Day 1 Agenda | November 17, 2016

Keynote: Patient Centered Care: Payment, Programs, Forecast

Josh D. Luke, Ph.D., FACHE, CSO/Sr. Health Policy Analyst 

Patient-centered care is a cornerstone in transformative healthcare. But, what does it really mean? And how is it measured? In this session, we’ll define how quality initiatives are shaping value-based payment models and keeping the patient at the center of care. Get the inside scoop on the latest health care policy initiatives including the value-based purchasing demonstration, Merit Based Incentive Program, Medicare rebasing, bundled payments, MACRA and more.

Networking Break

Power Panel: Provider Perspective on National Quality Initiatives

Bob Cawley, Director of Health System Transformation, Adirondack Health Initiative

Danielle Pierotti, RN, PhD, CENP, Vice President, Quality and Performance Improvement, Visiting Nurse Associations of America
Susan Weber, RN, Chief Nursing Officer, Assurance HealthCare

According to CMS, there are three basic dimensions to health care quality: structure, process, and outcome. Together, these components are the foundation of providing care that is consistently safe, timely, effective, efficient, equitable, and patient-centered. In this session, managers from a range of settings share their first-hand experiences interacting with providers across settings. You’ll hear perspectives on the barriers to and facilitators of quality care based on participation in quality projects such as the bundled payment initiatives for joint replacement patients, patient centered medical home, and more.

What Alternative Payment Model (APM) is Right for Me?

Explore the various models and understand the requirements, challenges and benefits of each to determine which will help your organization succeed in value-based care.

• TRACK 1: Post Acute Provider Settings
  Diane Link, Senior Clinical Consultant, BlackTree Healthcare Consultants  
• TRACK 2:Outpatient Provider Settings
  Jennifer Searfoss, JD, CPOM, CHCI, CMCS, Founder and CEO, SCG Health 
• TRACK 3: Inpatient Provider Settings
  Sue Caito, RN, BSN, CCM, MSCC, CLCP, LNCC, National Director for Case Management, Signature Medical Group 
  

Networking Lunch

Patient Data That Best Evidences Value

Jennifer Searfoss, JD, CPOM, CHCI, CMCS, Founder and CEO, SCG Health

What metrics are best at demonstrating outcomes that payers will value? In this session, we’ll identify the most important pieces of data to support quality care for all payers and demonstrate examples of effective provider dashboards for targeting and evidencing value-based care. You’ll also gain insight into what data can be used across settings to improve care coordination and patient outcomes.

Networking Break

Successfully Executing Risk Adjustment and Stratification

Joseph C. Nichols, MD, President, Health Data Consulting, Inc.

Whether you’re working to change cost structure or to improve outcomes in demonstrating value, you must be effectively collecting and using data to identify risk. Only then can you design targeted interventions to carefully and proactively manage care and results. While the concept may be easy to grasp, executing risk stratification isn’t so straightforward. Which method for stratifying a population by risk best aligns with your patient mix and goals (HCCs, ACGs, ERA, etc.)? Should you factor comorbidities into risk stratification; and if so how? How do you step into risk stratification as you build up better data? These challenges and more will be addressed in this session.

Value Drivers Across the Continuum – Provider Partnership Expectations

Barbara Harding, RN, MPA, PAHM, CCM, Senior Director, Post-Acute Care, Dignity Health

For the continuum to work successfully, each provider setting drives value for the entire network of care providers. In this session, Dignity Health will drill down into how each provider setting evidences their effectiveness. You’ll learn what data is tracked and how it’s shared, how to assess a potential partner’s ability to deliver on these value markers, and what to do when they don’t.

Networking Break

Achieving Data Interoperability for Effective Transitions of Care

Jennifer Searfoss, JD, CPOM, CHCI, CMCS, Founder and CEO, SCG Health

Don’t let EHR interoperability challenges get in the way of communicating with other providers to ensure care coordination. Discover the most effective ways to overcome those hurdles and work with providers in a variety of care settings. You’ll also learn how to share data across settings and how to get your EHRs to work together.