Shared Learning

Industry-Sponsored Breakouts
Friday, September 27, 6:45 a.m. – 8:30 a.m.
New this year, AMGA will feature up to five industry-led breakouts where IQL19 participants will have the opportunity to learn from industry leaders and corporate partners about critical topics, products, or services to help you succeed in the changing healthcare environment.

(Participants are invited to enjoy breakfast during these Friday morning sessions. Breakfast will not be provided in the exhibit hall or elsewhere.)

Reducing Surgical Site Infections: How Navicent Health Put ERAS Guidelines into Practice
Introductions by Scott Hines, M.D., Chief Quality Officer and Medical Director, Crystal Run Healthcare
Featured Speaker: William M. Thompson, Jr., M.D., FACS Associate Professor of Surgery and Associate Chair, Clinical Education, Department of Surgery, Mercer University School of Medicine, Medical Center, Navicent Health

Surgical site infections (SSIs) are distressing for patients and healthcare facilities alike. SSIs result in longer hospital stays and increased healthcare costs. Furthermore, they can trigger financial penalties for healthcare organizations. Please join us as Dr. William M. Thompson Jr. discusses how a comprehensive mandatory enhanced recovery after surgery (ERAS) protocol rapidly reduced colon surgical-site infections at his facility. During Q&A, Dr. Thompson will lead an interactive discussion on the components of a successful colon ERAS protocol, how to build an ERAS team, and reliable outcomes measurements.
Sponsored by Abbott

Leveraging Blockchain Technology to Develop a Diabetes Care Administration Network

Introductions by Jerry Penso, M.D., M.B.A., President and Chief Executive Officer, AMGA
Blockchain technology can completely change the way coordination of care, benefits administration, and real-time payments are accomplished in health care. Learn how blockchain and developing a diabetes care administration network can improve the wellbeing of patients with diabetes, who also may be at an increased risk for cardiovascular disease.  A team of expert panelist from Arizona Care Network and Solve.Care will explore how this type of network may help achieve better patient engagement, better practitioner efficiency, and lower clinical and administrative costs.
Sponsored by Boehringer Ingelheim/Lilly Diabetes Alliance

Key Challenges and Best Practices to Support Improved Outcomes for Serious Mental Illness Population across Care Settings
Moderated by Mark Briesacher, M.D., Senior Vice President, Chief Physician Executive, Intermountain Healthcare; President, Intermountain Medical Group
Join a roundtable with leaders of medical groups and integrated systems of care to discuss behavioral health challenges among your serious mental illness patient population (those with bipolar depression, schizophrenia, etc.). This highly informative, moderated discussion will explore emerging needs around population health management with a focus on transitions of care. Learn from your peers what is working well today and identify the types of future resources and technologies that will have the greatest impact on delivering high-quality care.
Sponsored by Sunovion

The Power of Primary Care to Reduce Cardiovascular Disease Risk:  Deliver Guideline-Recommended Care for AFib Stroke Risk Reduction and VTE Care Coordination

Introductions by Beth Averbeck, M.D., Senior Medical Director, Primary Care, HealthPartners
Moderated by Amanda R. Brummel, Pharm.D., BCACP, Vice President, Clinical Pharmacy Services, Fairview Health Services
Facilitated by Devdutta Sangvai, M.D., M.B.A., FAAFP, Vice President of Population Health Management, Duke University Health System; Peter DeLaney, Pharm.D., BCPS, Pharmacy Operations Manager, Atrium Health Cabarrus;  Andrea Robinson, M.S.N., RN, AG-ACNP, Clinical Lead for Atrial Fibrillation, Ohio Health; and Sonja Short, M.D., Associate CMIO, Ambulatory & Population Health, Fairview Health Services

Learn directly from healthcare system leaders from Duke, Fairview, Atrium Heath, and Ohio Health regarding their approach to reducing the risk of stroke for atrial fibrillation (AFib) patients as well as enhancing the transition of care process for venous thromboembolism (VTE) patients.  The goal of this program is an informative roundtable discussion on experiences within systems working to improve the care of patients with non-valvular AFib or VTE through a population health approach. The chosen examples seek to provide attendees with an understanding of how gaps in care may be identified, solutions prioritized and created, and the process implemented. Leaders will also share some of the associated challenges encountered when initiating solutions within their health systems.
Sponsored by Pfizer

Positioning Yourself for Success with Data and Analytics: Practical Lessons from Three AMGA Leaders
Featured Panelists: Francis R. Colangelo, M.D., M.S.-HQS, FACP, Vice President, Board of Directors, and Chief Quality Officer at Premier Medical Associates; and Jeff James, M.B.A., CEO, Wilmington Health; and John Cuddeback, M.D., Ph.D., CMIO, AMGA
Join an interactive conversation with three AMGA leaders as they share their perspectives on how to achieve the highest and best use of your analytics. They’ll take your questions and discuss the successes they’ve achieved and challenges they’ve encountered.  Topics will include:

  • Tactics for performing well in an ACO with an emphasis on data and visibility
  • How you can use innovation can be used to fund growth with a look at expanding participation in clinical trial research
  • The necessity of benchmarks and how collaboration within peer organizations helps improve performance among participants

Sponsored by Optum

Fire Starters: Moderated Discussion Groups
Saturday, September 28, 8:30 a.m. – 9:45 a.m.
Back after popular demand at IQL18, our moderated discussion groups are designed to guide conversations on hot topics related to disruption, innovation, and change management. Facilitated by respected leaders at AMGA member organizations, participants will depart with new perspectives and connections.

Peer-to-Peer Breakout Sessions

Friday, September 27, 11:00 a.m. – 12:00 p.m.

The Future of Health Care
Philip M. Oravetz, M.D., M.P.H., M.B.A., Chief Population Health Officer, Ochsner Health System
Ochsner Health System has made innovation a way of life. Ochsner created innovationOchsner—a think tank, an innovation lab, and a healthcare technology company—dedicated to discovering new ways to use technology to deliver better health care to the people in their communities and beyond. In this session, Dr. Oravetz will discuss some of the breakthrough innovations taking place at Ochsner, including a digital medicine program that is achieving dramatic improvements in blood pressure control, the Optimal Hospital, and their open innovation challenge which is inspiring innovation in their community.

Upon completion of this activity, participants should be able to:

  • Describe how Ochsner is creating a culture of innovation
  • Explain some of the innovative initiatives coming out of InnovationOschner
  • Evaluate if innovations from Ochsner are replicable at their organization

The New Value Investing: How Private Investors Can Facilitate Healthcare’s Value Movement
J. William Wulf, M.D., Chief Executive Officer, Central Ohio Primary Care (COPC) and Ravi Sachdev, Partner, Clayton, Dubilier & Rice
One of the main impediments for medical groups moving to risk is raising the necessary capital requirements to finance the transition. This is particularly difficult for independent practices who are not open to selling the group to gain access to the capital. In this session, the presenters will discuss an innovative model of working with equity partners to finance the risk without selling the practice allowing the group to make an immediate move to full-risk, and will also address how hospital-affiliated practices could form similar equity partnership models to accelerate their own move to value.

Upon completion of this activity, participants should be able to:

  • Describe how Central Ohio Primary Care (COPC) is working with equity partners to finance risk
  • Delineate the responsibilities of each partner to achieve successful risk management.
  • Evaluate the models replicability in their organization

0.74 Days from Hospital to Home: Shareable Practices of Kaiser Permanente’s National Total Joint Replacement Initiative Program
Kate Koplan, M.D., M.P.H., National Permanente Quality Leader and Associate Medical Director for Quality and Patient Safety, The Southeast Permanente Medical Group
In this presentation, you’ll hear directly from the Kaiser Permanente leader who has steered the inter-disciplinary transformation required to reduce length of stay following joint replacement from 1.37 days to 0.74 days. The presentation will cover the standardized and shareable practices of the Kaiser Permanente National Total Joint Replacement Initiative Program. Practices range from pre-operative care (including patient and family health education), to perioperative care (such as blood management protocols), all the way to post-operative care, such as home physical therapy visits.

In addition to reduced length of stay, other metrics of success include nearly 25,000 beds saved across Kaiser Permanente, high patient satisfaction ratings, positive shared decision making feedback, and more.

Upon completion of this activity, participants should be able to:

  • Describe how Kaiser Permanente’s National Total Joint Replacement Initiative’s approach balances the IOM’s six domain of quality including safety, person centeredness, effectiveness, efficiency, equity, and timeliness
  • Explain how the opportunity for clinically appropriate patients to recover at home after surgery can reduce complications such as surgical infection and can allow patients to heal in a comfortable, safe environment by planning in advance for the support they will need after surgery
  • Describe a framework and a validated method to accelerate adoption of evidence-based practices and service improvement

Building Resilient Care Teams in the Era of Disruption
Christina “Christi” Taylor, M.D., Internal Medicine and Chief Quality Officer, Barbara Hodne, D.O., FAAFP, Family Medicine and Associate Quality Director, and Brad Whipple, M.S.W., Director of Primary Care Services, The Iowa Clinic
Today’s physician struggle to maintain clinical excellence while balancing cost-effectiveness, patient safety, and efficiency, and simultaneously managing the administrative burdens of quality measures, panel management, charge capture, documentation management, and medication reconciliation among others. Why not start building tools to improve physician resilience instead of focusing on physician burnout?

With rates of physician burnout and depression on par with national averages, The Iowa Clinic recognized a need to change tactics and focus on building resilience. Presenters will discuss the multi-year process that began with the decision to accelerate support efforts with a concentrated set of tools and workflow changes that would temporarily disrupt the day-to-day for practicing physicians but simultaneously bring immediate and long-term relief. The Iowa Clinic also importantly distinguished the need to focus on root causes apart from addressing symptoms.

During the presentation, you’ll discover strategies to bring organizational alignment to systematic changes within your organization, learning how The Iowa Clinic’s initiatives boosted physician resilience and achieved meaningful outcomes for the organization, providers, patients, and community.

Upon completion of this activity, participants should be able to:

  • List tactical solutions to address the administrative burden and provider resilience
  • Describe a management philosophy for successfully implementing tools and tactics in the face of sweeping organizational and industry change
  • Identify four outcomes on the organization, providers, patients, and community based on this multi-year effort

Friday, September 27, 1:15 p.m. – 2:15 p.m.

Accelerating Innovation at Cedars-Sinai
Anne Wellington, Managing Director, Cedars-Sinai Accelerator
This presentation will discuss Cedars-Sinai’s approach to implementing new innovations through the Cedars-Sinai Accelerator. The presentation will cover the framework of the accelerator program, including identifying and evaluating promising startups, engaging clinical and operational stakeholders, collaborating with companies to refine their solutions, and implementing new technology innovations. The presentation will also highlight some specific examples, outcomes, and results of Cedars-Sinai’s collaboration with early stage companies through the accelerator program.

Upon completion of this presentation, attendees should be able to

  • Describe and create a framework for sourcing, evaluating, and implementing new technologies that improve care or care delivery
  • Identify areas for innovation and implement new technology initiatives
  • Describe how to work with early stage technology vendors
  • Get buy-in and managing change related to new technology

All In: Transforming Your Organization in Anticipation of Risk-Based Care
Kevin Conroy, M.S., Chief Financial Officer and Chief Population Health Officer, and Richard Morel, M.D., M.M.M., FACP, Deputy Chief Medical Officer, CareMount Medical, P.C.
This presentation showcases how CareMount Medical, P.C., laid the groundwork for a shift to value by first shoring up its fee-for-service processes to yield optimal reimbursement.

In particular, the presenters will share how the organization identified and onboarded new skills and roles to enable the move to value, including care management, data analytics, education and training, quality management and contracting. To further support the transition, CareMount Medical worked with external partners to create a transformation framework, including strategic analysis, care management support, and technology-enabled processes. The presenters will also examine how these relationships led to stronger patient engagement, care reporting, and data analysis to foster greater reimbursement. Finally, the presenters will outline best practices and lessons learned for other organizations looking to revamp their reimbursement efforts to better accommodate and encourage value-based payment.

Upon completion of this activity, participants should be able to:

  • Define best practices for streamlining and standardizing fee-for-service processes to establish the foundation for value-based reimbursement
  • Explain the key functions necessary to cultivate fee-for-value payments, including care coordination, practice education, quality management, contracting, and data analysis
  • Summarize concrete strategies for optimizing new functions, including care coordination, practice education, and data analysis
  • Describe a necessary framework, including technology, that enables a smooth transition
  • Discuss practical strategies for sustaining performance before, during, and after the shift to value

Urgent Care Disruption: The Good, the Bad, and the Ugly
Melinda Cooling, D.N.P., M.B.A., A.P.N., FNP-BC, NEA-BC, Vice President, Advanced Practice at OSF Urgo, OSF HealthCare
Consumerism is forcing organizations to be more innovative in the modeling and delivery of care – particularly as it relates to convenience, time, and location. To meet these challenges in urgent care, OSF HealthCare launched OSF Urgo, a fully redesigned and modernized urgent care platform that ultimately resulted in 20,000 patient evaluations, skyrocketing patient satisfaction, and higher revenues.

In this session, learn how OSF Healthcare made substantial changes in how they view the patient relationship, their role in meeting patients’ service desires and expectations, and how non-clinical departments can support a radically new operation. The presenter will highlight elements of change management, design thinking, and leadership engagement, needed to support a successful redesign and launch. In addition to the impressive usage statistics and satisfaction rates, OSF Urgo also helped realize newfound revenue for the organization—as approximately 20% of the patients evaluated experienced their first touch with OSF HealthCare through the new platform.

Upon completion of this activity, participants should be able to:

  • Describe how modern urgent care models are disrupting traditional primary care delivery
  • List the five goals and measure of success for the organization’s modern urgent care platform
  • Explain leadership actions that can guide your organization through similar disruptive operational changes

Improving Patient Experience by Improving Physician Communication
Christine A. Schon, M.P.A., M.H.C.D.S., FACMPE, Chief Operating Officer, Cheshire Medical Center/Dartmouth-Hitchcock, and Jason C. Vallee, M.A., MAOM, Ph.D., Certified Physician Development Coach, Vice President, Patient Experience, Cheshire Medical Center/Dartmouth-Hitchcock Keene, and Assistant Professor of Community and Family Medicine, The Geisel School of Medicine at Dartmouth
Strong physician communication and interpersonal skills are important aspects of delivering patient-centered care and achieving high patient satisfaction. During the session, you will learn about Dartmouth-Hitchcock’s Ambassadors for Excellence program, through which a group of clinical leaders provide peer-to-peer coaching. Through observation and training in communication and interpersonal skills, providers can gain the capacity to create joy in practice and excellent patient experiences that lead to a patient feeling respected, understood, safe, and whole. By building trust, the program fosters a more caring environment that is the foundation of healing. In turn, high patient satisfaction, contributes to higher provider job satisfaction and better overall outcomes for the patient.

Since its inception, over 200 providers have attended coaching sessions across Dartmouth-Hitchcock; of that group, many providers showed significant improvement in key metrics that have been sustained over time. For example, on average, providers whom were coached achieved a 20+ percent increase on their provider overall score, which is typically sustained.

Upon completion of this activity, participants should be able to:

  • List the seven key behaviors that drive patient satisfaction
  • Describe the need for improving physician communication in a group practice setting
  • Explain the relationship between physician communication and specific outcomes (e.g., quality scores, engagement, patient satisfaction, productivity)

Precision Medicine Without Waiting for Genomics
R. Todd Stewart, M.D., Vice President, Clinical Integrated Solutions, Mercy; and John K. Cuddeback, M.D., Ph.D., Chief Medical Informatics Officer, AMGA
Combining data from a landmark clinical trial with data from our EHRs, creating individualized estimates of benefit and risk, to inform shared decision-making…now that’s disruptive. Even more so when it’s focused on a population health challenge that affects 84 million Americans, prediabetes. Learn how Premier Medical Associates is using this predictive model to prioritize interventions to prevent progression to diabetes. Discover how Mercy is working to develop a cloud-hosted version of the model that other organizations can use to splice into the clinical workflow within their own EHRs, including data displays designed for shared decision-making with people found to have prediabetes.

Upon completion of this activity, participants should be able to:

  • Describe the population health challenge posed by the prevalence of prediabetes and its relationship to practice-based screening for diabetes
  • Understand the benefits of a multivariable predictive model to risk-stratify people with prediabetes, identifying those who will gain the greatest benefit from interventions that have been proven to reduce the likelihood of progression to diabetes
  • Explain the roles of 3 key health IT standards that enable EHRs to “subscribe” to cloud-hosted predictive models: SMART, FHIR, and CDS Hooks
  • Understand the issues involved in using personalized risk estimates with patients, to inform shared decision-making

Friday, September 27, 2:30 p.m. – 3:30 p.m.

Your Neighborhood Clinic: An Innovative Approach to Community Care
Mark Mantei, Chief Executive Officer, The Vancouver Clinic; and Catherine Field, Market President/Market Leader for Senior Products, Intermountain Region, Humana
Vancouver Clinic is the largest private, multispecialty clinic in Southwest Washington. To address the needs of this region and a growing market segment, the clinic seeks innovative ways to bring care closer to where their patients live. In this presentation, the Vancouver Clinic CEO and Humana Market President will describe how a partnership with Humana, a leading provider of Medicare Advantage insurance products, has enabled the creation of a neighborhood clinic tailored to seniors and high-need patients. This model features integrated care teams—which include doctors, nurses, health coaches, nutritionists, medication managers, and social services professionals—that guide patients through the complex health system and ensure their care addresses the whole person.

Upon completion of this activity, participants should be able to:

  • Describe how partnering with an insurer can help a group move toward value-based care
  • Delineate the features of a neighborhood clinic and its impact on patient care
  • Evaluate if innovations from Vancouver Clinic are replicable at their organization

Disrupting Without Being Disruptive: Key Lessons from Privia Health
Stacy Lutz, Vice President, Product Engineering, and Keith Fernandez, M.D., National Chief Clinical Officer, Privia Health
Innovation in health care doesn’t have to be disruptive. Meaningful innovation embraces the human connection, enabling physicians to focus more on their patients than on the patient record. This presentation explores innovations that make life easier along the transition to value – such as texting patients to close 50,000 care gaps and reducing workloads by 20% with virtual assistants – all part of Privia Health’s novel, supportive system that embraces the fundamentals of medicine, decreases administrative burden, and strengthens patient-provider relationships.

You’ll hear about a standing order that automatically satisfies open quality gaps in patient care using patient-reported data, as well as virtual assistant technology that enables providers to focus on interactions with their patients. These innovations have collectively reduced administrative burdens for providers and care centers, improved revenue cycle, advanced conversation with the patient at the point of care, and driven positive downstream effects including improved outcomes and a reduction in ER utilization.

Upon completion of this activity, participants should be able to:

  • Explain how technology can improve the patient and physician experience
  • Describe the role of technology, governance, and process in improving quality
  • Begin to identify process and technology methods to improve outcomes
  • Develop an overall framework to mitigate physician burnout

Making Doctor Visits Virtual
Diane L. George, D.O., Chief Medical Officer, Primary Care, Henry Ford Medical Group
As medical groups and health systems face increasing challenges from disrupters, some groups are using technology to embrace consumerism, increase access for patients, and improve care, especially for disadvantaged and medically challenged populations. Discover how Henry Ford Medical Group (HFMG) has been piloting portable telehealth devices that allow virtual physical examination in school-based health clinics, virtual home visiting physician visits, an employer-based clinic, and for post-discharge evaluation of patients at home. In this interactive session, the presenter will detail HFMG’s early results and lessons learned and lead a discussion of other similar pilots other members might be trying in their systems.

Upon completion of this activity, participants should be able to:

  • Describe the telehealth program at HFMG
  • Explain how to start a telehealth program, including virtual home visiting physician visits
  • Evaluate the replicability of these strategies at their organization

Intentional Disruption: Key Strategies for Success While Operating in a Blended Fee-for-Service and Value-Based Reimbursement Environment
Hank Kerschen, M.H.S.A., Assistant Vice President, Clinical Transformation, St. Elizabeth Physicians
Many organizations are struggling to engage providers and administrators in the transition to value-based reimbursement, especially in markets that are still predominately driven by a fee-for-service reimbursement model. Being early or first to market in the transition to value can provide unique opportunities and challenges for all stakeholders in the organization.

This presentation will address the basic and advanced strategies that St. Elizabeth Physicians has implemented to build engagement with providers and administrators while creating mutually beneficial outcomes for patients, providers, and their organization as a whole. You’ll learn about a combination of process redesigns, EMR build changes, and technology deployments. The discussion will include the people, processes, and technologies necessary to disrupt a traditional primary care practice pattern on the way to a value-based care model.

Through this approach, the Kentucky-based group has achieved early and sustained success. For instance, St. Elizabeth Physicians has been recognized by their three largest managed care partners as delivering the highest quality outcomes in their respective market in 2016, 2017, and 2018.

Upon completion of this activity, participants should be able to:

  • Describe challenges when operating in a blended fee-for-service and value-based reimbursement environment and associated opportunities
  • Identify and implement one or more key strategies to build engagement and improve quality across the organization on the way to a value-based care model
  • List outcomes, such as improvement rates, cost savings, and survey results