 Trinity Health Overview 2 Agenda Trinity Health Overview Clinically Integrated Network Strategy Value Based
More informationClinical Integration Track. Terry Wooten,
Clinical Integration Track Putting Ideas and Theories to the Test in Clinical Effectiveness and Improved Outcomes Terry Wooten, VP, Clinical Supply Chain, St. Joseph Health Not-For-Profit Integrated Catholic
More informationProduct and Network Innovation: Strategies to Achieve Triple Aim Success. Patrick Courneya, MD Medical Director, HealthPartners October 31, 2013
Product and Network Innovation: Strategies to Achieve Triple Aim Success Patrick Courneya, MD Medical Director, HealthPartners October 31, 2013 Agenda About Minnesota s Market Measurement building blocks
More informationESSENTIAL STRATEGIES IN MEDI-CAL PAYMENT REFORM. Richard Popper, Director, Medicaid & Duals Strategy August 3, 2017
ESSENTIAL STRATEGIES IN MEDI-CAL PAYMENT REFORM Richard Popper, Director, Medicaid & Duals Strategy August 3, 2017 1 DISCLAIMER The enclosed materials are highly sensitive, proprietary and confidential.
More informationImproving Care and Managing Costs: Team-Based Care for the Chronically Ill
Improving Care and Managing Costs: Team-Based Care for the Chronically Ill Cathy Schoen Senior Vice President The Commonwealth Fund www.commonwealthfund.org cs@cmwf.org High Cost Beneficiaries: What Can
More informationOptum capability landscape. Modernising infrastructure. Advancing care. Empowering consumers.
Optum capability landscape Modernising infrastructure. Advancing care. Empowering consumers. Optum is a leading health services and innovation company dedicated to helping make the health system work better
More informationCommunity Paramedicine Seminar Milbank Memorial Fund, Nov
Community Paramedicine Seminar Milbank Memorial Fund, Nov. 6 2014 Partners DHS/MDH Hospitals EMS Medical Directors Primary care Home health Hospice Public health Affiliated clinics FQHC's CHC Look-alikes
More informationOutcomes Measurement in Long-Term Care (LTC)
ASHA Short Course Outcomes Measurement in Long-Term Care (LTC) Bill Goulding, MS/CCC-SLP November 19, 2012 How Do We Show Value? Easy to measure! Not so easy! V $$$ A L Impact? Cost U Benefit E What do
More informationSucceeding in a New Era of Health Care Delivery
March 14, 2012 Succeeding in a New Era of Health Care Delivery Building Value-Based Partnerships LeadingAge Pennsylvania Kathleen Griffin, PhD, National Director Post-Acute and Senior Services 1 Your Presenter
More informationIntegrating Population Health into Delivery System Reform
Integrating Population Health into Delivery System Reform Population Health Roundtable IOM Jim Hester Washington DC June 13, 2013 Theme The health care system is transitioning from payment rewarding volume
More informationNYS Value Based Payments (VBP):
NYS Value Based Payments (VBP): Provider Associations, Community Based Organizations, and Consumer Advocates Town Hall Meeting Jason Helgerson NYS Medicaid Director December 16, 2016 2 Today s Agenda Agenda
More informationNote: Accredited is the highest rating an exchange product can have for 2015.
Quality Overview Accreditation Exchange Product Accrediting Organization: NCQA HMO (Exchange) Accreditation Status: Accredited Note: Accredited is the highest rating an exchange product can have for 215.
More informationEmerging Opportunities: Pharmacy Care. NACDS Total Store Expo August 20, 2017
Emerging Opportunities: Pharmacy Care NACDS Total Store Expo August 20, 2017 Presentation Objectives Current value based healthcare landscape Medication management as a critical component to achieve value
More informationThe Influence of Health Policy on Clinical Practice. Dr. Kim Kuebler, DNP, APRN, ANP-BC Multiple Chronic Conditions Resource Center
The Influence of Health Policy on Clinical Practice Dr. Kim Kuebler, DNP, APRN, ANP-BC Multiple Chronic Conditions Resource Center Disclaimer Director: Multiple Chronic Conditions Resource Center www.multiplechronicconditions.org
More informationThree C s of Change in the Value-Based Economy: Competency, Culture and Compensation. April 4, :45 5:00 pm
Three C s of Change in the Value-Based Economy: Competency, Culture and Compensation April 4, 2014 3:45 5:00 pm 1 Introduction Kevin McCune, MD Chief Medical Officer Advocate Medical Group Peg Stone Vice
More informationHealthcare Clinic at Walgreens Access to Care Innovations Panel March 5, 2014
Healthcare Clinic at Walgreens Access to Care Innovations Panel March 5, 2014 Dr. Alan London Vice President, Strategic Clinical Partnerships 2014 Walgreen Co. All rights reserved. Walgreens is Well-Positioned
More informationSummary and Analysis of CMS Proposed and Final Rules versus AAOS Comments: Comprehensive Care for Joint Replacement Model (CJR)
Summary and Analysis of CMS Proposed and Final Rules versus AAOS Comments: Comprehensive Care for Joint Replacement Model (CJR) The table below summarizes the specific provisions noted in the Medicare
More informationAdirondack Medical Home Pilot Overview. Dennis Weaver MD MBA November 2, 2010
Adirondack Medical Home Pilot Overview Dennis Weaver MD MBA November 2, 2010 Critical Success Factors Lessons Learned Partnership among all stakeholders is essential Must define common goals and timelines
More informationPopulation Health and the Accelerating Leap to Outcomes-Based Reimbursement. Craig J. Wilson
Population Health and the Accelerating Leap to Outcomes-Based Reimbursement Craig J. Wilson Agenda / Goals Define Population Health Management Review emerging reimbursement landscape eg MACRA Review why
More informationMinnesota Perspective: Fairview Health Services. National Accountable Care Organization Congress October 25, 2010
Minnesota Perspective: Fairview Health Services National Accountable Care Organization Congress October 25, 2010 Fairview Overview Not-for-profit organization established in 1906 Partner with the University
More informationAdvanced Illness Management Leveraging Person Centered Care and Reengineering the Care Team Across the Continuum
Advanced Illness Management Leveraging Person Centered Care and Reengineering the Care Team Across the Continuum Betsy Gornet, FACHE Chief Advanced Illness Management Executive Sutter Health / Sutter Care
More informationACO: Ready or Not? Presented by: Robert C. Tennant Vice President. May 10, 2012
ACO: Ready or Not? Presented by: Robert C. Tennant Vice President May 10, 2012 About Health Directions Founded in 1985 as a Management Services Organization ( MSO ) for a South Chicago health system Evolved
More informationAustin Regional Clinic Seton Health Alliance
Austin Regional Clinic Seton Health Alliance Clinical Integration Through the Eyes of an Independent Multispecialty Physician Group AMGA Annual Conference March 14, 2013 Norman H. Chenven, M.D. Founder
More informationAccountable Care: Clinical Integration is the Foundation
Solutions for Value-Based Care Accountable Care: Clinical Integration is the Foundation CLINICAL INTEGRATION CARE COORDINATION ACO INFORMATION TECHNOLOGY FINANCIAL MANAGEMENT The Accountable Care Organization
More informationThe Digital Transformation Of Healthcare. Warner Thomas, President & CEO Ochsner Health System
The Digital Transformation Of Healthcare Warner Thomas, President & CEO Ochsner Health System Ochsner Health System Our Mission is to Serve, Heal, Lead, Educate, and Innovate Largest Health System In Gulf
More informationKatherine Schneider, MD, MPhil Senior Vice President, Health Engagement July 29, 2011
Accountable Care: Health System View CHC Best Practices Forum Katherine Schneider, MD, MPhil Senior Vice President, Health Engagement July 29, 2011 Who we are Southeastern New Jersey s largest health system
More informationCare Transitions and Health Information Exchange October 8, am 9:30am J. Marc Overhage, MD, PhD, Chief Medical Informatics Officer, Cerner HS
Care Transitions and Health Information Exchange October 8, 2015 9am 9:30am J. Marc Overhage, MD, PhD, Chief Medical Informatics Officer, Cerner HS 1 1 Conflict of Interest Disclosure J. Marc Overhage,
More informationCare Management at Mercy ACO
JANUARY 18 Care Management at Mercy ACO Case Study About Mercy Mercy ACO Care Management 01 Who they are Mercy ACO, one of the largest Accountable Care Organizations in the Midwest U.S. with 400+ service
More informationToward a high performing health system Accountable Care: Past, Present and Future
Toward a high performing health system Accountable Care: Past, Present and Future Elliott Fisher, MD, MPH Director, The Dartmouth Institute for Health Policy and Clinical Practice John E. Wennberg Distinguished
More information