Population Health Management Congress
For Health Plans & Hospitals
February 25-26, 2019 * Las Vegas, NV

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 2019 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 Hospitals/Health Plans/Health Systems:

  • CEO ’s
  • CFO’s
  • Chief Medical Officers
  • Chief Quality Officers
  • Chief Marketing Officers
  • Population Health Management
  • Medical Management
  • Community Health
  • Medicare
  • Senior Products
  • Medical Directors
  • Government Programs
  • Health Reform
  • Patient Quality & Safety
  • Readmissions
  • Innovation
  • Compliance
  • Managed Care
  • Care Management
  • Operations
  • Finance
  • Strategy
  • Business Development
  • Regulatory Affairs
  • Risk Management
  • Utilization Management
  • Network Management
  • Business Development

Also of interest to:

Vendors; Solution Providers; Population Health Management Organizations; Home
Health Care; Physician Groups; Healthcare Consultants

Conference Agenda

Day One – Monday, February 25, 2019
7:15am – 8:00am
Conference Registration & Networking Breakfast

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

8:15am – 8:55am
Key Population Health Cost-of-Care Initiatives to Drive Success in Value-Based ContractsSome large national payers plan to have >75% of all members covered through value-based arrangements. Value based goals encourages providers to curb unnecessary utilization, shift care to lower cost settings, collaborate as multi-specialty/multi-disciplinary/multi-setting teams, and improve patient’s health and overall quality of life, especially in the ambulatory and non-hospital setting. Topics to be discussed in this session will include:
– Strategies for provider clinical leadership to impact cost of care for value based contract lives (short of payer UM delegation)
– A deep dive of select cost of care initiatives
– Detail how to leverage a Clinically Integrated Network (CIN) to drive efficient utilization of acute care services, diagnostics, specialty care and pharmacy costs
– What is working well? What is a work in progress?

Arshad K. Rahim, MD, MBA, FACP
Senior Medical Director, Population Health
Assistant Professor, Medicine
Mount Sinai Health System

8:55am – 9:35am
Developing an Analytics Strategy that Drives Engagement and Population Health Outcomes: Tips & Tricks
– Discuss the strategic role of analytics in building engagement and urging performance in population health
– Provide a framework for developing an analytics strategy that will improve patient outcomes
– Identify the components of analytics programs critical to ensuring data acceptance in the clinical community
– Explore opportunities for creating actionable analytics that are integrated into clinical workflows
– Illustrate the importance of governing analytics to drive focus on clinical care opportunities

Tanvir Hussain, MD, MSc, MHS, FACP
Vice President, Quality
Alameda Health System

9:35am – 10:05am
Networking & Refreshments Break

10:05am – 10:45am
Population Health for Case Managers
Population health is a clinical and financial model. Improving population health is the third initiative of the Triple Aim, which also include, improving the experience of, and decreasing the per capita cost of health care. It is similar to the public health organization, which operates in the background of the larger health care system dedicated to the treatment of illness and disease. Case managers understand that healthy populations is a laudable goal. It is the merging of a healthy population concept within a payment model and tied to quality outcomes. This is profoundly different from the pay-for-service healthcare model on which most healthcare providers base their practice. Case managers know the barriers of health illiteracy, social determents of care, chronic medical and psychiatric conditions, to the treatment of disease and achievement of health. Patients need case managers to guide them through the complex health care system. Population health cannot be successful without licensed, and often certified case managers and their direct interventions. It will take the case manager with the interdisciplinary care team to actualize it. Healthcare organization must move case managers from delivering isolated services, to the core drivers of the population health initiative across the continuum of care. Objectives:
– Explain the Triple Aim
– Describe the population health model and how it is related to the Triple Aim
– Explain how case managers across the continuum of care impact the population health model
– Describe how case managers guide patients through a complex health system and the social determinants of health

Mary McLaughlin Davis, DPN, ACNS-BC, NEA-BC, CCM
Senior Director of Care Management
Cleveland Clinic
Immediate Past President CMSA

10:45am – 11:25am
Developing an Integrated Care Coordination System
An integrated care coordination system 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. It is the holistic structure that unites providers, clinicians, nurses and care teams with a single clinical executive and shared leadership. In this session participants will learn how to develop and scale an integrated care coordination system.

Jonathan K. Weedman, CCTP, LPC
Director of Clinical Operations, Population Health Partnerships
CareOregon

11:25am – 12:15pm
Integrating Community and Acute Care Resources: Community Driven Reductions in Emergency and Inpatient Utilizations
While the integration of healthcare across and within a health system and aligning care resources within acute and clinical care settings is challenge enough – this session explores various approaches to bridging the gaps between healthcare and community settings including new models for the highest utilizers, patients discharged to SNFs and high utilizers within the community. Discussion will be focused on how new multidisciplinary teams focus on unique entry and exit points of the care system to identify and engage patients differently, and alter utilization patterns successfully. This session will include a deep dive into community based care management model that is truly community based, vs clinically based/community focused and the success of that model in altering avoidable acute utilization patterns.

Kristen Mucitelli-Heath
Director of Regional Health Initiatives
Director, St. Joseph’s Care Coordination Network
St. Joseph’s Health

12:15pm-1:00pm
Luncheon

1:00pm – 1:40pm
Best Practices for Managing High Risk Patients with Chronic Conditions through Community Emergency Medical Services (EMS) Partnerships
This session will examine using patient data to drive targeted interventions that meet the needs of several high-risk patient groups. Topics to be discussed will include:
– Bridging gaps in population health initiatives by identifying and addressing social determinants, health literacy, and other challenges
– Implementing focused transitional care services and care coordination to reduce patient emergency room visits
– Reaching patients and engaging them through relationship building reinforced with innovations such as telehealth monitoring and telemedicine

Charles F. Barbera, MD, MBA, FACEP
Chair, Department of Emergency Medicine
Tower Health

Anthony L. Martin, BS, NRP, EMS
Outreach Coordinator
Tower Health

1:40pm – 2:40pm
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

Darlene O. Hightower, JD
Associate Vice President, Community Engagement and Practice
Rush University Medical Center

Maria Pugo, DrPH, MPH
Health Services Evaluator | Health Services Research and Evaluation
Inland Empire Health Plan

Sabina Zak, RPAC
HVice President, Community Health
Northwell Health

2:40pm – 3:10pm
Networking & Refreshments Break

3:10pm – 3:50pm
Examining Strategies to Reduce the Total Cost of Care and Improve Quality in Advanced Alternative Payment Models
This session will examine strategies for creating and executing tactics that move the needle on reducing health care costs while maintaining high quality patient-centered health care. Topics to be discussed will include:
– Areas of focus for cost reduction
– Physician engagement
– Analytics to support provider stratification
– Operational considerations
– Managing downside risk
– Ambulatory quality
– Physician funds flow

Akil McClay
Director, Alternative Payment Model Operations
Trinity Health

3:50pm – 4:30pm
The Role of the Medical Director to Achieve Value Outcomes in Population Health
The concepts of population health are just beginning to enter the orbit of the primary care provider. PCPs must move beyond “the way we’ve always done it” to a new manner of practice which encompasses the concept of value and illness burden. The medical director is a key role to facilitate that journey. This session will focus on education and engagement strategies necessary for provider, system, and plan success in this new arena.

Bill Jonakin, MD, CPC, CRC
Medical Director
St. Luke’s Health Partners

4:30pm – 5:15pm
Making San Diego a Heart Attack and Stroke Free Zone
Learn how Sharp-Rees-Stealy participated in a project working with nine local community healthcare groups to change care with a new service delivery model. The goal: to make San Diego a Heart Attack, Stroke Free Zone. Under Population Health’s oversight, over 1300 engaged patients reached BP control of 85.7% and achieved overall medication adherence of 92%. The implementation of standardized process improvements directly impacted our organization’s achievement in the entity BP goal, as well as outcomes data showing a reduction in patients per 1000, obtaining a new diagnosis of Myocardial Infarction and Stroke. As a result, our group was selected to receive the CDC Million Hearts award, recognized as a HTN control champion, one of only twenty-four groups nationwide. The team embraced and organized efforts to develop efficient processes to impact health, working with physicians, case managers, health coaches and telehealth. Population Health’s management provided a valuable service not only to our physicians, but more importantly, our patients who can experience a better quality of life as they work with our team members to better understand and self-manage their disease.

Janet Appel, RN, MSN, CCM
Director of Population Health
Sharp Rees-Stealy Medical Group

5:15pm
End of Day One

Day Two – Tuesday, February 26, 2019
7:15am – 8:00am
Networking Breakfast

8:00am – 8:15am
Chairperson’s Remarks

8:15am – 8:55am
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. This session will review how operationalizing a community-based, social determinants approach helped drive down cost and utilization.

Nancy F. Becker, MA, CMC
Resource Coordinator
Hartford HealthCare Center for Healthy Aging

8:55am – 9:35am
Population Health: An Insurer Perspective in an IDFS
This presentation provides for an overview of the insurer’s role of an IDFS transforming the payer provider role in the financing and delivery of health services for changing populations. The objectives of the presentation are to provide an overview of the role of a provider owned insurer highlighting the population health strategies and the operating approach while offering insights on future considerations for health leaders.

Marion McGowan
Chief Clinical Officer and Senior Vice President of Population Health
UPMC Insurance Services Division

9:35am – 10:15am
The Impact of Telehealth on Transforming Care Management Practices
Intermountain is focused on providing care to our community care and helping people live the healthiest lives possible with evidence-based care models and, increasingly, leveraging digital care technology. Telehealth has moved from a technology solution with regulatory concerns, to a fully imbedded care delivery option. At the same time, caregivers are seeking more flexibility and options for their careers. As a result, alternative staffing models are being explored to maximize the new dynamics of these alternative delivery models. This session will review the considerations underway at Intermountain of developing and transforming caregiver staffing into fluid models that improve patient access, engage caregivers and help to manage overall costs.

Brian Wayling
Assistant Vice President, TeleHealth Services
Intermountain Healthcare

10:15am – 10:55am
Networking & Refreshments Break

10:55am – 11:35am
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 examine support transformation among clinical partners to drive results.

Gavin Malcolm, MSW, LCSW
Director, Population Health
Broward Health

11:35am – 12:15pm
Creating an Integrated and Clinically Relevant Wellness Program
Employee wellness programs designed for health systems are complex and challenging. Learn how Henry Ford Health System and their integrated payor, Health Alliance Plan, created an integrated and clinically relevant approach to supporting employee wellness using EMR data integration, provider-driven processes, and member focused programming. Process, performance, and relevant outcomes will be discussed based on the established wellness program strategies and implementation.

Tom Spring, MS
Director, Wellness and Community Outreach
Marketing and Community Outreach
Health Alliance Plan of Michigan

12:15pm – 12:55pm
How to Build Clinical Teams to Support a Population Health-Based Approach to Clinical Care
As more healthcare delivery systems take on risk-sharing agreements, robust population health management approaches are needed to manage the clinical and financial risk. Once these strategies are created, the difficult task of building a clinical team that can execute them begins. We will discuss the factors that contribute to a clinical team successfully deploying population health strategies to care for high-risk populations.

Syed Sumair Akhtar, MD, MHCDS
Regional Medical Officer, Nevada
CareMore Health Plan

12:55pm
Conference Concludes

Workshop – Monday. February 25, 2019
5:30pm – 7:30pm

Engaging Physicians in Value-Based Caree
U.S. healthcare costs continue rising. Patients and payers demand; providers strive for consistent, high-quality care. Identifying the most innovative provider engagement tool will lead to better health outcomes for patients. Unfortunately, there’s inconsistency in care quality stemming from variation and lack of compliance with evidence-based guidelines. As the country continues to move towards value-based care, providers will continue to face more obstacles in providing high quality care. This workshop will have three objectives:
– Explain why elevating quality the clinical practice through validated models can adopt new innovations that address inconsistencies due to knowledge gaps, inappropriate technology use, and the healthcare system’s inability to monitor and standardize.
– Understand how simulated patients can offer a clinical engagement solution that elevates and standardizes the value of care, while changing physician behavior, lowering costs and improving health outcomes.
– Visualize what kind of innovative solutions can positively affect quality of care and measure quality of clinical practice.

John W. Peabody, MD, PhD
President
QURE Healthcare

Featured Speakers

Arshad K. Rahim, MD, MBA, FACP

Arshad K. Rahim, MD, MBA, FACP

Senior Medical Director, Population Health, Assistant Professor, Medicine

Mount Sinai Health System
Tanvir Hussain, MD, MSc, MHS, FACP

Tanvir Hussain, MD, MSc, MHS, FACP

Vice President, Quality

Alameda Health System
Mary McLaughlin Davis, DPN, ACNS-BC, NEA-BC, CCM

Mary McLaughlin Davis, DPN, ACNS-BC, NEA-BC, CCM

Senior Director of Care Management

Cleveland Clinic
Immediate Past President CMSA
Jonathan K. Weedman, CCTP, LPC

Jonathan K. Weedman, CCTP, LPC

Director of Clinical Operations, Population Health Partnerships

CareOregon
Kristen Mucitelli-Heath

Kristen Mucitelli-Heath

Director of Regional Health Initiatives

St. Joseph’s Health
Charles F. Barbera, MD, MBA, FACEP

Charles F. Barbera, MD, MBA, FACEP

Chair, Department of Emergency Medicine

Tower Health
Anthony L. Martin, BS, NRP

Anthony L. Martin, BS, NRP

EMS Outreach Coordinator

Tower Health
Darlene O. Hightower, JD

Darlene O. Hightower, JD

Associate Vice President, Community Engagement and Practice

Rush University Medical Center
Maria Pugo, DrPH, MPH

Maria Pugo, DrPH, MPH

Health Services Evaluator | Health Services Research and Evaluation

Inland Empire Health Plan
Akil McClay

Akil McClay

Director, Alternative Payment Model Operations

Trinity Health
Bill Jonakin, MD, CPC, CRC

Bill Jonakin, MD, CPC, CRC

Medical Director

St. Luke’s Health Partners
Janet Appel, RN, MSN, CCM

Janet Appel, RN, MSN, CCM

Director of Population Health

Sharp Rees-Stealy Medical Group
Nancy F. Becker, MA, CMC

Nancy F. Becker, MA, CMC

Resource Coordinator

Hartford HealthCare Center for Healthy Aging
Marion McGowan

Marion McGowan

Chief Clinical and Administrative Officer

UPMC Health Plan
Brian Wayling

Brian Wayling

Assistant Vice President, TeleHealth Services

Intermountain Healthcare
Gavin Malcolm, MSW, LCSW

Gavin Malcolm, MSW, LCSW

Director, Population Health

Broward Health
Tom Spring, MS

Tom Spring, MS

Director, Wellness and Community Outreach, Marketing and Community Outreach

Health Alliance Plan of Michigan
Syed Sumair Akhtar, MD, MHCDS

Syed Sumair Akhtar, MD, MHCDS

Regional Medical Officer, Clark County, Nevada

CareMore Health Plan
John W. Peabody, MD, PhD

John W. Peabody, MD, PhD

President

QURE Healthcare
Marilyn Stelly-Gendron, GNP-BC, JD

Marilyn Stelly-Gendron, GNP-BC, JD

Psychiatric Nurse Practitioner, Consultant , Senior Products Division

Tufts Health Plan
Sabina Zak

Sabina Zak

Vice President

Northwell Health
Venue
The Venetian

The Venetian
3535 Las Vegas Blvd. South
Las Vegas, NV 89109
877-385-3885

Mention BRI Network to get discounted rate of $119/night”

Sponsors and Exhibitors

Exhibitor

GSI Health’s population health management platform supports “whole person” care, enabling hospitals and health plans to collaborate across any care setting to treat the entirety of patient issues—including medical as well as lifestyle and socioeconomic factors that negatively impact patient well-being—and put them on a path toward better health.
We are experts in convening organizations from across the continuum to collaborate as care teams with harmonized workflows so that care delivery is comprehensive and optimized—with low friction for both patients and providers. Our care coordination platform bridges technologies and empowers our clients to achieve real results through improved efficiency, lower costs, and improved outcomes. Learn more at www.gsihealth.com.

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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