SI 2023 Annual Conference: Beyond Zero-Sum: Committing to the Infinite Game

Location: Rainmaker Ballroom

Conference Registration Desk opens

Location: Northern Sky Terrace

Welcome Luncheon

Location: Rainmaker Ballroom

Welcome and Annual Report

In the year ahead we will be addressing these key issues based on our 2023 SI Roadmap: Workforce, Care Redesign and Accountability for Quality, Cost and Equity

Location: Rainmaker Ballroom

Virtuous to Vicious: Healthcare in Jeopardy

Keynote: TBD

Moderated Audience Q&A

U.S. healthcare has moved into a vicious cycle marked by intensified competition and noticeable acrimony between major players. Growing tension between major health insurers and health systems is illustrative. Virtuosity to insurers is predicated on the core belief that keeping providers honest and care affordable is their domain; its vicious pursuit is to attribute unsustainable health costs to hospital inefficiency and price gouging. The virtuous cycle for hospitals is premised on community health and provision of services to those unable to pay; the vicious cycle is the unwelcome intrusion of insurers and private investors who put profit above all else by paying them less so they can keep more.

It’s clear the system has made the transition to the vicious cycle. And economic conditions will make it more intense: the Federal Reserve Bank anticipates real GDP will be +1.8% this year and near zero in 2023. Inflation will remain high, eviscerating wage increases, and consumer confidence, already at a 30-year low will drop further. The vicious cycle imperils the moral high ground enjoyed by this industry for a hundred years. It will accelerate policies that level the playing field and intensify populist reforms like price controls and affordability.

It’s a critical time for this industry, especially health insurers and health systems. Is common ground achievable or the acceleration of the vicious cycle inevitable? And how will the greater good be served if the vicious cycle leaves the system in ruin?

It’s time for an adult conversation about the future of the system. It’s unclear and in jeopardy.

Location: Rainmaker Ballroom

Strategic Dimensions to Solving our Healthcare Workforce Crisis

Possible Discussion Questions:

• What is involved in “right-sizing the American healthcare workforce? What role does “self-care” play in this new era of healthcare management? What role does technology play in designing new ways for deploying a shrinking clinical workforce?
• What do you think are the keys to addressing talent pipeline growth, e.g., nursing and medical education, CHWs, other credentialing movements, new curriculum development incorporating tech, leveraging “mentors” to new staff, more collaborative care team models
• How do we address clinical staff retention, and workforce redesign, e.g., “working at the top of our license,” increase engagement, create quality environment, reduce stress, reduce workplace violence, enhance staff safety?
• Where can technology play a stronger role in supporting our caregivers, simplifying the workflow, or enabling more patient self-care? Where has technology been effectively deployed to streamline documentation, support staff scheduling, engage consumers?
• What are emerging roles that will support new models of care delivery and lower overall cost of care? Where are the bottlenecks?
• How does technology play a role in educating, motivating, and managing the next generation of our clinical workforce?

Location: Rainmaker Ballroom

Breakout Groups: Creative Problem-Solving: Operationalizing our Digital Enterprise

Conference attendees are invited to breakout groups with a mix of clinical, operational, and financial backgrounds to work through a series of scenarios calling for creative solutions.

Scenarios: So Much to Digitize, So Little Time (building blocks for new care models); Three W’s of Workforce, Wellbeing and Workflow (enabling technologies); Accountability for Quality, Cost and Equity Outcomes (analytical frameworks)

Location: Marshall’s Outpost

Welcome and Networking Reception/Dinner

Spouses and Guests Welcome

Location: Rainmaker Ballroom

Continental Breakfast

Location: Deseo

CEO Breakfast (invitation only)

Location: Rainmaker Ballroom

SI CEO Panel: What is “Success” as a Health System? CEO Perspective

Opening Statements, followed by Moderated Q&A and Audience Open Forum

Possible Discussion Questions:

• How would you describe your health system strategy for the next 3 years? Next 10 years?
• What are key strategic investments to achieve this vision? – Where is the greatest opportunity to impact financial performance in the near and longer term?
• Will you partner or compete with emerging “disruptor” care models? What strategic partnerships will be most important in achieving your vision?
• How do you see health systems competing effectively for the flow of healthcare dollars in the greater ecosystem? How does IT play a role in your strategic vision?
• What are you doing to keep people healthy in your communities? How are you engaging with your communities, especially around diversity, equity, inclusion?

Location: Rainmaker Ballroom

Break and Audience Poll

Location: Rainmaker Ballroom

SI CIO Panel: What is “Success” as a Health System? CIO Perspective

Panel Discussion and Audience Q&A

Possible Discussion Questions:

• How would you describe your health system IT strategy for the next 3 years?
• What are key strategic investments to achieve this vision?
• Where is the greatest opportunity to impact operating margin in the near and longer term?
• What strategic partnerships will be most important in achieving your vision?
• How will IT play a role in competing effectively for the flow of healthcare dollars in the greater ecosystem?

Location: Northern Sky Terrace

Attendee Luncheon

Location: Rainmaker Ballroom

Panel: The Evolving Primary Care Model in the U.S.: Lessons Learned to Date

Panel Discussion and Audience Q&A

Possible Discussion Questions:

• Who is your primary audience and how does your business model work? What are your goals?
• Where are the greatest opportunities for partnering with health systems? – What are the top 3 lessons learned from successes and failures to date partnering with health systems?
• Primary, specialty and acute care are all needed for community care – what is your view of how all these come together in the most effective way?
• How do health systems stay relevant as part of the ecosystem of continuum of care to serve the community? Should health systems compete or partner? Why and how?

Location: Rainmaker Ballroom

Case Study: Successful Health System Partnering Examples

Panel Discussion and Audience Q&A

Possible Discussion Questions:

• How have you structured this business partnership?
• What have been lessons learned along the way?
• What advice would you give to health systems looking to partner with new care model partners?
• How have you applied these principles to partnering with community resource entities, e.g., FQHCs, churches, schools, social services, etc.?

Location: Trailblazer Ballroom

Panel: Next Generation Population Health Models

Panel Discussion and Audience Q&A

Possible Discussion Questions:

• Present different perspectives – Payer, provider, disruptor led models – and then have the discussion focus on “what’s the right way going forward and why?” what is the context for the success of each?
• How will each of these models Compete vs Collaborate vs. Disintermediate? Who is the ultimate coordinator of care?
• What does it take to deliver better care at lower cost? What is the role of insurance? The health system? The consumer?
• What do we need to do to help healthcare consumers more effectively manage their health?
• Do we need to educate today’s Boards on the hard decisions health system executives will need to make to focus on “health” vs “care” going forward?
• What will be the impact of these national payer/provider models?

Location: Kierland Commons

Site Visit to OneMedical/CommonSpirit

Location: Marshall’s Outpost

Reception and Dinner

Spouses and Guests Welcome

Scottsdale Sonoran Preserve Guided Hike and and Petroglyphs Viewing

Eric Leader, Guide

CIO Roundtable (invite only)

Location: Northern Sky Terrace

Breakfast and Breakout Session Report-out

Location: Rainmaker Ballroom

Keynote: The Long Fix

Moderated Audience Q&A:

• What will it take to create a less costly, more efficient, and healthier system for all in the U.S.?
• What can health systems do to “co-produce” health with its patients, providers, payers, and community organizations?
• How can we “move the needle” in our own markets while helping to advance a national agenda?

Break and Audience Poll

Location: Rainmaker Ballroom

Operationalizing Person-Centered Care Models

Possible Discussion Questions:

• How are you partnering with the operations executives in your system to redesign workflows to improve staff satisfaction, reduce burnout, and increase staff retention?
• Where do you see the greatest opportunity for augmenting decision-making with tech tools among your non-clinical workforce? Your clinicians? Your patients?
• What are your plans and priorities for delivering more self-service capabilities for your patients and families?What governance models have been most effective in making these strategic investment decisions?

Location: Rainmaker Ballroom

Town Hall Forum

Polling

Location: Rainmaker Ballroom

Conference Closing Remarks

Free Afternoon

Enjoy your afternoon in Scottsdale! The Westin has a convenient list of terrific activities such as Golf and Spa Services, or off-site activities such as Hot Air Ballooning, or visiting the 50 acre Desert Botanical Gardens.  Learn more >>

Location: Paradise Valley Country Club

Post-Conference Friday Night Dinner

Please note there is limited seating.

6:00 pm: Ground Transportation to Paradise Valley Country Club
6:30 pm: Cocktails
7:15 pm: Dinner