Health IT Summit Denver 2014 - "Anatomy of a Health System"
This unique discussion series explores behind-the-scenes looks at the most progressive and high performing health systems in the country. Panelists will discuss critical areas such as go-live strategy, vendor management, patient engagement, IT governance and more. Attendees will walk away with a better understanding of how departments can effectively work together, tangible strategies for delivering high quality care while maintaining an efficient and secure health information system.
Moderator: Cynthia Burghard, Research Director, IDC Health Insights
Marc Lassaux, CTO, Technical Director Beacon Project, Quality Health Network
Justin Aubert, Chief Financial Officer, Quality Health Network
Kevin Fitzgerald, MD, CMO, Rocky Mountain Health
Katherine Howell, MBA, BSN, RN, NEA-BC, Senior Vice President and Chief Nurse Executive, Saint Luke's Health System - Presentation delivered at the marcus evans National Healthcare CNO Summit 2016 held in Las Vegas, NV
Katherine Howell, MBA, BSN, RN, NEA-BC, Senior Vice President and Chief Nurse Executive, Saint Luke's Health System - Presentation delivered at the marcus evans National Healthcare CNO Summit 2016 held in Las Vegas, NV
Ian Blunt & Martin Bardsley: Cause for concernQualityWatch
Ian Blunt and Martin Bardsley of the Nuffield Trust present findings from the QualityWatch 2014 annual statement, and explore how the quality of healthcare in England is changing in response to constrained funding and rising demand.
This presentation was delivered at the QualityWatch annual conference on 28 October 2014. For more information, see: www.qualitywatch.org.uk/QW2014.
QualityWatch is a joint research programme from the Nuffield Trust and the Health Foundation.
Network Optimization: Why Physician Quality Should Drive Your Benefits StrategyGrand Rounds
Employers and payers are increasingly interested in narrow network or "high performance" networks to control healthcare costs. But there's a science to reshaping your physician network to cut costs while avoiding member blowback. Learn how to optimize networks for cost and quality, while reassuring your employees that they can still access the care they need.
Clinical Integration: The Foundation for Accountable Care - Presentation delivered by Keynote Speaker Marvin O’Quinn, Senior Executive Vice President and Chief Operating Officer, Dignity Health at the National Healthcare CXO Summit held in Las Vegas Oct 19-21, 2014.
Keynote Presentation delivered by Marvin O’Quinn, Executive Vice President and Chief Operating Officer, Dignity Health at the marcus evans National Healthcare CXO Summit Spring 2018 held in Orlando FL
Slides from the Strategic Clinical Network, Cardiovascular Disease Network meeting on 16 January 2015.
The event was run by the Living Longer Lives programme and covers the work we’re doing to implement the Department of Health’s CVD Outcomes strategy, including improving the physical health of people with serious mental illness, supporting the NHS Health Check programme and the GRASP suite of audit tools.
Presentation Zeroes in on Successful CIN PYA, P.C.
Building a clinically integrated network (CIN) that brings together a hospital and community physicians, does not have to be a long, difficult process.
In a presentation given at the 2014 AHLA Physicians and Hospitals Law Institute, PYA Principal David McMillan, Flagler Hospital Chief Operating Officer Jason Barrett, and Smith Hulsey & Busey Attorney Shareholder Charmaine T. Chiu followed one healthcare community’s journey to form a CIN in nine months.
The Medicare Aaccess and CHIP Reauthorization Act of 2015 establishes two Quality Payment Programs to transition the U.S. Healthcare System from a Fee-For-Service reimbursement methodology to a Fee-For-Value model. MACRA fundamentally adjusts the Medicare Fee Schedule, forcing healthcare providers to utilize HIT, population health management, and care coordination to receive financial rewards.
iHT² Health IT Summit Beverly Hills – Anatomy of a Health System – St. Joseph Health and The Innovation Institute
Panel "Anatomy of a Health System- St. Joseph Health and The Innovation Institute"
St. Joseph Health (SJH) is an integrated healthcare delivery system that provides a full range of care from facilities including 14 acute care hospitals, home health agencies, hospice care, outpatient services, skilled nursing facilities, community clinics, and physician organizations.
In their award-winning facilities, as well as non-traditional settings like school rooms and shopping malls, SJH maintains a "continuum of care," matched to the diverse needs of the urban centers, smaller cities and rural communities in three states who depend on us every day.
Founded by St. Joseph Health System, The Innovation Institute is a provider of business services, innovation solutions and investment management services to health systems.
Nationally and globally, healthcare providers are now at a crossroads. A true need exists to apply innovative thinking, in order to significantly reduce costs while maintaining high quality care. We must continue service existing communities, but increase the number of people we serve, and serve them all more effectively. This is the premise of an influential movement known as ‘Gandhian Innovation’ and our pursuit to ‘do more, with less, for more people’.
Moderator: Scott Mace, Senior Technology Editor, HealthLeaders Media
Larry Stofko, EVP, Innovation Lab, The Innovation Institute
William Russell, CIO, St. Joseph Health
Darrin Montalvo, President, Integrated Services, St. Joseph Health
Ian Blunt & Martin Bardsley: Cause for concernQualityWatch
Ian Blunt and Martin Bardsley of the Nuffield Trust present findings from the QualityWatch 2014 annual statement, and explore how the quality of healthcare in England is changing in response to constrained funding and rising demand.
This presentation was delivered at the QualityWatch annual conference on 28 October 2014. For more information, see: www.qualitywatch.org.uk/QW2014.
QualityWatch is a joint research programme from the Nuffield Trust and the Health Foundation.
Network Optimization: Why Physician Quality Should Drive Your Benefits StrategyGrand Rounds
Employers and payers are increasingly interested in narrow network or "high performance" networks to control healthcare costs. But there's a science to reshaping your physician network to cut costs while avoiding member blowback. Learn how to optimize networks for cost and quality, while reassuring your employees that they can still access the care they need.
Clinical Integration: The Foundation for Accountable Care - Presentation delivered by Keynote Speaker Marvin O’Quinn, Senior Executive Vice President and Chief Operating Officer, Dignity Health at the National Healthcare CXO Summit held in Las Vegas Oct 19-21, 2014.
Keynote Presentation delivered by Marvin O’Quinn, Executive Vice President and Chief Operating Officer, Dignity Health at the marcus evans National Healthcare CXO Summit Spring 2018 held in Orlando FL
Slides from the Strategic Clinical Network, Cardiovascular Disease Network meeting on 16 January 2015.
The event was run by the Living Longer Lives programme and covers the work we’re doing to implement the Department of Health’s CVD Outcomes strategy, including improving the physical health of people with serious mental illness, supporting the NHS Health Check programme and the GRASP suite of audit tools.
Presentation Zeroes in on Successful CIN PYA, P.C.
Building a clinically integrated network (CIN) that brings together a hospital and community physicians, does not have to be a long, difficult process.
In a presentation given at the 2014 AHLA Physicians and Hospitals Law Institute, PYA Principal David McMillan, Flagler Hospital Chief Operating Officer Jason Barrett, and Smith Hulsey & Busey Attorney Shareholder Charmaine T. Chiu followed one healthcare community’s journey to form a CIN in nine months.
The Medicare Aaccess and CHIP Reauthorization Act of 2015 establishes two Quality Payment Programs to transition the U.S. Healthcare System from a Fee-For-Service reimbursement methodology to a Fee-For-Value model. MACRA fundamentally adjusts the Medicare Fee Schedule, forcing healthcare providers to utilize HIT, population health management, and care coordination to receive financial rewards.
iHT² Health IT Summit Beverly Hills – Anatomy of a Health System – St. Joseph Health and The Innovation Institute
Panel "Anatomy of a Health System- St. Joseph Health and The Innovation Institute"
St. Joseph Health (SJH) is an integrated healthcare delivery system that provides a full range of care from facilities including 14 acute care hospitals, home health agencies, hospice care, outpatient services, skilled nursing facilities, community clinics, and physician organizations.
In their award-winning facilities, as well as non-traditional settings like school rooms and shopping malls, SJH maintains a "continuum of care," matched to the diverse needs of the urban centers, smaller cities and rural communities in three states who depend on us every day.
Founded by St. Joseph Health System, The Innovation Institute is a provider of business services, innovation solutions and investment management services to health systems.
Nationally and globally, healthcare providers are now at a crossroads. A true need exists to apply innovative thinking, in order to significantly reduce costs while maintaining high quality care. We must continue service existing communities, but increase the number of people we serve, and serve them all more effectively. This is the premise of an influential movement known as ‘Gandhian Innovation’ and our pursuit to ‘do more, with less, for more people’.
Moderator: Scott Mace, Senior Technology Editor, HealthLeaders Media
Larry Stofko, EVP, Innovation Lab, The Innovation Institute
William Russell, CIO, St. Joseph Health
Darrin Montalvo, President, Integrated Services, St. Joseph Health
The CMS Innovation Center hosted a special webinar featuring Dr. Patrick Conway, CMS Deputy Administrator for Innovation and Quality and CMS Chief Medical Officer, on Monday, November 10, 2014 from 10:30am – 11:30 am ET. Dr. Conway will provided an update about the work of the CMS Innovation Center and the models being tested to improve better care for patients, better health for our communities, and lower costs through improvement for our health care system. Opportunities for questions were provided.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
In January 2013, Catholic Health Initiatives began a multi-phase journey to develop a population health management solution across all of its regions. This presentation will describe the strategies the health system pursued for: creating a clinically integrated network as a first step in managing the health of populations and integrating care across the patient experience; aligning hospitals and physician groups to create successful clinical models; creating a data platform to share clinical measures and benchmarks; and ultimately becoming a risk-bearing shared savings ACO. Participants will hear real-world examples of best practices for how to meet FTC regulations, create an effective governance structure to manage performance, and align financial incentives. Learn how one of the nation's largest hospital systems developed a system-wide population health management solution in order to achieve the necessary transformation from fee-for-service to fee-for-value.
Network physicians, hospitals, and other care continuum providers work collaboratively in active clinical process improvement programs across service lines and specialties to define, establish, implement, monitor, evaluate and periodically update the processes of:
- Evidence-based medicine
- Beneficiary engagement
- Care coordination
- Conservation of healthcare resources
- Clinical data reporting
Health Information Exchange in the U.S. TodayGreenway Health
This presentation covers state HIE challenges, how Meaningful Use and HIEs work hand-in-hand, how HIEs are becoming more sustainable, and more about HIE initiatives.
Webinar: Thriving in the New Healthcare Environment: 3 Key StrategiesModern Healthcare
www.modernhealthcare.com/article/20140512/SPONSORED/305129926/webinar-thriving-in-the-new-healthcare-environment-3-key-strategies
Many CEOs are looking to make cost and revenue improvements between 20 and 40 percent. Attend this webinar to hear success strategies from two leading CEOs.
Key Principles and Approaches to Populaiton Health mManagement - HAS Session 21Health Catalyst
Population Health Management is in its early stages of maturity, suffering from inconsistent definitions and understanding, and is overhyped by vendors and ill-defined by the industry. And yet, many systems are moving forward in innovative pioneering ways to address this growing trend. In this session, you will hear from two very different, successful health systems: a physician-led group and a large integrated delivery system. They will share their best practices, learnings, and different approaches to population health management.
The healthcare transformation from fee for service to fee for outcomes just got an adrenaline shot in the arm April 27th when the Department of Health and Human Services surprised many in the market by announcing a Quality Payment Program, a proposed set of new rules to take effect in 2019 based on key provisions of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
Presentation on payment reform and changing models given at 2016 Ziegler National Senior Living CFO Workshop, April 6-8, 2016 at The Sheraton New Orleans Hotel.
Health IT Summit Houston 2014 - Case Study "EHR Optimization for Organizational Value in a Changing Healthcare Environment"
Luis Saldana, MD, MBA, FACEP
CMIO
Texas Health Resources
iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
Presentation by Rich Pollack, VP and Chief Information Officer, VCU Health, at the marcus evans National Healthcare CIO Summit held in Pasadena, CA March 13-14 2017
How Northwestern Medicine is Leveraging Epic to Enable Value-Based CarePerficient, Inc.
Value-based care and payment reform are prompting hospitals and healthcare providers to more closely manage population health. Hospitals and health systems rely on technology and data to outline the characteristics of their population and identify high-risk patients in order to manage chronic diseases and deliver enhanced preventative care.
Our webinar covered how Cadence Health, now part of Northwestern Medicine, is leveraging the native capabilities of Epic to manage their population health initiatives and value-based care relationships across the continuum of care.
Our speakers:
-Analyzed how Epic’s Healthy Planet and Cogito platforms can be used to manage value-based care initiatives.
-Examined the three steps for effective population health management: Collect data, analyze data and engage with patients.
-Covered how access to analytics allows physicians at Northwestern Medicine to deliver enhanced preventive care and better manage chronic diseases.
-Discussed Northwestern Medicine’s strategy to integrate data from Epic and other data sources.
Bundled Payment Changes: Learn What’s New and How to SucceedHealth Catalyst
In January, CMS announced the Bundled Payment for Care Improvement Advanced “BPCI Advanced” program, initiating renewed interest in a total cost of care payment model for specific episodes of care. Regardless of your organization’s current decision to participate, it’s important to understand how bundled payment programs have the ability to significantly decrease your internal costs, broaden your revenue opportunities, and improve patient outcomes across specific populations. The Center for Medicare and Medicaid Innovation’s newest iteration of bundled payments provides another tightly-defined program that allows organizations to scale Population Health Management. Best practice suggests that tactical interventions to assess clinical variation, implement strategic care redesign programs, and to adjust care management-facilitated patient stratification models are important to be successful with bundled payments – so knowing how to implement them is crucial. One organization’s savings is another’s income and without making overhead allocation changes, bundled payments may reduce revenue that has been critically important to maintain hospital profitability. Join this webinar to learn:
* What is new with bundled payments.
* The ramifications bundles can have across organizations.
* Leveraging data and strategic analysis to identify opportunities for bundled payment success.
* Operationalizing successful care program tactics to be successful in bundled payment contracts.
Development and implementation of a system to support prediction of suicide risk in the Department of Veterans Affairs - DR. Robert Bossarte and Paul Bradley
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
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The Art Pastor's Guide to Sabbath | Steve ThomasonSteve Thomason
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Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
Health IT Summit Denver 2014 - "Anatomy of a Health System"
1. Anatomy of a Health System
July 23, 2014
Marc Lassaux, CTO, Quality Health Network
Justin Aubert, CFO, Quality Health Network
Kevin Fitzgerald, MD, CMO, Rocky Mountain Health Plans
2. Agenda for this session
Quick Overview
Technology to support Pop. Health
Sustainability consideration
Operationalizing Clinically
General Discussion
3. Formed in 2004
Two Hospitals, Physician Organization
Payer, Community Resource Organization
Over 200 organizations and 850 providers
HIE, HISP, eHealth Exchange participant
Data Aggregation and Applications
Incorporated as Non-profit 501 (c) 3 - August 2004
“Trusted, non-exclusive, and apolitical Organization”
Live Operations: October 2005
Private Capital $2.75 million
Cash Flow Positive from Operations - 2007
The Start:
4. QHN’s Regional Connectivity - 2013
Including Providers
Copyright Quality Health Network
Connections In Development
• The Memorial Hospital, Craig
• Yampa Valley Medical Center, Steamboat Springs
• VA Medical Center, Grand Junction
• CORHIO – Colorado eastern slope
Hospital & Lab Connections
• St. Mary’s Regional MC
• Community Hospital
• Family Health West
• Aspen Valley
• Montrose Memorial
• Rangely District
• Delta County Memorial
• Gunnison Valley
• Grand River Health (Hospital)
• Valley View/Glenwood
• Pioneers/Meeker
• LabCorp
• Quest Diagnostics
• Grand Junction Diagnostics
• Internal Medicine Assoc.
• DCI
Hospice
PACE (Senior
Community Care)
Care Transitions
Home Care
DME
Respiratory &
Physical Therapy
Long-Term Care
Assisted Living
Connected
Providers
.
.
.
..
...
.
...
.
..
...........
................................................................................
....................
..........................................
...... .........
................. ..
.
.
.
5. RMHP and QHN
RMHP one of QHN’s five founding members
Colorado Beacon Consortium
• Rocky Lead, QHN Sub recipient
Practice Redesign and Quality Improvement
Population Health Tools
• Disease, Wellness, Risk
Care Coordination
13. Clinical Aspects When Operationalizing QI and PH
- 7/22/14 Anatomy of Health System Panel Presentation
- Institute for Health Technology Transformation (IHT )
Kevin R. Fitzgerald, MD
Chief Medical Officer
Rocky Mountain Health Plans
2
15. Anatomy of a Health System
- Where We’re Focused
Focus Region
- Approximately 850,000
Residents
- RMHP Key Markets
- RCCO Service Area
- QHN Footprint
- Distinct Patterns of Care
(Dartmouth Atlas)
16. RMHP Initiatives
• Office Record Review (ORR) since the 90’s
• Chronic Disease Management since the early 2000’s
• Beacon 2009
• CPCi/Practice Transformation 2013 and ongoing
• Medicaid RCCO (ACO) Region 1 2013 and ongoing
17. Primary Care Practice Transformation
• Top RMHP Priority and Investment Area
• Maximize Primary Care Population Management Capacity
− Data Use and QI Competencies
– Adopt New Tools
– Integrate New Staff
– Team Based Care
• Five Active Learning Tracks
– Foundations
– Masters 1
– Masters 2
– PCMH Recognition
– CPCi
18. Barriers To Change
• Non-integrated delivery system
• Frontier communities (IPA’s)
• Evolution of their delivery systems
• Improve communication in their communities
• Create a culture of innovation in the medical community
20. Boots on the Ground
- Practice Transformation
20
A Rising Tide
• 2012: 51 Practices (Beacon).
• 2013: 102 Practices -- 50% growth or doubling of the number of
practices we supported in 2012.
• 2014: 95 Practices to date -- with 50 practices in queue for
recruiting into any one of the program tracks.
21. Our Goals
Small tests of change emphasizing the triple aim through
population health management:
• Population management through registries
• Practice case management
• Risk rating and patient stratification
• Referral systems/continuity in transitions
• Community care management of the person
• Community care plans
• Community surveillance models
22. Whole Person Support
22
• Comprehensive Assessments
• Health, Behavioral, Social, Functional Domains
• Coordinating the Coordinators
25. • Practice Transformation
• Measurement & Feedback
• Workforce (Human Capital)
• Payment
• Technology
25
Anatomy of a Health System
- Key Drivers in an Accountable Community
26. Global Outcomes Score
(“GO Score”)
1. Comprehensive and Continuous
2. Guidelines and Predicted Risks
3. Net Benefit Focus - Counterintuitive Results
27. What is the“GO Score”
Predicted # events prevented by PCP
Opportunity Benchmark
GO Score =
• In example above GO Score = 100/180 = 55
•The opportunity captured is 55% of total
benchmark
0
20
40
60
80
100
120
140
160
180
200
Opportunity Benchmark CurrentTreatment
5-Year CVD Events Prevented
180 events
100 events
28. How is the GO Score different?
28
The Global Outcomes Score measures CVD risk reduction in populations
• Credits providers for reducing risk not just meeting a treatment target or
process measure
Corrects problems with current simple performance measures such as
the blood pressure guidelines:
• Credit is given to reduced SBP from 142 to 138
• No credit is given for reducing SBP from 200 to 142
• Other patient risk factors are largely ignored
• Leaves little room for physician discretion
NCQA is testing the GO Score as a performance measure
• PCP will be one of the first groups in the country to test this new approach
29. Oversimplified guidelines impact care
29
Mrs.
Smith
Mr. Jones
SBP = 142 SBP = 138
age = 45age = 42
LDL = 116 LDL = 178
HDL = 35HDL = 61
FPG = 116FPG = 89
weight = 244 weight = 345
height = 5’6’’ height = 5’11’’
GO Score will give more credit for treating Mr. Jones
1.2%
Risk of MI or stroke in 5
years
7.1%
0.4%
Absolute risk reduction if
lower BP
2.1%
30. What actions increase your GO Score?
Prescriptions (15 month
grace period for
incentive)
• Statins
• Thiazides
• ACE/ARB
• CCBs
• Beta Blockers
Smoking (cessation
during the year)
Weight loss >5% during
the year (BMI>25 at
outset)
30
Future versions may include other interventions and
other diseases provided data quality is sufficient