Agenda Links: Preconference | Day 1
AGENDA: DAY II
FRIDAY, MARCH 10, 2017
7:30 am
Continental Breakfast
CLOSING PLENARY SESSION
8:00 am
Welcome and Introductions
Harold D. Miller
President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Adjunct Professor, Carnegie Mellon University; Member, Physician-Focused Payment Model Technical Advisory Committee, Pittsburgh, PA (Co chair)
President and Chief Executive Officer, Center for Healthcare Quality and Payment Reform; Adjunct Professor, Carnegie Mellon University; Member, Physician-Focused Payment Model Technical Advisory Committee, Pittsburgh, PA (Co chair)
Harold D. Miller is the President and CEO of the Center for Healthcare Quality and Payment Reform (CHQPR), a national policy center that facilitates improvements in healthcare payment and delivery systems. He also serves as Adjunct Professor of Public Policy and Management at Carnegie Mellon University. Miller is a nationally-recognized expert on healthcare payment and delivery reform. He has worked in more than 40 states and metropolitan regions to help physicians, hospitals, employers, health plans, and government agencies design and implement payment and delivery system reforms, and he has written a number of widely-used papers and reports on health care payment and delivery reform. He is one of the eleven members of the federal Physician-Focused Payment Model Technical Advisory Committee that was created by Congress to advise the Secretary of Health and Human Services on the creation of alternative payment models.
Elizabeth Mitchell
President and Chief Executive Officer, Network for Regional Healthcare Improvement; Vice Chair, Physician-Focused Payment Model Technical Advisory Committee, Portland, ME (Co chair)
President and Chief Executive Officer, Network for Regional Healthcare Improvement; Vice Chair, Physician-Focused Payment Model Technical Advisory Committee, Portland, ME (Co chair)
Elizabeth Mitchell serves as President & CEO of the Network for Regional Healthcare Improvement. She is the Vice Chair of the Physician Focused Payment Technical Advisory Committee and she serves on the Quality Improvement Strategy (QIS) Technical Expert Panel (TEP).
Prior to leading NRHI, Elizabeth was the CEO of the Maine Health Management Coalition. Elizabeth led the Coalition’s performance measurement and public reporting program, and its strategy for engaging the public in the use of cost and quality information. While at the Coalition, she established the Coalition’s Data and Analytics program with a multi-payer claims database and was the nation’s 4th designee in CMS’ Qualified Entity Certification Program. Elizabeth was integral to the development of Maine’s successful State Innovation Model (SIM) grant in which the Coalition was named as the State’s ‘Implementation Partner’.
Prior to leading NRHI, Elizabeth was the CEO of the Maine Health Management Coalition. Elizabeth led the Coalition’s performance measurement and public reporting program, and its strategy for engaging the public in the use of cost and quality information. While at the Coalition, she established the Coalition’s Data and Analytics program with a multi-payer claims database and was the nation’s 4th designee in CMS’ Qualified Entity Certification Program. Elizabeth was integral to the development of Maine’s successful State Innovation Model (SIM) grant in which the Coalition was named as the State’s ‘Implementation Partner’.
8:15 am
Keynote: Federal Initiatives in Value-based Payments
Patrick Conway, MD, MSc
CMS Acting Administrator and Deputy Administrator for Innovation and Quality, Centers for Medicare and Medicaid Services, Washington DC (via WebEx)
CMS Acting Administrator and Deputy Administrator for Innovation and Quality, Centers for Medicare and Medicaid Services, Washington DC (via WebEx)
Patrick Conway, is the CMS Acting Administrator and Deputy Administrator for Innovation and Quality. As the CMS Acting Administrator, Dr. Conway is responsible for overseeing the programs that serve the over 140 million Americans that access health care services through Medicare, Medicaid, the Children’s Health Insurance Program, and the Health Insurance Marketplace.
Dr. Conway is also Director of the Center for Medicare and Medicaid Innovation (CMMI) at CMS. The CMS Innovation Center is responsible for testing numerous new payment and service delivery models across the nation that reward quality and value.
In 2014, he was elected to the National Academy of Medicine Institute of Medicine (IOM) recognizing individuals who have demonstrated outstanding professional achievement. Election to the IOM is considered one of the highest honors in the fields of health and medicine.
Dr. Conway is also Director of the Center for Medicare and Medicaid Innovation (CMMI) at CMS. The CMS Innovation Center is responsible for testing numerous new payment and service delivery models across the nation that reward quality and value.
In 2014, he was elected to the National Academy of Medicine Institute of Medicine (IOM) recognizing individuals who have demonstrated outstanding professional achievement. Election to the IOM is considered one of the highest honors in the fields of health and medicine.
9:15 am
The Role of Health Insurance Exchanges in Value-based Payment Innovation and Implementation
Peter V. Lee, JD
Executive Director, Covered California; Former Deputy Director, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services; Former Chief Executive Officer, Pacific Business Group on Health (PBGH), San Francisco, CA
Executive Director, Covered California; Former Deputy Director, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services; Former Chief Executive Officer, Pacific Business Group on Health (PBGH), San Francisco, CA
Peter V. Lee, is the Executive Director of Covered California (the Exchange), where he oversees the planning, development and ongoing administration and evaluation of the Exchange. The Exchange was established by the State of California to support the dramatic expansion of coverage enabled by the Affordable Care Act. The Exchange is creating a marketplace that will assist millions of Californians access affordable health coverage starting in 2014.
Before joining the Exchange, Mr. Lee served in the Obama Administration, first as the Director of Delivery System Reform for the Office of Health Reform for Health and Human Services, where he coordinated delivery reform efforts for Secretary Sebelius. Mr. Lee then served as the Deputy Director for the Center for Medicare and Medicaid Innovation, where he helped establish the new Center which is testing new payment and delivery system reforms that can promote that delivery of higher- quality, more affordable health care.
Before joining the Exchange, Mr. Lee served in the Obama Administration, first as the Director of Delivery System Reform for the Office of Health Reform for Health and Human Services, where he coordinated delivery reform efforts for Secretary Sebelius. Mr. Lee then served as the Deputy Director for the Center for Medicare and Medicaid Innovation, where he helped establish the new Center which is testing new payment and delivery system reforms that can promote that delivery of higher- quality, more affordable health care.
9:45 am
Findings from Stanford National Study of Characteristics of Clinical Teams Attaining High National Ranking on Both Quality Measures and Very Low Total Cost of Care
Arnold Milstein, MPH, MD
Clinical Excellence Research Center Director and Professor of Medicine, Stanford University Center for Advanced Study of the Behavioral Sciences; Chief Medical Officer, Pacific Business Group on Health; Former National Health Care Thought Leader, William Mercer, San Francisco, CA
Clinical Excellence Research Center Director and Professor of Medicine, Stanford University Center for Advanced Study of the Behavioral Sciences; Chief Medical Officer, Pacific Business Group on Health; Former National Health Care Thought Leader, William Mercer, San Francisco, CA
Dr. Milstein is a Professor of Medicine at Stanford and directs the University’s Clinical Excellence Research Center. The Center designs and demonstrates in diverse locations, scalable innovations in healthcare delivery that provide more with less. Before joining Stanford’s faculty, he created a national healthcare performance improvement firm, globalized the firm after its acquisition, co-founded three nationally influential public benefit initiatives, served as a Congressional MedPAC Commissioner, and was elected to the National Academy of Medicine (NAM, formerly IOM).
10:15 am
Transition Break
10:30 am
National Best Practices in Hospital and Health Systems Value-based Payment Innovation and Implementation
Joseph F. Damore, FACHE
Vice President, Population Health Management, Premier Inc, Washington, DC
Vice President, Population Health Management, Premier Inc, Washington, DC
Joe Damore, FACHE, leads Premier Population Health Management team of over 70 experts in helping organizations transition to value based care and payment models in over 40 states. The team has been recognized “Best in KLAS” the past two years. Prior to joining Premier, he served as CEO of Sparrow Health System and Mission Health System for 20 years. He also served in executive positions at the Greenville Health System and Mercy Health Services (Trinity Health). He has extensive experience in building, implementing clinical integrated networks and PHOs, integrated health delivery systems, and health plans. He was named an emerging leader in health care among the numerous awards he has received throughout his career. He is a frequent speak at national conferences and at numerous academic institutions on population health topics including new value based payment models.
11:00 am
Building Clinical Ties between Hospitals and Physicians
Mary Bittner, DNP, MPA, RN, CENP
Vice President of Clinical Development, Caravan Health, Sacramento, CA
Vice President of Clinical Development, Caravan Health, Sacramento, CA
Mary joined the Caravan Health team to effect change in how we deliver care to patients as our healthcare system transitions from a volume to value-based enterprise.
As a nurse leader with over 34 years of healthcare operations leadership experience, Mary is passionate about effective patient care. She has developed programs and led projects that promote healthy communities through effective use of evidenced-based practice. As a proven interdisciplinary leader, Mary has effectively managed both inpatient and outpatient healthcare operations in both urban and rural settings.
Mary serves as Adjunct Faculty at the University of San Francisco in the Doctor of Nursing Practice program. She retains national certification as a Certified Executive in Nursing Practice and is certified in Nurse Executive Finance from HFMA/AONE.
As a nurse leader with over 34 years of healthcare operations leadership experience, Mary is passionate about effective patient care. She has developed programs and led projects that promote healthy communities through effective use of evidenced-based practice. As a proven interdisciplinary leader, Mary has effectively managed both inpatient and outpatient healthcare operations in both urban and rural settings.
Mary serves as Adjunct Faculty at the University of San Francisco in the Doctor of Nursing Practice program. She retains national certification as a Certified Executive in Nursing Practice and is certified in Nurse Executive Finance from HFMA/AONE.
Gary Greensweig, DO
Vice President and Chief Physician Executive for Physician Integration, Dignity Health; Former Chief Medical Officer, Santa Rosa Memorial Hospital, San Francisco, CA
Vice President and Chief Physician Executive for Physician Integration, Dignity Health; Former Chief Medical Officer, Santa Rosa Memorial Hospital, San Francisco, CA
Dr. Gary Greensweig was appointed as the Chief Physician Executive for Dignity Health in the San Francisco Bay Service Area in 2012, and the Vice President and Chief Physician Executive for Physician Integration for Dignity Health in January of 2015. Dr. Greensweig is the Board Chair of the Dignity Health Medical Foundation Board of Directors and the Chair of the Physician Compensation Committee.
Dr. Greensweig’s accountabilities include working with Dignity Health’s Physician Integration models including both employed and clinically integrated models, and graduate medical education. As activities in population health and value based care have expanded he is providing leadership with the Population Health and Physician Integration teams to assist with the creation of a clinical roadmap for values based programs including Medicaid, Medicare Shared Savings, developing protocols that will cross the continuum with a special focus on clinical quality, efficiency, length of stay, and risk readiness.
Dr. Greensweig’s accountabilities include working with Dignity Health’s Physician Integration models including both employed and clinically integrated models, and graduate medical education. As activities in population health and value based care have expanded he is providing leadership with the Population Health and Physician Integration teams to assist with the creation of a clinical roadmap for values based programs including Medicaid, Medicare Shared Savings, developing protocols that will cross the continuum with a special focus on clinical quality, efficiency, length of stay, and risk readiness.
Charles D. Kennedy, MD, MBA
Chief Population Health Officer, Healthagen LLC; Former Head of Aetna Aligned Care Solutions, Aetna Inc.; Former Chief Executive Officer of Accountable Care Solutions, Aetna Inc., Simi Valley, CA
Chief Population Health Officer, Healthagen LLC; Former Head of Aetna Aligned Care Solutions, Aetna Inc.; Former Chief Executive Officer of Accountable Care Solutions, Aetna Inc., Simi Valley, CA
Charles D. Kennedy, M.D. is vice president and chief medical officer for Clinical Integration. In this role, Dr. Kennedy is responsible for planning the integration of the Aetna and Humana clinical businesses after the close of the proposed transaction.
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. Dr. Kennedy serves on the AHIP Foundation Board of Directors and on the advisory board for the Center for Healthcare Innovation, Healthcare and Life Science Innovation Lab.
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. Dr. Kennedy serves on the AHIP Foundation Board of Directors and on the advisory board for the Center for Healthcare Innovation, Healthcare and Life Science Innovation Lab.
Walter Kopp, MSHA
President, Medical Management Services, Inc.; Former Chief Operating Officer, California Pacific Medical Center Physicians Foundation; Former Chief Operating Officer, Sutter Pacific Medical Foundation; Former Interim Executive Director, Alta Bates Medical Group, San Francisco, CA (Moderator)
President, Medical Management Services, Inc.; Former Chief Operating Officer, California Pacific Medical Center Physicians Foundation; Former Chief Operating Officer, Sutter Pacific Medical Foundation; Former Interim Executive Director, Alta Bates Medical Group, San Francisco, CA (Moderator)
Walter Kopp is President of Medical Management Services a healthcare executive management and advisory group specializing in the development and improvement of clinically integrated communities. This group has assisted with medical group practice management, medical group and hospital integration, physician succession planning and healthcare technology implementation in Health Systems. Services also include strategic positioning and market analysis, medical group development, contract negotiations, service line development and operations reviews.
A partial list of MMS recent clients include; Sutter Health, Menlo Clinic at Stanford University Medical Center, City of Hope Medical Group, Blue Shield of California, The Permanente Medical Group, Verity Health, Alta Bates Medical Group, Brown and Toland Medical Group, Hill Physicians Medical Group, UCSF, St Joseph Heritage Medical Foundation, A complete list can be found at www.walterkopp.com
Walter is a board member for the Center for Healthcare Management. Walter has served on various boards of Directors, including; Operation Access, National IPA Coalition, Marin Community Clinic, and the Bay Pacific Health Plan. He earned his BA from the University of California, Berkeley and his Masters in Health Administration from the University of Colorado.
A partial list of MMS recent clients include; Sutter Health, Menlo Clinic at Stanford University Medical Center, City of Hope Medical Group, Blue Shield of California, The Permanente Medical Group, Verity Health, Alta Bates Medical Group, Brown and Toland Medical Group, Hill Physicians Medical Group, UCSF, St Joseph Heritage Medical Foundation, A complete list can be found at www.walterkopp.com
Walter is a board member for the Center for Healthcare Management. Walter has served on various boards of Directors, including; Operation Access, National IPA Coalition, Marin Community Clinic, and the Bay Pacific Health Plan. He earned his BA from the University of California, Berkeley and his Masters in Health Administration from the University of Colorado.
11:45 am
The Future of Pay for Performance and Value-based Payment
Stephen M. Shortell, PhD, MBA, MPH
Blue Cross of California Distinguished Professor of Health Policy and Management, Dean Emeritus, School of Public Health, University of California Berkeley, Berkeley, CA
Blue Cross of California Distinguished Professor of Health Policy and Management, Dean Emeritus, School of Public Health, University of California Berkeley, Berkeley, CA
Stephen M. Shortell, Ph.D., M.P.H, MBA is the Blue Cross of California Distinguished Professor of Health Policy and Management and Professor of Organization Behavior at the School of Public Health and Haas School of Business at University of California-Berkeley. He also co-leads the Center for Healthcare Organizational and Innovation Research (CHOIR) and the Center for Lean Engagement and Research (CLEAR) in healthcare.
A leading health care scholar, Dr. Shortell and his colleagues have received numerous awards for their research examining the performance of integrated delivery systems; the organizational factors associated with quality and outcomes of care; and the factors associated with the adoption of evidence-based processes for treating patients with chronic illness. He is currently conducting research on patient engagement and the performance of Accountable Care Organizations (ACOs) and on Lean applications in healthcare
A leading health care scholar, Dr. Shortell and his colleagues have received numerous awards for their research examining the performance of integrated delivery systems; the organizational factors associated with quality and outcomes of care; and the factors associated with the adoption of evidence-based processes for treating patients with chronic illness. He is currently conducting research on patient engagement and the performance of Accountable Care Organizations (ACOs) and on Lean applications in healthcare
12:15 pm
Adjournment