Governance Board and Full Board of Directors Meetings Thursday, February 8, :00 p.m.
|
|
- Sylvia Randall
- 5 years ago
- Views:
Transcription
1 Governance Board and Full Board of Directors Meetings Thursday, February 8, :00 p.m. Lee Memorial Health System Board of Directors
2 BOARD OF DIRECTORS OFFICE FAX: DOCTORS WAY #190 FT MYERS, FLORIDA CAPE CORAL HOSPITAL GULF COAST MEDICAL CENTER HEALTHPARK MEDICAL CENTER LEE MEMORIAL HOSPITAL GOLISANO CHILDRENS HOSPITAL OF SOUTHWEST FLORIDA THE REHABILITATION HOSPITAL LEE PHYSICIAN GROUP LEE CONVENIENT CARE BOARD OF DIRECTORS DISTRICT ONE Stephen R. Brown, M.D. Therese Everly, BS, RRT DISTRICT TWO Donna Clarke Nancy M. McGovern, RN, MSM DISTRICT THREE Sanford N. Cohen, M.D. David Collins DISTRICT FOUR Diane Champion Chris Hansen DISTRICT FIVE Jessica Carter Peer Stephanie Meyer, BSN, RN AGENDA GOVERNANCE BOARD & FULL BOARD OF DIRECTORS MEETINGS February 8, 2018 at 1:00 p.m. Gulf Coast Medical Center Boardroom (Medical Office Building) Doctors Way, Ft. Myers, FL CALL TO ORDER (Sanford Cohen, M.D., Board Chairman) Lee Memorial Health System Board of Directors, sitting as the Board of Directors for Lee Health, Gulf Coast Medical Center & Lee Memorial Hospital/HealthPark Medical Center and the Board of Directors of its subsidiary corporations, including but not limited to Cape Memorial Hospital, Inc. doing business as Cape Coral Hospital; Lee Memorial Home Health, Inc.; and HealthPark Care Center, Inc. 2. INVOCATION & PLEDGE OF ALLEGIANCE (Rev. Mike Warthen, MDiv, BCC) 3. PUBLIC INPUT Agenda Items: Any Public Input is limited to three minutes and a Request to Address the Board of Directors card must be completed and submitted to the Board Staff prior to meeting. Individuals wishing to address the Board on a Non Agenda item must notify the Board Staff of the subject matter at least three (3) days prior to the meeting. 4. RECOGNITION: HRSA NATIONAL WORKPLACE PARTNERSHIP FOR LIFE HOSPITAL CAMPAIGN RECOGNITION (Lisa Sgarlata, Chief Patient Care Officer) (Liz Lehr, RN, MHA, Senior VP/Executive Director LifeLink of Florida) 5. PHYSICIAN LEADERSHIP COUNCIL (PLC) REPORT (Accept) (William Hearn, D.O., PLC Chairman) 6. PRESIDENT S REPORT (Larry Antonucci, MD, President & CEO) RECESS to CALL TO ORDER Lee County Trauma Services District Board of Directors Meeting (Sanford Cohen, M.D., Board Chairman) RECONVENE LEE MEMORIAL HEALTH SYSTEM BOARD MEETING (Sanford Cohen, M.D., Board Chairman) 7. CONSENT AGENDA (APPROVE) 1. Finance and Full Board Meeting Minutes of 1/25/18 2. Board Policy 10.26C Arrangement with Large Commercial User of System Services (No revisions) 3. Board Policy Direct Consultation with Medical Staff Leader (No Revisions) 8. INFORMATION TECHNOLOGY BUDGET IMPLICATIONS EPIC AND OTHER SYSTEMS UPDATE (Mike Smith, Chief Information Officer) 9. WORKFORCE PLANNING (Kristy Rigot, System Director of Recruitment & Retention) (Michelle Zech, Business Partner) 10. MENTAL & BEHAVIORAL HEALTH STRATEGY (Lisa Sgarlata, Chief Patient Care Officer) Lee Memorial Health System Board of Directors
3 AGENDA (Page 2 of 2) GOVERNANCE BOARD & FULL BOARD OF DIRECTORS MEETINGS February 8, 2018 at 1:00 p.m. BOARD OF DIRECTORS OFFICE FAX: DOCTORS WAY #190 FT MYERS, FLORIDA CAPE CORAL HOSPITAL GULF COAST MEDICAL CENTER HEALTHPARK MEDICAL CENTER LEE MEMORIAL HOSPITAL 11. OLD BUSINESS 12. NEW BUSINESS 13. Governance Portion: Nancy McGovern, Governance Liaison 14. BOARD OFFICER ELECTIONS (Jim Humphrey, Board Counsel) LEE HEALTH BUSINESS BOARD CHAIRMAN 15. BOARD MEETING CRITIQUE 16. BOARD OF DIRECTORS REPORTS GOLISANO CHILDRENS HOSPITAL OF SOUTHWEST FLORIDA THE REHABILITATION HOSPITAL LEE PHYSICIAN GROUP LEE CONVENIENT CARE Date of the next Meeting: ADJOURN (Board Chairman) February 22, 2018 at 1:00 p.m. Quality, Safety & Education and Full Board Gulf Coast Medical Center Boardroom Doctors Way, Ft. Myers, FL BOARD OF DIRECTORS DISTRICT ONE Stephen R. Brown, M.D. Therese Everly, BS, RRT DISTRICT TWO Donna Clarke Nancy M. McGovern, RN, MSM DISTRICT THREE Sanford N. Cohen, M.D. David Collins DISTRICT FOUR Diane Champion Chris Hansen DISTRICT FIVE Jessica Carter Peer Stephanie Meyer, BSN, RN Lee Memorial Health System Board of Directors
4 BOARD OF DIRECTORS Invocation & Pledge of Allegiance Lee Memorial Health System Board of Directors
5 BOARD OF DIRECTORS PUBLIC INPUT AGENDA ITEMS: Any public input pertaining to items on the Agenda is limited to three minutes and a Request to Address the Board of Directors card should be completed and submitted to the Board Staff prior to meeting. Refer to Board Policy: 10:15H: Public Addressing the Board Non-Agenda Item: Individuals wishing to address the Board on an item NOT on the Agenda, the Board office must be notified of subject matter at least three (3) days prior to the meeting to allow staff time to prepare and to insure the matter is within the jurisdiction of the Board. Lee Memorial Health System Board of Directors
6 BOARD OF DIRECTORS RECOGNITION: HRSA NATIONAL WORKPLACE PARTNERSHIP FOR LIFE HOSPITAL CAMPAIGN RECOGNITION (Lisa Sgarlata, Chief Patient Care Officer) (Liz Lehr, RN, MHA, Senior VP/Executive Director LifeLink of Florida)
7 BOARD OF DIRECTORS PHYSICIAN LEADERSHIP COUNCIL REPORT William Hearn, D.O, PLC Chairman Lee Memorial Health System Board of Directors
8 INFLUENZA UPDATE: Physician Leadership Council Report 2/08/18 The pneumonia and influenza mortality has exceeded the epidemic threshold from previous years. Positive test results reflect a very high increase in positive test results when comparing 2016/2017 flu season with the 2017/2018 flu season. The CDC recommends the use of antiviral treatment as soon as possible for all hospitalized, severely ill, and people who are at higher risk for complications with suspect influenza. Medical Staff is participating in regular Flu update meetings and planning sessions. REVISED CALL PAY PROGRAM: The Administration plans to update both the structure and process of current call programs and develop, implement and administer the system s call pay programs for both ED and Trauma. Current call pay rates are result of multiple agreements at various dates, ranging 1-12 years ago. Program changes will ensure consistency across all specialties by using national benchmarks, standard agreements and an indexed MGMA pay rate for current and future call arrangements. New Call Program agreements will be executed not later than July 1, These actions are meant to ensure specialty coverage across the entire system. PATIENT EXPERIENCE UPDATE: Physician/Nurse Rounding is essential for Improving Patient Experience. Proven improvement of scores. An education plan will be presented at the next PLC meeting in order to move forward and engage physician/nurse rounding of non-contracted medical staff. Part of the Quality metrics of contracted groups. Communication with Doctors is crucial for improving scores. Efforts to have patients rate always are being made. A comparison of hospitals throughout Florida with HCHAPS 4 star rating was reviewed in comparison with local Lee and Collier hospitals. CLINICAL COLLABORATION COUNCIL UPDATE: Telemetry Update: utilization is down approximately 35% system wide with Zero SSE related to the Telemetry project in 3 months after go-live. Cardiac Bundle Update The implementation of CMS bundle payments has been postponed. The health system is not obligated to participate. Lee Health Administration and MS recognize the scope of the bundle to be critical to our population to improve quality, patient experience and cost of care. Plan is to finish the work and develop an integrated model of care for future CMS innovations and success in other advanced payment models.
9 Top action items for areas of improvement for Stemi / Non-Stemi and CABG was presented. Sepsis Workgroup update The new Sepsis Order sets were implemented October 24, The utilization of ED provider sepsis order set since Sepsis 2.0 go-live is approximately 50% system-wide. Barriers are being evaluated and resolved locally and system-wide. Sepsis outcomes dashboard in Epic is a tool that is available to monitor performance on CMS bundle compliance, mortality, readmission rate, and LOS. SSI/ERAS Update: The top 20 surgeons by number of procedures through November, 2017 for Colorectal SSI have been evaluated. Documentation and specific language is crucial to reduce apparent infection rates. A new action plan implemented January 1 st. PHYSICIAN COMMUNICATION PLAN: The implementation of a Steering Committee formed. It was noted, pediatric representative will be added to the Steering Committee. Monthly president s report to physicians that will include topics i.e. strategy, mission, vision, major news will be ed and placed in the physicians lounges. New CCC monthly newsletter to the medical staff and CCG members with CCG status will be ed and available in SharePoint. Electronic solutions utilizing Sharepoint and integration with existing EPIC platform MEDICAL STAFF REORGANIZATION: Need of medical staff legal representation. Physicians need to know where to go to get complex information with the continuing changes with Medicare COP s, bundle payments, etc. Recommendation was made to present a prepared brief summary to all FMEC s in March for further direction from the medical staff. Bylaws Committee convened 1/24/18. Medical Staff has agreed upon a selection of external Legal Council to help guide the process.
10 BOARD OF DIRECTORS PRESIDENT S REPORT Larry Antonucci, MD, President & CEO Lee Memorial Health System Board of Directors
11 Lee Health Board of Directors Meeting February 8, 2018 President s Report Health Grades Baby Friendly Site Visit Medicaid Work Requirement impact ECCL meeting follow up State Budget Update HealthCare Disruptors Organizational Structure Update
12 Users don t pay Supply drives demand Very limited pricing power Provide service without payment Our primary supplier is our customer It s hard to comparison shop 1
13 Mortality Cohorts HealthGrades 5 Star Diagnosis/Procedure In-house Mortality Mortality 30 Day Bowel Obstruction X COPD X X Coloector Surgery X CABG X X Coronary Interventional Procedures X Cranial Neurosurgery X Diabetic Emergencies X Esophageal/Stomach Surgeries X GI Bleed X AMI X X CHF X X Pancreatitis X Pneumonia X X Pulmonary Embolism X Respiratory Failure X Sepsis X Small Intenstine Surgeries X Valve Surgery X HealthGrades In-house Mortality Compared to 5 Star 30 Day Any Cause Mortality 2
14 In-Hospital Complication Cohorts HealthGrades 5 Star Diagnosis/Procedure Complication Complication Abdominal Aortic Aneurysm Repair X Appendectomy X Back and Neck Surgery (no Fusion) X Carotid Surgery X Defibrillator Procedures X Gallbladder Removal Surgery X Hip Fracture Treatment X Hip Replacement X X Pacemaker Procedures X Peripheral Vascular Bypass X Prostate Vascular Surgery X Spinal Fusion X Total Knee Replacement X X Transurethral Prostate Resection Surgery X HealthGrades In-house Complications Compared to 5 Star In-house Complications 3
15 REV. 2 Senior Leader Org chart VP s and above Board Legal Counsel Jim Humphrey Board of Directors President Larry Antonucci Chief Medical & Clinical Integration Officer Scott Nygaard, M.D. Chief Foundation Officer Lee Health Foundation Skip Leonard Chief Acute Care Officer Scott Kashman Chief Population Health Officer John Chomeau Chief Patient Care & Nursing Officer Lisa Sgarlata CAO Golisano Children s Services Armando Llechu Chief Legal Officer Legal Services Mary McGillicuddy Chief Human Resources Officer Jon Cecil Interim Chief Compliance Officer Ben Spence Chief Financial & Business Services Officer Ben Spence Chief Admin. Officer LPG, Home Health & Physician Services Kristine Fay Vice President LPG Operations LaTrice Davis Vice President Oncology and Palliative Care Dennis Bruens Medical Director Palliative Care Colleen Tallen, M.D. CAO System Ancillary Services Josh DeTillio GCMC Acute Care Medical Officer Jonathan Velez, M.D. System Medical Director Care Management Jon Hart.M.D. GCMC VP Pt. Care Svs. Holly Muller GCHSWFL VP Pt. Care Svs. Susan Ryckman GCHSWFL Acute Care Medical Officer VACANT System Medical Director Wellness & Emp. Health Sal Lacagnina D.O. Chief Information Officer Mike Smith Vice President & CMIO Bill Carracino. M.D. Vice President LPG Nursing Ambulatory Diane Smith Chief Admin. Officer Outpatient Services David Cato Vice President Rehab Hospital Jeffrey Brown Vice President Coconut Point Alex Greenwood Vice President Quality & Safety Alex Daneshmand, D.O. VP Medical Affairs Medical Staff Services Mark Greenberg, M.D. Medical Director Oncology James W. Orr Jr., M.D. System Medical Director Physician Services & Cultural Transformation Phyllis Neef M.D. Chief Medical Officer Lee Physician Services Venkat Prasad, M.D. Regional Medical Officer & System Medical Director Pediatrics Emad Salman, M.D. System Medical Director LPG Hospitalist Medicine Andres Laufer, M.D. Medical Director Informatics Leah Lynch, M.D. Medical Director Academics & Medical Ed. Eric Goldsmith, D.O. HPMC Acute Care Medical Officer Eric Appelgren, M.D. CCH Acute Care Medical Officer Harry Alberti, M.D. LMH Acute Care Medical Officer Scott Wolf, D. O. HPMC VP Pt. Care Svs. Cindy Brown CCH VP Pt. Care Svs. Wendy Piascik LMH VP Pt. Care Svs. Jennifer Higgins System Medical and nursing practice oversight through Chief Medical Officer and Chief Nursing Officer Clinical Service Line Dyads: Oncology James Orr M.D., Dennis Bruens Heart & Vascular Institute Rick Chazal M.D., Michael Montgomery Neuroscience Institute Bill Carracino M.D. interim, Cindy Drapal Orthopedic Co-Management John Mehalik M.D., Alex Greenwood Infectious Disease Mary Beth Saunders D.O., Stephen Streed Vice President Facilities & Support Services Dave Kistel Vice President Finance Patty Duquette Vice President Revenue Cycle PHO Anne Rose Medical Director Clin. Integration PHO Joby Kolsun, D.O. President LeeSar & CSF Bob Boswell Vice President Clin.Transformation Marilyn Kole M.D.
16 RECESS To Call to Order the: Lee County Trauma Services District Board of Directors Meeting Board Chairman: Sanford Cohen, M.D.
17 TRAUMA DISTRICT MEETING TO CHAIRMAN: RECONVENE Lee Memorial Health System FULL BOARD OF DIRECTORS MEETING Thursday, February 8, 2018 BOARD CHAIRMAN: Sanford Cohen, M.D.
18 BOARD OF DIRECTORS CONSENT AGENDA (APPROVE) 1. Finance and Full Board Meeting Minutes of 1/25/18 2. Board Policy 10.26C: Arrangement with Large Commercial User of System Services (No revisions) 3. Board Policy 30.05: Direct Consultation with Medical Staff Leader (No Revisions)
19 FINANCE BOARD AND FULL BOARD OF DIRECTORS MEETING MINUTES Thursday, January 25, 2018 LOCATION: Gulf Coast Medical Center, Medical Office Building, Board of Directors Boardroom, Doctors Way, Fort Myers, FL MEMBERS PRESENT: Sanford N. Cohen, M.D., Board Chairman; Donna Clarke, Board Vice Chairman; David Collins, Board Treasurer; Therese Everly, Board Secretary; Stephanie Meyer, BSN, RN, Board Member; Nancy McGovern, RN, MSM, Board Member; Stephen Brown, M.D., Board Member; Jessica Carter Peer, Board Member MEMBERS ABSENT: Chris Hansen, Board Member; Diane Champion, Board Member NOTE: Documents referred to in these minutes are on file by reference to this meeting date in the Office of the Board of Directors and on the Board of Directors website at for public inspection. SUBJECT DISCUSSION ACTION FOLLOW- UP MEETING The LEE HEALTH FINANCE BOARD CALLED TO ORDER & FULL BOARD OF DIRECTORS MEETINGS were CALLED TO ORDER at 1:00 p.m. by Sanford Cohen, M.D., Board Chairman. INVOCATION AND PLEDGE OF ALLEGIANCE PUBLIC INPUT RECOGNITION: KATHLEEN HERRICK 29 YEARS PRESIDENT S REPORT Rev. Denise Sawyer, MDiv, BCC, gave the Invocation, followed by the Pledge of Allegiance. None at this time. Susan DiMatteo recognized Kathleen Herrick for 29 years of service. Larry Antonucci, M.D., President & CEO presented the President s Report. Discussion ensued about the opioid crisis. CHAIRMAN TO FINANCE LIAISON The gavel was turned over to FINANCE Liaison, David Collins, to CONVENE the FINANCE portion of the meeting at 1:27 p.m. CONSENT AGENDA David Collins asked for approval of the Consent Agenda. A motion was made by Donna Clarke to approve the Consent Agenda consisting of: 1. Financial and Statistical Reports as of October 31, Financial and Statistical Reports as of November 30, 2017 The motion was seconded by Nancy McGovern and carried with no opposition. PRICE WATERHOUSE COOPERS FY 2017 AUDIT REPORT John Sittig presented the Price Waterhouse Coopers FY 2017 Audit Report. Discussion ensued. A motion was made by Therese Everly to accept the Price Waterhouse Coopers FY 2017 Audit Report. The motion was seconded by Jessica Carter Peer and carried with no opposition. FINANCIAL AND STATISTICAL BUSINESS Ben Spence presented the Financial and Statistical Business. A motion was made by Nancy McGovern to accept the Financial and Statistical Reports as of December 31, The motion was seconded by Jessica Carter Peer and carried with no opposition. Lee Memorial Health System Board of Directors
20 LEE HEALTH FINANCE & FULL BOARD OF DIRECTORS MEETING MINUTES Thursday, January 25, 2018 Page 2 of 4 SUBJECT DISCUSSION ACTION FOLLOW- UP Stephen Brown requested an update on the number of Flu cases at the next Scott Nygaard/ Quality, Safety & Education Meeting. Flu Update/ 2/22/18 Discussion ensued around bad debt, Medicare and supplemental insurance plans. John Chomeau to report back to the Board. John Chomeau/ Beneficiary/ TBD Therese Everly discussed readmission rates and requested an update on the Chronic Care Clinics and Expansion Model. Lisa Sgarlata/ Dr. Prasad/ Chronic Care Clinics/ Expansion Model/TBD MED PLAZA ONE ACQUISITION Ben Spence asked for approval of the Med Plaza One Acquisition. A motion was made by Stephen Brown to (1) approve the contract to purchase of property located at 9800 South Health Park Drive, Fort. Myers, FL 33908, from Lee Memorial Hospital, Inc., d/b/a Lee Healthcare Resources, for the purchase price of $12,350,000 subject to terms and conditions set forth in the contract and seller financing terms listed in Exhibit A ; (2) authorize the President of Lee Health to execute the purchase agreement and other documents necessary to effectuate the purchase of the property subject to review and approval by legal counsel; and (3) authorize the Board Chairman to execute the attached Resolution of the Lee Memorial Health System Board of Directors. The motion was seconded by Nancy McGovern. Discussion ensued. The Board requested additional information on the survey, appraisal and value of the land lease. A motion was made by Dr. Cohen to table the Med Plaza One Acquisition until further information is available. The motion was seconded by Nancy McGovern and carried with no opposition. Ben Spence/TBD FINANCE LIAISON TO CHAIRMAN The next LEE HEALTH Finance Board Meeting is: Thursday March 22, 2018, at 1:00 p.m. Gulf Coast Medical Center, Medical Office, Boardroom Doctors Way, Fort Myers, FL The gavel was turned over to the Board Chairman, Sanford Cohen, to RECONVENE the FULL BOARD portion of the meeting at 3:10 p.m. RECESS was called at 3:11 p.m., meeting RECONVENED at 3:20 p.m. CONSENT AGENDA Dr. Cohen asked for approval of the Consent Agenda. A motion was made by Therese Everly to approve Consent Agenda items: 1. Planning and Full Board Meeting Minutes of 1/11/18 The motion was seconded by David Collins and carried with no opposition. Donna Clarke and Stephanie Meyer were not present for the vote. Lee Memorial Health System Board of Directors
21 Discussion ensued. LEE HEALTH FINANCE & FULL BOARD OF DIRECTORS MEETING MINUTES Thursday, January 25, 2018 Page 3 of 4 SUBJECT DISCUSSION ACTION FOLLOW- UP CORPORATE Tracy Stott Pyles presented the Corporate Compliance Report. A motion was made by Donna Clarke to accept the Corporate COMPLIANCE REPORT Compliance Report for the period October - December The motion was seconded by Jessica Carter Peer and carried with no opposition. MEDICAL STAFF RECOMMENDATIONS OLD BUSINESS Dr. Cohen asked for approval of the Medical Staff Recommendations. Stephanie Meyer recused herself from voting. Dr. Cohen asked for approval of the Board of Directors Commitment to Excellence Award. A motion was made by Donna Clarke to approve the Medical Staff Recommendations for all five listed institutions. The motion was seconded by Nancy McGovern and carried with no opposition. A motion was made by Donna Clarke to approve option 4 and all the details listed in the documentation. The motion was seconded by Jessica Carter Peer. Therese Everly suggested the audit process as a future workshop topic. Donna Clarke suggested placing this topic in the Strategic Planning Workshop. Therese Everly moved to amend the main motion to include the Board be extended an invitation to attend the departments celebration. The motion to amend was seconded by Donna Clarke and carried with no opposition. The amended motion passed without opposition. Audit Workshop/TBD NEW BUSINESS Nancy McGovern requested Board Members to send the Board Office Coordinator any information they would like on the Governance agenda for the next meeting. BOARD MEETING CRITIQUE BOARD OF DIRECTORS REPORTS Dr. Cohen stated that he would like a Dashboard Summary of the last two meetings at the next Board Meeting. Therese Everly stated that the Med Plaza One green sheet lacked key components of the contract. Donna Clarke would like to know what would happen if we did not purchase the Medical Plaza lease. Stephen Brown thanked David Collins and Ben Spence for their work. Stephen Brown thanked the staff at HealthPark for their wonderful care while admitted. Therese Everly will liaison for the Liability Insurance Bid Committee and will report back. Therese updated the Board on the closing of the Cath Lab at Cape Coral Hospital. She congratulated the team for moving the Phase 3 Cardiac Rehab Program into the Wellness Center, attended the FHA Annual Membership Meeting and the Make a Wish Ball. Nancy McGovern informed the Board that Mary Andrews will be presenting at the League of Women Voters on Saturday, February 3 rd at the Heritage Palms Golf and Country Club in Fort Myers. Jessica Carter Peer attended the FHA Annual Membership Meeting and informed the Board of the SWFL VegFest this Sunday, January 28 th at the Riverside Park in Bonita Springs. Lee Memorial Health System Board of Directors Board Staff/ Summary/ 2/8/18
22 LEE HEALTH FINANCE & FULL BOARD OF DIRECTORS MEETING MINUTES Thursday, January 25, 2018 Page 4 of 4 SUBJECT DISCUSSION ACTION FOLLOW- UP Minnie Jackson, Community Member attended the JimFest at Lee Memorial Hospital and informed the Board that she will be taping with Lee Pitts Live on the subject of Lee Health from the closure of Jones Walker to now. NEXT REGULAR MEETING The next LEE HEALTH BOARD OF DIRECTORS GOVERNANCE BOARD AND FULL BOARD MEETING will be held on February 8, 2018, at 1:00 p.m. in the Gulf Coast Medical Center, Medical Office Building, Boardroom Doctors Way, Fort Myers, FL ADJOURNMENT Minutes were recorded by Jennifer Zager, Assistant to the Board of Directors The LEE HEALTH SYSTEM FINANCE BOARD & FULL BOARD OF DIRECTORS MEETINGS ADJOURNED at 4:10 p.m. by Sanford Cohen, M.D., Board Chairman. Therese Everly Date approved Board Secretary Lee Memorial Health System Board of Directors
23 Once this policy is printed, it is not considered a controlled document. Please review electronic version of this policy for the most current document. LEE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS POLICY MANUAL no C supersedes no.10.26b category: General Operations title: Arrangement with Large Commercial User of System Services Date Originated: 01/08/91 Reviewed/No Revision: 11/21/13, 2/8/18 Dates Revised: 03/27/91,07/31/98,07/26/02 Next Review Date: 11/21/172/8/ PURPOSE: To provide for competitive negotiations with large volume users POLICY: The Board of Directors authorizes the President or designee to negotiate and conclude arrangements with third party payors of services, including but not limited to Health Maintenance Organizations (HMO's) and Preferred Provider Organizations (PPO's). The Board will be provided with a schedule of such arrangements annually. Any arrangement with third parties which could have a material affect on the approved Hospital budget should be reviewed by the System Treasurer and the Hospital Board C Arrangement with Large Commercial User of System Services Page 1 of 1
24 Once this policy is printed, it is not considered a controlled document. Please review electronic version of this policy for the most current document. LEE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS POLICY MANUAL no supersedes no category: Medical Staff Relations title: Direct Consultation with Medical Staff Leader Date Originated: 02/05/2015 Reviewed/No Revision: 2/8/18 Dates Revised: Next Review Date: 02/05/182/8/ PURPOSE: To establish a policy and procedure for the Lee Memorial Health System Board of Directors to consult directly with the individual assigned the responsibility for the organization and conduct of each of the hospital s Medical Staff, or his or her designee, as required by federal regulations POLICY: 1. Pursuant to the Medical Staff Bylaws, the Medical Staff serves as the primary means for accountability to the Lee Memorial Health System Board of Directors for the quality of the medical care provided to patients of each hospital. 2. The President of the Medical Staff is assigned responsibility for the organization and conduct of the Medical Staff. The Centers for Medicare and Medicaid refers to the individual assigned this responsibility as the leader of the Medical Staff. 3. The Board of Directors will consult directly with the President of the Medical Staff, or his or her designee. An individual may be the designated consultant for multiple hospitals as long as the designee is knowledgeable about the quality of medical care provided to patients of each hospital. 4. Direct consultation will occur periodically throughout the calendar year, in accordance with this policy, and include discussion of matters related to the quality of medical care provided to patients of each hospital. 5. "Direct consultation" means that the governing body, or a committee or subcommittee of the governing body, meets with the leader of the Medical Staff, or his or her designee, either faceto-face or via a telecommunications system permitting immediate, synchronous communication. 6. As a governing body of a multi-hospital system that has one single governing body, the Lee Memorial Health System Board of Directors will consult with each separately certified hospital's Medical Staff leader, or his or her designee. The consultations do not have to be separate and may include the leader of the Medical Staff, or his or her designee, from each Direct Consultation with Medical Staff Leader Page 1 of 2
25 Once this policy is printed, it is not considered a controlled document. Please review electronic version of this policy for the most current document. hospital within the health system, so long as there is discussion of matters related to the quality of medical care provided to the patients of each hospital. Procedure: 1. The President of the Medical Staff will advise the Board of Directors when assigning another individual as the designee for periodic consultation with the Board of Directors. Designations may be informal and made on an ad hoc basis. 2. Consultations will occur at least twice during the calendar year. The Board of Directors will be responsive to any periodic and/or urgent requests from the President of the Medical Staff, or his or her designee, for timely consultation on issues regarding the quality of medical care provided to patients. Further, the Board of Directors retains flexibility to schedule additional consultations during the calendar year with the President of the Medical Staff, or his or her designee. 3. Documentation will be created to demonstrate the required consultations have occurred. Such documentation may include, meeting agendas and lists of attendees; or minutes, including who was present and that matters related to the quality of medical care provided to patients of each hospital were discussed Direct Consultation with Medical Staff Leader Page 2 of 2
26 BOARD OF DIRECTORS INFORMATION TECHNOLOGY BUDGET IMPLICATIONS EPIC AND OTHER SYSTEMS UPDATE (Mike Smith, Chief Information Officer)
27 IT Expense Discussion Lee Health Board February 8, 2018 # Rev. 10/16
28 Topics Major Components of the IT Operating Expense Budget Key Cost Components of an IT Project Optimizing IT Investment Value Existing Vendors Discussion How Lee Health s Operating Spend compares Industry Trends that are impacting the IT Operating Budget 1
29 Major Components of the IT Operating Budget Staff costs Non-staff costs examples Application Software maintenance Hardware maintenance Data Network Services Voice/Cellular Services Software/Cloud computing subscription fees Security vendor software and hardware Professional services (implementation services, vendor support services) IT consulting Training/Travel expenses 2
30 Optimizing IT Investment Value IT Project Processes/Methodologies: Project Requests Assessment Clarification of Anticipated Return/Accountabilities for Achievement Objective Vendor selection process to Achieve Maximum Value Contract Negotiating for Best Terms IT Project Implementation Methodology Post Implementation Value Review/Adjustments Oversight by IT Governance Steering Committee 3
31 Key Cost Components of an IT Project Application Software i.e. Epic, Infor, MedeAnalytics, etc. Underlying software vendors such as Oracle, IBM, Cache, Underlying data center hardware vendors such as IBM, HP, Cisco, Microsoft End user device vendors for workstations, printers, bar code scanners, Network expansion Certain facilities expenses Data Networking Vendors to including cabling vendors, communication vendors End User Training Expenses including salary 4
32 Relative Cost of the Application Vendor Software A review of the Epic Decision 5
33
34 7
35 8
36 9
37 10
38 11
39 12
40 Epic Clients
41 How does Lee Health IT Operating Spend Compare 14
42 Trends Affecting IT Operating Expense Growth Industry-Wide Transition from perpetual licensing to subscription models Shift from Locally Hosted to Cloud Increased Redundancy/Fault Tolerance Cyber Security Requirements New Information Delivery Platforms Remote Capability Expansion Mobile Platform Growth Web Enablement Telehealth More Consumer Facing Predictive Analytics, Pop Health, AI 15
43 Trends Affecting IT Operating Expense Local: Epic Enterprise Licensing offers some new modules without capital but does require operating expense increase Lee Health Need for more IT Applications Growth of Lee Health size/footprint More users More locations More patient visits/volume Technology upgrades/replacements due to age, capacity needs 16
44 Summary Lee Health has implemented steps of achieve high value from IT Investments The IT Investments Lee Health has made are high quality, sustainable, and serving us well We can expect internal and external factors to drive some growth in our IT spend The key is to adopt and leverage the technology to improve care, improve the patient experience, displace other costs, and grow new business 17
45 Thank You
46 BOARD OF DIRECTORS WORKFORCE PLANNING UPDATE (Kristy Rigot, System Director of Recruitment & Retention) (Michelle Zech, Business Partner) Lee Memorial Health System Board of Directors
47 Workforce Planning and Collaboration Presented by: Michelle Zech, Human Resources Strategic Business Partner Kristy Rigot, System Director Recruitment and Retention # Rev. 10/16
48 Help Wanted Help wanted: Jobs plentiful in Fort Myers, Cape Coral Casey Logan Fort Myers News-Press USA TODAY NETWORK - FLORIDA How low will unemployment rates go? 3.4% December % September % a year ago 1
49 Unemployment Trends 12.0% 10.0% 8.0% 6.0% 4.0% % 0.0% U.S Florida MSA Lee Provided by CareerSource SWFL 2
50 Current Challenges Currently approximately 11,127 job seekers in Lee County Job growth expected to increase by 15.2% from Information provided by CareerSource SWFL 3
51 Current Challenges Entry Level Companies willing to increase their wages for entry level positions Lee Health s entry level turnover Position Turnover Medical Assistant 18.23% Customer Service Rep. Certified Nurse Asst % 15.78% Food Service Asst % Housekeeper 24.61% Support Services Assoc. (Transporter) 29.93% Affordable Housing/Transportation 4
52 New Workforce Needs 5
53 6
54 Overall Recruitment Metrics FY17 63,782 applications 8,230 HR interviews conducted 4,183 positions filled 51 days overall time to fill 3.7% overall vacancy rate 4.5 overall customer satisfaction 7
55 Workforce Planning & Recruitment Success The new Golisano Children s Hospital of Southwest Florida opens its doors with talented staff! 8
56 Nurse Residency Program Positions filled FY17 Date of Residency Lee Memorial Hospital Gulf Coast Medical Center Cape Coral Hospital HealthPark Medical Center Golisano Children's Hospital of SW Florida Rehabilit ation Hospital Home Health Total Oct Nov Feb Mar April May June July Aug Sept Totals
57 Building Career Pipelines Workforce Champion Award Creation of a Pharmacy Tech Program Pharmacist Residency Program CNA Program Medical Assistant Program 10
58 Collaboration is Key! K-12 Participation STEM/Medical Academies Customer Service Representative Medical Administrative Specialist Program Cape Coral Technical College (CCTC)and Ft. Myers Technical College(FMTC) CSR position in LPG 11
59 Workforce Successes English as a Second Language (ESOL)/General Educational Development (GED) Classes Entry level jobs Career pathways Partner with Cape Coral Technical College/Fort Myers Technical College, Florida Southwestern State College and CareerSource SWFL Reconfiguring our current Advanced Provider Internship Program Attainable Housing Coalition 12
60 Our Why - Build programs and relationships with community partners and employers that coincide with our strategic plan - Recruit and retain - Enhance lives! Deshana Levy 13
61 Thank You
62 BOARD OF DIRECTORS MENTAL & BEHAVIORAL HEALTH STRATEGY (Lisa Sgarlata, Chief Patient Care Officer)
63 Behavioral Health Lisa Sgarlata, CPCO John Chomeau, CPHO February 8, 2018 # Rev. 10/16
64 May 25,
65 Lee Health - Behavioral Health Road Map Strategic Model of Care Lee Health Dyad Lead(s): John Chomeau Lisa Sgarlata Methods and Practices Lee County needs to extend outreach to undiagnosed and under treated Access to care is underdeveloped due to limited and expensive clinicians Focus on beds and face to face encounters presents too narrow of a model of care National Managed BH Providers building a tiered systematic approach for access 10 years of Clinical trials and published peer reviews prove CBT is effective Existing Roadmap 2018 Launches Lee Health is rolling out computerized CBT across all employees and dependents CBT and Tele-Psych rolling out to all ED s, LPG Primary Care and the FQHC s LH is building the integrated 4-tiered, BH model of care for Population Health (ACO) LH is considering a Pediatric focused model of care building upon Golisano and leveraging Beacon Health for the Medicaid PSN Operations Plan Strategic Model of Care Levels of Care Intensity Target Status Key Elements Tier 1 Cognitive Behavioral Therapy Tier 2 Tele-Psychology Tier 3 In Person Counseling Tier 4 Inpatient or Intensive Outpatient GO BUILD ALIGN BUILD ALIGN BUILD Cobalt by Magellan : Randomized clinical trials and peer reviewed. 15 years in market. Clinical Screener and practice protocols for PCP, FQHC and Employee engagements (English/Spanish) Non-Medication outcomes for: Depression, Anxiety, Insomnia, Substance Abuse, OCD, PTSD, Suicide Clinical Escalation linked to ED, PCP, FQHC, Care Manger or Employee EAP encounters No patient stigma, required travel or time off work Beacon Health provides a FL based, fully credentialed and contracted network in Lee County Need to build a seamless escalation path and medication management model Community resources are available but operate in siloes Need to bring together a community partnership Path of Care is to efficiently move cases into Tier 4 and then support the return to community Opportunities and Leadership Opportunity Owner Potential Impact What is Needed to Resolve? Target Model of Care Alignment John C. Autism (Pediatric/Adult), Senior Care Lisa S. Culture and Change Management Path of Care Lisa S. & John C. Reach to 85-95% of patients not receiving any care/support Develop Centers of Excellence for kids, young adults and age 50+ patients Screen 100% of all patients over 2018 and 2019 Common understanding that BH requires a SYSTEM of CARE DEC 2017 Leverage Beacons NCQA Accreditation to build the COE (s) Establish the Lee Health ACO and PSN models of care Imbed Cobalt screening into the LH ED s, PCP s, FQHC s and Employee Clinics. Feed the Pathways of Care DEC CBT Tele-Psych Consultation In/Out
66 Behavioral Health Screening Cobalt Computerized Cognitive Behavioral Therapy (CCBT) April, 2018 Cobalt by Magellan: Randomized clinical trials and peer reviewed. 15 years in market. Clinical Screener and practice protocols for Primary Care Physicians, Fed Qualified Health Centers and Employee engagements (English/Spanish) Non-Medication outcomes for: Depression, Anxiety, Insomnia, Substance Abuse, Obsessive Compulsive Disorder, Post Traumatic Stress Disorder, Suicide 4
67 Medicaid Provider Service Network Behavioral Health and Community Services 5
68 Provider Services Network Leverages all 4 Tiers of our Behavioral Health model Includes Medicaid behavioral contract improved for outcomes Addition of Cobalt for adults and pediatrics Tele-psych (Beacon) Provides primary care physicians and pediatric physicians with case management strategies Tiger Teams: Developing evidence-based clinical workflows through clear care management guidelines 6
69
70 Behavioral Health Center (Outpatient) 8
71 Lee Health - Behavioral Health Road Map Strategic Model of Care Lee Health Dyad Lead(s): John Chomeau Lisa Sgarlata Methods and Practices Lee County needs to extend outreach to undiagnosed and under treated Access to care is underdeveloped due to limited and expensive clinicians Focus on beds and face to face encounters presents too narrow of a model of care National Managed BH Providers building a tiered systematic approach for access 10 years of Clinical trials and published peer reviews prove CBT is effective Existing Roadmap 2018 Launches Lee Health is rolling out computerized CBT across all employees and dependents CBT and Tele-Psych rolling out to all ED s, LPG Primary Care and the FQHC s LH is building the integrated 4-tiered, BH model of care for Population Health (ACO) LH is considering a Pediatric focused model of care building upon Golisano and leveraging Beacon Health for the Medicaid PSN Operations Plan Strategic Model of Care Levels of Care Intensity Target Status Key Elements Tier 1 Cognitive Behavioral Therapy Tier 2 Tele-Psychology Tier 3 In Person Counseling Tier 4 Inpatient or Intensive Outpatient GO BUILD ALIGN BUILD ALIGN BUILD Cobalt by Magellan : Randomized clinical trials and peer reviewed. 15 years in market. Clinical Screener and practice protocols for PCP, FQHC and Employee engagements (English/Spanish) Non-Medication outcomes for: Depression, Anxiety, Insomnia, Substance Abuse, OCD, PTSD, Suicide Clinical Escalation linked to ED, PCP, FQHC, Care Manger or Employee EAP encounters No patient stigma, required travel or time off work Beacon Health provides a FL based, fully credentialed and contracted network in Lee County Need to build a seamless escalation path and medication management model Community resources are available but operate in siloes Need to bring together a community partnership Path of Care is to efficiently move cases into Tier 4 and then support the return to community Opportunities and Leadership Opportunity Owner Potential Impact What is Needed to Resolve? Target Model of Care Alignment John C. Autism (Pediatric/Adult), Senior Care Lisa S. Culture and Change Management Path of Care Lisa S. & John C. Reach to 85-95% of patients not receiving any care/support Develop Centers of Excellence for kids, young adults and age 50+ patients Screen 100% of all patients over 2018 and 2019 Common understanding that BH requires a SYSTEM of CARE DEC 2017 Leverage Beacons NCQA Accreditation to build the COE (s) Establish the Lee Health ACO and PSN models of care Imbed Cobalt screening into the LH ED s, PCP s, FQHC s and Employee Clinics. Feed the Pathways of Care DEC CBT Tele-Psych Consultation In/Out
72 Behavioral Health Center January December, 2017 Clinical Intake Assessment: 1831 referrals Dept. of Children and Families Grant 170 for review Renal Transplant Referrals: 29 referrals Medication Management: 2280 visits Lee Community Health: 112 evaluations (May, 2017) 10
73 Program Development Program Target Date Intensive Outpatient Program (Track 1) Opened: December, 2017 LCH Tele-health Pilot February 14, 2018 Group Programming for Outpatient Clients (Medicare patients)(8-24 week programs) Depression Anxiety Co-Dependency Problematic Dual Diagnosis Post-traumatic Stress Disorder DBT: Dialectical Behavioral Therapy Lee Community Health North Providing ARNP services for Medication Management Expansion to other LCH sites Employee Assistance Program (EAP) Access for WebTPA clients Extended Therapy Hours Currently 1 Day a week Expanding in the coming months based on need April, 2018 Pending hiring of 2 nd Advanced Provider (In progress) Discussion in progress Expanded hours 1-2 providers (Dec, 17) Expanding to 4 providers (Feb., 17) 11
74 Future Opportunities Outpatient Profitability opportunities include: Expansion of services covered for addiction, including more Intensive Outpatient Program (IOP) and Outpatient Programming Value Based Payment models: Continued investments in ambulatory services, including screening, prevention and acute outpatient interventions such as Intensive Outpatient Programs. Long-term Impact (trends) Reinvestment in Intensive Outpatient Programs as alternatives to inpatient admission for patients who are either approaching crisis or in crisis will decrease growth in admissions 12
75 OLD BUSINESS Lee Memorial Health System Board of Directors
76 NEW BUSINESS Lee Memorial Health System Board of Directors
77 Board Chairman to Governance Liaison: GOVERNANCE BOARD OF DIRECTORS MEETING Thursday, February 8, 2018 Nancy McGovern Board Member
78 BOARD OF DIRECTORS BOARD OFFICER ELECTIONS (Jim Humphrey, Board Counsel) Lee Memorial Health System Board of Directors
79 February 8, 2018 Governance Meeting Election of Board Officers (Jim Humphrey, Board Counsel) Board Policy 10.55A: Board Officers Duties and Election Consistent with the Lee Memorial Health System Enabling Act and this policy and procedure, the Board of Directors (The Board) will elect annually from its members a Chairman, Vice Chairman, Secretary and Treasurer, who shall be the officers of the Board. All officers shall be members of the Board. Officer Positions: Chairman Vice Chairman Treasurer Secretary The Board Office has received nominations for the following Officer positions: Chairman: Stephen R. Brown, MD Sanford Cohen, MD Vice Chairman: Donna Clarke Chris Hansen Treasurer: David Collins Secretary: Jessica Carter Peer Therese Everly Lee Memorial Health System Board of Directors
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97 ADJOURNMENT DATE OF THE NEXT REGULARLY SCHEDULED GOVERNANCE MEETING THURSDAY, June 28, :00 P.M. Gulf Coast Medical Center- Boardroom Medical Office Building Doctors Way Ft. Myers, FL 33912
98 BOARD OF DIRECTORS BOARD MEETING CRITIQUE Lee Memorial Health System Board of Directors
99 Summary of Board Meeting Effectiveness Dashboard January 25, 2018 The Board Meeting Effectiveness Dashboard as completed by Board members at the meeting. The following information was taken from the Dashboard forms and shared with all Board members at the meeting. Process Measure Number of Responses January 25, 2018 Red Yellow Green Did Not Meet Criteria Mix of meets and did not meet Consistently Meets Criteria 1. Effective Use of meeting time Pre-Meeting Materials distributed on time Board Members stay on track Presentation at Right level of detail Effective Decision making process Meeting Ends in Timely manner 1 6 What Went Well in the Meeting? (by Process Measure) 5. Effective Decision Making Process By Board Members who did research to inform us of areas needing to be considered. What Needs Improvement (by Process Measure) 2. Pre-Meeting Materials Distributed on Time Some agenda items were delivered late, but still a lot to have enough time to read. 3. Board Members Prepared This particular BOD meeting, I did not get a chance to read all material. To the best of our ability. Difficult to assess with no committee meetings. 4. Presentations at Right Level of Detail Green sheet on Med Plaza one motion lacked key components of the contract. Land Lease When present of any leases or real estate, we need all the material to best make an informed decision. Suggestions for Improvement or Observations (by Process Measure) 5. Board Members Prepared Others did some good research to help make more informed decisions. Next steps for improvement will be discussed at a future Board meeting.
100 Summary of Board Meeting Effectiveness Dashboard January 11, 2018 January 25, 2018 (Inclusive) The Board Meeting Effectiveness Dashboard as completed by Board members at the meetings. The following information was taken from the Dashboard forms and shared with all Board members at the meeting. Number of Responses Summary January 11, 2018 January 25, 2018 Red Yellow Green Did Not Mix of meets and Consistently Meets Process Measure Meet Criteria did not meet Criteria Effective Use of meeting time 2. Pre-Meeting Materials distributed on time 3. Board Members stay on track 4. Presentation at Right level of detail 5. Effective Decision making process 6. Meeting Ends in Timely manner What Went Well in the Meeting? (by Process Measure) 1. Effective Use of Meeting Time The meeting moved along well with the exception of one topic Great use of time Staff stayed on tempo and Chair kept meeting on agenda 2. Pre-Meeting Materials Distributed On Time For the most part 3. Board Members Stay on Track It is obvious by the questions that we all prepared 4. Presentations at Right level of Detail It came back under another section Board members and admin appeared to be in sync with agenda 5. Effective Decision Making Process By Board Members who did research to inform us of areas needing to be considered. 6. Meeting Ends in Timely Manner Moving towards reducing overall time What Needs Improvement (by Process Measure) 1. Effective Use of Meeting Time Even the one topic; little extra time was spent in time
101 2. Pre-Meeting Materials Distributed on Time No negative remarks Some agenda items were delivered late, but still a lot to have enough time to read 3. Board Members Stay on Track This particular BOD meeting, I did not get a chance to read all material. To the best of our ability. Difficult to assess with no committee meetings. 4. Presentations at Right Level of Detail For the most part - One subject Peds was noted at the wrong point in presentation Green sheet on Med Plaza one motion lacked key components of the contract. Land Lease When present of any leases or real estate, we need all the material to best make an informed decision. 6. Meeting Ends in Timely Manner Still needs more work Suggestions for Improvement or Observations (by Process Measure) 5. Effective Decision Making Process When redirect was needed the members supported each other to redirect Others did some good research to help make more informed decisions. 6. Meeting Ends in Timely Manner Again, we all have a right to ask questions to presenters ahead of time to reduce the number at the table. We made it through a very lengthy meeting in a timely manner. Let's keep it up!
102 BOARD OF DIRECTORS BOARD OF DIRECTORS REPORTS Lee Memorial Health System Board of Directors
103 BOARD OF DIRECTORS DATE OF THE NEXT REGULARLY SCHEDULED MEETING: QUALITY, SAFETY & EDUCATION & FULL BOARD OF DIRECTORS MEETING Thursday, February 22, :00 p.m. Gulf Coast Medical Center Boardroom, Suite Doctors Way Fort Myers, FL Lee Memorial Health System Board of Directors
Quality, Safety & Education and Full Board of Directors Meetings Thursday, April 13, :00 p.m.
Quality, Safety & Education and Full Board of Directors Meetings Thursday, April 13, 2017 1:00 p.m. Lee Memorial Health System Board of Directors BOARD OF DIRECTORS OFFICE 239-343-1500 FA: 239-343-1599
More informationHealthgrades 2016 Report to the Nation
Healthgrades 2016 Report to the Nation Local Differences in Patient Outcomes Reinforce the Need for Transparency Healthgrades 999 18 th Street Denver, CO 80202 855.665.9276 www.healthgrades.com/hospitals
More informationFinance Board and Full Board of Directors Meetings Thursday, September 28, :00 p.m.
Finance Board and Full Board of Directors Meetings Thursday, September 28, 2017 1:00 p.m. Lee Memorial Health System Board of Directors BOARD OF DIRECTORS OFFICE 239-343-1500 FAX: 239-343-1599 13685 DOCTORS
More informationLee Memorial Health System Finance Board & Full Board of Directors Meetings Thursday, September 24, :00 p.m.
Lee Memorial Health System Finance Board & Full Board of Directors Meetings Thursday, September 24, 2015 1:00 p.m. AGENDA BOARD OF DIRECTORS OFFICE 239-343-1500 FAX: 239-343-1599 13685 DOCTORS WAY #190
More informationLee Memorial Health System Trauma District & Full Board of Directors Meetings. Thursday, August 25, :00 p.m.
Lee Memorial Health System Trauma District & Full Board of Directors Meetings Thursday, August 25, 2016 1:00 p.m. AGENDA TRAUMA DISTRICT & FULL BOARD OF DIRECTORS MEETINGS August 25, 2016 at 1:00 p.m.
More informationReducing Readmissions: Potential Measurements
Reducing Readmissions: Potential Measurements Avoid Readmissions Through Collaboration October 27, 2010 Denise Remus, PhD, RN Chief Quality Officer BayCare Health System Overview Why Focus on Readmissions?
More information4/9/2016. The changing health care market THE CHANGING HEALTH CARE MARKET. CPAs & ADVISORS
CPAs & ADVISORS experience support // ADVANCED PAYMENT MODELS: CJR Eric. M. Rogers MEd. RT(R) Managing Consultant The changing health care market THE CHANGING HEALTH CARE MARKET HHS goal of 30% of traditional
More informationCPAs & ADVISORS. experience support // ADVANCED PAYMENT MODELS: CJR
CPAs & ADVISORS experience support // ADVANCED PAYMENT MODELS: CJR Andy M. Williams Partner BKD Eric M. Rogers Managing Consultant BKD Will McLeod VP of Patient Services McLeod Health Emily Adams Associate
More informationLEE MEMORIAL HEALTH SYSTEM Lee County, Florida
LEE MEMORIAL HEALTH SYSTEM Lee County, Florida DEPARTMENT OF MEDICINE (CCH,GCMC, HPMC & LMH) RULES AND REGULATIONS I. PURPOSE: The purpose of the Department of Medicine shall be to develop, advance, and
More informationNOTICE. November 3, 2017
November 3, 2017 NOTICE The Board of Directors of the Kaweah Delta Health Care District will meet in an open Quality Council Committee meeting at 7:00AM on Thursday November 9, 2017, in the Kaweah Delta
More informationTHE ALPHABET SOUP OF MEDICAL PAYMENTS: WHAT IS MACRA, VBP AND MORE! Lisa Scheppers MD FACP Margo Ferguson MT MSOM
THE ALPHABET SOUP OF MEDICAL PAYMENTS: WHAT IS MACRA, VBP AND MORE! Lisa Scheppers MD FACP Margo Ferguson MT MSOM THE REASON FOR CHANGE VOLUME TO VALUE Fee-for-service PAYMENT Bundled, Shared Patient FOCUS
More informationBundled Payments to Align Providers and Increase Value to Patients
Bundled Payments to Align Providers and Increase Value to Patients Stephanie Calcasola, MSN, RN-BC Director of Quality and Medical Management Baystate Health Baystate Medical Center Baystate Health Is
More informationSandra Robinson, RN, MSN, ACM, CEN
Developing and Measuring Care Coordination Outcome Goals and Objectives ACMA National Conference April 28, 2015 Cleveland Clinic Care Management Sandra Robinson, RN, MSN, ACM, CEN (robinss12@ccf.org) Joan
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 informationReadmission Project 2017 Janice M. Maupin, RN, MSN, CPHQ. A Catholic healthcare ministry serving Ohio and Kentucky
Readmission Project 2017 Janice M. Maupin, RN, MSN, CPHQ A Catholic healthcare ministry serving Ohio and Kentucky 1 Mission, Values and Promise Our Mission We extend the healing ministry of Jesus by improving
More informationHealthy Aging Recommendations 2015 White House Conference on Aging
Healthy Aging Recommendations 2015 White House Conference on Aging Chronic diseases are the leading causes of death and disability in the U.S. and account for 75% of the nation s health care spending.
More informationPhysician Performance Analytics: A Key to Cost Savings
Physician Performance Analytics: A Key to Cost Savings Session #90, February 21, 2017 Jim Gera, SVP of Business Development, Signature Medical Group, Inc. 1 Speaker Introduction Jim Gera, MBA SVP of Business
More informationFrom Implementation to Optimization: Moving Beyond Operations
From Implementation to Optimization: Moving Beyond Operations Session 260, March 8, 2018 Scott Aikey, Sr. Director, Core Clinical Applications Children s Hospital of Philadelphia 1 Conflict of Interest
More informationRetrospective Bundles
Bundled Payment for Care Improvement (BPCI) Overview Shawn Matheson MBA, LNHA, FACHCA Market Manager Idaho Health Care Association Annual Convention Boise, ID July 13, 2017 Retrospective Bundles Surgeon
More informationPSI-15 Lafayette General Health 2017 Nicholas E. Davies Enterprise Award of Excellence
PSI-15 Lafayette General Health 2017 Nicholas E. Davies Enterprise Award of Excellence Rachel Brunt, RN, BSN, MBA-HCA, CIC, CPHQ, Director Quality Jessie Hanks, BS, RHIA, Director HIM Lafayette General
More informationSENTARA HEALTHCARE. Norfolk, VA
SENTARA HEALTHCARE Norfolk, VA 1 Sentara Healthcare Overview 11 Acute Care Hospitals in Virginia with a total of 2572 licensed beds 1E Extended dstay hospital 9 Ambulatory Care Campuses; 5 with freestanding
More information1. PROMOTE PATIENT SAFETY.
SAN FRANCISCO GENERAL HOSPITAL MEDICAL CENTER GOALS & ACCOMPLISHMENTS FISCAL YEAR 2006-2007 1. PROMOTE PATIENT SAFETY. Implemented medication reconciliation processes and procedures for admitted patients.
More informationSummary of UPMC Hamot Significant (Top 10) FY15 Goals
Summary of UPMC Hamot Significant (Top 10) FY15 s 1. Continue to achieve top quartile performance in patient safety and quality measures 2. Monitor volume and assess efficiency: inpatient beds, workforce,
More informationPartnering with the Care Management Department. Medical Staff and Allied Health Practitioner Orientation
Partnering with the Care Management Department Medical Staff and Allied Health Practitioner Orientation 10/2015 Department of Care Management Medical Directors of Care Coordination Inpatient Case Managers
More informationTransitions Through the Care Continuum: Discussions on Barriers to Patient Care, Communications, and Advocacy
Transitions Through the Care Continuum: Discussions on Barriers to Patient Care, Communications, and Advocacy Scott Matthew Bolhack, MD, MBA, CMD, CWS, FACP, FAAP April 29, 2017 Disclosure Slide I have
More informationManaging Patients with Multiple Chronic Conditions
Best Practices Managing Patients with Multiple Chronic Conditions Dartmouth-Hitchcock Physicians Case Study Organization Profile Headquartered in Bedford, New Hampshire, Dartmouth-Hitchcock is a large
More informationBaptist Health System Jacksonville, FL
Baptist Health System Jacksonville, FL Baptist Health System Community Leader in Healthcare Five (5) Hospital System Serving greater Jacksonville area and SE Georgia Children s Hospital Primary Care Facilities
More informationLow Income Pool (LIP) Tier One Milestone (STC-61) Application for Enhancement Projects. Submitted by:
2012-2013 Low Income Pool (LIP) Tier One Milestone (STC-61) Application for Enhancement Projects Submitted by: Florida Health Sciences Center, Inc. d/b/a Tampa General Hospital July 31, 2012 1 1. Applicant:
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 informationPREPARING FOR RISK-BASED OUTCOMES OF BUNDLED CARE
CPAs & ADVISORS experience support // PREPARING FOR RISK-BASED OUTCOMES OF BUNDLED CARE Jackie Nussbaum MHA, CPC, CHFP, FHFMA Director Eric Rogers M.Ed. RT Managing Consultant THE CHANGING HEALTH CARE
More informationFHA HIIN Readmissions Peer Sharing Webinar: Improving Care Transitions through a Discharge Lounge. July 24, 2018
FHA HIIN Readmissions Peer Sharing Webinar: Improving Care Transitions through a Discharge Lounge July 24, 2018 Welcome & Overview How are we doing on Reducing Readmissions? Peer Sharing Presentation:
More informationHOSPITALS & HEALTH SYSTEMS: DATA-DRIVEN STRATEGY FOR BUNDLED PAYMENT SUCCESS 4/19/2016. April 20, 2016
HOSPITALS & HEALTH SYSTEMS: DATA-DRIVEN STRATEGY FOR BUNDLED PAYMENT SUCCESS April 20, 2016 Eddie Marmouget National Industry Partner emarmouget@bkd.com Eric Rogers Managing Consultant erogers@bkd.com
More informationOMC Strategic Plan Final Draft. Dear Community, Working together to provide excellence in health care.
Dear Community, Working together to provide excellence in health care. This mission statement, established nearly two decades ago, continues to be fulfilled by our employees and medical staff. This mission
More informationCAMC Health System SNAPSHOT 2018
CAMC Health System SNAPSHOT 2018 Special designations Southern West Virginia s largest medical center Only kidney transplant center in WV Level I (highest ranking) Trauma Center Level I pediatric intensive
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 informationWinning at Care Coordination Using Data-Driven Partnerships
Idriz Limaj, LNHA, RN Chief Operating Officer Winning at Care Coordination Using Data-Driven Partnerships Session #166, February 22, 2017 1 Steven Littlehale, MS, GCNS-BC EVP & Chief Clinical Officer Speaker
More informationCAH PREPARATION ON-SITE VISIT
CAH PREPARATION ON-SITE VISIT Illinois Department of Public Health, Center for Rural Health This day is yours and can be flexible to the timetable of hospital staff. An additional visit can also be arranged
More informationUnderstanding the Initiative Landscape in Medi-Cal. IHA Stakeholder Meeting September 23, 2016 Sarah Lally, Project Manager
Understanding the Initiative Landscape in Medi-Cal IHA Stakeholder Meeting September 23, 2016 Sarah Lally, Project Manager Agenda Welcome / Introduction Sarah Lally, Project Manager Inland Empire Health
More information2019 Quality Improvement Program Description Overview
2019 Quality Improvement Program Description Overview Introduction Eon/Clear Spring s Quality Improvement (QI) program guides the company s activities to improve care and treatment for the member s we
More informationCitigroup Non-Profit Investors Conference
Citigroup Non-Profit Investors Conference May 24, 2017 Maine Health Care Market Hospitals are increasingly consolidated into systems - 36 hospitals in the state all not-for-profit - 84% of state s beds
More informationDisclosure. Objectives. Examples To Be Described Today 7/25/2013. Positions Approved at LMHS
47 th Annual Meeting August 2-4, 2013 Orlando, FL Administration C Suite Track Session 1 Identifying and Reporting Cost Justification and Savings Opportunities John A. Armitstead, MS, RPh, FASHP System
More informationQuality Improvement Plans (QIP): Progress Report for the 2016/17 QIP
Quality Improvement Plans (QIP): Progress Report for the QIP Medication Reconciliation ID Measure/Indicator from as stated on QIP 2017 1 Best possible medication history(bpmh) completion: The total number
More informationInland Empire Health Plan Quality Management Program Description Date: April, 2017
Inland Empire Health Plan Quality Management Program Description Date: April, 2017 Page 1 of 35 Table of Contents Introduction.....3 Mission and Vision........3 Section 1: QM Program Overview........4
More informationACOs: Transforming Systems with New Payment Models & Community Integration
ACOs: Transforming Systems with New Payment Models & Community Integration Sunnah Kim PNP (Moderator), American Academy of Pediatrics Herbert Druilhet, RN, DNP, FNP-BC Lafayette General Medical Doctors
More information4/10/2013. Learning Objective. Quality-Based Payment Models
Creating Best in Class Perioperative Services under Accountable Care and Value- Based Purchasing Becker s Healthcare Jeffry Peters Learning Objective How ACA/VBP changes how we measure surgical services
More informationDisciplines / locations to which this multidisciplinary policy applies:
LEE MEMORIAL HEALTH SYSTEM POLICY & PROCEDURE MANUAL LMHS Financial Assistance Policy (FAP) LOCATOR NUMBER T Y P E System-wide - A formal statement of values, intents (policy), and expectations (procedure)
More informationBOARD OF DIRECTORS WORKSHOP QUALITY & SAFETY. Thursday, May 3, :00 p.m.
BOARD OF DIRECTORS WORKSHOP QUALITY & SAFETY Thursday, May 3, 2018 1:00 p.m. Lee Memorial Health System Board of Directors AGENDA BOARD OF DIRECTORS WORKSHOP: Quality & Safety BOARD OF DIRECTORS OFFICE
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 informationBalancing State, Federal and Internal Bundle Payment Initiatives
Balancing State, Federal and Internal Bundle Payment Initiatives Vanderbilt University Medical Center Brittany Cunningham, MSN, RN, CSSBB Director, Episodes of Care Key Take Aways What are the different
More informationCCBHCs 101: Opportunities and Strategic Decisions Ahead
CCBHCs 101: Opportunities and Strategic Decisions Ahead Rebecca C. Farley, MPH National Council for Behavioral Health Speaker Name Title Organization It Passed! The largest federal investment in mental
More informationPassport Advantage (HMO SNP) Model of Care Training (Providers)
Passport Advantage (HMO SNP) Model of Care Training (Providers) 2018 Passport Advantage (HMO SNP) is an HMO Special Needs plan with a Medicare contract and an agreement with the Kentucky Department for
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 informationDRAFT Complex and Chronic Care Improvement Program Template. (Not approved by CMS subject to continuing review process)
DRAFT Complex and Chronic Care Improvement Program Template Performance Year 2017 (Not approved by CMS subject to continuing review process) 1 Page A. Introduction The Complex and Chronic Care Improvement
More informationQUALITY IMPROVEMENT. Molina Healthcare has defined the following goals for the QI Program:
QUALITY IMPROVEMENT Molina Healthcare maintains an active Quality Improvement (QI) Program. The QI program provides structure and key processes to carry out our ongoing commitment to improvement of care
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 informationReducing Hospital Admissions Through the Use of IT. Steven Milligan MD Medical Director of ACO Management Colorado Health Neighborhoods
Reducing Hospital Admissions Through the Use of IT Steven Milligan MD Medical Director of ACO Management Colorado Health Neighborhoods Conflict of Interest Steven Milligan, MD Has no real or apparent conflicts
More informationCOPD & Pneumonia Readmission Reduction Program. October 25, 2017
COPD & Pneumonia Readmission Reduction Program October 25, 2017 Susan J. Bowers, MBA, BSN, RN Chief Quality Officer Mercy Health - Lorain 2 Locations Mercy Health Lorain Hospital Lorain, Ohio 250 bed community
More informationH-SAA AMENDING AGREEMENT B E T W E E N: TORONTO CENTRAL LOCAL HEALTH INTEGRATION NETWORK (the LHIN ) AND
H-SAA AMENDING AGREEMENT THIS AMENDING AGREEMENT (the Agreement ) is made as of the 1 st day of April, 216 B E T W E E N: TORONTO CENTRAL LOCAL HEALTH INTEGRATION NETWORK (the LHIN ) AND WOMEN'S COLLEGE
More informationBreaking Down Silos of Care: Integration of Social Support Services with Health Care Delivery
Breaking Down Silos of Care: Integration of Social Support Services with Health Care Delivery Betty Shephard Lead VP, Care Management HealthCare Partners National Health Policy Forum October 19, 2012 HCP
More informationClinical and Financial Benefits of IT Implementation
Clinical and Financial Benefits of IT Implementation October 24, 2014 Replace text box with chapter logo (on all master slides) Who Is HIMSS Analytics? A subsidiary of HIMSS We collect data on what information
More informationL E E M E M O R I A L H E A L T H S Y S T E M Lee County, Florida
L E E M E M O R I A L H E A L T H S Y S T E M Lee County, Florida DEPARTMENT OF OBSTETRICS AND GYNECOLOGY (CCH, GCMC & HPMC & LMH) PURPOSE OF THE DEPARTMENT: The purpose of the Department of Obstetrics
More informationCare Redesign: An Essential Feature of Bundled Payment
Issue Brief No. 11 September 2013 Care Redesign: An Essential Feature of Bundled Payment Jett Stansbury Director, New Payment Strategies, Integrated Healthcare Association Gabrielle White, RN, CASC Executive
More informationInstitutional Handbook of Operating Procedures Policy
Section: Clinical Policies Institutional Handbook of Operating Procedures Policy 09.01.13 Responsible Vice President: EVP and CEO Health System Subject: Admission, Discharge, and Transfer Responsible Entity:
More informationOpportunities to Leverage Telehealth Within Your ACO Strategy
Opportunities to Leverage Telehealth Within Your ACO Strategy Shawn Valenta RRT, MHA Administrator of Telehealth Center for Telehealth Phillip Warr, MD Interim Chief Medical Officer Case Management and
More informationImproving Hospital Performance Through Clinical Integration
white paper Improving Hospital Performance Through Clinical Integration Rohit Uppal, MD President of Acute Hospital Medicine, TeamHealth In the typical hospital, most clinical service lines operate as
More informationNASHP s 30 th Annual State Health Policy Conference. Timeline of Tennessee Health Care Innovation Initiative
STATE OF TENNESSEE NASHP s 30 th Annual State Health Policy Conference 10/25/2017 Timeline of Tennessee Health Care Innovation Initiative 2012 2013 2014 2015 2016 2017 1210 Stakeholder Meetings 16 Partnerships
More informationImpacting Key Hospital Performance Metrics Through Leveraging a Hospitalist Program Becker s Hospital Review April 14, 2018
Impacting Key Hospital Performance Metrics Through Leveraging a Hospitalist Program Becker s Hospital Review April 14, 2018 Carle Foundation Hospital Lynne Barnes, Chief Operating Officer Dr. Saad Adoni,
More informationMaking the Case for Change Without a Burning Platform
Making the Case for Change Without a Burning Platform Presented By: Rex P. Budde, CPA, MBA President and CEO Southern Illinois Healthcare, Carbondale, IL Region s second largest employer 3,700 total employees
More information7/7/17. Value and Quality in Health Care. Kevin Shah, MD MBA. Overview of Quality. Define. Measure. Improve
Value and Quality in Health Care Kevin Shah, MD MBA 1 Overview of Quality Define Measure 2 1 Define Health care reform is transitioning financing from volume to value based reimbursement Today Fee for
More informationInnovating Predictive Analytics Strengthening Data and Transfer Information at Point of Care to Improve Care Coordination
Innovating Predictive Analytics Strengthening Data and Transfer Information at Point of Care to Improve Care Coordination November 15, 2017 RRHA Healthcare Innovations Conference Agenda Arnot Health Overview
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 informationMedicare Advantage Star Ratings
Medicare Advantage Star Ratings December 2017 The Star Rating System measures how well Medicare Advantage (MA) and its prescription drug plans perform for consumers. As an integrated health system, Presbyterian
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 informationThe Long and Winding Road-map: From Waiver Services to VBP and Other Stops Along the Way
The Long and Winding Road-map: From Waiver Services to VBP and Other Stops Along the Way Mental Health Association in New York State, Inc. Annual Meeting Gregory Allen, MSW Director Division of Program
More information2016 UPDATE. Proud Member of:
2016 UPDATE Proud Member of: Riverside Medical Center is located in Kankakee, Illinois, and is part of Riverside Healthcare, a fully-integrated healthcare system serving the needs of patients throughout
More informationNew Strategies in Value Based Care
New Strategies in Value Based Care D. Keith Fernandez, M.D. Chief Clinical Officer, Privia Health CEO, Privia Medical Group Gulf Coast 713-545-1366 kfernandez@priviahealth.com none Disclosures Learning
More informationMission Health Care Network. April 2017
Mission Health Care Network April 2017 WHAT IS MISSION HEALTH CARE NETWORK? Mission Health Care Network is a Clinically Integrated Network including groups of doctors, the hospital and other health care
More informationMitzi Cardenas Sr. VP/Strategy, Business Development and Technology Truman Medical Centers
Mitzi Cardenas Sr. VP/Strategy, Business Development and Technology Truman Medical Centers HIMSS Stage 7: What it Means Heart of America HIMSS and the Missouri Health Information Management Association
More informationCutting Avoidable Readmissions Starts in the Emergency Department
WHITE PAPER Cutting Avoidable Readmissions Starts in the Emergency Department SMARTER EMERGENCY CARE: EVERYWHERE, EVERY TIME. Our experience and innovative approach offers smarter solutions for emergency
More informationPatient Navigator Program
Using Patient Navigators and Education to Improve Post-Acute Transitions Emerging innovators in post-acute care delivery models are finding ways to provide patient-centered, quality care to integrate today
More informationValue Based Care An ACO Perspective
Value Based Care An ACO Perspective NCIOM Task Force on Accountable Care Communities January 24, 2018 Steve Neorr Chief Administrative Officer 2 3 4 5 Source: Banthin, Jessica. Healthcare Spending Today
More informationLVHN Sepsis Quality Improvement Project
LVHN Sepsis Quality Improvement Project Matthew McCambridge, MD, MS Chief Quality Officer 2015 Lehigh Valley Health Network Don Levick, MD, MBA Chief Medical Information Officer LVHN Sepsis Quality Improvement
More informationBundled Payment Primer
Bundled Payment Primer CMS Opened Application February 14, 2014 Why this matters to you! Bundling is a New Business Model Bundling is a focused opportunity to manage risk and achieve gain Control of a
More informationVirtual Care Solutions Moving Care from the Hospital to the Home
Virtual Care Solutions Moving Care from the Hospital to the Home Access Strategy Revenue Strategy Primary Care Strategy Building onto existing infrastructure to move to the next paradigm of healthcare
More informationSaving Lives with Best Practices and Improvements in Sepsis Care
Success Story Saving Lives with Best Practices and Improvements in Sepsis Care EXECUTIVE SUMMARY Although Thibodaux Regional Medical Center had achieved sepsis mortality rates below the national average,
More informationPriceless Partners: Common Patients, Common Goals
Priceless Partners: Common Patients, Common Goals Erin Hodson, RN, BSN, ACM Senior Director Case Management Inova Fairfax Hospital Pamela Andrews, RN, MSW, MBA, CCM, ACM Director Medical Management INTotal
More informationOverview of Alaska s Hospitals and Nursing Homes. House HSS Committee March 1, 2012
Overview of Alaska s Hospitals and Nursing Homes House HSS Committee March 1, 2012 Alaska Hospital and Nursing Homes Testifying Today Fairbanks Memorial Hospital Mike Powers Central Peninsula Hospital
More informationUniversity of Illinois Hospital and Clinics Dashboard May 2018
May 17, 2018 University of Illinois Hospital and Clinics Dashboard May 2018 Combined Discharges and Observation Cases for the nine months ending March 2018 are 1.6% below budget and 4.9% lower than last
More informationHEALTH CARE REFORM IN THE U.S.
HEALTH CARE REFORM IN THE U.S. A LOOK AT THE PAST, PRESENT AND FUTURE Carolyn Belk January 11, 2016 0 HEALTH CARE REFORM BIRTH OF THE AFFORDABLE CARE ACT Health care reform in the U.S. has been an ongoing
More informationExhibit 1. Medicare Shared Savings Program: Year 1 Performance of Participating Accountable Care Organizations (2013)
Exhibit 1. Medicare Shared Savings Program: Year 1 Performance of Participating Accountable Care Organizations (2013) 24 percent (52 ACOs) earned shared savings bonus 27 percent (60 ACOs) reduced spending,
More informationCreating the New Care Design L2. George Kerwin, CEO Patient of Bellin Health Bellin Health Team. Objectives
Creating the New Care Design L2 George Kerwin, CEO Patient of Bellin Health Bellin Health Team Objectives Identify the five views of the Production System necessary to Create a Connected Personal Experience
More informationH-SAA AMENDING AGREEMENT. THIS AMENDING AGREEMENT (the Agreement ) is made as of the 1 st day of October, 2016
H-SAA AMENDING AGREEMENT THIS AMENDING AGREEMENT (the Agreement ) is made as of the 1 st day of October, 216 B E T W E E N: SOUTH WEST LOCAL HEALTH INTEGRATION NETWORK (the LHIN ) AND St. Joseph's Health
More informationMeasure Applications Partnership (MAP)
Measure Applications Partnership (MAP) Uniform Data System for Medical Rehabilitation Annual Conference Aisha Pittman, MPH Senior Program Director National Quality Forum August 9, 2012 Overview MAP Background
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 informationOptimizing Care for Complex Patients with COPD
Optimizing Care for Complex Patients with COPD Janice Gasaway, RN, MN, Director Quality & Safety Elvin Perkins, MBA, Chronic Disease Project Manager 1 Cone Health System: Who We Are Regional Health System
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 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 informationLESSONS LEARNED IN LENGTH OF STAY (LOS)
FEBRUARY 2014 LESSONS LEARNED IN LENGTH OF STAY (LOS) USING ANALYTICS & KEY BEST PRACTICES TO DRIVE IMPROVEMENT Overview Healthcare systems will greatly enhance their financial status with a renewed focus
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 informationCOMMUNITY HEALTH IMPLEMENTATION PLAN
COMMUNITY HEALTH IMPLEMENTATION PLAN 2017 2017-2020 Table of Contents Letter from Jeff Feasel, President & CEO 1 About Halifax Health 3 Executive Summary 6 Halifax Health Community Health Plan 2017-2020
More information