2018 Population Health Management Congress
For Health Plans & Hospitals
September 13-14, 2018 * Wyndham Grand Orlando Bonnet Creek * Orlando, FL

2018 Population Health Management Congress

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About the Conference

Population Health Management is surging across the healthcare landscape in the effort to deliver the best patient care, enhance quality, implement preventative measures and reduce healthcare spending. Innovative processes have been implemented and are continuing to evolve and expand, including collaborative efforts between Providers and Payers. The current political landscape and new healthcare policies are challenging both Providers and Payers to continue to transform the nation's healthcare and maintain a healthy population. The keys to success are being shaped by the employment of technology and health information, innovative strategies in care coordination across the continuum of care, collaborative approaches, identifying high-risk populations, and integrating preventative measures.

Attendees will benefit from learning about best practices and strategies now being utilized to address the challenges presented under the current healthcare environment, impacting both Providers and Payers, in managing population health.

By attending the 2018 Population Health Management Congress for Health Plans & Hospitals you will learn what others in the Population Health Management arena are doing to succeed in improving the nation's healthcare and its patient population.

Who Should Attend?

From Health Plans, Hospitals & Health Systems:

Chief Executive Officers, Chief Operating Officers, Chief Financial Officers, Chief Quality Officers, Chief Marketing Officers, Chief Medical Officers, Chief Strategy Officers, Chief Pharmacy Officers, Chief Information Officers, Chief Innovation Officers, Patient Safety Officers, Chief Technology Officers

Also Presidents, Vice Presidents, Directors and Managers of:

  • Population Health Management
  • Medical Management
  • Community Health
  • Medicare
  • Senior Products
  • Government Programs
  • Health Reform
  • Patient Quality & Safety
  • Innovation
  • Sales
  • Compliance
  • Managed Care
  • Care Management
  • Product Development
  • Operations
  • Finance
  • Strategy
  • Business Development
  • Regulatory Affairs
  • Risk Management
  • Utilization Management
  • Network Management
  • Business Development
  • Health Promotion & Wellness

This program is also of interest to States, Government Agencies, Vendors, Employers, Purchasers, Population Health Management Organizations, Physician Groups, Healthcare Technology Innovators, Healthcare Consultants, Solution Providers, Data Analytics Providers, Pharmacy Benefit Managers, Home Health Care Companies, Third Party Administrators

Conference Agenda

Day One – Thursday, September 13, 2018

7:15am – 8:00am

Conference Registration & Networking Breakfast

 

8:00am – 8:15am

Chairperson’s Opening Remarks

 

8:15am – 9:00am

Keynote

Social Determinants: Unlocking the Key to Population Health

While most healthcare institutions and providers recognize the importance of social determinants in the context of population health, few have been able to create effective and efficient systems to handle these kinds of issues. We will review the experience of one system to see how operationalizing a community-based, social determinants approach helped them drive down cost and utilization and achieve results in both the Medicare Shared Savings Program and Medicare Advantage.

Robert Fields, MD

Assistant Professor, Family Medicine and Community Health

Icahn School of Medicine at Mount Sinai

Senior Vice President, Chief Medical Officer, Population Health

Mount Sinai Health System

 

9:00am – 9:45am

Best Practices for Managing High Risk Patients with Chronic Conditions through Effective Population Health Management

During this session, participants will learn how Tallahassee Memorial Healthcare’s Transitional Care program is using patient data to drive targeted interventions that meet the needs of several high-risk patient groups including those with Congestive Heart Failure, COPD and Diabetes. Implementing focused transitional care services and care coordination has resulted in significant reductions in patient emergency room visits and readmissions to the hospital. Through the successful implementation of innovations such as telehealth monitoring and telemedicine, TMH is effectively reaching patients and engaging them in optimizing their health.

Lauren Faison

Administrator, Regional Development, Population Health and Telemedicine

Tallahassee Memorial Healthcare

9:45am – 10:15am

Networking & Refreshments Break

 

10:15am – 11:00am

Collaboration: Cornerstone to Achieve the Quadruple Aim

The commonplace adversarial dynamic between payers and providers will not yield high value care. To achieve better health outcomes, consumer/patient satisfaction, cost conscious care and health care professional sustainability, collaboration is essential. This session will describe and demonstrate how Horizon BCBSNJ has transformed and simultaneously supported transformation among its clinical partners to drive results.

Steven Peskin, MD, MBA, FACP

Executive Medical Director, Population Health

Horizon Blue Cross Blue Shield of New Jersey

 

11:00am-11:45am

Developing an Integrated Care Coordination System

An Integrated Care Coordination System (ICCS) aligns care management across the entire continuum of care. This transformational model serves patients and families throughout the health spectrum, from wellness and prevention through disease and advanced illness. The ICCS is the holistic structure that unites providers, clinicians, nurses and care teams with a single clinical executive and shared leadership. Participants will learn how Trinity Health developed and scaled a Integrated Care Coordination System across its national footprint.

Brenda K. Mullan, RN, MSN, NE-BC

Director, System Population Health/Care Management

Trinity Health

 

Lisa Simmons-Fields, RN, DNP(c), MSA, CCM, CPHQ

Director, System Population Health/Care Management

Integrated Clinical Services Team

Trinity Health

 

11:45am-12:45pm

Luncheon

12:45pm-1:30pm

The Strategy of Tele-ICU in Achieving Clinical and Financial Successes

Despite all the changes in healthcare today, the one constant is our need and desire to deliver best practice medicine to all our patients. Whether we call it population health or value-based care, we need to take the waste out of health care and eliminate variation in how we deliver care to our patients. Implementation science is the study of methods to promote the adoption and integration of evidence-based practices, interventions and policies into routine healthcare. It is defined as the study of the mechanisms by which effective healthcare interventions are either adopted or not adopted. Over the last 15 years, we at Advocate, have learned a lot about how we can utilize the technology of tele-ICU to improve clinical and financial outcomes for our patients by developing a strategy to deliver best practices to our patients. We will use case examples of some of our success and failures to describe that strategy.

Michael Ries, MD, MBA, FCCM, FCCP, FACP

Medical Director, System Critical Care and eICU
Advocate Health Care

 

1:30pm-2:30pm

Panel: How Healthcare Providers Can Reduce the Socioeconomic Impacts of Community Disparities

As the healthcare system’s responsibility expands beyond the clinic walls and into the community, the need to understand and address the social determinants of health has become a top priority. Social determinants have a major impact on health outcomes—especially for the most vulnerable populations. Financially and clinically successful population health management programs must take much more into account than what happens to a patient while she is sitting on the exam table. This panel will discuss the social determinants of population health.

Panelists:

Frances Martini, RN, BSN, MBA

Population Health Vice President

BlueCross BlueShield of Tennessee

 

Morey Menacker, DO

Vice President, Specialty Care and Care Transitions

Hackensack Meridian Health

2:30pm-3:00pm

Networking & Refreshments Break

3:00pm-3:45pm

The Unexpected Consequences in the Development of a Patient Registry

This presentation will present the experience of medical, information systems, security, administration and families in the creation, implementation and management of a pediatric orthopedic patient registry. The patient registry was the first of its kind at the institution and many lessons were learned that have helped subsequent projects to achieve a more efficient timeline.

Kenneth Rogers, PhD, ATC

Director of Clinical Research – Orthopedics

Nemours – Alfred I. duPont Hospital for Children

3:45pm-4:30pm

Quality Improvement Approaches to Population Health Management

As the industry transitions to value-based health care, it is critical to have a population health approach with a strong quality improvement component. Vanderbilt University Medical Center has been using a data-driven improvement approach to quality performance allowing us to improve the quality care for our patients while bringing together multi-disciplinary teams to partner directly with our clinicians to meet the care teams' needs. We will discuss this approach, including our key outcomes and learnings, and how we are extending our approach to carry out quality performance improvement work in our accountable care organizations.

Megan Hatch McBride, M.Ed.

Senior Population Health Program Manager

Vanderbilt University Medical Center

 

4:30pm-5:15pm

Strategies to Improve Population Health and Reduce Preventable Hospital Readmissions

Preventable hospital readmissions are an ever-growing focus not only amongst Medicare populations, but also amongst value-based contracts. This presentation will address identifying patients, risk stratifying, then creating work queues and alert systems amongst risk-based patients. It will focus on operational details and suggestions that can be adapted to local institutions.

Joel Shu

Vice President, Clinical Transformation and Population Health

Catholic Health Services

5:15pm

End of Day 1

Day Two – Friday, September 14, 2018

7:15am – 8:00am

Networking Breakfast

 

8:00am – 8:15am

Chairperson’s Remarks

 

8:15am – 9:00am

An Academic Medical Center’s Approach to New Care Models, Care Standardization and Clinical Governance During Healthcare’s Evolution

Since the Institute of Medicine’s To Err is Human (1999) and The Quality Chasm (2001) were published, a spotlight has shone on organized medicine creating an impetus for the evolution of healthcare delivery. Legislative and regulatory programs demand increasing value-based outcomes, creating the need for change in volume-based healthcare delivery systems. This metamorphosis challenges even nimble organizations, and success requires a multi-faceted approach including development of a population management platform, new care model design and delivery, creating and executing on care standardization in both the inpatient and outpatient arenas, and the establishment of a robust clinical governance system that can prioritize systemness over siloed care delivery. The goals of this talk will be to understand how one academic medical center, Emory Healthcare, is accomplishing this daunting task, and to share ideas and experiences that may assist other health systems in navigating health care reform.

Gregory J. Esper, MD, MBA

Associate Chief Medical Officer

Vice President, Operational Excellence

Medical Director, Emory eCare

Emory Healthcare

 

9:00am – 9:45am

Engaging Hospitals and Communities to Improve Population Health

West Side United: Building Blocks to Better Health

Rush University Medical Center has been located on the West Side of Chicago for more than 150 years. In 2016 when we gathered data about nearby neighborhoods during our most recent Community Health Needs Assessment, we made a disheartening discovery: Despite decades of community outreach and the work of community-based social-services agencies, startling gaps in life expectancy remain on the West Side. Life expectancy is 85 years in Chicago’s downtown Loop; travel just a few train stops west, and it plummets to age 69. This 16-year gap cannot be explained solely by a lack of access to health care, as academic health centers, safety-net hospitals and federally qualified health centers are widespread across Chicago’s West Side. Clearly, we needed a new way to think about closing these gaps.

West Side United is a place-based, social impact collaborative that brings together hospitals, community-based organizations and residents to address the root causes of these health inequities on the West Side – lack of education and jobs, safety issues, lack of access to health food and gaps in healthcare delivery and access.

  • Mission: To build community health and economic wellness on Chicago’s West Side and build healthy, vibrant neighborhood.
  • Vision: To improve neighborhood health by addressing inequality in healthcare, education, economic vitality and the physical environment using a cross-sector, place-based strategy. Partners include healthcare providers, education providers, the faith community, business, government and others working together to coordinate investments and share outcomes.

This discussion will provide an overview of a unique partnership that puts the community first to develop community health solutions.

Darlene O. Hightower, JD

Associate Vice President, Community Engagement and Practice

Rush University Medical Center

 

9:45am – 10:15am

Networking & Refreshments Break

 

10:15 – 11:00am

Value Based Essentials

Most of us would agree this is one of the most dynamic periods of healthcare disruption to occur, or at least that most of us can remember. The number and variety of stakeholders have never been greater. We will discuss the driving forces of complex integration activities in technology taking place alongside foundational and basic care management and relationship strategies. We will explore best practices in physician and patient engagement. How are payers, government, employers, health systems, new players and consumers themselves creating disruption and rapid changes? How can each of us find our niche in this complicated, yet intensely important industry that impacts all citizens? What are the common values we are all trying to impact?

Michelle Copenhaver

Regional Vice President, Southeast Market

Aetna

 

11:00am – 11:45am

Population Management: Rated G (for Geriatric)

Seniors and their families are overwhelmed with the complexity of the healthcare system. From the various levels of care, transition options, payer sources, and community resources the public needs assistance navigating this complex maze. In this session, learn about providing a one-stop shop for information and resources to assist seniors in meeting their socioeconomic, cognitive and medical needs. Information and options ensure that seniors receive the right level of care, at the right time and in the right place. After this presentation, you will be able to:

  • Identify the importance of targeting seniors to meet their individualized needs to improve access to wellness resources
  • Identify the value of having a community-based population health management model for seniors housed in an acute care setting
  • Identify how to develop a center for healthy aging for your organization

Marc Levesque, MS

Senior Resource Case Manager

Hartford HealthCare Center for Healthy Aging

MidState Medical Center

 

11:45pm – 12:30pm

Designing and Evaluating Innovative Solutions for Targeted Populations: Health@Home

Neighborhood Health Plan of Rhode Island is the largest managed care organization (MCO) in Rhode Island, serving both Medicaid and Medicare populations. In 2014, Neighborhood launched an innovative program, Health@Home, in which nurse practitioner led interdisciplinary teams provide in-home primary care for high risk, vulnerable populations. This presentation will cover the model of care, program operations, expansion from a Medicaid-only focused program to a concurrently run Health@Home program for Medicaid-Medicare dually eligible patients, program outcomes, and future plans for expanding the reach and impact of the Health@Home model.

Michelle Bicket

Manager of Program Evaluation

Neighborhood Health Plan of Rhode Island

 

Nancy Harrison

Director of Strategy and Operation - Primary Care

Neighborhood Health Plan of Rhode Island

 

12:30pm

Conference Concludes

Workshop – Thursday, September 13, 2018

5:30pm – 7:30pm

Improving Healthcare Delivery: Defining Strategy in Disruption

Patient Management Beyond the Emergency Room

Improving “integrated” patient management and care delivery is an ongoing challenge, in an era of disruption - driven mainly by technology, patient satisfaction and evolving healthcare polices. This workshop discusses findings from selected programs that address care delivery improvement across the population health management spectrum; with notable strategies that have led to successful outcomes/trends.

Learning Objectives:

  1. Understand the scope of “disruption” in healthcare and the need for defining a proactive strategy
  2. Understand applied strategies across the population health management spectrum
  3. Understand the “Integration as a Strategy” (InaaS) Model

Nkem Okeke, MD, MPH, MBA,

Executive Vice President, Healthcare

Management Solutions, LLC

Director, Special Projects/Senior Advisor, PPMCO

Johns Hopkins Healthcare, LLC

Featured Speakers

Robert Fields, MD

Robert Fields, MD

Assistant Professor, Family Medicine and Community Health
Icahn School of Medicine at Mount Sinai
Senior Vice President, Chief Medical Officer, Population Health
Mount Sinai Health System

Lauren Faison

Lauren Faison

Administrator, Regional Development
Population Health and Telemedicine
Tallahassee Memorial Healthcare

Steven Peskin, MD, MBA, FACP

Steven Peskin, MD, MBA, FACP

Executive Medical Director, Population Health
Horizon Blue Cross Blue Shield of New Jersey

Brenda K. Mullan, RN, MSN, NE-BC

Brenda K. Mullan, RN, MSN, NE-BC

Director, System Population Health/Care Management
Trinity Health

Lisa Simmons-Fields, RN, DNP(c), MSA, CCM, CPHQ

Lisa Simmons-Fields, RN, DNP(c), MSA, CCM, CPHQ

Director, System Population Health/Care Management
Integrated Clinical Services Team
Trinity Health

Michael Ries, MD, MBA, FCCM, FCCP, FACP

Michael Ries, MD, MBA, FCCM, FCCP, FACP

Medical Director, System Critical Care and eICU
Advocate Health Care

Frances Martini, RN, BSN, MBA

Frances Martini, RN, BSN, MBA

Population Health Vice President
BlueCross BlueShield of Tennessee

Scott Zahlmann

Scott Zahlmann

Population Health Supervisor
CareOregon

Kenneth Rogers, PhD, ATC

Kenneth Rogers, PhD, ATC

Director of Clinical Research – Orthopedics
Nemours – Alfred I. duPont Hospital for Children

Megan Hatch McBride, M.Ed.

Megan Hatch McBride, M.Ed.

Senior Population Health Program Manager
Vanderbilt University Medical Center

Joel Shu

Joel Shu

Vice President, Clinical Transformation and Population Health
Catholic Health Services

Gregory J. Esper, MD, MBA

Gregory J. Esper, MD, MBA

Associate Chief Medical Officer
Vice President, Operational Excellence
Medical Director, Emory eCare
Emory Healthcare

Darlene O. Hightower, JD

Darlene O. Hightower, JD

Associate Vice President, Community Engagement and Practice
Rush University Medical Center

Michelle Copenhaver

Michelle Copenhaver

Regional Vice President, Southeast Market
Aetna

Marc Levesque, MS

Marc Levesque, MS

Senior Resource Case Manager
Hartford HealthCare Center for Healthy Aging
MidState Medical Center

Michelle Bicket

Michelle Bicket

Manager of Program Evaluation
Neighborhood Health Plan of Rhode Island

Nancy Harrison

Nancy Harrison

Director of Strategy and Operation - Primary Care
Neighborhood Health Plan of Rhode Island

Nkem Okeke, MD, MPH, MBA, PMP

Nkem Okeke, MD, MPH, MBA, PMP

Executive Vice President, Healthcare
Management Solutions, LLC
Director of Special Projects/Senior Advisor
Johns Hopkins Healthcare

Morey Menacker, DO

Morey Menacker, DO

Vice President, Specialty Care & Care Transitions
Hackensack Meridian Health

Venue

Wyndham Grand Orlando Resort Bonnet Creek
14651 Chelonia Parkway
Orlando, FL 32821
407-390-2300

Mention BRI Network to get the discounted rate of $179/night

Sponsor(s) and Exhibitor(s)

Luncheon Sponsor

 
Orion Health Logo Orion Health is a global healthcare-technology company delivering the platform for population-health and precision-medicine solutions across the entire health community. Thousands of clinicians in 25 countries use our software every day to deliver care for more than 110 million patients in our systems. To enable precise health management across huge populations, we offer a full-service solution that includes back-end systems integration, a scalable data platform, and analytics, engagement and coordination tools.

FAQ

Are there group discounts available?

  • Yes – Register a group of 3 or more at the same time and receive an additional 10% off the registration fee

Are there discounts for Non-Profit/Government Organizations?

  • Yes – please call us at 800-743-8490 for special pricing

What is the cancellation policy?

  • Cancellations received 3 weeks prior to the event will receive a refund minus the administration fee of $185. Cancellation received less than 3 weeks prior to the event will receive a credit to a future event valid for one year.

Can the registration be transferred to a colleague?

  • Yes – please email us in writing at info@brinetwork.com with the colleague’s name and title

Where can I find information on the venue/accommodations?

  • Along with your registration receipt you will receive information on how to make your hotel reservations. You can also visit individual event page for specific hotel information. The conference fee does not include the cost of accommodations.

What is the suggested dress code?

  • Business casual. Meeting rooms can sometimes be cold so we recommend a sweater or light jacket
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