8:00 am
Anu Banerjee
Anu Banerjee, PhD, MS, MHM, FACHE
System Vice President, Chief Quality and Innovation Officer
Arnot Health

8:10 am
  • Gain insight as to where HHS is in the process of gathering information and rulemaking to reform regulations that may be impeding coordination among providers to deliver better, lower-cost patient care
  • Learn about efforts around the Stark Law, the Anti-Kickback Statute, 42 CFR Pt. 2, and HIPAA and potential changes to allow better coordination of care
  • Discover ways HHS is seeking to improve information sharing, allow new value-based entities to create value-based arrangements, define new safe harbors around EHRs, and address cybersecurity concerns
Eric D. Hargan
Eric D. Hargan
Deputy Secretary
Department of Health and Human Services

9:00 am

NQF assembled the support and leadership of nearly 100 health care organizations and experts to form the National Quality Task Force to create a report of national recommendations to improve alignment throughout the health care delivery system to achieve better health value and outcomes by 2030.

  • Learn about the Task Force committee’s makeup, representing multiple perspectives across providers, payers, patients, consumers, employers, and more
  • Explore key trends being addressed by the committees, such as the move to population health, new care delivery settings, how emerging technologies such as AI and virtual care are being implemented, and competencies to embrace care redesign and payment models that support keeping people well
  • Gain insight into what the Task Force has considered, what’s being weighed, and the direction of the report
  • Learn how your role in care coordination contributes to advance system-wide changes to drive alignment
Shantanu Agrawal
Shantanu Agrawal, MD, MPhil
President and Chief Executive Officer
National Quality Forum

9:45 am

A: Adapt Care Teams to Coordinated Care Models

  • Simplify the transition from acute case management to coordinated care
  • Identify the ideal personnel to aid care teams – from care navigators, to social workers, and others – to design more effective and efficient care coordination
  • Assess processes and patient outcomes to enable continuous improvement
Mary McLaughlin-Davis
Mary McLaughlin-Davis, DNP, ACNS-BC, NEA-BC, CCM
Senior Director, Care Management, Main Campus and Cleveland Clinic Akron General Hospital
Cleveland Clinic

Julianna S. Sellett
Julianna S. Sellett, DNP, MBA, RN, CPHQ, CENP
Vice President, Community Health Initiatives
Carle Health System

B. Build a Comprehensive Care Technology Framework to Promote Population Health Initiatives

  • Incorporate design thinking to promote ease of use
  • Build workflows to integrate technology with population health tools
  • Develop governance structure to promote seamless integration across the enterprise
  • Discover how technology can be used to track quality metrics and create performance dashboards to give real-time feedback to clinicians and ultimately improve provider engagement
  • Improve patient satisfaction by allowing primary care physicians and specialists access to each other’s chart, and hospitals and medical groups to share records so that care managers can coordinate care between departments
Priscilla Stilwell
Priscilla Stilwell
Executive Director, Population Health
Genesis Health System

C: Align Quality Reporting in Care Coordination to Optimize Contract Performance

  • Create strategies to develop viable, collaborative relationships with community partners
  • Design patient identification strategies to create payeragnostic care coordination and ensure that all patients have access to the highest possible standard of care
  • Explore strategies for quality reporting alignment and efficiency
  • Develop care coordination process and outcome dashboards
Katie Doyle
Katie Doyle, MS, RN
Director, Ambulatory Care Coordination
Northwestern Memorial Health Care

Kimberly Zukowski
Kimberly Zukowski, LMSW, CCM, LSSGB
Director of Care Coordination
Wellstar Cobb Hospital

11:15 am
Erika Schuld
Erika Schuld
Director of Operations for Senior Health and Care Navigation
Allina Health

11:30 am
  • Review the potential impact to home health and post-acute care based on new care models to make sure your long-term business plan can age gracefully
  • Share the growing pains and lessons learned from transitioning to new care models to better plan for network reimbursement
Cynthia Morton
Cynthia Morton
Executive Vice President
National Association for the Support of Long Term Care

Susan Smith, DHA, MSN
Vice President, Post Acute, and Chief Quality Officer
Crisp Regional Health Services

12:10 pm
  • Understand both shared and unique metrics of high-quality care in acute and post-acute spheres to design unified patient care
  • Leverage these metrics to better assess unique patient needs and optimize the transition of care for patient and organizational best interest


Erika Schuld
Erika Schuld
Director of Operations for Senior Health and Care Navigation
Allina Health


Denise Keefe
Denise Keefe
AdvocateAurora Post-Acute Division
Executive Vice President
AdvocateAurora Health

Michael Parmer
Michael Parmer, DO, CPE
Medical Director, Post-Acute and Post-Acute Services, Palliative Care Services
Mission Health System

Susan Smith, DHA, MSN
Vice President, Post Acute, and Chief Quality Officer
Crisp Regional Health Services

12:50 pm
2:40 pm
  • Develop criteria and processes to ensure and maximize partnerships with high performers
  • Determine pertinent data to thoroughly evaluate partners for efficacy
  • Incorporate performance benchmarks into network contracts to incentivize partners to exceed care goals. Simultaneously protect organizational interests from partners who are unable to meet those goals
  • Understand the unique opportunities and challenges in post-acute and home health network development given regional differences in care landscapes, patient demographics, and payment models
  • Encourage the use of preferred post-acute care networks and leverage home health care to more easily manage quality and cost
  • Design innovative models and interventions to address post-acute care needs for specific populations
  • Effectively leverage discharge planners to maximize the success of your post-acute network


Erika Schuld
Erika Schuld
Director of Operations for Senior Health and Care Navigation
Allina Health


Misty Landor, MBA MSN, ANP-C, CNS, CCCTM
Director Patient Care Practice of Ambulatory Care Coordination
Emory Healthcare

Mackenzie Moore
Mackenzie Moore
Senior Business Operations Manager, Care Coordination
Emory Healthcare

Louise Simpson
Louise Simpson, MHA
Administrator, Post-Acute Care
UW Medicine

2:40 pm
  • Understand the differences between home hospital models and traditional home health
  • Build a viable home hospital program by understanding their operational, technological, and strategic design considerations
  • Effectively scale home hospital models by appropriately determining clinical program scope and care teams
  • Capture the promise of the home hospital model by understanding both current reimbursement considerations and future savings opportunities
Gregory Goodman
Gregory Goodman, MD
Associate Physician, Brigham and Women's Hospital
Instructor of Medicine, Harvard Medical School

3:50 pm
  • Relate to gaps and barriers to transitions of care for Heart Failure Patients
  • Assess the impact of social determinants of health on adherence and readmissions
  • Discuss 7 key elements for improving transitions and care coordination for patients and their family caregivers
  • Evaluate the importance of quality improvement studies on improving transitions for patient populations with heart failure
Cheri Lattimer
Cheri Lattimer, RN, BSN
Executive Director
National Transitions of Care Coalition

4:30 pm
  • Understand the impact of new regulatory reform on interoperability and health information technology, particularly as they impact delivery of patient care
  • Ensure interoperable design is scalable and flexible enough to withstand heavy utilization across diverse users and needs
  • Promote more effective information sharing that can lead to data capture for complex population health initiatives
  • Discuss other regulatory reforms that may impact interoperability and coordinated care
Will Brady
Will Brady
Chief of Staff to the Deputy and Senior Advisor to the Secretary
Department of Health and Human Services