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Episodes of Care Management using Payer Claims Data

Dogu Celebi, MD, Chief Medical Officer; Dan Dunn Ph.D., Chief Technology Officer, and Nick Hilger, Senior VP, Ingenix Health Solutions. Increasingly CMS and Commercial Insurers are using claims data to evaluate the care of a patient across different delivery venues. Hospitals, physicians, laboratories, imaging centers, pharmacies, and post-acute care centers have encounter (claims) data for their specific venue, but...

Network Management: A Strategic Approach to Value-based Care

Matthew Penziner, Executive Director, NYUPN Clinically Integrated Network.  For NYUPN, keeping costs down and quality high meant keeping more of its attributed patients seeing NYUPN physicians. To influence patients to utilize “domestic” primary care physicians, specialists and facilities, NYUPN worked with patients’ greatest influencers: physicians. Attendees will gain insight into how NYUPN was able to provide care at the...

Medication Therapy Management and CMS Standardized Format: Medicare Part D Co-design

Nicole J. Brandt, PharmD, MBA, BCGP, BCPP, FASCP, Executive Director, The Peter Lamy Center on Drug Therapy and Aging, and Professor, Pharmacy Practice and Science University of Maryland School of Pharmacy.  Co-design is one of the essential tools in human-centered design (HCD) and involves the patients in the design process and works with them to understand their met and...

A Population Management Strategy: Primary Care Pharmacy Services for the Complex Patient

L. David Harlow, III, BS, Pharm D, Assistant VP for Professional Services Clinical Pharmacy, Clinical Laboratory and Disease Management, Martin Health System. Dr. Harlow defines the significance of pharmacy services embedded in primary care that focuses strategically on Complex Multi-Comorbid patients with a history of therapeutic failure. This service leverages pharmacist talent in the context of team-based care to...

Rebooting Healthcare Information Technology Downtime Management at Spectrum

Julie Bulson, DNP, MPA, RN, NE-BC, Director, Emergency Preparedness, and Burt Smith, Director, Enterprise Operations, Spectrum Health.  The information technology department has worked closely with the emergency preparedness department to design a major incident management system that closely resembles the hospital incident command structure assisting in a rapid response to IS incidents while improving communication to the organization.  The...

Application Management and its Relevance in the Changing Healthcare IT Landscape

Ayan Chatterjee, Principal, and Afzal Sulaiman, Director, Deloitte Consulting, LLP.  Keeping pace with regulatory requirements and the growing need for digitizing health records to improve patient safety and outcomes in a world of decreasing reimbursements is today's new normal. In this environment, the CIO's organization continues to be challenged to do more with less. We invite you to join...

How Technology Helps Improve Care Transitions and Drives Self-Management at UAB

Joann Clough, Transitional Care Coordinator, UAB Medicine, and Shara Cohen, Senior SVP of Client Experience, Emmi Solutions. Seventy-six percent of readmissions are preventable, yet patients often don't have the understanding, confidence or tools to take action, stay well and out of the hospital. Shara discusses the challenges of reaching and motivating patients outside of the clinical setting, and the...

Disease Management Results at Partners Healthcare

Timothy G. Ferris, MD, MPH, Senior Scientist at Mass General Hospital's Institute for Health Policy and Director of Disease Management Programs, Partners Healthcare, Boston. This session includes a description of how Partners Healthcare is using technology to reduce admissions for chronically ill Medicaid patients. Timothy includes a review of evaluation data including results in physician satisfaction, patient satisfaction, and...

Using Knowledge Management Tools in Clinical Decision Support at Partners Healthcare

Tonya Hongsermeier, MD, MBA, Corporate Manager, Clinical Knowledge Management and Decision Support, Partners HealthCare System, Boston, reviews the benefits of using KM tools in the CDS function.  How KM tools assist in the management and maintenance of clinical rules, culture change challenges and solutions, successful adoption strategies, and lessons learned are included.

Linking IT and Quality Improvement: Trends in Healthcare Governance and Management

Co-Hosted with AMDIS: Erica Drazen, VP, FCG. A CIO's reporting relationship must allow him/her to take an aggressive role in the design and implementation of operational initiatives that improve organizational performance. However, a recent survey by CHIME and FCG shows that the link between the IT function and quality management appears to be lacking in a number of health...