Wednesday, November 16, 2016
11:00 a.m. - 12:15 p.m.
How to Establish an Accountable Post-Acute Preferred Provider Network
Maura McQueeney, M.P.H., D.N.P., President of Baystate VNA & Hospice/Post-Acute Care, Baystate Health; and Lissy Hu, M.D., M.B.A., Chief Executive Officer, CarePort Health
Avoiding the increasing hospital readmission penalties requires strong post-acute collaboration. Simultaneously, creating an accountable post-acute network allows health systems to better manage the entire continuum of post-acute care for their patient populations. In this session, executives from Baystate Health, a Next Generation ACO and Bundled Payments for Care Improvement (BPCI) participant, will share the lessons learned in implementing a preferred network, from evaluating provider performance to guiding patients to high-quality providers at the point of discharge.
Cost-Effective Management of a High-Risk Population Using Analytics: Care Processes That Make a Difference for Patients with Heart Failure
Moderator: Jill Powelson, R.N., CPC, M.B.A., M.P.H., Director, Clinical Translation, AMGA
Panelists: Francis R. Colangelo, M.D., Chief Quality Officer, Premier Medical Associates, P.C.; Corinne Bott-Silverman, M.D., Cardiologist, Cleveland Clinic; and Mary Laubinger, M.S.N., Executive Director of Quality, Mercy Clinic
Heart Failure (HF) affects 5.1 million people in the U.S., and is the leading cause of hospitalization among adults 65 and older, with costs estimated at $32 billion a year. Despite improvements in outcomes and medical therapy, admission rates following HF hospitalization remain high. In this session, current participants in our HF Best Practices Collaborative will discuss their strategies and successes in reducing readmission rates and improving appropriate medication use. The collaborators will provide distinct perspectives from both the ambulatory and in-patient setting, along with an innovative virtual-care model.
Improving the Patient Experience with Data Analytics and Care Coordination
Keith Griffin, M.D., Chief Medical Information Officer, Novant Health
Data analytics are an essential part of creating the population health programs that will help you succeed in value-based payment models. Learn how Novant Health is maximizing the use of data analytics and developing specific tactics for improving outcomes for its patients with chronic conditions. These transformative tactics include a self-service reporting tool that allows providers to sift through large amounts of patient population data with just a few clicks. As a result, it is easier to identify and take appropriate care coordination measures on trends across a patient population.
Journey to Excellence: Engaging Physicians and Enhancing Patient Experience
Annamari Dietrichson, Director Service Excellence and Hospitality, Scott Smith, M.D., Senior Vice President, William Dooley, Vice President Operations, and Rob Schreiner, M.D., Pulmonary and Critical Care Physician, Christus Trinity Mother Frances Health System
Success for any system-wide initiative requires physician buy-in and engagement. This session focuses on the journey Christus Trinity Clinic (CTC) underwent to engage its physicians in achieving excellent quality outcomes. The presenters will empower you with communication strategies that frame the strategic imperative and engage physicians in strategy development. Learn how CTC developed a culture of transparency, peer recognition, professional self-regulation, and accountability that has driven outstanding results in patient experience, access, growth, and clinical quality.
A Health System's Path to High Performance
Mark A. Derubeis, Chief Executive Officer, and Robert Crossey, DO, President, Premier Medical Associates, P.C.
Over the years, members of our community have demonstrated successful system-wide change, delivered better patient outcomes, and embraced continuous learning and innovation that has led to improved quality and value-driven patient care. This session will spotlight the powerful initiatives of our most recent Acclaim Award recipients. Representatives from the esteemed organization will describe their journeys and explore their award-winning initiatives. The Acclaim Award, AMGA’s highest quality award, is presented annually by the AMGA Foundation to honor physician-directed organizations that bring the American healthcare system closer to a delivery model in which patients experience care that is safe, effective, patient-centered, timely, efficient, and equitable.
2:00 p.m. – 3:15 p.m.
Generating Value Revenues at a Price Your Group Can Afford
Robert E. Matthews, Vice President for Quality, PriMed Physicians, and President and CEO, MediSync
The costs and final outcomes of various improvement methods vary enormously. Many groups that are journeying from volume to value are uncertain about what kinds of value revenue they can achieve and what methods to improve performance will work well. This session will emphasize the importance of volume-to-value planning with the goal of finding the best revenue opportunities and the least-expensive, most-effective methods. Various methodological options will be categorized to help you achieve success on a budget you can afford.
Innovations in Primary Care Risk Management: Mt. Auburn Cambridge IPA’s Journey
David Shein, M.D., Medical Director, Mount Auburn Cambridge IPA
The Mount Auburn Cambridge Independent Practice Association (MACIPA), is a virtually integrated group that negotiates risk-based (capitated) managed care contracts with health plans. These contracts have allowed MACIPA to partner with the Cambridge-based Mount Auburn Hospital to create an infrastructure for care coordination that emphasizes innovation and new ventures with physicians to improve quality and patient care. Dr. Shein will share how the model is built around the PCP as the pivotal focus of managing the patient’s care, which the group believes is key to managing the cost and the quality of care.
Lead Well/Be Well: Developing Leaders and Building Resiliency
Beth Averbeck, M.D., Senior Medical Director, Primary Care, and Beth Waterman, Chief Improvement Officer, HealthPartners
Support from leadership, especially at the local level, plays a key role in clinician and employee resiliency, satisfaction, and retention. This presentation will examine how to develop and engage both clinical and administrative leaders to be consistent with the culture of the organization and focused on continuous improvement/innovation. The presenters will share how to develop innovative techniques to foster leadership development through effective communication, building resiliency, balanced leadership, change management, and cascading leadership within the care team.
3:45 p.m. – 5:00 p.m.
Utilization of a Pay-for-Performance Program to Drive Quality and Reduce Cost
Thomas M. Deas Jr., M.D., Ms.M.M., Vice President, Physician Development, and Theresa A. Bissonnette, M.B.A./HCM, CPHQ, Director of Quality, North Texas Specialty Physicians
In 2005, North Texas Specialty Physicians (NTSP) instituted a Pay for Performance (P4P) program and a partnership to align independent physician financial incentives with organizational goals, to close gaps in the quality of care, and to improve the health of Medicare Advantage members. In this impactful session, leaders from NTSP will summarize the key success factors and featured quality measures, the evolution of their compensation models in both primary and specialty care, and case studies that demonstrate measureable clinical outcomes and proven value.
New Approach to Improving Diabetes Care with In-Person Professional Education Training Model
Mary Morin, RN, NEA-BC, Vice President, Nurse Executive, Sentara Medical Group; and Liz Maloney, Associate Director, Johnson & Johnson Diabetes Institute
Our Together 2 Goal® national campaign has challenged the nation’s leading healthcare organizations to work together to improve diabetes care for one million people with Type 2 diabetes over the next three years. In this session, Together 2 Goal® teammates alongside our corporate collaborators will review an innovative program designed to improve practitioners’ knowledge and skills related to their diabetes practice, shifting the focus from an acute care/provider-centric model to a chronic care/patient-centric one.
When It Comes to Post-Acute Care Transitions, How Big Is Your Patient Safety Team?
Betsy Chang Ha, R.N., M.S., Vice President, Clinical Program Management and Performance, Lean Six Sigma Master Black Belt, and Nancy Yu Kung, M.D., Medical Director of Achieving Clinical Excellence, Southwest Medical Associates, OptumCare
In this session, executives from Southwest Medical Associates will detail how an integrated primary care and multispecialty group worked within a larger delivery system to create efficient, reliable processes designed to improve patients’ safety and post-discharge experiences, and how they are extending accountability for transitional care management across the health care continuum. Learn how they tackled the adoption and spread of best practices in care transitions by coming together as one big team, leveraging Lean methodology and data analytics. This practical approach has helped them shift from a fee-for-service, volume-driven culture to value-based thinking as a risk-bearing entity.
Leadership in the Era of Risk
Bruce D. McCarthy, M.D., M.P.H., President, Physician Division, Columbia St. Mary's Physicians
Physician leadership is a critical success factor for organizations that need to deliver high-quality, efficient care. Finding, training, and evaluating physician leaders in this environment are challenges that require new approaches and methods. Utilizing a system of incentives aimed at ultimately improving care to patients, Dr. McCarthy has led teams to achieve the ultimate goal of patient-centered care by focusing on high-risk patients. He will describe this comprehensive strategy developed throughout his career at Allina and Columbia St. Mary’s that has created physician leaders who are achieving organizational and individual goals.