7:30 am
8:00 am
8:10 am
- Identify patients with multiple chronic conditions and a high risk of ED utilization and hospitalization
- Provide personalized, holistic, and coordinated care in the most appropriate care setting
- Address patients’ unmet needs, including behavioral health and palliative care
- Adopt total cost of care value-based risk contracting, decrease medical loss ratio, and improve care quality
8:50 am
- Learn about staffing models at primary care offices that improve care coordination processes and patient, family, and caregiver engagement
- Create bi-directional communications through the EHR to better integrate embedded nurses/care team members to reconcile quality metrics, facilitate the needs of the patient, and more
- Establish process and outcome metrics to maximize the impact of the team
- Develop an operating model with hospitals and primary care providers that impacts hospital utilization and clinical outcomes for patients with chronic diseases
- Examine how this type of model can serve as a way to usher traditional FFS physicians on a path towards value-based care
Co-Presenter:
9:30 am
10:00 am
- Proactively track patients after SNF and home health discharges to monitor potentially catastrophic changes in health
- Seamlessly incorporate communication between inpatient and outpatient settings into centralized hubs
- Reduce team friction and optimize patient outcomes by developing workflows and discharge processes around a communication technology platform
MJ Tran, MBA
Strategic Director, Post-Acute Partnerships, Granger Medical Clinic,
Vice President, Clinical Development, Physicians Accountable Care of Utah
Strategic Director, Post-Acute Partnerships, Granger Medical Clinic,
Vice President, Clinical Development, Physicians Accountable Care of Utah
10:40 am
- Identify strategies to create and maintain a high-performing post-acute network
- Improve complex post-acute patient care transitions through stronger, more collaborative network partnerships
- Explore technology advancements that support improved communication, data sharing, and coordination of care
- Collaborate with all levels of post-acute care facilities for unfunded patients with complex case needs
Mary McLaughlin-Davis, DNP, ACNS-BC, NEA-BC, CCM
Senior Director, Care Management, Main Campus and Cleveland Clinic Akron General Hospital
Cleveland Clinic
Senior Director, Care Management, Main Campus and Cleveland Clinic Akron General Hospital
Cleveland Clinic
Vanessa Roshell-Stacks, CHFP, MHA
Vice President, Clinical Documentation Improvement, Hospital Operations and Care Transitions
Rush University Medical Center
Vice President, Clinical Documentation Improvement, Hospital Operations and Care Transitions
Rush University Medical Center
11:20 am
- Learn how to identify your unique leadership strengths and put them to work for good in medicine
- Develop an actionable strategy for implementing change in your organization
- Understand the impact one small step forward can make on the lives of patients, providers, and everyone in between
12:00 pm