11/2/ Community Oncology Alliance 1 NEW PROJECTS & MODELS. Panel Moderator: Laura Long, MD President, The Long View, PC
|
|
|
- Marianna Hutchinson
- 6 years ago
- Views:
Transcription
1 1 NEW PROJECTS & MODELS Panel Moderator: Laura Long, MD President, The Long View, PC 1
2 3 Oncology Episodes of Care Episodes of Care (EOC) - Full spectrum of health care services related to and delivered for a specific medical condi:on, illness, procedure or health care event during a defined :me period. Primary Goals: Standardize & Op:mize Care and Cost of Care Compare like pa:ents and like outcomes, study varia:on in u:liza:on and cost of care EOC stra:fica:on/bundles allows for like pa:ents to be grouped together (apples to apples comparison) Standard EOC vs Oncology EOC Standard EOC Algorithms Stra:fica:on based on claims Oncology COTA - Stra:fica:on based on clinical criteria Benefits Allows for more precise stra:fica:on of members and episodes Includes clinical and claims/cost informa:on Disease state considered Precise ability to compare truly like pa:ents with like disease Not just apples to apples Honeycrisp to Honeycrisp, Macoun to Macoun Proprietary and Confiden/al 2
3 5 U:lized a comprehensive, mul:- faceted, pa:ent- centered approach Incorporated targeted pathways to assure delivery of evidence based care Improved access with implementa:on/expansion of a]er hours/weekend coverage and available services to decrease admissions, ER visits and improve pa:ent sa:sfac:on Leveraged technology to reduce administra:ve burden and provide relevant clinical informa:on at the point of care 3
4 U:lized a comprehensive, mul:- faceted, pa:ent- centered approach, con:nued Involve prac:ce care manager to visit admibed pa:ents and develop care plan and transi:on services Enhanced end of life planning by developing a family conference model including ancillary care providers as needed (psychologist, social worker, etc.) Support survivorship programs to enhance surveillance for recurrence and secondary cancers as well as improve physical and emo:onal recovery 8 4
5 Stage 1: Initial Discussions Rationalized Drug Rates Stage 2: Graduated Discussion Quality Improvement Components Stage 3: Discussion Going Forward Prospective vs. Retrospective 10 5
6 EMPLOYER TRENDS INNOVATIONS IN ONCOLOGY CARE Key cost driver: Oncology is often leading diagnostic category for high cost claimants - Impacts member quality of life, productivity and employer spend Employers challenged with what to do : Episodic vs longitudinal care differences Information about quality/outcomes not widely available diagnostic and therapeutic Emphasis on solutions that don t emphasize quality and social supports Most common emerging solutions include COEs, regional value based care arrangements and expert second opinion programs Increasing focus is on member experience: - Evolving efforts toward packaging education, programming, social supports - Innovations in technology introducing direct to member solutions MERCER MARKET POSITIONING INNOVATIONS IN ONCOLOGY CARE Employers will need more information and solutions Where should program focus be? Evidence based practices, emerging technologies, palliative care? How has care evolved over time? - Are there opportunities to move care to lower cost settings without sacrificing quality? What value based contracting opportunities exist? - What should employers look at in their own data to determine gaps? - Are health plans the only source for value based contracting? How is care coordinated and integrated for purposes of value based arrangements? - For example, bundled payments and role of COE and community providers? - What are the determinants of an integrated approach chemotherapy, technology etc local vs. best in class? Address employer concerns about fraud? Unnecessary treatments, misdiagnosis? MERCER
7 13 7
Standard 3.3: Survivorship Care Plan
: Care Plan In 2012 the Commission on Cancer introduced new Standards for Cancer Program Accredita:on. They created a new chapter of standards en:tled: CONTINUUM OF CARE SERVICES 1 Included in this sec:on
Paying for Outcomes not Performance
Paying for Outcomes not Performance 1 3M. All Rights Reserved. Norbert Goldfield, M.D. Medical Director 3M Health Information Systems, Inc. #Health Information Systems- Clinical Research Group Created
1/25/15. Equicare Health. Patient Management & Retention: Clinical And Financial Implications. Clinical Implica+ons of Pa+ent Management
Equicare Health Patient Management & Retention: Clinical And Financial Implications By the end of a day sitting in meetings. 2 Clinical Implica+ons of Pa+ent Management Screening Diagnostics Workup Tx
Advancing Popula/on Health and Consumerism
Advancing Popula/on Health and Consumerism 44,954 Senior Enrollees 274,345 Commercial Enrollees 66,070 Commercial ACO Members Popula/on Health Risk Stra/fica/on: Keep Pa/ents Healthy, Happy & at Home Tier
ASCO s Payment Reform Model
ASCO s Payment Reform Model Washington State Medical Oncology Society November 7, 2014 Presenter Andrew Hertler, MD, FACP Conflict of Interest Information Dr. Hertler is employed by and has stock options
Clinical Programs. Purpose and Structure. October 7, 2014
Clinical Programs Purpose and Structure October 7, 2014 Our Vision Crossing the Quality Chasm What are Intermountain Clinical Programs? The major vehicle to address the delivery and support of high quality,
Payer s Perspective on Clinical Pathways and Value-based Care
Payer s Perspective on Clinical Pathways and Value-based Care Faculty Stephen Perkins, MD Chief Medical Officer Commercial & Medicare Services UPMC Health Plan Pittsburgh, Pennsylvania perkinss@upmc.edu
4/2/15. Re)na 2015 and Beyond Keys to Management Success. Financial Disclosures. Top Prac)ce Management Challenges
Re)na 2015 and Beyond Keys to Management Success Panelists: Jeff Brocke
Specialty Practice in a Value Based Payment World. Sandra J Lewis MD FACC FAHA June 22, 2017
Specialty Practice in a Value Based Payment World Sandra J Lewis MD FACC FAHA June 22, 2017 From the Triple Aim to the Quadruple Aim A Practice Response to MACRA Thanks to Andrew P. Miller, M.D., FACC,
Data Collec*on and Measurement in Quality Improvement
Data Collec*on and Measurement in Quality Improvement Tanishah Nellom, MSPH Care Improvement Specialist, CCME January 2013 Quality Improvement in Healthcare The combined and unceasing efts of everyone
Building the Oncology Medical Home. Susan Tofani, MS, Director Network and Payer Relations, Oncology Management Services, Inc.
Building the Oncology Medical Home Susan Tofani, MS, Director Network and Payer Relations, Oncology Management Services, Inc. Quality, Performance Improvement, Certification / Recognition Keep the doors
Building the Oncology Medical Home John D. Sprandio, M.D., FACP Consultants in Medical Oncology & Hematology, P.C. Oncology Management Services, LLC
Building the Oncology Medical Home John D. Sprandio, M.D., FACP Consultants in Medical Oncology & Hematology, P.C. Oncology Management Services, LLC Oncology Patient-Centered Medical Home Update Background
Complex Care Management and Care Plans. Evan Saulino, MD, PhD Clinical Advisor Oregon Health Authority PCPCH Program
Complex Care Management and Care Plans Evan Saulino, MD, PhD Clinical Advisor Oregon Health Authority PCPCH Program evan.saulino@state.or.us Oregon s PCPCH Model is defined by six core abributes, each
The DSRIP Report Richard Bernstock Dennis Maquiling Albert Alvarez Peggy Chan
The DSRIP Report Richard Bernstock OneCity Health Dennis Maquiling Bronx Health Access Albert Alvarez Bronx Partners for Healthy Communities Peggy Chan NYS Department of Health 2 OneCity Health Update
Business Models in Outpa:ent Care in SE Asia. Qualitas Healthcare Corpora:on (Presented by Mr. Karim Dhala Execu:ve Director) April 2016
Business Models in Outpa:ent Care in SE Asia Qualitas Healthcare Corpora:on (Presented by Mr. Karim Dhala Execu:ve Director) April 2016 Qualitas at a glance A regional primary healthcare company Malaysia
Publication Development Guide Patent Risk Assessment & Stratification
OVERVIEW ACLC s Mission: Accelerate the adoption of a range of accountable care delivery models throughout the country ACLC s Vision: Create a comprehensive list of competencies that a risk bearing entity
2015 National Cancer Experience:
2015 National Cancer Experience: A Study of Patients and Caregivers Methodology The Cancer Experience is a national online survey of 1,060 patients and 1,051 caregivers who experienced at hospitals across
CANCER LEADERSHIP COUNCIL
CANCER LEADERSHIP COUNCIL A PATIENT-CENTERED FORUM OF NATIONAL ADVOCACY ORGANIZATIONS ADDRESSING PUBLIC POLICY ISSUES IN CANCER April 10, 2014 Patrick Conway, M.D. Deputy Administrator for Innovation and
Na8onal Clinical Lead, Mental Health Intelligence Network Dr. Geraldine Sept 23 Bristol 14:30-15:10
New fron)ers for preven)on and integrated care and intelligence "Bringing together physical and mental health- A new Fron8er for integrated care" and its implica8ons for training. Sept 23 Bristol 14:30-15:10
Deep Dive on the Must Pass NCQA PCMH Requirements & Standards
PATIENT CENTERED MEDICAL HOME & MEANINGFUL USE COLLABORATIVE Kick Off Session July 21, 2010 Deep Dive on the Must Pass NCQA PCMH Requirements & Standards Presentation by: Deborah Johnson Ingram What is
Community Oncology Town Hall. Moderator John Cox, DO, FASCO
Community Oncology Town Hall Moderator John Cox, DO, FASCO Rough Waters for Practices Economic pressures Political turbulence General disruption across medicine Sequestration ICD-10 PQRS, Meaningful Use
Basic Overview of Funding Opportuni6es at the Ins6tute of Educa6on Sciences
Connecting Research, Policy and Practice Basic Overview of Funding Opportuni6es at the Ins6tute of Educa6on Sciences Erin Higgins, Ph.D. Program Officer Na6onal Center for Educa6on Research Ka6e Taylor,
Home Health: Federal Challenges and Opportunities
Home Health: Federal Challenges and Opportunities Reimbursements, PAC Reform, Public Perception, and More Alliance Learning Collaborative April 8, 2014 About the Alliance 501(c)(3) non-profit research
Developing New Models: Integra5ng House Calls and Team- Based Care Into Primary Care
Developing New Models: Integra5ng House Calls and Team- Based Care Into Primary Care Christa Cerra, DNP, FNP by Renaissance Family Prac7ce. All right reserved. Key Players Renaissance Family Prac7ce (RFP)
Innovative Models of Care
Innovative Models of Care Episodes of Care Migrating from Fee-for-Service to Fee-for-Quality/Value Bundled Payment Summit June 2014 Lili Brillstein, MPH Director, Episodes of Care Horizon Healthcare Services,
NCQC PSO Safe Tables. Failure To Rescue. Failure to Rescue
NCQC PSO Safe Tables Failure To Rescue April 2015 Failure to Rescue Term coined in Australia in 1992 Associated with hospital not pa:ent characteris:cs In response RRTs championed by IHI (100,000 Lives
Seeing the Value and Transparency of Medicare Part B: Four Case Studies of Medicare Successes
Seeing the Value and Transparency of Medicare Part B: Four Case Studies of Medicare Successes As the largest payer of healthcare services in the United States, the Centers for Medicare & Medicaid Services
ICD-10 Advantages to Providers Looking beyond the isolated patient provider encounter
A Health Data Consulting White Paper 1056 6th Ave S Edmonds, WA 98020-4035 206-478-8227 www.healthdataconsulting.com ICD-10 Advantages to Providers Looking beyond the isolated patient provider encounter
Improving the Con/nuum of Stroke Care A Prac/cal Model for Post- Acute Treatment
Improving the Con/nuum of Stroke Care A Prac/cal Model for Post- Acute Treatment PRESENTED BY: Pamela W Duncan PhD, FAPTA: Professor of Neurology, Senior Policy Advisor for Transi=ons and Outcomes, Wake
DRAFT Optimal Care Pathway
DRAFT Optimal Care Pathway 1. Introduction... 3 1.1 Background... 3 1.2 Intent of the Optimal Care Pathways... 3 1.3 Key principles of care... 3 2. Steps in the care of patients with x cancer... 4 Step
Monitoring & Evalua/on. Ari Probandari
Monitoring & Evalua/on Ari Probandari Learning Objec/ves Students are able to explain the importance of monitoring and evalua/on a program management Students are able to apply concepts of monitoring and
CMS Oncology Care Model s Standards for Patient Navigation
CMS Oncology Care Model s Standards for Patient Navigation Nikolas Buescher Executive Director of Cancer Services Penn Medicine, Lancaster November 13, 2017 Ann B Barshinger Health Cancer Institute scale
ASCO s Payment Reform Model. Presenter John Hennessy Sarah Cannon
ASCO s Payment Reform Model Presenter John Hennessy Sarah Cannon Consolidated Payments for Oncology Care Payment Reform to Support Patient-Centered Care for Cancer ASCO s Clinical Practice Committee Payment
Presenters: Alex Khariton, RTT, MBA Becky Schuster, RTT, MHA Gary Webster, MPH
Presenters: Alex Khariton, RTT, MBA Becky Schuster, RTT, MHA Gary Webster, MPH With respect to the following presentation, there has been no relevant (direct or indirect) financial relationship between
Framework for Cancer CNS Development (Band 7)
Framework for Cancer CNS Development (Band 7) Opening Statement This framework provides a common understanding of the CNS role across the London Cancer Alliance and will be used to support the development
Parole Decision Making in Montana
Parole Decision Making in Montana Presenta7on to the Montana Commission on Sentencing Cathy McVey, Senior Policy Advisor Overview 01 02 03 Parole Decision Making in an Evidence-Based World Parole in Montana
3M Health Information Systems. 3M Clinical Risk Groups: Measuring risk, managing care
3M Health Information Systems 3M Clinical Risk Groups: Measuring risk, managing care 3M Clinical Risk Groups: Measuring risk, managing care Overview The 3M Clinical Risk Groups (CRGs) are a population
Manufacturing Change Near-Site Medical Partnership
Manufacturing Change Near-Site Medical Partnership Molding a Healthy Workplace Le Sueur, Inc. Our Change Drivers Our Process Our Outcomes About Le Sueur, Inc. Le Sueur Inc. is a foundry Founded in 1946
Urology Clinical Forum. 11 th March 2015
Urology Clinical Forum 11 th March 2015 Welcome and Introductions Justin Vale, Chair of the LCA Urology Pathway Group Progress of the Urology Pathway Group Justin Vale, Chair of the LCA Urology Pathway
Value-Based Health Care Delivery
Value-Based Health Care Delivery Professor Michael E. Porter Harvard Business School HBS Reunion October 2, 2009 This presentation draws on Michael E. Porter and Elizabeth Olmsted Teisberg: Redefining
Na#onal Pa#ent Safety Goals
Na#onal Pa#ent Safety Goals 2017 www.ahrq.gov What are Na#onal Pa#ent Safety Goals? The purpose of Na2onal Pa2ent Safety Goals is to improve pa2ent safety. The goals relate to problems in healthcare safety
Determining)and)Addressing)Adherence)to)the)NCCN)Guidelines)for)Chronic)Phase)CML!
Brewer, B Page 1 Determining)and)Addressing)Adherence)to)the)NCCN)Guidelines)for)Chronic)Phase)CML Overall) Goal: Test a novel behavior change and educa4on interven4on to improve physician adherence to
Comparison of Bundled Payment Models. Model 1 Model 2 Model 3 Model 4. hospitals, physicians, and post-acute care where
Comparison of Bundled Payment Models General Description Eligible awardees Retrospective bundled Retrospective bundled payment models for payment models for hospitals, physicians, and post-acute care where
CONNECTICUT COMMON CORE. Professional Learning Mini-Grant
CONNECTICUT COMMON CORE Purpose: To increase the understanding of the Common Core State Standards and mastery of the English Language Arts and Mathema=cs Instruc=onal Shi?s that accompany the new standards.
Summary 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
Too Frequent Low-Dose Methotrexate Prescriptions Quality Control and Quality Assurance. Sascha Karlen Research Centre for Medical Informatics
Too Frequent Low-Dose Methotrexate Prescriptions Quality Control and Quality Assurance Sascha Karlen Research Centre for Medical Informatics Methotrexate 1x / Mo every Monday or every morning? 1 Content
! 1. Goals and Objectives. Assessment of Need. Primary Audience of the Intervention. Direct Beneficiaries of The Program
Goals and Objectives Assessment of Need Primary Audience of the Intervention Direct Beneficiaries of The Program Intervention Design and Methods Evaluation Design Table of Contents 1 2 3 4 4 8 Detailed
ACOs: 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
Coordina(ng Care to Improve Outcomes & Reduce Costs
Coordina(ng Care to Improve Outcomes & Reduce Costs Steven Ronik, Ed.D. Chief Execu6ve Officer Henderson Behavioral Health sronik@hendersonbh.org @DrStevenRonik Who is Henderson Behavioral Health Oldest
RE: Medicare Program; Request for Information Regarding the Physician Self-Referral Law
1055 N. Fairfax Street, Suite 204, Alexandria, VA 22314, TEL (703) 299-2410, (800) 517-1167 FAX (703) 299-2411 WEBSITE www.ppsapta.org August 24, 2018 Seema Verma, MPH Administrator Centers for Medicare
Value-based Care. Fact Sheet. How Value-based Care is improving quality and health.
How is improving quality and health. Working Smarter and Better to Help People Live Healthier Lives can help you lead the healthiest life possible. Imagine every health care professional you see understanding
An 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
Defining an Outcome Measures Framework for Global Surgery
Defining an Outcome Measures Framework for Global Surgery Richard Gliklich MD Leffenfeld Professor of Otology and Laryngology, Harvard Medical School Surgeon, Mass Eye and Ear; Massachusetts General Hospital
Assessment of Prevention, Diagnosis, and Treatment Options
Assessment of Prevention, Diagnosis, and Treatment Options David Hickam, MD, MPH Director, Assessment of Preven3on, Diagnosis, and Treatment Op3ons February 19, 2015 Welcome! David Hickam, MD, MPH Director
Qatar Mental Health Law. Dr. Suhaila Ghuloum, FRCPsych
Qatar Mental Health Law Dr. Suhaila Ghuloum, FRCPsych DISCLOSURE STATEMENT Speaker: Suhaila Ghuloum, MD Has no relevant financial rela=onships to disclose Will not be discussing any unlabeled/unapproved
CANCER LEADERSHIP COUNCIL
CANCER LEADERSHIP COUNCIL A PATIENT-CENTERED FORUM OF NATIONAL ADVOCACY ORGANIZATIONS ADDRESSING PUBLIC POLICY ISSUES IN CANCER November 20, 2017 Seema Verma Administrator Centers for Medicare & Medicaid
Supportive Care Roundtable
Supportive Care Roundtable Brussels, 20 February 2018 1 Preface Cancer supportive care is the prevention and management of the symptoms and side effects of cancer and its treatment across the cancer continuum
Risk Adjustment Methods in Value-Based Reimbursement Strategies
Paper 10621-2016 Risk Adjustment Methods in Value-Based Reimbursement Strategies ABSTRACT Daryl Wansink, PhD, Conifer Health Solutions, Inc. With the move to value-based benefit and reimbursement models,
Observation Coding and Billing Compliance Montana Hospital Association
Observation Coding and Billing Compliance Montana Hospital Association Sue Roehl, RHIT, CCS sroehl@eidebaill.com 701-476-8770 IP versus Observation considerations Severity of patient s signs and symptoms
CMS AMI and CABG Bundled Payment Initiative AMGA HF Collaborative December 13, 2016
CMS AMI and CABG Bundled Payment Initiative AMGA HF Collaborative December 13, 2016 Agenda Collaborative Learnings HF Correlation to AMI and CABG Bundled Payments CMS AMI & CABG Bundled Payment Programs
UAMS/SVI Partnership Agreement. Proposal
UAMS/SVI Partnership Agreement Proposal Introduction The University of Arkansas for Medical Sciences (UAMS) is the health sciences and academic medical component of the University of Arkansas. St Vincent
Building a Better Home: Transformation to a Patient Centered Health Home. Anna M. Gard, FNP-BC Association of Clinicians for the Underserved
Building a Better Home: Transformation to a Patient Centered Health Home Anna M. Gard, FNP-BC Association of Clinicians for the Underserved A Patient Centered Health Home is not a place but an approach
A Stepwise Approach to Quality Improvement. Michelle Mourad, MD Director of Quality and Safety, Division of Hospital Medicine UCSF Medical Center
A Stepwise Approach to Quality Improvement Michelle Mourad, MD Director of Quality and Safety, Division of Hospital Medicine UCSF Medical Center Why do we fail to do simple things that improve care? Hand
General Background of CDI
Clinical Documentation Improvement The Physician Champion ILHIMA 04/30/16 1 General Background of CDI 2 1 CMS Federal Register August 2008 Final Rule (CMS-1533-FC page 208) We do not believe there is anything
Centers for Medicare & Medicaid Services: Innovation Center New Direction
Centers for Medicare & Medicaid Services: Innovation Center New Direction I. Background One of the most important goals at CMS is fostering an affordable, accessible healthcare system that puts patients
Improving current delivery in London: a briefing for GP cancer leads
Treatment summaries Improving current delivery in London: a briefing for GP cancer leads August 2016 Supported by and delivering for London s NHS, Public Health England and the Mayor of London Transforming
MAKING PROGRESS, SEEING RESULTS
MAKING PROGRESS, SEEING RESULTS VALUE-BASED CARE REPORT HUMANA.COM/VALUEBASEDCARE Y0040_GCHK4DYEN 1117 Accepted 2 Americans are sick and getting sicker, with millions of us living with chronic conditions
Innovative Pharmacy Practice Models. David E. Hickman, Pharm. D Director, Ambulatory and Health Plan Pharmacy Service Sutter Health June 28, 2015
Innovative Pharmacy Practice Models David E. Hickman, Pharm. D Director, Ambulatory and Health Plan Pharmacy Service Sutter Health June 28, 2015 Innovative Pharmacy Roles Focus Pharmacist roles in all
Building the Universal Roadmap to Population Health Management
Building the Universal Roadmap to Population Health Management Executive Webinar January 21, 2016 Karen Handmaker, MPP, PCMH CCE IBM Watson Health House Keeping 1. Using the control panel Use the control
Guidelines for the role of Key Worker in Cancer Care
Version History Guidelines for the role of Key Worker in Cancer Care Version Date Summary of Change/Process 0.1 2007 Developed by Jill Kneale\Jeanette Hawkins and the Lead Nurses Group 0.2 May 2008 Formatted
7/9/13. PCMH Finally The Power! W H A T. What is PCMH? I S P C M H? THIS MORNING W H A T I S P C M H? Why I LOVE This! It Just Makes Sense
PCM Finally The Power! hy OV This! t Just Makes Sense Presented by: Susan Childs, FACMP voluon ealthcare Consulng www.evohcc.com Primary and Team Care Based Paent is Responsible Potenal For ncreased ncome
Rural Health and The Pa/ent Centered Medical Home. The Compliance Team Dianne Bourque, RN, CNOR, CASC Accredita/on Advisor
Rural Health and The Pa/ent Centered Medical Home The Compliance Team Dianne Bourque, RN, CNOR, CASC Accredita/on Advisor The Compliance Team, Inc. Exemplary ProviderTM Accredita;on Program Every pa;ent
Strengths of the Nursing Workforce and Challenges Nurses and the Health Organiza9ons that Employ them will Face Over the Next 10 Years
Strengths of the Nursing Workforce and Challenges Nurses and the Health Organiza9ons that Employ them will Face Over the Next 10 Years The Missouri Hospital Associa9on June 15, 2017 Peter I. Buerhaus PhD,
Benefit Criteria for Outpatient Observation Services to Change for Texas Medicaid
Benefit Criteria for Outpatient Observation Services to Change for Texas Medicaid Information posted on October 8, 2010 Effective for dates of service on or after December 1, 2010, the benefit criteria
The software that powers HOME HEALTH. THERAPY. PRIVATE DUTY. HOSPICE
Today s educational presentation is provided by The software that powers HOME HEALTH. THERAPY. PRIVATE DUTY. HOSPICE 877.399.6538 sales@kinnser.com www.kinnser.com About the presenter SHARON HARDER President
Payment Reforms to Improve Care for Patients with Serious Illness
Payment Reforms to Improve Care for Patients with Serious Illness Discussion Draft March 2017 Payment Reforms to Improve Care for Patients with Serious Illness Page 2 PAYMENT REFORMS TO IMPROVE CARE FOR
6.6 million. 3,400+ physicians & scientists. Cleveland Clinic bundled payment program key learnings
If you are considering implementing or expanding a bundled payment program, the Cleveland Clinic offers four key learnings. When Cleveland Clinic sought to develop a way to automate bundled payments around
CIGNA Collaborative Accountable Care
CIGNA Collaborative Accountable Care Connecting in ways that help make achieving health easier, more effective and more affordable October 14, 2016 Michael L. Howell, MD, MBA, FACP Market Medical Executive/Sr.
PALLIATIVE CARE: CHARTING A COURSE MEETING OF THE PATIENT QUALITY OF LIFE COALITION FEBRUARY 18, 2015
PALLIATIVE CARE: CHARTING A COURSE MEETING OF THE PATIENT QUALITY OF LIFE COALITION FEBRUARY 18, 2015 HENRY R. DESMARAIS, MD, MPA HEALTH POLICY ALTERNATIVES, INC. A POSSIBLE OPTION MENU QUALITY Ø Add palliative
History of Patient Navigation 8/26/17. Cancer Navigation September 26, Agenda
Cancer Navigation September 26, 2017 Eric T. Kimchi, MD, MBA Medical Director, Ellis Fischel Cancer Center Agenda History of Patient Navigation Principles of Patient Navigation UAB Experience EFCC Initiative
UHBristol Trustwide Neutropenic Sepsis Audit. Krishna Garadi Julia Hardwick Ruth Hendy Anna Kuchel Tara Shine Sam Wells
UHBristol Trustwide Neutropenic Sepsis Audit Krishna Garadi Julia Hardwick Ruth Hendy Anna Kuchel Tara Shine Sam Wells Background Cancer Peer Review measure for Acute Oncology Door to needle time for suspected
Get A Seat at the Table
Get A Seat at the Table Develop Cross-Continuum Networks in the Competitive, Performance-Driven Senior Living Industry Hilary Forman, PT, RAC-CT Senior VP, Clinical Strategies Division, HealthPRO Heritage
TARGETED RFA IN PROSTATE CANCER RESEARCH Predictive Markers
TARGETED RFA IN PROSTATE CANCER RESEARCH Predictive Markers Revised 20180504 *see p. 3 sentence revised Part 1: Overview Information Participating Organization(s) Funding Opportunity Title Description
The Changing Face of the Employer-Provider Relationship
The Changing Face of the Employer-Provider Relationship Cleveland Clinic Market & Network Services Shannon Schwartzenburg August 21, 2013 Cleveland Clinic Snapshot Group practice model - 120 specialties
Healthcare Reform. Ara Darzi FRS
Healthcare Reform Ara Darzi FRS challenges across health systems Science and technology Unrelen:ng technological change Lifestyle Explosion of lifestyle diseases Aging People are ge@ng older and sicker
Navigating Health System Silos Promoting Innovative Policies and Best Practices. Monday, October 17, 2016 MaRS Discovery District, Toronto
Navigating Health System Silos Promoting Innovative Policies and Best Practices Monday, October 17, 2016 MaRS Discovery District, Toronto Meet the Panel Moderator: Janet Davidson (former Deputy Minister
Quality in Long Term Services and Supports (QuILTSS) for Nursing Facilities
TENNESSEE LTSS VBP INITIATIVES NASHP Annual Conference 2017 10/24/2017 Quality in Long Term Services and Supports (QuILTSS) for Nursing Facilities Began in 2013 with stakeholder engagement. Bridge Payment
Readmission Prevention Programs. Vice President, Strategy & Development June 6, 2017
Readmission Prevention Programs Paul M. Duck @paulduck Vice President, Strategy & Development June 6, 2017 About Beacon Health Options Headquartered in Boston; more than 70 locations in the US and UK 5,000
National Cancer Action Team. National Cancer Peer Review Programme EVIDENCE GUIDE FOR: Colorectal MDT. Version 1
National Cancer Action Team National Cancer Peer Review Programme FOR: Version 1 Introduction This evidence guide has been formulated to assist Networks and their constituent teams in preparing for peer
POPULATION 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
Clinical Documentation Improvement (CDI) Programs: What Role Should Compliance Play?
Clinical Documentation Improvement (CDI) Programs: What Role Should Compliance Play? June 17, 2016 Agenda Clinical Documentation Improvement (CDI) Perspective An Effective CDI Program Core Focus: Compliance
VALUE-BASED CARE REPORT
VALUE-BASED CARE REPORT PREVENTION & OUTCOMES. Patients treated by physicians in Humana Medicare Advantage (MA) value-based agreements had more preventive care screenings and better health outcomes compared
MAY 16-17, 2012 NATCHER CONFERENCE CENTER NATIONAL INSTITUTES OF HEALTH CAMPUS BETHESDA, MARYLAND
MAY 16-17, 2012 NATCHER CONFERENCE CENTER NATIONAL INSTITUTES OF HEALTH CAMPUS BETHESDA, MARYLAND FDA Anne Pariser Larry Bauer Mark Walton Gayatri Rao Marianne Noone NINDS Dan Tagle NICHD Tiina Urv Melissa
INTRODUCTION TO POPULATION HEALTH. Kathy Whitmire, Vice President
INTRODUCTION TO POPULATION HEALTH Kathy Whitmire, Vice President 1 Learning Objectives 1. Provide an overall framework for population health 2. Allow clinics to understand why population health is important
Hospital Urgent Care Operations: A Pathway to Profitability
Hospital Urgent Care Operations: A Pathway to Profitability Alan A. Ayers, MBA, MAcc Chief Executive Officer, Velocity Urgent Care Vice President of Strategic Initiatives, Practice Velocity, LLC Practice
Advisory Panel for Health Care Advancing the Academic Health System for the Future: Profiles in Academic Health System Leadership.
Advisory Panel for Health Care Advancing the Academic Health System for the Future: Profiles in Academic Health System Leadership November, 2013 Project Focus and Methodology Project Focus This project
Program Overview
2015-2016 Program Overview 04HQ1421 R03/16 Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross and Blue Shield Association and incorporated as Louisiana Health Service
QUALITY OF LIFE OF CANCER CHILDREN CAREGIVERS
QUALITY OF LIFE OF CANCER CHILDREN CAREGIVERS Helena VAĎUROVÁ Current Situation Oncology is one of the fields experiencing the fastest development in the last few years. New treatment methods brought about
Bob Davis, PharmD, FAPhA Professor and Chair, KPIC
Bob Davis, PharmD, FAPhA Professor and Chair, KPIC davisb@kennedycenter.sc.edusc edu South Carolina Primary Health Care Association September 19, 2015 Myrtle Beach, SC Disclosures Robert E. Davis declare(s)
Creating a Virtual Continuing Care Hospital (CCH) to Improve Functional Outcomes and Reduce Readmissions and Burden of Care. Opportunity Statement
Creating a Virtual Continuing Care Hospital (CCH) to Improve Functional Outcomes and Reduce Readmissions and Burden of Care Robert D. Rondinelli, MD, PhD Paulette Niewczyk, MPH, PhD AlphaFIM, FIM, SigmaFIM,