2012 Accountable Care & Health IT Strategies Summit Agenda

Tuesday, January 17th, 2012

Pre-Conference Workshops

• Workshop 1: The Health IT Roadmap for Accountable Care

  12:30p.m. - 1:30p.m.

  Jim Adams, Managing Director, The Advisory Board Company

  Many health care organizations will have to make significant additional investments in IT-related capabilities to help address the shifting of risks for costs, quality and outcomes to providers and individual consumers under accountable care. This session describes the various types or levels of risk that organizations will likely assume under accountable care and the IT-related capabilities that they will need for each type of risk to be successful.

• Workshop 2: ICD-10 Compliance and Clinical Document Improvement to support new reimbursement models

  1:45p.m. - 2:45p.m.

  Terri McCubbin, RN, CPP, CPUR, CMC, Director, 3M Consulting Sandeep Wadhwa, MD, MBA, FACP Chief Medical Officer, 3M

  Health Information Systems Clinical performance determines patient outcomes, but the data used to describe outcomes is ultimately determined by a hospital’s clinical documentation and coding functions. Accurate capture of patient severity, risk of mortality, and post-admission complications in physician documentation impacts payment, regulatory compliance, case mix index, and performance ratings. Quality outcomes data is even more critical under ICD-10 since the new coding standard will enable higher quality information for evaluating healthcare service, quality, and safety. Learn an effective approach for ensuring the accuracy of quality outcomes data in the face of changing regulations and new reimbursement models that align payment incentives with high performance.

• Workshop 3: Achieving Clinical/Financial Collaboration in an Accountable Care Setting

  3:00p.m. - 4:00p.m.

  Melinda Hancock, Chief Financial Officer, Bons Secours Health System

  In this session, participants will hear from a CFO’s perspective, the changing culture of one organization to bring clinical and financial teams together to help drive out variations in cost and quality. This partnership enables the organization to assess its readiness to support the myriad of payment designs within healthcare reform.

  Participants will hear many of the lessons learned in the process, focussing on how to:

  • Build a cross functional team of clinical, financial and administrative staff
  • Pair financial and clinical leaders to uncover variances, determine best practices and quantify cost savings
  • From an IT perspective create a roadmap for clinical/financial data integration for improved decision making, more accountable and better coordinated care
• Workshop 4: Building the HIT Infrastructure for Patient Centered Medical Home and ACOs: The EHR is necessary but not sufficient

  4:15p.m. - 5:15p.m.

  Charles DeShazer, VP Medical Informatics, Quality and Transformation, Dean Health System

  Understand the HIT implications of the new emerging care models. HIT not only closes critical gaps in how care is delivered but will be essential to enabling higher levels of competitive performance. The EHR is essential but must be optimized and integrated into a complete HIT "ecosystem" and transformed culture to deliver on its promise.

  • Impact of current and expected government initiatives
  • HIT requirements for the PCMH and ACOs
  • Best practices for managing the data lifecycle
  • Understand "Big Data" analytics
  • Key strategies and tactics to implement the necessary HIT infrastructure

Wednesday, January 18th, 2012

Accountable Care and Health IT Strategies Summit

• Registration & Breakfast

  8:00a.m. - 8:45a.m.

• Welcome: Rob Waters, VP Development, Healthcare IT Connect

  8:45a.m. - 9:00a.m.

• Keynote

  9:00a.m. - 9:30a.m.

  Dean Pascal J. Goldschmidt
  CEO, University of Miami Health System and Senior Vice President for Medical Affairs and Dean, Miller School of Medicine, University of Miami

• Plenary: Innovation towards Health System Transformation: The Intersection of ACOs, Technology and Health Reform

  9:30a.m. - 10:15a.m.

  Wil Yu, Special Assistant of Innovations and Research, ONC (DHHS) and Senior Advisor to the CMS Innovation Center

  Daniel Farmer, Center for Medicare and Medicaid Innovation (CMMI), Centers for Medicare and Medicaid Services (CMS)

• Opening Networking Break in Connect Exhibit Hall

  10:15a.m. - 10:45a.m.

• Keynote Panel: Leveraging Technology for ACO Success: Supporting Clinical and Payment Innovation in the Era of Accountable Care

  10:45a.m. - 11:45p.m.

  Patricia Barrett, VP Product Development, National Committee for Quality Assurance (NCQA)
  Dr Thomas Deas, Board Member, North Texas Specialty Physicians
  Anton B. Dodek, MD, Medical Director for Quality, Blue Cross Blue Shield of Massachusetts
  Chris Wood, Medical Director of Information Systems, Intermountain Healthcare
  Timothy Ferris, MD, MGH, Senior Scientist in the Partners/MGH Institute for Health Policy

• Buffet served for Meet the Innovators Lunch

  11:45 a.m. – 12:00 p.m

• Meet the Innovators Lunch

  12:00p.m. - 12:30p.m.

  Keynote and Introduction:
  Vision for 2020: How Connected Health Can Help Transform Tomorrow’s Healthcare System

  Dr Joseph Kvedar, Director, Center for Connected Health, Partners Healthcare
  The concept of "connected health" extends healthcare beyond the traditional confines of hospitals and doctors’ offices, bringing healthcare to our everyday surroundings. The availability of technology in the home, our aging population and the increase of patients with chronic diseases are some of the factors fueling increased interest and growth in connected health. By leveraging information technology - cell phones, computers, networked devices and simple remote health monitoring tools – connected health is helping providers and patients manage chronic conditions, maintain health and wellness, and improve adherence, engagement and clinical outcomes.
  Objectives:

  • Discuss insights into the changing roles of the provider and patient
  • Present examples of how connected health can better utilize healthcare resources
  • Discuss lessons learned from integrating connected health programs across a large healthcare system
  • Discuss how connected health acts as a building block of ACOs

  12:30p.m. - 1:15p.m.

  Working Lunch Roundtables: Leading HIT Innovators from Health Systems, ACOs and Solution Providers will lead a series of working lunch roundtable discussions around specific technology and project initiatives at the leading edge of health system transformation. Attendees will have the opportunity to join a discussion group best aligned to their planning priorities.

• Break

  1:15 p.m. – 1:25 p.m

• Keynote: The Hunting of the Snark (Focus on Value)

  1:25p.m. - 2:25p.m.

  Ralph Lawson, CFO, Baptist Health South Florida, Chair-Elect Healthcare Financial Management Association (HFMA)

  The United States consumes more healthcare than any other country in the world while individuals, governments and employers struggle to pay the bill. The U.S. recession has exacerbated the problem for providers and payers alike. With an industry wide focus on increasing quality and decreasing costs, providers must implement innovative value based strategies to survive and thrive in the “new normal” for U.S. healthcare. As the one year anniversary of the passage of historic healthcare reform legislation has come and gone, many believe that the healthcare financing system remains unsustainable as the “Snark” continues to elude capture or even definition. In addition to providing an understanding of the current state of U.S. healthcare economics and insights into the inevitable changes that will be required over the coming years for providers to survive and prosper under reform, this presentation focuses on: - current and historical attempts in the healthcare industry to identify, increase, and communicate value to patients, providers, employers. - key healthcare megatrends will also be identified as health care providers shift from volume based to value based strategies - the presenter’s views on the “winners and losers” under the “new normal” will also be discussed, providing insights about what the future U.S. healthcare system may eventually look like.

• Break

  2:25 p.m. – 2:30 p.m

• Breakout Sessions

  Track 1: Clinical Integration and Transformation

  2:30p.m. - 3:15p.m.

  Accountable care and Community Connect Infrastructure: Delivering HIT Services in South Florida
  Forest Blanton, SVP & CIO, Memorial Healthcare System
  John Benz, SVP, Chief Strategic Officer, Memorial Healthcare System

  This session will describe the current status of Health Information Exchange activity in South Florida, in particular discussing the technical and governance decisions being addressed by the Atlantic Coast HIE. The session will also discuss changes imposed by health care payment reform and how HIE technology supports the requirements of Health Care Reform.

  Questions for the panelists:

  Learning points:

  1) Status of HIE development in South Florida

  2) Governance and implementation status of the Atlantic Coast HIE

  3) Role of HIE in supporting Health Care Reform

  Track 2: Payment System Transformation

  2:30p.m. - 3:15p.m.

  Just Say No to Bolt-on Payment Reform IT! Value-Driven Disrupted Business & Operating Models and the Required Super-Charged, Agile, Enabling IT Infrastructure

  Jim Hansen, VP & Executive Director, Dossia Consortium

  Health and health care markets in the not-so-distant-future reflect a fundamental shift in customer value propositions, thus requiring vastly different supporting business and operating models that look much more like other U.S. industries than the ones we know today. Only with this business future-state clearly envisioned, can an organization determine the appropriate processes, enabling IT infrastructure and supporting roadmap to get there. Session objectives:

  • Understand what employers want and expect regarding value-based purchasing and payment reform
  • Gain insight into what employer purchasers identify as macro-level health delivery problem areas that your organization needs to proactively address
  • Learn what large, influential IT-savvy employers expect from a health delivery system to support transformed health and health care markets and how Next-Generation IT can enable it.
• Networking Break in Connect Exhibit Hall

  3:15p.m. - 3:30p.m.

• Breakout Sessions

  Track 1: Clinical Integration and Transformation

  3:30p.m. - 4:15p.m.

  Critical Paths to Health Information Exchange: How to resolve and create an interoperable data sharing system
  Larry Yuhasz, Director Strategy & Business Development, Center for Health Information Exchange, Thomson Reuters
  Micheal Cummins, Senior Vice President, Management Information Systems, Chief Information Officer VHA Inc.

  The methods for accessing, integrating and standardizing clinical data are varied in the HIT landscape.  On an increasing basis, hospitals and IDN’s are seeing the value of leveraging health information exchange technology as a viable solution for integrating clinical data across all care settings.  This session will focus on exploring 4 dominant HIT architectural approaches and the potential for leveraging private HIE  solutions in each one.  Special emphasis will be placed on the functional and economic trade-offs for meeting emergent needs for creating single, virtual patient records, feeding care coordination solutions, enabling clinical decision support, and driving for improved analytics to support ACO decision making, among others. Case study examples of private exchange installations and best practice implementation lessons will be shared.

  Track 2: Payment System Transformation

  3:30p.m. - 4:15p.m.

  Building the Technology Infrastructure to Facilitate Payments in a Shared Savings Model

  Andrew McCoy Vice President, Revenue Management, Fairview Health Services

  Fairview Health Services has been engaged in the process of transforming itself from an integrated care system focused on provision of care to our service area to an integrated care system focused on improving the health of the population of patients we serve. This session will describe the internal changes required to be successful in the new model as well as the interaction Fairview has had with commercial and governmental payers, including data and IS infrastructure challenges associated with the transition.

• Breakout Sessions

  Track 1: Clinical Integration and Transformation

  4:15p.m. - 5:00p.m.

  Engaging ACOs and patients with Managed Health Information Systems
  Gerard Filicko, SVP Clinical Services, InHealth/Central Virginia Health Network

  In September 2011, the Bon Secours Virginia health system launched an ACO in partnership with inHealth and MedVirginia, to coordinate care for 12,000 beneficiaries. The initial focus of this effort is on:

  1. care coordination for employees with diabetes, HTN, asthma, and high-cost cases
  2. medication management
  3. a variety of wellness initiatives

  This session will focus on the role of Health Information Exchange, health risk appraisals, analytic engines and other platforms to provide for the successful stratification, identification and engagement of patients, as well as the management of integrated clinical data throughout an ACO network.

  Track 2: Payment System Transformation

  4:15p.m. - 5:00p.m.

  Primary Care Innovations for Improved Healthcare Quality and Cost Reduction

  Dr Gordon Chen, Chen Medical Centers

  Chen Medical Centers has been at the forefront of healthcare technology development aimed at improving quality while reducing health care costs. We have developed applications to improve care coordination for hospitalized patients and ensure immediate outpatient follow up after hospital discharge. We also engage patients to take responsibility for their health through educational initiatives, and are improving racial disparities in healthcare through digital pharmacy solutions.

• Wine and Cheese Tasting in Connect Exhibit Hall

  5:00p.m. - 6:00p.m.