Value-Based Care

Wednesday, March 25, 2015
2:00 p.m. – 3:15 p.m.
 

Charting a Course to Value: Redesigning the Delivery of Care to Improve Patient Outcomes and Capture Value
Michael Ogden, MD, Chief Transformation Officer, Cornerstone Health Care
This presentation will detail how Cornerstone Health Care made the move from fee-for-service to pay-for-value by redesigning the way they deliver care and re-aligning their contracts. It will provide a blueprint that Cornerstone developed for the transformation process and the lessons learned to allow participants to understand how they can make the transition and avoid making some of the mistakes that Cornerstone made.
 
Building a High-Performance Integrated Population Health Infrastructure
Betsy Hampton, RN, MBA, Vice President, Population Health, Reliant Medical Group
Juliana Hart, BSN, MPH, Director of Provider Solutions, Verisk Health

Reliant Medical Group established the Office of Population Health to support the organization in fulfilling their new medical management responsibilities for at-risk contracts. They developed tactical plans to build the infrastructure and support the transformation of the practices. This presentation will discuss their strategies and operational objectives for population health management and how they repurposed existing resources to support new responsibilities and achieve results.

Wednesday, March 25, 2015
3:45 p.m. – 5:00 p.m.

Evolving Towards a Shared Vision of Clinical Integration: Demonstrating Value to All Partners
Kristie Genzer, MED, MBA, System Vice-President, Physician Development and President, Ochsner Physician Partners
Victoria Smith, MD, Assistant Medical Director, Ochsner Physician Partners, Director of Primary Care-Kenner, Ochsner Health System
Value-based health care requires that multiple stakeholders are aligned around a shared vision of high-quality, cost-effective care. This session will describe how to utilize a clinical integration network to succeed on value-based contracts by fostering a shared vision among physicians, insurers, and patients.

Leveraging Patient Access as a Catalyst for Comprehensive Change Management
Denise Cuddeback, Vice President, Patient Access and Experience, Carolinas HealthCare System
Kyle Swarts, Regional Vice President, Culbert Healthcare Solutions
What set out to be a patient access optimization effort turned into a comprehensive, workflow redesign journey across the 400+ practices for the Carolinas HealthCare System (CHS). This session will explain how CHS’s Care Model Redesign has evolved to blur the traditional lines between revenue cycle and clinical operations and impacted bottom-line results.

Thursday, March 26, 2015
11:00 a.m. – 12:15 p.m.

A Compact Strategy to Create High-Performing Networks
C. Todd Staub, MD, FACP, Chairman, ProHealth Physicians
ProHealth Physicians, a large primary care medical group, is using a compact strategy to engage outside specialists, home care agencies, and skilled nursing/rehab facilities in creating high-performing networks for their patients. Over time, these networks will become narrower and more focused to improve quality and reduce cost in an ACO environment.  Learn how you can implement a similar strategy to engage a network of caregivers in your market.

Thursday, March 26, 2015
2:00 p.m. – 3:15 p.m.

Data Infrastructure and Successful Quality Metric Collection:  The Last Step in Medicare Shared Savings
Shawn Griffin, MD, Quality Reporting Director Memorial Hermann ACO, and Chief Quality and Informatics Officer, MHMD
Memorial Hermann Physician Network is one of the most successful Medicare ACOs, generating over $33 million in shared savings. This presentation will describe the specific steps they took to collect required MSSP quality metrics during both 2013 and 2014 and how processes and technology evolved as their ACO and required data collection expanded.

Clinical Research:  An Innovative Avenue to Enhance Outcomes, Reduce Cost, and Drive Engagement
Kevin Cannon, MD, Director of Clinical Research, Wilmington Health
Jeffry G. James, MBA, CPA, Chief Executive Officer, Wilmington Health
Clinical research is often not connected with ACO concepts and the transition to fee-for-value.  This presentation will illustrate how Wilmington Health, a mid-sized, non-affiliated medical group, uses clinical research as a tool in their ACO to help decrease costs, improve outcomes, increase patient engagement, and hedge the financial risks of their transition to a fee-for-value model.

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