accountable care conference
accountable care conference
accountable care conference
accountable care conference
accountable care conference
accountable care conference



Overview | Agenda | Promotional Opportunities | Webcast Log In | Grantors & Exhibitors
Admin | Speaking Proposals | Co Producers | Continuing Education | Contact Us | Past Events | Home




National Accountable Care Congress
Agenda: Preconference
Monday, November 10, 2014

7:30 am Registration and Coffee for Preconference Attendees (Registration Optional; Choose one)

PRECONFERENCE I: PALLIATIVE CARE IN CLINICALLY INTEGRATED SYSTEMS: DELIVERING THE PROMISE
This session has been cancelled.
PRECONFERENCE II: MOBILIZING TEAM BASED CARE TOWARDS PATIENT ENGAGEMENT AND THE HEALTH OF YOUR POPULATION
10:00 am This session will describe a value-based team-focused program that works across the Continuum of Care and emphasizes patient engagement towards healthier living. Successful embedded clinic based Population Health programs achieve greater efficiency, increased patient satisfaction and improved outcomes. Participants will learn effective ways to mobilize clinical population health teams towards patient engagement in order to manage chronic conditions and improve the health outcomes of their ACO attributed population.

Speakers:

Parag Agnihotri, MD
Medical Director, Continuum of Care, Sharp Rees-Stealy Medical Group, San Diego, CA

    Speaker Bio

    Dr. Parag Agnihotri currently serves as the Medical Director for Continuum of Care for Sharp Rees-Stealy Medical Group, San Diego.

    His work focuses on reforming the delivery of health care by building multidisciplinary teams to implement the ?three part aim' for improving the health of the population.

    He is a California Health Care Foundation Fellow. The Center for Medicare and Medicaid Innovation (CMMI) has designated him as an Innovation Advisor.

    Dr. Agnihotri performed his residency, chief residency in Internal Medicine and subsequent fellowship in Geriatric medicine from University of Illinois, Chicago. He is board certified in Internal Medicine and Geriatric medicine.
Janet Appel, RN, MSN
Director, Informatics and Population Health, Sharp Rees-Stealy Medical Group, San Diego, CA

    Speaker Bio

    Janet Appel, RN, CCM, MSN is the Director of Population Health for Sharp Rees-Stealy Medical Group. Originally a native of New Jersey, she earned her nursing diploma from Clara Maas School of Nursing, her BSN from Monmouth University and her MSN from Point Loma Nazarene University in San Diego, CA.

    Her early nursing career focused on Emergency Care, expanded into Maternal Child Health, and then transitioned into Care Management where she earned her certification in Case Management from CMSA. Janet worked as a Manager and Director of Complex Case Management in Home Care, Hospital and Health Plan settings for both commercial and Medicaid populations.

    Janet has over 30 years' experience in nursing with a focus on the development of inpatient and outpatient programs to engage patients in self-care, and has worked to improve quality and outcomes in all healthcare settings. Her current work focuses on analysis of the patient population and the implementation of innovative solutions to improve patient health and quality of care.

    Janet now enjoys living in southern California with her golden-doodle and keeps busy with her three children and 3 grand boys.
12:00 pm Preconference II Adjourns and Lunch on Your Own

PRECONFERENCE III: KEY RESOURCES FOR HEALTH REFORM SUCCESS FOR ACOS AND HIXS: AN INFORMATION EXCHANGE THAT SUPPORTS THE SHARING OF CLINICAL AND FINANCIAL INFORMATION ACCORDING TO BUSINESS NEEDS
(Sponsored by Health IT Certification)
8:30 am
  • Overview of Health Information Technology for Accountable Care Organizations and Health Insurance Exchanges
  • Accountable Care Organization and Health Insurance Exchange Data Stewardship
Speakers:

Margret Amatayakul, MBA
President, Margret\A Consulting, LLC; Adjunct Faculty in Health Informatics, College of St. Scholastica, Schaumburg, IL

    Speaker Bio

    Margret Amatayakul, MBA, RHIA, CHPS, CPEHR, FHIMSS is President, Margret\A Consulting, LLC, an independent consulting firm focusing on preparing for and optimizing electronic health records (EHR) and health IT provisions of HIPAA, HITECH, and ACA. Margret A's background includes extensive experience with hospitals, physician practices, health information exchange organizations, vendors, and public policymakers. She is also a co-founder/member of board of examiners of Health IT Certification, LLC. She has written several books on HIPAA privacy, security, and transactions and code sets; EHR; process improvement; and other health IT topics. Additional information is available at www.margret-a.com.
Steven S. Lazarus, PhD
President, Boundary Information Group; Co-Founder, Health IT Certification, LLC, Denver, CO

    Speaker Bio

    Steven S. Lazarus is President and Co-Founder of Boundary Information Group (BIG), a virtual consortium of health care information and technology consulting firms. His consulting engagements include electronic health records (EHR), health information exchange (HIE), Accountable Care Organizations (ACOs), system strategic planning, operating rules implementation and compliance, revenue cycle improvement and workflow improvement, and HIPAA compliance. His clients include physician practices, hospitals, HIEs, insurance companies, vendors, government (Federal, State and local) and national associations. In 2004, he co-founded Health IT Certification, LLC. He is a faculty member and Vice-Chair of the Board of Examiners. He has been accepted by the Courts as an expert HIPAA witness.
12:00 pm Preconference III Adjourns and Lunch on Your Own


Agenda: Day I
Monday, November 10, 2014
OPENING PLENARY SESSION
1:00 pm

Welcome and Introductions

Tom Williams, DrPH
President and Chief Executive Officer, Integrated Healthcare Association, Oakland, CA

    Speaker Bio

    Tom Williams is President and CEO of the Integrated Healthcare Association (IHA), a California leadership group representing health plans, hospital systems, physician groups and other healthcare stakeholders. Mr. Williams is responsible for management of all IHA programs and initiatives, including its nationally recognized pay-for-performance program, episode bundled payment initiatives, and efforts to enhance the adoption of health information technology and improve healthcare affordability. He has extensive executive-level experience in medical group management, managed healthcare, and health insurance, including 15 years as a senior executive at Aetna. He earned his MBA and MPH at the University of Hawaii, and his doctoral degree in Public Health at UC Berkeley.
1:15 pm

Health Care Policy Landscape

Elliott Fisher, MD, MPH
Director, Dartmouth Institute for Health Policy and Clinical Practice; James W. Squires Professor of Medicine and Community and Family Medicine, Geisel School of Medicine at Dartmouth; Co-Director, Dartmouth Atlas of Health Care, Hanover, NH

    Speaker Bio

    Elliott S. Fisher, MD, MPH is the Director of the Dartmouth Institute for Health Policy and Clinical Practice and the James W. Squires Professor of Medicine and Community and Family Medicine at the Geisel School of Medicine at Dartmouth. He is also Co-Director of the Dartmouth Atlas of Health Care. His early research focused on exploring the causes and consequences of the two fold differences in spending observed across U.S. regions. His more recent work focuses on evaluating the implementation and performance of Accountable Care Organizations -- a payment and delivery reform now being implemented in the U.S. that he helped to develop. He has published broadly and is a member of the Institute of Medicine of the National Academy of Sciences.
    Presentation Material (Acrobat)
1:45 pm

Health Plan Perspectives: The Changing Environment of Commercial ACO Arrangements

Samuel W. Ho, MD
Executive Vice President and Chief Medical Officer, UnitedHealthcare; President, UnitedHealthcare Clinical Services, Cypress, CA

    Speaker Bio

    Dr. Sam Ho is currently Chief Medical Officer for UnitedHealthcare, UnitedHealth Group's health benefits division, and, as President of Clinical Services, is responsible for the clinical advancement of 40 million members throughout the U.S., including enrollees in commercial, Medicare, Medicaid, and military health plans. He is the clinical executive specifically responsible for the execution of the quality improvement, medical management, care delivery transformation, performance measurement, transparency, and health care affordability programs throughout UnitedHealthcare and is also active in helping lead the value-based benefits and value-based provider payment programs.
Charles D. Kennedy, MD
Chief Population Health Officer for Healthagen, Aetna; Former Vice President of health Information Technology, WellPoint Inc., Hartford, CT

    Speaker Bio

    Charles D. Kennedy, M.D. is chief population health officer for Healthagen. In this role, Dr. Kennedy is responsible for leading Healthagen's population health and care management strategies and working with health systems and provider organizations to design and implement population health management programs. Previously, Dr. Kennedy was chief executive officer of Accountable Care Solutions from Aetna, a business he helped to establish at Aetna that collaborates with high quality health systems to implement accountable care models.

    Dr. Kennedy is a recognized expert in health care and health information technology. He was a founding commissioner of the Certification Commission for Health Information Technology (CCHIT), the first organization recognized by the federal government to certify EMRs. He is currently the health insurance industry representative on the HIT Policy Committee, a Federal Advisory Committee that is guiding Centers for Medicare and Medicaid Services (CMS) policies to allocate $40 billion in federal funding for HIT deployment.

    Dr. Kennedy holds an M.D. in Internal Medicine from the University of California at Los Angeles, an MBA in Corporate Strategy and Health Care Economics from Stanford University, and a bachelor's degree in Genetics from the University of California at Berkeley. He has been featured and quoted on the topics of health care technology and operations in news publications and outlets.
Samuel R. Nussbaum, MD
Executive Vice President, Clinical Health Policy and Chief Medical Officer, WellPoint, Indianapolis, IN

    Speaker Bio

    Dr. Samuel Nussbaum is Executive Vice President, Clinical Health Policy, and Chief Medical Officer for WellPoint, Inc. He is the key spokesperson and policy advocate for WellPoint. He oversees corporate medical and pharmacy policy to ensure the provision of clinically proven effective care. Dr. Nussbaum collaborates with industry leaders, physicians, hospitals and national policy and health care organizations to shape an agenda for quality, safety and clinical outcomes and to improve patient care for WellPoint's 34 million medical members nationwide.

    Dr. Nussbaum currently serves on the Boards of the National Quality Forum (NQF), the OASIS Institute, and BioCrossroads, Dr. Nussbaum is a Professor of Clinical Medicine at Washington University School of Medicine and serves as adjunct professor at the Olin School of Business, Washington University.
Donald H. Crane, JD
President and Chief Executive Officer, CAPG, Los Angeles, CA (Moderator)

    Speaker Bio

    Mr. Crane is President and CEO of CAPG, the nation's only professional association that exclusively represents capitated, coordinated care organizations, and is a leading voice promoting the interests of physicians practicing accountable care across the nation. CAPG consists of over 160 multi-specialty medical groups and IPAs that provide medical care to over 18 million patients across 24 states.

    CAPG is in the forefront of public policy advocacy on behalf of accountable care organizations. CAPG also serves as a key communication conduit between health care plans and their physician networks within the delegated model of delivery, and provides a collaborative forum for benefit design, product design, and other strategic initiatives.

    Mr. Crane is a member of the UCLA Health Services Professional Advisory Council. He is also the Editor-in-Chief of the CAPG Health, a California magazine that reports on business trends, legislation, and industry initiatives impacting on coordinated care. He is a member of the Board of Directors of Northridge Hospital Medical Center.

    Mr. Crane received his B.A. from the University of California at Berkeley and his J.D. from Loyola University of Los Angeles.
2:45 pm Refreshment break in the Exhibit Hall
3:15 pm

Hospital Perspectives: The Changing Role of Hospitals in Accountable Care

Suzanne Anderson, MBA
Executive Vice President, Chief Information Officer and Chief Financial Officer, Virginia Mason Health System, Seattle, WA

    Speaker Bio

    Ms. Anderson is Executive Vice President, CIO and CFO at Virginia Mason Medical Center. One of her major areas of responsibility is network and contracting strategies. Within the local community, she is active on the Health Economics Committee of the Washington Health Alliance and with the American Cancer Society Cancer Action Network. Nationally, Ms. Anderson is currently Treasurer, and a member of the Executive Board of the National Board of Medical Examiners. Ms. Anderson received a BA degree from the University of Notre Dame and an MBA from Vanderbilt University.
    Presentation Material (Acrobat)
Thomas Priselac
President and Chief Executive Officer, Cedars-Sinai Health System, Los Angeles, CA
Barry Arbuckle, PhD
President and Chief Executive Officer, MemorialCare Health System, Fountain Valley, CA (Moderator)

    Speaker Bio

    Dr. Arbuckle is President/CEO of MemorialCare Health System, a leading Southern California non-profit integrated health care delivery system. Under his leadership, MemorialCare has experienced unprecedented growth and financial performance, growing in prominence regionally and nationally. He appeared on the cover of multiple business magazines noting MemorialCare's leadership in clinical information, evidence-based medicine, financial and management systems, and preparing for health care reform. He serves on many boards of directors, including: Chair of March of Dimes-California, Officer of Integrated Healthcare Association, member of the Healthcare Leadership Council in Washington, DC, and past-Chair of the California Hospital Association. He speaks nationally and internationally on a variety of topics in health care, including The U.S. Healthcare System; Economic Comparisons of U.S. and International Health Care; and Unbridled Expense Growth in U.S. Healthcare.
    Presentation Material (Acrobat)
4:15 pm

Physician Group Perspectives on Accountable Care

Richard Lipeles, MPH
Chief Operating Officer, Heritage Provider Network, Los Angeles, CA

    Speaker Bio

    In June 2002, Richard Lipeles joined the management team of Heritage Family of Companies as the company's COO.

    In July 1979 Mr. Lipeles joined PacifiCare, and in 1987 he became President of PacifiCare of California. In 1993 he was promoted to Executive Vice President of PacifiCare Health Systems.

    As Executive Vice President of PacifiCare Health Systems, Lipeles oversaw the corporation's managed health care division, which included health plans in California, Florida, Oklahoma, Oregon, Texas, and Washington. Lipeles retired from PacifiCare September 1995.
Farzad Mostashari, MSc, MD
Chief Executive Officer, Aledade, Inc.; Visiting Fellow, Engelberg Center for Health Care Reform, The Brookings Institution; Former National Coordinator for Health Information Technology, US Department of Health and Human Services, Washington, DC

    Speaker Bio

    Dr. Farzad Mostashari is the CEO of Aledade, a start-up he co-founded aimed at helping primary care doctors transform their practices and form accountable care organizations (ACOs). Prior to Aledade, he was a Visiting Fellow at the Brookings Institution in Washington DC, where he focused on payment reform and delivery system transformation. He served from 2011-2013 as the National Coordinator for Health Information Technology where he coordinated US efforts to build a health information technology infrastructure for healthcare reform and consumer empowerment.

    Previously, Dr. Mostashari served at the New York City Department of Health and Mental Hygiene as Assistant Commissioner for the Primary Care Information Project, where he co-led agile development of population health management functionality within a commercial EHR. Dr. Mostashari also led the NYC Center of Excellence in Public Health Informatics and an Agency for Healthcare Research and Quality-funded project focused on quality measurement at the point of care.
Bruce K. Muma, MD, FACP
Chief Medical Officer, Henry Ford Physician Network, Detroit, MI

    Speaker Bio

    Chief Medical Officer of the Henry Ford West Bloomfield Hospital (HFWBH), a 300 bed hospital which opened in the spring 2009. He previously served as Medical Director of the Northern Region of the Henry Ford Medical Group (HFMG) from 1997 through 2007. He has held other leadership positions including Medical Director of the HMO network, Director of the Warren medical center, membership on the HFHS Board of Trustee's as well as several other HFHS hospital boards, membership on the HFMG Board of Governors and chairperson of several key governance committees within HFMG.

    Dr. Muma has a special interest in innovative approaches to improving the quality and safety of health care. He has led HFWBH in their adoption of LEAN methodologies and in the creation of a culture of safety. He has led or sponsored numerous initiatives within the Henry Ford Health system over the past 17 years involving diabetes care, anticoagulation, cardiac risk factor management, electronic prescribing systems, electronic visits, advanced access models, poly-pharmacy programs, and worksite wellness programs.

    Dr. Muma received his medical education at Wayne State University in 1983 and completed a combined residency in Internal Medicine and Pediatrics at Henry Ford Hospital in 1987. He is a fellow in the American Academy of Pediatrics and the American College of Physicians.
Donald H. Crane, JD
President and Chief Executive Officer, CAPG, Los Angeles, CA (Moderator)

    Speaker Bio

    Mr. Crane is President and CEO of CAPG, the nation's only professional association that exclusively represents capitated, coordinated care organizations, and is a leading voice promoting the interests of physicians practicing accountable care across the nation. CAPG consists of over 160 multi-specialty medical groups and IPAs that provide medical care to over 18 million patients across 24 states.

    CAPG is in the forefront of public policy advocacy on behalf of accountable care organizations. CAPG also serves as a key communication conduit between health care plans and their physician networks within the delegated model of delivery, and provides a collaborative forum for benefit design, product design, and other strategic initiatives.

    Mr. Crane is a member of the UCLA Health Services Professional Advisory Council. He is also the Editor-in-Chief of the CAPG Health, a California magazine that reports on business trends, legislation, and industry initiatives impacting on coordinated care. He is a member of the Board of Directors of Northridge Hospital Medical Center.

    Mr. Crane received his B.A. from the University of California at Berkeley and his J.D. from Loyola University of Los Angeles.
5:15 pm Day 1 Adjourns followed by Networking Reception in Exhibit Hall




Overview | Agenda | Promotional Opportunities | Webcast Log In | Grantors & Exhibitors
Admin | Speaking Proposals | Co Producers | Continuing Education | Contact Us | Past Events | Home



© Health Care Conference Administrators
Contact Webmaster