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Predicting Congestive Heart Failure Using AI Techniques

Sunil Mallya, Principal Deep Learning Scientist, Amazon Web Services, and Marc Overhage, MD, VP Population Health Intelligence Strategy, Cerner.  Predicting the onset of a serious condition could be life changing. Cerner and Amazon Web Services recently created a CNN-GRU based model, a variant of recurrent neural networks (RNN), to predict the onset of chronic disease 15 months in advance....

Using Predictive Analytics to Reduce Heart Failure Hospitalizations at Advocate Aurora

Tina Esposito, Vice President of Information and Technology Innovation, and Tim Arnold, Manager, Advocate Center Collaborative, Advocate Aurora Health Care.  One of the major challenges for an ACO is identifying the right patients for an intervention. Advocate Healthcare leveraged its extensive data platform to create predictive models that identify patients who are at elevated risk of going to the...

Jocelyn Carter, MD, MPH

Dr. Jocelyn Carter, MD, MPH is clinically prepared in internal medicine and preventive medicine. After completing her Internal Medicine and Leadership and Preventive Medicine residency training at Dartmouth-Hitchcock Medical Center, Dr. Carter joined the faculty at Massachusetts General Hospital and Harvard Medical School where she provides clinical care, supervises trainees, and conducts outcomes research. As a clinician-scientist at Massachusetts...

Erica Bentley, RN, BSN, MBA

Erica Bentley RN BSN MBA is the Vice President of Clinical Services at Bon Secours Mercy Health (BSMH). She oversees care coordination across the continuum, advance care planning, and post acute networks. These population health programs span 700,000 lives across 4 states. As BSMH evolves their Population Health and Community Health programs, her leadership team has worked to increase...

Keith Starke, MD, FACP

Senior Vice President & Chief Quality Officer, Mercy Health Since 1984, Dr. Starke has practiced general Internal Medicine in St. Louis.  He has been actively engaged for improving the delivery of health care for many years. He was a co-founder of St. John’s Mercy Medical Group which had grown to 163 primary care physicians in the St. Louis metropolitan area by 2010.  That group merged...

Using Analytics to Improve Care Management

Robert Crossey, DO, President, and Francis R. Colangelo, MD, MS-HQS, FACP, VP and Chief Quality Officer, Premier Medical Associates.  Improving care coordination for patients with multiple co-morbidities and chronic conditions is essential to increasing quality and reducing the total cost of care. These patients face unique challenges navigating the health system, but also oftentimes synthesizing the advice of multiple physicians.  Drs. Crossey and...

Theresa Osborne, MD

Theresa Osborne, MD of Spectrum Health
Dr. Terri Osborne brings over 25 years of experience as a board-certified internal medicine physician. She currently serves as Medical Director for Quality and Special Populations for Spectrum Health Medical Group in Grand Rapids, Michigan. Dr Osborne earned her medical degree at the Medical College of Ohio in Toledo and completed her residency program at Akron City Hospital in Akron,...

Tools for the Connected Medical Home at Partners HealthCare Part II

Joseph Kvedar, MD, Vice President, Partners HealthCare, Connected Health. The benefits of remote patient monitoring in better managing chronic disease, improving clinical outcomes and quality of care, increasing potential cost savings, and allocating resources are being achieved through a range of connected health devices and programs. Dr. Kvedar describes initiatives under way at Partners HealthCare, including a program to...

CHE Trinity Health Case Study

Mary Beth Pace, RN, BSN, MBA, CMAC, System Director, Case Management, Carrie Hays, Service Line Administrator Senior Services/Director Case Management, and Jennifer O'Brien, RN, MHA, ACM, Manager of Care Coordination, CHE Trinity Health, and Erica Drazen, ScD, Senior Advisor, Scottsdale Institute. This presentation describes readmissions reduction in heart failure:  We discuss how our health system is working on better...

Chronic Disease Registries: Supporting Proactive Care and Performance Improvement at New York City Health and Hospitals Corporation

Louis J. Capponi, MD, Chief Medical Information Officer, NYCHHC reviews NYCHHC’s strategic initiative to address chronic illness including the chronic care model and the role of registries. He describes the registry development process and design, data normalization & integration, implementation and spread, and concepts in managing change. The heavy burden of chronic illness in the HHC population includes 60,000...