SI 2024 Annual Conference: Co-Creating Change

Location: Kierland Ballroom 1 & 2

Conference Registration Desk opens, Kierland Registration Desk

Location: Vista Morada

Welcome Brunch

Location: Kierland Ballroom 1 & 2

Welcome and Annual Report

In the year ahead we will be addressing these key issues based on our 2024 SI Roadmap: Listen, Learn, Lead.

Location: Kierland Ballroom 1 & 2

Opening Keynote: Jeff Goldsmith, PhD: The Decade Ahead – First Solve the Physician-Patient Relationship and Moderated Discussion: James B. Rebitzer and Robert S. Rebitzer – Authors of “Why Not Better AND Cheaper?”

Goldsmith: For the past fifty years, health systems have been focusing on strategies of physician group formation, regional payor-provider payment models and a well-distributed network of acute and ambulatory facilities.  What have we learned through this process?  Whether you are really a system depends not on your structure but on the value that structure creates for patients and the physicians who take care of them. The physician-patient relationship remains at the core of medicine. What are the core functional requirements of the health system of tomorrow and how do you meet them? Surviving and thriving in the future will require engaged clinicians who foster trust on the part of their patients and the community. 

Rebitzers: The evolution of the cell phones we carry in our pockets demonstrates that quality can increase while prices fall. Why doesn’t healthcare also get better and cheaper?  Bringing together research on incentives, social norms, and market competition, they argue that the healthcare system generates the wrong kinds of innovation. It is too easy to profit from low-value innovations and too hard to profit from innovations that reduce the costs of care. The result is a healthcare system that is profusely innovative yet remarkably ineffective in discovering ways to deliver increased value at lower cost. 

Location: Kierland Ballroom 1 & 2

Today’s C-Suite Strategy: Deepening Partnerships to Improve Health and Reduce Costs 

Possible Discussion Questions:

• Where have you decided to buy or partner instead of build? Why? Was it successful? Why or why not? How did you measure that? 
• What are examples of successful partnerships and how were they scaled? How do you participate in that growth? How do you integrate equity and other social responsibility goals in to this process? 
• How will these partnerships better prepare you for the future when you must deliver more care with fewer people? How has technology been leveraged in these examples? 
• How should we deepen our strategic partnerships to achieve the longer-term vision? 

Location: Hall of State/Vista Morada

Break

Location: Kierland Ballroom 1 & 2

GenAI – How Big is it?!

Possible Discussion Questions:

• What have you learned from your experimentation to date with Generative AI in your health system? 
• What impact has it had to date in terms of performance? (e.g., reducing harm and burnout, cost savings, staff capacity expansion, consumer/provider satisfaction, etc.) 
• How has this shaped your thinking about the most important use cases for AI overall in health systems? How do you do innovation at scale?  
• GenAI (storytelling) vs. predictive – how to leverage tech stack to apply to broader AI-based applications? 

Location: Kierland Ballroom 1 & 2

Fireside Chat: New Leadership Teams for the Future

Possible Discussion Questions:

• Where do you see the healthcare landscape changing and how is this helping you strengthen your position in the market?
• Why does technology play a role in defining your strategic vision and roadmap? What does it mean to become “digitally wise” in the way you are envisioning your business model?
• How would you describe your organizational structure? What was the path that led to this structure? How are you governing the effective deployment of AI to advance your mission?
• What lessons have you learned along the way?

Location: Kierland Ballroom 1 & 2

Executive Networking – Connecting on the Future of Healthcare

• Conference attendees are invited to have some fun in informal facilitated discussions on chosen predictions about the future of healthcare and to network and meet with other attendees in their groups. 

Location: Northern Sky Terrace

Welcome and Networking Reception/Dinner

Spouses and Guests Welcome

Location: Kierland Foyer/Vista Morada

Continental Breakfast

Location: Cushing

CEO Breakfast (invitation only)

U.S. Healthcare Transformation – Who is really shaping our future?! The urgency is real, the stakes are high and the players are well-funded.

Location: Kierland Ballroom 1 & 2

SI CEO Panel: The Decade Ahead: Who will still be here? 

Possible Discussion Questions:

Strategic Vision:  

• What is your strategic vision and what you are building toward? What goals have you set for the next 3-5 years? What would you project your organization to look like 10 years from now? How are you balancing your growth strategy vs. shoring up quality/safety improvements? 
• How are you managing both the care delivery side and the asset management side to achieve strong operating performance? What are key “bets” you are making to achieve your vision? 
• How have you structured your leadership team to reflect that vision? Who are key partners, both internal and external, essential to your strategy? 
• What key partnerships and alliances are key to managing consumer/public perception regarding healthcare access and cost

Financial Goals: The financial pressures on all segments of the delivery system are significant and will only grow stronger in the next ten years. All of you have growth and operational efficiency initiatives underway. At some point financial pressures for organizations are such that more significant steps may have to be taken. After other options are exhausted, reducing hospital costs means reducing or eliminating certain services or taking other actions that would impact the organization’s mission. 

• What are you concerned about losing at your organization if that was to occur?  
• What are you concerned about as it relates to access to care in your community as the financial pressures grow? 
• Are you already seeing this impact in your communities? 

Competitive Landscape: Let’s now turn to the disruptors that are operating in the market now.  

• What do you see their future will be like ten years from now? What will distinguish those disruptors and those traditional providers who succeed? 

Location: Hall of State/Vista Morada

Break

Location: Kierland Ballroom 1 & 2

Panel: Business Model Transformation: Better AND Cheaper

Possible Discussion Questions:

• What are the critical pieces to have in place that you feel you already have in terms of managing the total cost of care?  Governance alignment?  Physician alignment?  
• You all are part of systems that already have experienced health plan and population health experience that are critical to your systems’ strategies.  What is working and what are your current challenges?  Advice to those who are not part of a system with health plan ownership? 
• Where are you going next?  What are doing to solve some of these challenges?  (Specifically mention areas related to technology like virtual visits, e-visits, digital tools, etc)  
• Patients/members: how do we engage them in reducing cost/improving health?  Is it working?  Where do we see this going with impact of increasing costs?  
• Employers: what conversations are you having with employers in your community?  What are hearing?  What problems are they trying to solve and what are you doing to educate and develop solutions? 

Location: Hall of State/Vista Morada 

Attendee Luncheon

Location: Kierland Ballroom 1 & 2

Keynote: Paul Keckley, Editor, Keckley Report/Healthcare as Lightning Rod: Who is Shaping Our Future?

Not-for-profit hospital systems are engines for modernizing health delivery in communities and a lightning rod for critics who think their efforts more self-serving than for the public good. We need fresh thinking about ways to hardwire the distinction between organizations that exist for the primary purpose of benefiting their shareholders and those that benefit health and wellbeing in their communities. Technology is a critical factor in our nation’s healthcare future, the sense of urgency is real and the stakes are high. Who will be the “fast leaders” rather than “fast followers” and what role does the Board play in supporting innovative CEOs?

Location: Hall of State/Vista Morada

Break

Location: Kierland Ballroom 1 & 2

Panel:  Responsible AI Frameworks and Regulations 

Panel Discussion and Audience Q&A

Possible Discussion Questions:

• What is the current regulatory environment surrounding healthcare AI? How do you see the regulatory landscape changing over the next decade?
• What are effective frameworks for managing “responsible AI?”
• How do we navigate among the various AI collaboratives and frameworks that have been developed already?
• What advice do you have for health systems developing AI governance models? What are the key components of a strong governance model?

Location: Kierland Ballroom 1 & 2

Creative Solutioning Session: AI Use Cases/Governance

Conference attendees are invited to pre-assigned work groups to discuss how they are identifying and deploying AI in clinical and administrative workflows; share example solutions they have implemented or are contemplating; and describe how they are ensuring these tools are safe, effective, and equitable as they get operationalized in their organizations.   

– This session will share how they are approaching AI use cases and governance

Possible discussion questions:

• What frameworks/structures/roles have been put in place to govern and manage AI use cases?  Are there separate processes for clinical vs. administrative use cases? 
• What clinical AI use cases have been/are being planned and/or implemented?  Have guidelines been created to guide and evaluate proposed clinical use cases?  How are priorities established?  How are you managing for bias, unintended consequences? 
• What administrative AI use cases have been/are being planned and/or implemented? Have guidelines been created to guide and evaluate proposed administrative use cases?  How have consumer experience expectations changed as it affects your use of AI?
• How are you deploying AI to address workforce issues (e.g., shortages, burnout, etc.)?  What solutions have you deployed that have most helped you address retention, employee wellness, reducing burnout? What data analytics are being defined, available and measured for all AI use cases?  How are/will outcomes be measured and reported?

Location: Hall of State/Vista Morada

Reception

• Spouses and Guests Welcome

6:30 pm: Dinner – on your own – Kierland Commons restaurants

Scottsdale Sonoran Preserve Guided Hike

Hike Guide: Eric Leader

Location: Hall of State/Vista Morada

Breakfast

Location: Kierland Ballroom 1 & 2

Keynote: Who is Controlling the Narrative? (aka “The Billionaires’ War Against Hospitals”) Keynote: Paul Lee, Senior Partner & Founder, Strategic Health Care

Increasingly, healthcare is painted as profit vs. the public good in media coverage. But there is now a new health system antagonist in the mix. Three billionaire families – and the organizations they fund – are leading an anti-hospital campaign in the nation’s capital. And it doesn’t stop there. They have become active in about 35 states as well. Over the past 24 months, they have successfully painted a negative narrative about hospitals that has significantly altered the health policy development process in Congress and the Administration. Who are they? Why are they doing it? How are their efforts being rewarded? What is the hospital response? This session provides a look behind the scenes and outlines a way forward.

Location: Kierland Ballroom 1 & 2

Creative Solutioning Session: Creative Community Partnering 

Conference attendees are again invited to pre-assigned work groups to discuss and exchange ideas and actions on how health systems can and are changing the narrative – considering how they truly can deliver better health and healthcare at lower costs? How can we break through the “noise”?  How do we enhance trust? and How do we meet our stakeholders where they are? ( policymakers, critics, communities and consumers) 

Possible Discussion Questions: 

• 1. What is your process for monitoring policy trends at the local, state, and federal level and how do they factor into health system strategies? Have you been affected by news stories in your local markets? Is there a need for a more coordinated approach to communicating a message on behalf of NFP healthcare providers? What would that look like?
  2. How has your health system organized around partnering with local, state or national policymakers? What have been your goals, objectives, and @melines for these activities? How are you partnering with others in your communities to build/improve consumer relationship, engagement and trust? What has proven to be most effective and why?

Break – Hall of State/Vista Morada

Location: Kierland Ballroom 1 & 2

Town Hall Forum – Conference Roundup & Key Takeaways 

Possible Discussion Questions:

• How do we balance the need to continually innovate?  
• What problems are not solved yet?  
• How do we balance the incumbent solutions against emerging innovations? 

Location: Kierland Ballroom 1 & 2

Conference Closing Remarks

Free Afternoon

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: Tommy Bahama

Member/Sponsor Appreciation Dinner

Please note there is limited seating.

6:15 pm: Cocktails
7:00 pm: Seated Dinner