2022 Congress on Reducing Hospital Readmissions
Top Interventions to Transform Discharge Planning, Care Transitions, Patient Engagement, Prevention and Cost Reduction
June, 23-24, 2022 • Bellagio Hotel • Las Vegas, Nevada

2022 Congress on Reducing Hospital Readmissions

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COVID-19 Advisory: BRI Network holds above all else, the health & safety of our attendees and their families. Currently this event is scheduled as an in-person event. We will however, continue to monitor and follow recommendations regarding capacity from CDC and other health agencies.
About the Conference:

According to recent studies, approximately $25 billion is spent annually on preventable hospital readmissions in the United States.  In its continued effort to reduce healthcare spending while improving quality patient care,  hospitals and health systems are implementing strategies and processes to reduce avoidable hospital readmissions.  Technology enabled processes are an effective component in this effort.

CMS is continuing its expansion to define regulations that penalize hospitals with high readmission rates thus impacting hospital revenue.  Providers are collaborating with Payors to implement innovative programs targeted at preventing readmissions as well as improve quality care and patient outcomes.  Hospitals are also enhancing discharge planning processes, care transitions, patient engagement and education, to ensure that the patient remains healthy and does not need to return to the hospital.

The 2022 Congress on Reducing Hospital Readmissions is an exciting, high level forum featuring knowledgeable leaders and executives from the nation’s leading Health Plans, Hospitals and Health Systems  who will share their perspectives, valuable insights and expertise on how to be best equipped for the rapidly evolving  landscape of reducing hospital readmissions.  Attendees will benefit from learning about best practices and strategies that have been deployed to address the challenges  in transforming the nation’s healthcare to enhance patient centric care, reduced spending, and prevent readmissions.  This exclusive event targets senior level executives in order to maximize educational and networking opportunities.

Who Should Attend?
Hospitals/Health Systems/Health Plans

  • Medical Management
  • Operations
  • Quality
  • Patient Financial Services
  • Emergency Department
  • Case Management
  • Nursing
  • Admissions
  • Care Management
  • Medical Records
  • CEO
  • CFO
  • COO
  • Finance
  • Denial Management
  • Billing
  • Compliance
  • Patient Flow
  • Public Relations
  • Administrators
  • Office Managers

 

Also of Interest to Consultants; Vendors; Solution Providers; TPA’s and Outsourcing Companies

Conference Agenda

Day One - Thursday, June 23 , 2022
7:15am – 8:00am
Conference Registration & Morning Breakfast

8:00am – 8:15am
Chairperson’s Opening Remarks

8:15am – 9:00am
Improving Transitions of Care: What are the Components of a Comprehensive Readmission Reduction Program
Transitions in care at the time of hospital discharge offer an important opportunity improve patient safety, lower readmission, and improve patient and family engagement.  Yet, there are still many adverse events that occur at the time of hospital discharge that lead to avoidable hospital readmission. This presentation will review best practices at each step along the transition from hospital to home and summarize the evidence linking the components of comprehensive   transitional care and lower readmission rates.  

Brian Jack MD
Professor of Family Medicine
Boston University School of Medicine/Boston Medical Center
Director
Lesotho Boston Health Alliance
Director
BU Center for Health Systems Design and Implementation 

9:00am – 9:45am
Lessons Learned from Covid in Reducing Hospitalizations
COVID-19 brought along another burning platform for innovation, as early in the pandemic, forecasts showed that hospitals in South Dakota could become overwhelmed.  Avera@Home grew from its strengths and developed a specific COVID Care Transitions virtual program, caring for over 8500 patients. This talk will discuss how this successful care model led us to apply for the CMS Acute Care Hospital at Home program that has been up and running since September 2021.   The session will highlight COVID Virtual Care program development journey including physician and hospital partnership, review clinical program dashboard and key program outcomes, as well as discuss lessons learned in reducing hospitalizations.

Rhonda Wiering, MSN, RN, NHA
Vice President, Clinical Growth and Innovation
Avera@Home
Avera Health 

9:45am – 10:15am
Networking Break & Refreshments 

10:15am – 11:00am
Utilizing Home Healthcare to Reduce Readmissions  
This session will present multiple approaches adopted by an integrated health system that leverages care at home through home health, remote patient monitoring and an innovative care delivery model called Advance Illness Management (AIM). Also, the session will highlight initiatives with partner skilled nursing facilities. Each program and initiative led to improvement in outcomes, notably: lower ED visits and re-hospitalization rates, higher hospice use with goal concordant care, increased patient satisfaction, and lower cost. 

Vipul Bhatia, MD, MBA
Medical Director
Continuing Care Services
WellSpan Health 

11:00am – 11:45am
Development of an Innovated Heart Failure Hospitalist Program
Heart Failure (HF) is an important health care issue given its high prevalence, mortality, and cost of care. With the current hospital model, HF patients rarely have a consistent provider when readmitted. Lack of consistency reduces the ability to develop trusting relationships, which are essential to facilitate goals of care discussions. This talk will discuss addressing this health care priority at a system level, with approximately 1,400 HF admissions annually, UPMC Central Pennsylvania’s strategy of creating a HF hospitalist service line has shown to be a unique method to not only develop trusting relationships with our patients but also attain impressive results. HF Hospitalist outcomes include delivering care in observation units, avoiding costly admissions; decreasing length of stay; decreased 30 day all-cause readmission to an impressive 8.2%, and reduced 30 day HF readmissions 4.12%. This was done while reducing healthcare costs during the 4yrs of the HF Hospitalist service line at UPMC Harrisburg Hospital.

Jesus Vargas, Jr. MD, PhD
Site Director
UPMC Harrisburg Hospital
Hospitalist Director Heart Failure Program
UPMC Harrisburg 

11:45am – 12:30pm
Strategies to Reduce Readmissions Through Enhanced Patient Education, Communication and Engagement 

Sharlene Burgos BSN, RN
Assistant Nurse Manager for Project RED
VAAES Documentation Workforce Lead
ICT/SCOUTS Program Coordinator
Acute Care Hospital Operations (ACHO) 

Denise Renfro, MS, RN, ACNS CPPD, QSV
VA Palo Alto Health Care System (VAPAHCS)
Clinical Practice and Professional Development (CPPD)
Office of Quality, Safety & Value (QSV)

12:30pm – 1:30pm
Luncheon for Speakers & Delegates

1:30pm – 2:15pm
Optimizing Care Transitions from Hospital to Home
Optimizing care transitions from hospital to home depends on a clear discharge support plan built on a holistic understanding of patients’ and their discharge needs.  Matching these discharge needs with appropriate support resources in the home, and consistent, reliable follow-up processes all contribute to a successful transition.  This session will focus on key aspects of optimizing the hospital to home transition through identification of appropriate discharge resources including the role of home hospital care, serious illness care models, and standardization of post – hospital care within primary care. This session will explore successes, and ongoing opportunities, with considerations for applicability within other organizations

Emily Downing, MD
System Clinical Officer• Population Health, Home Care Services, Health Equity
Allina Health 

2:15pm – 3:15pm
Panel Discussion:  Implementing Effective Provider Payor Collaborative Strategies to Reduce Avoidable Readmissions 

Carla Beckerle,DNP, APRN-BC
Vice President Clinical Programs
Esse Health 

Mitchell Fogel, MD
Senior Medical Diector, Provider Transformation and National Accounts
Horizon Blue Cross Blue Shield of New Jersey 

Brian Jack MD
Professor of Family Medicine
Boston University School of Medicine/Boston Medical Center
Director
Lesotho Boston Health Alliance
Director
BU Center for Health Systems Design and Implementation 

Jodi Rosen
Vice President, Product & Innovation
City of Hope 

3:15pm – 3:45pm
Networking Break & Refreshments 

3:45pm – 4:30pm
Reducing Readmissions for High Utilizer Patients Through Strategies and Palliative Care
How do you reduce your highest risk patient’s readmissions and utilization? How do you easily identify your high utilizer patients? What can you do to help your high utilizer patient’s access palliative care? ProHealth used a proven collaborative approach to identify, measure, align the continuum of care and palliative care. The key strategies and framework will be shared that led to remarkable measurable results.  The talk will describe the framework of high utilizer identification and risk stratification, how to rethink the way high utilizers access palliative care, home care and hospice, as well as learn the ways to align the continuum of care to address high utilizer patient population.

Julie Jackson, NP
Vice President Continuum of Care
ProHealth Care 

4:30pm – 5:15pm
Addressing Socio Economic Factors in Reducing Avoidable Readmissions
Temple University Health System is an academic medical center nestled in the heart of North Philadelphia, dedicated to delivering quality patient care and achieving excellence in education and research.   As a health system, we know that social determinants have a strong influence on clinical outcomes and mortality, and thus have put forth resources and programs to assess and address the impact of social determinants on health and healthcare utilization. The Community Health Worker (CHW) program addresses social barriers for patients who have frequent contact with the hospital and may have barriers impeding successful transitioning from hospital to home. Hiring credible messengers who understand the dynamics of the community has been a valuable strategy. Notably, Temple University Health System established an innovative CHW-centered clinic (Temple Health’s Multi-Visit Patient (MVP) Clinic) that addresses Social Determinants of Health to reduce hospital readmissions.   

Lakisha Sturgis RN, BSN, MPH, CPHQ
Director of Community Care Management
Temple Center for Population Health, LLC

5:15pm
Day One Concludes

Day Two – Friday, June 24, 2022
7:15am – 8:00am
Morning Breakfast

8:00am – 8:15am
Chairperson’s Recap of Day One

8:15am – 9:00am
Identifying High Risk Patient Populations
This session will discuss known high-risk patient populations and summarize risk factors for unplanned hospital readmissions in these groups.  The talk will also explore currently applied prediction tools and evolving strategies to reduce unplanned readmissions in these high-risk patients. 

Florian B. Mayr, MD MPH
Assistant Professor of Critical Care Medicine
University of Pittsburgh School of Medicine
VA Pittsburgh Healthcare System

9:00am – 9:45am
Effective Payor Provider Incentive Programs
In the 2 pandemic years, it has become clear that the discharge of a patient from an acute care facility to the setting with the most appropriate level of care for the patient is a critical component of the health care experience for the patient and of health care economics overall.  When providers and payers work together and take equal responsibility for assuring that the patient is in the most appropriate setting at all times, the greatest benefit is to the patient.  This talk addresses some challenges and perspectives that have, to date, prevented Payers and Providers from aligning in effective ways to assure that patients do not linger in acute care hospital settings (being potentially exposed to new viruses and preventing other patients from being served) and that those patient at risk of readmission who require step down care of some type are accommodated in a timely manner at the most appropriate setting for their level of care – regardless of the challenges that placement may bring with it.  The session discusses several of the difference in perspectives in multiple facets of the patient experience that can be influenced by economics, derailing the goal of achieving the best outcome for the patient.

Michele Forgues-Lackie MBA, FACHE, FACMPE, CHFP
Senior Vice President/Chief Financial Officer
UW Medicine – Valley Medical Center

9:45am – 10:15am
Networking Break & Refreshments

10:15am – 11:00am
Improving Patient Outcomes & Cost Savings by Leveraging Remote Monitoring Technology to Accelerate & Scale Care Management for Medicare Advantage Members
Shifts toward improving outcomes in value‐based care systems have prioritized managing high and rising‐risk patients with chronic disease proactively and efficiently. Remote monitoring with digital and telehealth tools has been shown to lead to proactive engagement. This talk will discuss how Esse Health implemented a text message‐based remote monitoring program for eight months with a single care manager and scaled to over a thousand active Medicare Advantage members at a time. The session will explore how real‐time automated monitoring allowed the organization to restructure its CM program by focusing resources to the right members at the right time as staff operated at top‐of‐license and patients were empowered to actively manage their health. Daily targeted check‐ins provided timely patient health data, the automated feedback loop notified the care manager with opportunities to escalate care and proactively engage the member to coordinate care prior to routine outpatient appointments or eventual ED visits.

Carla Beckerle,DNP, APRN-BC
Vice President Clinical Programs
Esse Health

11:00am – 11:45am
Emergency Department Strategies to Reduce Hospital Readmissions   
The Emergency Department is the front door to the hospital for admissions and readmissions.  This session will explore how the Emergency Department at Stanford healthcare has implemented a variety of initiatives to mitigate readmissions at the high risk points before the patient enters the ED, as well as  when the patient is an ED patient.

Patrice Callagy, RN
Executive Director Emergency Services
Stanford Healthcare 

Sam Shen MD, MBA
Professor of Emergency Medicine
Vice Chair, Clinical Operations and Quality
Patient Safety Officer/Associate Chief Quality Officer
Stanford Healthcare

11:45am – 12:30pm
Managing “Hot Spotters” To Reduce Readmissions
Presidium Health addresses a unique, value-based solution to manage the top 1% of the most medically complex and highest cost patients in the Medicaid market.  This talk will address its home-based, longitudinal primary care model encompassing chronic/acute care and social services.  The session will also discuss service-driven technology that automates the logistics of in-home medical care 

Pouya Afshar, MD
CEO
Presidium Medical Group 

12:30pm
Conference Concludes

Workshop - Friday, June 24, 2022

12:30pm – 2:30pm
Essential Tools to Reduce Hospital Readmissions
Many organizations have implemented digital health tools in a limited capacity. This session will discuss how organizations can integrate and expanded their digital health strategies across the care continuum to reduce hospital readmissions.

Session Objectives:

  • Gain insight on how digital health tools can be utilized to limit hospital readmissions
  • Consider what simple strategies can drive your organization to making transformational decisions
  • Engage with peers about leveraging digital tools to address their current business issues
  • Examine how digital health strategies and tools can support patients post discharge
  • Discuss how to think, plan and act differently to advance your digital transformation strategies

Jessica Duke
Manager
Health Care Practice
Huron Consulting Group 

Jessica is a director in the healthcare technology practice at Huron Consulting, a global consulting firm located in Chicago. With over 19 years of experience in the healthcare industry, she is a seasoned clinician that is equipped to guide clients through patient care management and virtual process improvement. Her roster of projects includes working with an array of organizations to assess and plan for the operational and functional components of virtual care and telehealth / telehealth. This has included the following for virtual care and telehealth / telehealth: building uses case designs, selecting solution equipment, implementation, and staff education. Jessica excels in adaptable project management by scaling methodologies to best meet the client’s needs. She has direct experience working in rural health settings and developing virtual care / telehealth / telehealth solutions to meet their population needs.

Featured Speakers

Brian Jack MD

Brian Jack MD

Professor of Family Medicine

Boston University School of Medicine/Boston Medical Center
Director
Lesotho Boston Health Alliance
Director
BU Center for Health Systems Design and Implementation
Rhonda Wiering, MSN, RN, NHA

Rhonda Wiering, MSN, RN, NHA

Vice President, Clinical Growth and Innovation

Avera@Home
Avera Health
Vipul Bhatia, MD, MBA

Vipul Bhatia, MD, MBA

Medical Director

Continuing Care Services
WellSpan Health
Jesus Vargas, Jr. MD, PhD

Jesus Vargas, Jr. MD, PhD

Site Director

UPMC Harrisburg Hospital
Hospitalist Director Heart Failure Program
UPMC Harrisburg
Sharlene Burgos BSN, RN

Sharlene Burgos BSN, RN

Assistant Nurse Manager for Project RED

VAAES Documentation Workforce Lead
ICT/SCOUTS Program Coordinator
Acute Care Hospital Operations (ACHO)
Denise Renfro, MS, RN, ACNS CPPD, QSV

Denise Renfro, MS, RN, ACNS CPPD, QSV

VA Palo Alto Health Care System (VAPAHCS)

Clinical Practice and Professional Development (CPPD)
Office of Quality, Safety & Value (QSV)

Emily Downing, MD

Emily Downing, MD

System Clinical Officer• Population Health, Home Care Services, Health Equity

Allina Health
Carla Beckerle,DNP, APRN-BC

Carla Beckerle,DNP, APRN-BC

Vice President Clinical Programs

Esse Health
Mitchell Fogel, MD

Mitchell Fogel, MD

Senior Medical Diector, Provider Transformation and National Accounts

Horizon Blue Cross Blue Shield of New Jersey
Brian Jack MD

Brian Jack MD

Professor of Family Medicine

Boston University School of Medicine/Boston Medical Center
Director
Lesotho Boston Health Alliance
Director
BU Center for Health Systems Design and Implementation
Jodi Rosen

Jodi Rosen

Jodi Rosen

City of Hope
Julie Jackson, NP

Julie Jackson, NP

Vice President Continuum of Care

ProHealth Care
Lakisha Sturgis RN, BSN, MPH, CPHQ

Lakisha Sturgis RN, BSN, MPH, CPHQ

Director of Community Care Management

Temple Center for Population Health, LLC
Florian B. Mayr, MD MPH

Florian B. Mayr, MD MPH

Assistant Professor of Critical Care Medicine

University of Pittsburgh School of Medicine
VA Pittsburgh Healthcare System
Michele Forgues-Lackie MBA, FACHE, FACMPE, CHFP

Michele Forgues-Lackie MBA, FACHE, FACMPE, CHFP

Senior Vice President/Chief Financial Officer

UW Medicine – Valley Medical Center
Carla Beckerle,DNP, APRN-BC

Carla Beckerle,DNP, APRN-BC

Vice President Clinical Programs

Esse Health
Patrice Callagy, RN

Patrice Callagy, RN

Executive Director Emergency Services

Stanford Healthcare
Sam Shen MD, MBA

Sam Shen MD, MBA

Professor of Emergency Medicine

Vice Chair, Clinical Operations and Quality
Patient Safety Officer/Associate Chief Quality Officer
Stanford Healthcare
Pouya Afshar, MD
CEO
Presidium Medical Group
 Jessica Duke

Jessica Duke

Manager

Health Care Practice
Huron Consulting Group
Venue
Bellagio
3600 Las Vegas Blvd. S
Las Vegas, NV 89109
702-693-7111

Mention BRI Network to get the discounted rate of $169/night or use link below:

https://book.passkey.com/go/SBRI0622BE

Sponsors and Exhibitors
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 4 weeks prior to the event will receive a refund minus the administration fee of $225. Cancellation received less than 4 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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