Author Archives: HITC Editor

The next generation of population health management—a linchpin of healthcare reform—will require much more than remote measures of health trends. Now, integrated programs are needed that will improve community health and provide measurable statistical results and reduce healthcare costs. Success will depend on a shift in focus from the clinic to the population at large, and adapting provider practices, data collection and analysis. At this sessios panelists wille explore the integration of clinical, claims as well as external data including socio-economic data, access to critical support services and patient generated data and the ability to analyze this data and to make it actionable across the accountable care enterprise to optimize this new public health environment.

Population Health 2.0: Accountable Care, Big Data and Healthcare Analytics

Panel Leader/Moderator: Creagh Milford, DO, MPH, Associate Medical Director, Partners HealthCare Population Health Management
Nicholas Marko, Chief Data Officer, Geisinger Health System
Morey Menacker, CEO Hackensack Physician Hospital Alliance ACO, Director Population Health Management, Hackensack University Medical Center
Jim Walton, CEO, Genesis Physician Group & Genesis Accountable Physician Network & GenHealth
Mason Beard, Chief Product Officer & Co Founder, Wellcentive

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Doug and Cheryl  discuss CCH&HS Transformation to County Based Integrated Organization and its roles as Provider, Payor, Public Health Department, and Network Leader through clinical integration, community engagement, and advanced Health IT systems to support

Doug Elwell, Deputy CEO for Finance & Strategy, Cook County Health & Hospitals System

Cheryl Lulias President & Executive Director, Medical Home Network

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As state health and human services agencies look to integrate data and services to support a real time citizen centric model – some of the biggest challenges are coming from aligning agencies and departments in an effective data governance and interoperability framework. See how successful states are faring and coordinating within and across organizational boundaries to achieve these goals.

 

Moderator: Pradeep Goel, CEO, EngagePoint
Sue Langen, CIO, Senior Policy and Enterprise Systems Advisor, Washington State Office of the CIO
Tracy Wareing, Executive Director, APHSA (American Public Human Services Association)
David Grinberg, Deputy Executive Director, Pennsylvania eHealth Partnership Authority

 

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State Health IT efforts are moving forward rapidly on several fronts from Health Insurance Exchanges (HIX) to Health Information Exchanges (HIE) to Medicaid Management Information Systems (MMIS) and beyond. This evolution presents the opportunity to improve integration across the Health and Human Services enterprise through a thoughtful approach to the related projects. In this session, we will discuss potential benefits of this integration to citizens, related agencies, and states. In addition, we will discuss options to make this integration successful and cost-effective to implement and operate.

Presenters: Subramanian Muniasamy, CIO, Maryland’s Health Benefit Exchange

Donald Hoag, Senior Manager at Deloitte Consulting

 

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Public assistance agencies like Medicaid are tasked with getting benefits to the citizens who need them most. Unfortunately the rising tide of identity theft negatively impacts a state’s ability to do so and creates a number of new challenges which agencies must overcome. Benefits fraud often crosses borders as criminals draw benefits from multiple states and multiple state agencies — potentially unraveling the nation’s public assistance safety net thread by thread. What can states do to stop this? Share information through contributory solutions. Sharing information across borders and across agencies helps stop false, stolen, or duplicate identities from entering their systems and defrauding their public assistance programs; playing a part in ensuring that benefits only go to those deemed eligible to receive them. Contributory solutions safeguard basic support for the existence of such human services programs by enhancing public confidence that federal and state governments are properly and responsibly administering their taxpayer dollars.

Moderator: Richard K. Grape, Market Planner, Health and Human Services, State and Local Government, LexisNexis
John Lorimer, VP of Analytics, LexisNexis Risk Solutions
Cynthia Green Edwards, Director, Office of Medicaid Health Information Technology, State of Michigan 

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Healthcare IT Connect’s ‘s Rob Waters sat down with Allen Kamer to discuss provider utilization of data assets, risk management and community analytics.

HITC: Collecting patient data across the care continuum has presented many challenges to providers, integrating claims and clinical data has added complexity to the process. What are some of the main areas you’re seeing providers successfully utilize data assets to support beneficial PHM outcomes to date?

Allen Kamer: Even with the challenges of collecting different data sets across the care continuum, there are many areas where providers can be and have been successful in utilizing their data with their PHM efforts. The key is looking for and finding “actionable opportunities”, or areas where you can have a measurable impact.  A couple of examples where there are positive outcomes:  1) Identifying and actively engaging with patients who have documented clinical evidence of a condition (diabetes for example) but have no diagnosis recorded.  The identification of a non-coded population results in a significant reduction of hospital and ED utilization and an increase in ambulatory utilization;  2) Another good example is transition management from hospital discharge to the home, with the goal of reducing unnecessary hospital re-admissions.  Ensuring hospital admission and discharge data is shared with relevant providers so that they can pro-actively engage with patients prior to and after discharge to ensure things like post-discharge office visits occur within a seven-day period, can have a significant impact on re-admission rates.

HITC: As providers mobilize their organizations to participate in ACOs, they are immediately exposed to the changing dynamics of risk sharing agreements and the need to make data actionable across the healthcare enterprise, has the vendor marketplace been successful in helping providers adapt to this environment?

AK: Vendors have played a key role in helping providers move into a risk or fee-for-value environment.  Historically, providers had little ability to access their own relevant data in a timely manner, and as a result could not perform robust analyses and draw insights to identify which opportunities would allow them to “smartly” negotiate risk-based contracts.  Analytic vendors in particular have essentially changed the game for providers, enabling significant progress in understanding priorities.  Providing products and services with robust analytics, including comparative benchmarking data and predictive models identifying high-risk patients, has been critical for successful ACO enablement.

HITC: Big data’ promises to shift the focus away the clinic to population or community analytics and great strides are being made by a growing number of providers to integrate external sources of data (including mobile, socio-economic and access to services). What progress do you anticipate being made towards these goals over the next 3-5 years?

AK: The desire for providers to be more closely tethered to their patients outside the “four walls” of their hospital or office is accelerating as both the means to do so grow and the necessity of managing risk of patient populations increases.  Truly successful population management will depend on closer connection between patients and their providers.  As numerous digital health solutions emerge that target specific topics like medication adherence, referral management, patient satisfaction, etc., the requirement to integrate those data and measure the impact of those interventions becomes critically important.  We see significant progress occurring in this space, with a select number of vendors offering more open architectures, integrated data, and robust analytics that drive optimal outcomes.

Analytics to Action: Applying Analytics to Improve Patient Health
Panel Leader/Moderator: Allen Kamer, Chief Commercial Officer, Optum Analytics
Anil Keswani, Corporate Vice President of Ambulatory Health Care and Population Health Management, Scripps Health

In today’s world of value-based reimbursement, taking action based on data analytics has become a necessity. Payers are pushing patient risk onto providers’ proverbial shoulders, and the only way to manage that risk is to apply advanced analytics toward interventions.

Dr. Anil Keswani, Corporate VP of Ambulatory Care and Population Health Management, at Scripps Health share Scripps’ experience using analytic tools to determine the populations that need intervention, enroll populations into care management programs, identify barriers to care and compliance and track and manage care management interventions.

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In today’s world of value-based reimbursement, taking action based on data analytics has become a necessity. Payers are pushing patient risk onto providers’ proverbial shoulders, and the only way to manage that risk is to apply advanced analytics toward interventions.

Dr. Anil Keswani, Corporate VP of Ambulatory Care and Population Health Management, at Scripps Health shares Scripps’ experience using analytic tools to determine the populations that need intervention, enroll populations into care management programs, identify barriers to care and compliance and track and manage care management interventions.

Panel Leader/Moderator: Allen Kamer, Chief Commercial Officer, Optum Analytics
Anil Keswani, Corporate Vice President of Ambulatory Care and Population Health Management, Scripps Health

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The next generation of population health management—a linchpin of healthcare reform—will require much more than remote measures of health trends. Now, integrated programs are needed that will improve community health and provide measurable statistical results and reduce healthcare costs. Success will depend on a shift in focus from the clinic to the population at large, and adapting provider practices, data collection and analysis. At this sessios panelists wille explore the integration of clinical, claims as well as external data including socio-economic data, access to critical support services and patient generated data and the ability to analyze this data and to make it actionable across the accountable care enterprise to optimize this new public health environment.

Keynote Panel: Population Health 2.0: Accountable Care, Big Data and Healthcare Analytics
Panel Leader/Moderator: Creagh Milford, DO, MPH, Associate Medical Director, Partners HealthCare Population Health Management

Nicholas Marko, Chief Data Officer, Geisinger Health System

Morey Menacker, CEO Hackensack Physician Hospital Alliance ACO, Director Population Health Management, Hackensack University Medical Center

Jim Walton, CEO, Genesis Physician Group & Genesis Accountable Physician Network & GenHealth
Mason Beard, Chief Product Officer & Co Founder, Wellcentive

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Doug Elwell, Deputy CEO for Finance & Strategy, Cook County Health & Hospitals System and Cheryl Lulias, President & Executive Director, Medical Home Network discuss CCH&HS Transformation to County Based Integrated Organization and its roles as Provider, Payor, Public Health Department, and Network Leader through clinical integration, community engagement, and advanced Health IT systems to support both clinical care and operational transformation.

Keynote : Clinical Integration, Community Engagement and Transitioning to Value Based Care 

Doug Elwell, Deputy CEO for Finance & Strategy, Cook County Health & Hospitals System
Cheryl Lulias President & Executive Director, Medical Home Network

 

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Knowledge silos continue to obstruct progress in healthcare. The current solutions for delivering analytic-based insights, confined within institutions or single user interfaces, are sorely lacking; they are expensive, time consuming, not scalable, and not portable. What if health analytics & data could exist freely and flexibly such that they are portable and executable in any system? Such an architecture would enable new participants, business models, and solution types that never existed before, opening the door for orders of magnitude more (and more sophisticated) analytics & data than is feasible in the current model at scale.

In this session Apervita discuss an approach to deliver this vision.

Presenter: Brad Ryan, Chief Commerce Officer Apervita

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