Aria Health 111 Years of Caring
|
|
- Darleen Harvey
- 8 years ago
- Views:
Transcription
1 Aria Health 111 Years of Caring Strategic t Plan to Survive the Accountable Care Act (ACA) Andrew DeVoe Chief Financial Officer (CFO) & Treasurer Aria Health Philadelphia, PA
2 Financial Disclaimer Certain statements included in this Presentation constitute forward looking statements. Such statements generally are identifiable ifi by the terminology used, such as plan, expect, predict, estimate, anticipate, budget, or other similar words. Such forward looking statements include, but are not limited to, certain statements contained in this presentation. The achievement of certain results or other expectations contained in such forward looking statements involve known and unknown risks, uncertainties, and other factors that may cause actual results, performance, or achievements described to be materially different from any future results, performance, or achievements expressedor implied by such forward looking statements. Aria Health does not plan to issue any updates or revisions to those forward looking statements if or when its expectations or events, conditions, or circumstances on which such statements are based occur or fail to occur. 2
3 About our Presenter Andrew DeVoe Chief Financial Officer (CFO) & Treasurer Aria Health Veteran Healthcare Executive 25+ Years of Healthcare Experience 14 years: For Profit Hospitals 5 years: Non for ProfitHospitals (EVP) 6 years: CEO of Private Equity Backed Ventures Andrew DeVoe brings more than 25 years of healthcare financial and operational experience in not for profit profithospitals, for profit hospitals, and investor owned owned providers across the country. DeVoe is an industry recognized specialist who has led hospitals and healthcare organizations through turnarounds by maximizing key areas of their financial processes. 3
4 About the Challenge How do you improve financial and quality performance metrics at a 111 year old community health system in one of the most competitive healthcare markets kt in the United dstates? t How do you achieve success in the age of the Accountable Care Act (ACA)? How do you navigate the seismic shift from Fee For Service (FFS) to Fee For Value (FFV)? How do you accomplish these goals while maintaining mission and commitment to patient communities? 4
5 Philadelphia Healthcare Market An Overview Highly Competitive and Crowded Market 11 for profit and 32 not for profit healthcare organizations Overbedded by 20% and services overutilized 4 academic medical schools According to Modern Healthcare, cost per day 25% higher than national average Perfect Storm Effect AccountableCareAct Act (ACA) implementation, shrinkingreimbursements reimbursements, decreasing inpatient volumes, and shift from Fee For Service (FFS) to Fee For Value (FFV) have left hospitals within the Philadelphia healthcare market struggling to survive Significantconsolidation consolidation efforts through closings and mergers of hospitals and surgical centers the Philadelphia/Delaware market 10 Years Ago: 55 Acute Care Hospitals Currently: 43 Acute Care Hospitals (PHC4: Regions 8 & 9) 5
6 Philadelphia Healthcare Market Overview Healthcare systems within Philadelphia are looking toward new and innovative ways to survive this marketplace Physician Aggregation Example Tandigm Health Launched in April 2014, Tandigm is an Independence Blue Cross (IBC) joint venture with Davita HealthCare Partners, Inc. (50 50 partners) Designed to help manage primary care physician practices in the Philadelphia area Has signed hundreds of physicians to date Model similar to a traditional health management organization in that IBC spends a fixed amount for each insured person Non traditional difference Tandigmutilizes physiciansascare as care managersvs vs. gatekeeper Hospital Partnerships Jefferson Abington merger plans St. Mary s affiliation with Trinity Health Crozer Keystone seeking partner 6
7 Aria Health Organizational Overview History: Founded in 1903, Aria Health is a not for profit integrated health system serving diverse communities across Northeastern Philadelphia and Lower Bucks County 485 licensed beds; 3 inpatient facilities Full range of primary and secondary services Strong physician network with 45 physician practices as well as loyal, independent primary care base Primary health system for a service area with a population of 1 million Frankford Campus Torresdale Campus Bucks County Campus Mission: To provide exceptional patient care and customer service to members of the communities served by the Hospitals to recognize a patient s right to considerate and respectable care, regardless of ability to pay. 7
8 Aria Health Organizational Overview Current and Future Goal: Focus on improving quality care and reducing costs across continuum of care in order to provide Aria Health the privilege of serving its community in perpetuity petu ty as it has since
9 Aria Uniquely Positioned in Philadelphia Unique geography and catchment area 29 zip code service area from Lower Northeast Philadelphia through Lower Bucks County Total population in excess of 1 million Patients prefer convenient access to Patients prefer convenient access to primary and specialty care right in their neighborhood Barbed Wire Effect Strong community relationships and connections Strong balance sheet Comparatively low cost, high value health system Connected rehab, hospice, home care,, p wellness, and LTC capabilities HFMA Conference March 26,
10 Aria Market Share Within the last Fiscal Year, Aria Health has a positive trend in market share 10
11 Aria Competitive Landscape Among Regional Main Players University of Pennsylvania Health System Jefferson Health System Main Line Health Among Regional Secondary Players Aria Health Temple Health System Einstein Health System Tenet Health System Crozer Chester Chester MedicalCenter 11
12 Aria Historical Financial Metrics* Days Cash on Hand EBIDA Projected FY 15 illions Mi $80 $70 $60 $50 $40 $30 $20 $10 $ $(10) Projected FY 15 Total Operating Revenue Long term Debt Millions $460 $450 $440 $430 $420 $410 $400 $390 $ Projected FY 15 Millions $60 $50 $40 $30 $20 $10 $ Projected FY 15 *Financial metrics reflect Aria s hospital division 12
13 Aria Health Navigating Change Perfect Storm Impact: When storm hit, Ai Aria experienced ddirect negative impact on both volumes and financial indicators 13
14 Aria IBC Inpatient Volume Excluding Impact of Utilization Review 6000 Inpatient Ad dmissions (B Billed) Calendar Year Aria Health has lost more than $120 million in revenue due to declining reimbursements and increased utilization review. *2013 based on Q1 Q3 Q3 annualized. Data based on submitted inpatient claim volume without regard to utilization managementandand related denials. **IBC commercial and Medicare products, excluding other BCBS volume 14
15 Aria Challenges in the World of Physician Services & Specialty Care In the past few years, Aria Health has been acquiring and employing several physician practices: Over 40 practices employed within Philadelphia and Bucks County Key to population p health and physician integration strategy Necessary, but expensive Added costs related to renting and staffing office space Increase in salary and benefits Physicians drop productivity As a result, Aria is actively implementing cost reduction plans and productivity metrics to better integrate the employed physician model. 15
16 Aria Health Navigating Change How is Aria Turning the Tide? 16
17 Aria Partners in Success Aria s Key Stakeholders Most important partners in any successful organizational effort specifically improvement of financial i and quality metrics are key stakeholders including employees (clinical and nonclinical) and physicians (employed and independent) Communicate early and often to ensure understanding and buy in Transparency is key Foster trust and collective commitment to organizational changes that support sustainability and delivery of exceptional healthcare services 17
18 Aria Impact of Process Improvement Initiatives Over Next 18 Months (in Millions) Process Improvement Initiatives 18
19 Aria Cash Performance* Cash Compared to Historical $35,000,000, $30,000,000 $25,000,000 $20,000,000 $15,000,000 July Aug. Sept. Oct. Nov. Dec. Over an $11.5M improvement *Financial i metrics ti reflect Ai Aria s hospital ldivisioni i 19
20 Aria Journey Toward Population Health Aria Health is: Transitioning its business model from FFS to FFV and diversifying revenue sources Partnering with the PCP network to perform on value-based contracts, assisting with backfilling the decrease in acute care volume Currently earning greater than 75% of available incentives on current valuebased contracts Dedicated to moving toward financial risk in the right model with the right payer and right partners Currently in value-based contracts t with multiple l payers Independently investing in population health services capabilities Lower Per Capita Costs Enhanced Patient Experience Triple Aim * Plus One Population Health Management Physician Satisfaction * Source: Essence Healthcare, The Collaborative Payer New Hope for Medicare and Primary Care,
21 Providers Taking Population Health Risk $ FFS Dollars Valley of Despair Declining FFS revenue Increasing value based revenue P4Q Risk based Dollars Contract Risk Shared Savings Self Funded Employees Exchanges Medicare Advantage Pop pulation Ma anagement Capabilitie es FFS P4P Upside Risk Only Upside/Downside Risk Time Capitation 21
22 Aria Financial Distribution Aria s Value Based Contracts: One full risk ikmdi Medicare Advantage contract Two shared savings Commercial contracts Total Bonus Potential: $8M Hospital 50%** Physicians 50%** Value Based Dollars IPE s Shared Services Aria s Integrated SS/P4P Lumeris Full Risk Provider Entity (IPE) 6% Care Mgmt. Two payers Technology Commercial/MA Personnel 50% 50% Aria Hospitals (three campuses) Aria Employed Physicians Independent, Contracted Physicians **50% post shared services cost
23 Aria Early Returns in FFV Model Category Impact Trend Bonus Payments Hospital Volume SS/P4P Contracts: $6M collected over 18 months Full Risk Contracts: First year, trending toward bonus Not negatively impacted; Aria is a low cost, preferred provider Better managing utilization and physician referral patterns Attributed Increase of 4k commercial lives Membership Increase of 2,500 Medicare Advantage lives Medical Cost Lowered Medicare Advantage MCR trend by 7% over 2014 Quality Closed roughly 2,000 gaps in care over Q4 14 Readmissions Lowered potentially preventable readmission rate 8% over Q3/Q4 14
24 Aria Looking Ahead We explored the best options for Aria and our patients, chose some difficult steps, and took action. The result is stability and signs of progress we didn t have 24 months ago. Aria has come a long way in the last year, but we have a distance to go as well. Future Market Considerations: The cost of providing care rising faster than reimbursements Government challenges continue Patients acting like consumers more than ever before Market continues to change; evolve Everyone is talking to everyone about everything Real and ever present If you re not in creative, strategic discussions, you re behind 24
25 Aria Looking Ahead The success of Aria s turnaround efforts gives us the freedom to look beyond the next quarter and into the future for Aria. We are currently asking who do we need to be five years from now? 10 years from now? Collaborative, C b i open stakeholder khld relationships will remain key to future strategic planning and ensuring that Aria Health continues to serve its patient community as it has for 111 years. 25
The Trinity Pioneer Story ACO SETTLERS THE PIONEER JOURNEY TO THE TRIPLE AIM. Sue Thompson Chief Executive Officer
The Trinity Pioneer Story ACO SETTLERS THE PIONEER JOURNEY TO THE TRIPLE AIM Sue Thompson Chief Executive Officer 2 UnityPoint Health: Organizational Profile 3 4 UnityPoint Health Fort Dodge: Organizational
More informationST JOHN S LUTHERAN MINISTRIES. Kent Burgess President & CEO
ST JOHN S LUTHERAN MINISTRIES Kent Burgess President & CEO WHAT S CHANGING MAYBE? -The way we get paid (Reduce Cost) -The way we get measured (Better Care) -What will be required of us (More) -Partnerships/Affiliations
More informationHEALTHCARE REFORM CARE DELIVERY AND REIMBURSEMENT MODELS. April 10, 2014
HEALTHCARE REFORM CARE DELIVERY AND REIMBURSEMENT MODELS April 10, 2014 1 MARKETPLACE UPDATE 2 MARKETPLACE - ESSENTIAL HEALTH BENEFITS 3 MARKETPLACE - METAL LEVELS 4 WHAT IS THE HEALTH INSURANCE MARKETPLACE
More informationACO CASE STUDY METRO HEALTH: GRAND RAPIDS, MICHIGAN
ACO CASE STUDY METRO HEALTH: GRAND RAPIDS, MICHIGAN January 2011 ACO CASE STUDY METRO HEALTH: GRAND RAPIDS, MICHIGAN Prepared by: Keith D. Moore / kmoore@mcmanisconsulting.com & Dean C. Coddington / dcoddington@mcmanisconsulting.com
More informationThe Five Pillars of Population Health Management. Dr. Christopher Mathews Senior Vice President and Chief Medical Officer ZeOmega
The Five Pillars of Population Health Management Dr. Christopher Mathews Senior Vice President and Chief Medical Officer ZeOmega ZeOmega a forerunner in Population Health Management Transformation into
More informationAdvisory Panel for Health Care Advancing the Academic Health System for the Future: Profiles in Academic Health System Leadership.
Advisory Panel for Health Care Advancing the Academic Health System for the Future: Profiles in Academic Health System Leadership November, 2013 Project Focus and Methodology Project Focus This project
More informationWestchester Medical Center. 2015 Operating Budget
Westchester Medical Center 2015 Operating Budget December 3, 2014 WESTCHESTER COUNTY HEALTH CARE CORPORATION Operating Budget 2015 Table of Contents Page Executive Summary 1 Detailed Discussion of Revenue
More informationFrom Information Exchange to Population Health Management
GE Healthcare From Information Exchange to Population Health Management Central Florida RHIO Joel Vengco VP & GM ehealth Solutions March 26, 2012 1 / GE / Discussion Goals Review the foundational goal
More informationSouthwestern Vermont Medical Center Operating Budget Fiscal Year 2016
Southwestern Vermont Medical Center Operating Budget Fiscal Year 2016 Southwestern Vermont Medical Center s (hereafter SVMC or Medical Center ) Operating Budget for Fiscal Year (hereafter FY ) 2016 has
More informationThe Business Case for Using Big Data in Healthcare
SAP Thought Leadership Paper Healthcare and Big Data The Business Case for Using Big Data in Healthcare Exploring How Big Data and Analytics Can Help You Achieve Quality, Value-Based Care Table of Contents
More informationPopulation Health Management: Banner Health Network s Perspective. Neta Faynboym, Medical Director Banner Health Network
Population Health Management: Banner Health Network s Perspective Neta Faynboym, Medical Director Banner Health Network 29 Acute Care Hospitals BANNER AT A GLANCE Banner Health Network with 400K lives
More informationInvestor Presentation September 15, 2014
Investor Presentation September 15, 2014 Disclaimer This Investor Presentation was prepared exclusively for the benefit of and internal use by the recipient for the purpose of considering the transaction
More informationAccountable Care Organizations
Accountable Care Organizations Myth, Reality, Facts Why =System Failure Low Quality - IOM report High Cost Quality Cost disconnect Low Value Problems Disconnect between Quality and Cost Care is fragmented
More informationDRIVING VALUE IN HEALTHCARE: PERSPECTIVES FROM TWO ACO EXECUTIVES, PART I
DRIVING VALUE IN HEALTHCARE: PERSPECTIVES FROM TWO ACO EXECUTIVES, PART I A firm understanding of the key components and drivers of healthcare reform is increasingly important within the pharmaceutical,
More informationThe Accountable Care Organization: An Introduction
January 2011 The Accountable Care Organization: An Introduction The healthcare reform discussion introduced new terms and ideas and reintroduced many concepts explored in the past: value-based healthcare,
More informationCommercial ACOs: Trials and Tribulations
Commercial ACOs: Trials and Tribulations June 12, 2015 Agenda: John Jenrette, MD, CEO, Sharp Community Medical Group Moderator Nancy Greenstreet, MD, Medical Director, Physicians Medical Group of Santa
More informationIndiana Medical Group Management Association 2015 Practice Management Conference
Indiana Medical Group Management Association 2015 Practice Management Conference Strategies for Setting Compensation and Performance Standards Friday May 8, 2015 2014 KSM Business Services, Inc. Agenda
More information33rd Annual J.P. Morgan Healthcare Conference
33rd Annual J.P. Morgan Healthcare Conference January 12, 2015 Disclosures / Forward-looking Statements This presentation includes forward-looking statements. Such forward-looking statements are based
More informationWhat the New Health Economy Means for your Revenue Cycle
www.pwc.com/healthcare What the New Health Economy Means for your Revenue Cycle South Carolina HFMA Annual Institute Our Agenda for Today I. Today s Revenue Cycle The Case for Change II. Healthcare Reform
More informationPNM Account Executive Territory Assignments Effective 1/13/15
PNM Territory Assignments Deborah Collins Supervising Acct. Cindy Mandos Supervising Acct. Carrie Hemler Supervising Acct. Mary Podgorski Supervising Acct. Phone Number 215-937-4142 215-863-5676 215-863-5683
More informationAdvisory Panel for Health Care Advancing the Academic Health System for the Future: Profiles in Academic Health System Leadership.
Advisory Panel for Health Care Advancing the Academic Health System for the Future: Profiles in Academic Health System Leadership November, 2013 Project Focus and Methodology Project Focus This project
More informationPhysician Referral and the Potential for ACOs in Philadelphia
Physician Referral and the Potential for ACOs in Philadelphia Aditi P. Sen, Lawton R. Burns, Michael Dandorph, and Suzanne Sawyer AcademyHealth Annual Research Meeting 2013 Lawton R. Burns The Wharton
More informationCHANGING YOUR CASE MANAGEMENT MODEL OF CARE. Jan Lear, RN, CMC Director of Case Management MedStar Franklin Square Medical Center
CHANGING YOUR CASE MANAGEMENT MODEL OF CARE Jan Lear, RN, CMC Director of Case Management MedStar Franklin Square Medical Center 1 Program Objectives To be able to describe the compliance and regulatory
More informationThe Impact of the Affordable Care Act
The Impact of the Affordable Care Act on UC Irvine Health 2013 BUSINESS OFFICER INSTITUTE October 22, 2013 Terry A. Belmont Chief Executive Officer Associate Vice Chancellor for Medical Center Affairs
More informationUnifying Compensation:
Unifying Compensation: The Lehigh Valley Physicians Group Experience American Medical Group Association Orlando, FL March 15, 2013 Edward Norris, M.D. Chair, Compensation Committee Michael A. Rossi, M.D.,
More informationInvestor Presentation
Investor Presentation October 2015 Jay Hoffman Chief Strategy Officer Forward Looking Statements & Statutory Rights of Action FORWARD-LOOKING STATEMENTS Certain statements in this presentation (the "Presentation")
More informationPopulation Health Management Industry Overview
Population Health Management Industry Overview May 19, 2016 The safe bet for long-term population health success The changing population health market Population health management has emerged as a major
More informationA Roadmap for Modernizing the Health Care Revenue Cycle
A Roadmap for Modernizing the Health Care Revenue Cycle 1 March 2016 Timothy Panks Senior VP, Finance and Revenue Management Douglas Hires Senior VP, Strategic Client Relationships Conflict of Interest
More informationEvaluating Your Hospitalist Program: Key Questions and Considerations
Evaluating Your Hospitalist Program: Key Questions and Considerations Evaluating Your Hospitalist Program: Key Questions and Considerations By Vinnie Sharma, MBA, MPH Manager, Physician Advisory Services
More informationTop 10 Issues for Health Plans - Strategic & Operational Priorities
Top 10 Issues for Health Plans - Strategic & Operational Priorities Thomas Carleton, Sr. Director, Health IT & Analytics Mosaic Health Solutions (BCBS NC) Nancy Wise, SVP, Strategic & Regulatory Consulting
More informationWestchester Medical Center. 2014 Operating Budget
Westchester Medical Center 2014 Operating Budget December 4, 2013 WESTCHESTER COUNTY HEALTH CARE CORPORATION Operating Budget 2014 Table of Contents Page Executive Summary 1 Detailed Discussion of Revenue
More informationThe Impact of Accountable Care Organizations on the Healthcare Industry. Dale Maxwell Senior Vice President & CFO Presbyterian Healthcare Services
The Impact of Accountable Care Organizations on the Healthcare Industry Dale Maxwell Senior Vice President & CFO Presbyterian Healthcare Services Agenda The Case for Change A New Idea, The ACO Characteristics
More informationIntegrated Leadership for Hospitals and Health Systems: Principles for Success
Integrated Leadership for Hospitals and Health Systems: Principles for Success In the current healthcare environment, there are many forces, both internal and external, that require some physicians and
More informationTen Overlooked Opportunities For Significant Performance Improvement and Cost Savings
Ten Overlooked Opportunities For Significant Performance Improvement and Cost Savings Ten Overlooked Opportunities For Significant Performance Improvement and Cost Savings Huron Healthcare s Performance
More informationStatus of Electronic Health Records in Missouri Hospitals HIDI SPECIAL REPORT JULY 2012
Status of Electronic Health Records in Missouri Hospitals HIDI SPECIAL REPORT JULY 2012 HIDI SPECIAL REPORT INTRODUCTION The steady progress that Missouri hospitals continue to demonstrate in their adoption
More informationPremier ACO Collaboratives Driving to a Patient-Centered Health System
Premier ACO Collaboratives Driving to a Patient-Centered Health System As a nation we all must work to rein in spiraling U.S. healthcare costs, expand access, promote wellness and improve the consistency
More informationHow To Help Your Health System With The National Rural Accountable Care Consortium
and FAQ s 2016 Medicare Shared Savings Program Year Who is the National Rural Accountable Care Consortium? The National Rural Accountable Care Consortium was formed in 2013 to pool knowledge, patients,
More informationHow To Pay For Health Care
Uniting Physicians Through a Common Compensation Structure AMGA 2014 Annual Conference Mercy and Sullivan Cotter Fred Ford, Senior Vice President Ambulatory Care Mercy Fred McQueary, Senior Vice President
More informationSharp HealthCare ACO. Pioneer Introduction to the FSSB November 8, 2012
Sharp HealthCare ACO Pioneer Introduction to the FSSB November 8, 2012 Sharp HealthCare Not-for-profit serving 3.1 million residents of San Diego County Grew from one hospital in 1955 to an integrated
More informationBanner Health Network Pioneer ACO - Physician Toolkit
& The Banner Health Network, an AIP and Banner Health partnership, present the Banner Health Network Pioneer ACO - Physician Toolkit This BHN Pioneer ACO Physician Toolkit has been developed to provide
More information4/27/2015. LeadingAge Michigan 2015 Annual Conference Dearborn, MI Monday May 18th, 2015. Jon Golm, President
LeadingAge Michigan 2015 Annual Conference Dearborn, MI Monday May 18th, 2015 Jon Golm, President Aging Improving Enriched Post Discharge Services, LLC Outcomes Mike Logan, SVP/COO Wellspring Lutheran
More information15 th Annual Non Profit Health Care Investors Conference
15 th Annual Non Profit Health Care Investors Conference New York, New York May 21, 2014 William P. Santulli Executive Vice President, Chief Operating Officer Lee B. Sacks, M.D. Executive Vice President,
More informationProgram Description and FAQ s 2016 Medicare Shared Savings Program Year
and FAQ s 2016 Medicare Shared Savings Program Year Who is the National Rural ACO? The National Rural ACO was formed in 2013 to pool knowledge, patients, and resources so that independent community health
More informationClinical Integration Concepts for Successful Population Health
Annual Conference November 12, 2015 Presented by: Jane Jerzak, RN, CPA, Partner Clinical Integration Concepts for Agenda Population Health and the Movement Toward Clinical Integration Consumerism Patient
More informationMANAGEMENT S DISCUSSION CONDITION AND RESULTS OF OPERATIONS FOR ASCENSION AS OF AND FOR THE SEPTEMBER 30, 2014 AND 2013 AND ANALYSIS OF FINANCIAL
MANAGEMENT S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS FOR ASCENSION AS OF AND FOR THE THREE MONTHS ENDED SEPTEMBER 30, 2014 AND 2013 The following information should be
More informationMAKING THE TRANSITION TO POPULATION HEALTH MANAGEMENT
MAKING THE TRANSITION TO POPULATION HEALTH MANAGEMENT H O W T O E F F E C T I V E L Y N E G O T I A T E V A L U E - B A S E D C O N T R A C T S I N T H E N E W R E T A I L M A R K E T P I O N E E R I N
More informationProven Innovations in Primary Care Practice
Proven Innovations in Primary Care Practice October 14, 2014 The opinions expressed are those of the presenter and do not necessarily state or reflect the views of SHSMD or the AHA. 2014 Society for Healthcare
More informationACO s as Private Label Insurance Products
ACO s as Private Label Insurance Products Creating Value for Plan Sponsors Continuing Education: November 19, 2013 Clarence Williams Vice President Client Strategy Accountable Care Solutions Today s discussion
More informationLeveraging Predictive Analytic and Artificial Intelligence Technology for Financial and Clinical Performance
Leveraging Predictive Analytic and Artificial Intelligence Technology for Financial and Clinical Performance Matt Seefeld CEO & Co-Founder mseefeld@interpointpartners.com www.interpointpartners.com (404)446-0051
More informationHow Health Reform Will Affect Health Care Quality and the Delivery of Services
Fact Sheet AARP Public Policy Institute How Health Reform Will Affect Health Care Quality and the Delivery of Services The recently enacted Affordable Care Act contains provisions to improve health care
More informationHOPE ACADEMY. 2011-2012 Performance Analysis
HOPE ACADEMY 2011-2012 Performance Analysis Core Question 2: Is the organization effective and well-run? 2.1. Is the school in sound fiscal health? STANDARD The school presents significant concerns in
More informationMedical Home in the Context of ACOs, Healthcare Reform and the New Payment Environment
Medical Home in the Context of ACOs, Healthcare Reform and the New Payment Environment Six Simple Rules For Successful Organizations In The New Payment Environment Bruce Bagley, M.D. Session Objectives
More informationValue Based Care and Healthcare Reform
Value Based Care and Healthcare Reform Dimensions in Cardiac Care November, 2014 Jacqueline Matthews, RN, MS Senior Director, Quality Reporting & Reform Quality and Patient Safety Institute Cleveland Clinic
More informationOctober 18, 2013. Articulating the Value Proposition of Innovative Medical Technologies in the Healthcare Reform Landscape
October 18, 2013 Articulating the Value Proposition of Innovative Medical Technologies in the Healthcare Reform Landscape Outline The Changing Landscape Evolving Care Delivery and Incentive Models Provider
More informationPotential Alliance Between Frederick Regional Health System Meritus Health Western Maryland Health System
Potential Alliance Between Frederick Regional Health System Meritus Health Western Maryland Health System Nancy D. Adams Chief Operating Officer /Chief Nurse Executive Western Maryland Health System Objective
More informationAccountable Care Organizations: What Are They and Why Should I Care?
Accountable Care Organizations: What Are They and Why Should I Care? Adrienne Green, MD Associate Chief Medical Officer, UCSF Medical Center Ami Parekh, MD, JD Med. Director, Health System Innovation,
More informationLeading the Conversation: New Channels for Provider Contracting
WHITE PAPER Leading the Conversation: New Channels for Provider Contracting Author: Cindy Lee On the vanguard of thought. On the front lines of ac on. Leading the Conversation: New Channels for Provider
More informationAccountable Care Platform
The shift toward increased collaboration, outcome-based payment and new benefit design is transforming how we pay for health care and how health care is delivered. UnitedHealthcare is taking an industry
More informationGet Plugged in: Defining Your Connectivity Strategy. CHIME College Live 17 April 2013
Get Plugged in: Defining Your Connectivity Strategy CHIME College Live 17 April 2013 Topics Introductions Drivers Strategies Imperatives Discussion Page 2 Copyright Kurt Salmon 2013 All Rights Reserved
More informationAccountable Care Organization Overview
Accountable Care Organization Overview Presented by: Bill Wachs & Kai Tsai April 28, 2015 This webinar is brought to you by the American Hospital Association s Center for Healthcare Governance. Backed
More informationCornerstone Health Care s ACO Playbook. Grace E. Terrell, MD January 17, 2012
Cornerstone Health Care s ACO Playbook Grace E. Terrell, MD January 17, 2012 Mission: To be your medical home Vision: To be the model for physician-led health care in America Values: As a physician owned
More informationE. Christopher Ellison, MD, F.A.C.S Senior Associate Vice President for Health Sciences
Accountable Care Organizations and You E. Christopher Ellison, MD, F.A.C.S Senior Associate Vice President for Health Sciences CEO, OSU Faculty Group Practice Chair, Department of Surgery Ohio State University
More informationEssential Hospitals VITAL DATA. Results of America s Essential Hospitals Annual Hospital Characteristics Report, FY 2013
Essential Hospitals VITAL DATA Results of America s Essential Hospitals Annual Hospital Characteristics Report, FY 2013 Published: March 2015 1 ABOUT AMERICA S ESSENTIAL HOSPITALS METHODOLOGY America s
More informationEnterprise Analytics Strategic Planning
Enterprise Analytics Strategic Planning June 5, 2013 1 "The first question a data driven organization needs to ask itself is not "what do we think?" but rather "what do we know? Big Data: The Management
More informationCertified Healthcare Financial Professional
Certified Healthcare Financial Professional Certification Basics Friday, February 25, 2016 Courtney Stevenson, MSA WA/AK HFMA Certification Committee Co-Chair Agenda Module I The Business of Healthcare
More informationInteliChart. Putting the Meaningful in Meaningful Use. Meeting current criteria while preparing for the future
Putting the Meaningful in Meaningful Use Meeting current criteria while preparing for the future The Centers for Medicare & Medicaid Services designed Meaningful Use (MU) requirements to encourage healthcare
More informationConsidering Meaningful Use Participation when Acquiring a Hospital or Professional Practice
WHITE PAPER Considering Meaningful Use Participation when Acquiring a Hospital or Professional Practice An Encore Point of View By Paul Murphy, MBA & Amy Thorpe MBA, PMP, FHIMSS February 2015 AN ENCORE
More informationEmployed Physicians: Leadership Strategies for a Winning Organization
Employed Physicians: Leadership Strategies for a Winning Organization Ray Chorey Southeastern Ohio Regional Medical Center President and CEO Thomas Ferkovic SS&G Healthcare Managing Director Practice Comparison
More informationColorado s Accountable Care Collaborative
Colorado s Accountable Care Collaborative Suzanne Brennan, Medicaid Director May 19, 2013 Who We Serve 2 Alignment with Triple Aim 3 HCPF Goals 1. Transforming our systems from a medical model to a health
More informationAdvisory Panel for Health Care Advancing the Academic Health System for the Future: Profiles in Academic Health System Leadership.
Advisory Panel for Health Care Advancing the Academic Health System for the Future: Profiles in Academic Health System Leadership November, 2013 Project Focus and Methodology Project Focus This project
More informationMANAGEMENT S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS FOR ASCENSION
MANAGEMENT S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS FOR ASCENSION As of and for the nine months ended March 31, 2015 and 2014 The following information should be read
More informationFederal Health Care Reform: Implications for Hospital and Physician partnerships. Walter Kopp Medical Management Services
Federal Health Care Reform: Implications for Hospital and Physician partnerships Walter Kopp Medical Management Services Outline Overview of federal health reform legislation Implications for Care delivery
More informationFMOLHS HFMA Capital Conference. April 2014
FMOLHS HFMA Capital Conference April 2014 1 FMOLHS Profile 2 FMOLHS Overview The System s service area is diverse and encompasses over 2.4 million people, over 50% of the State s population. Subsidiaries
More informationBridging the IT Functionality Divide in Care Coordination
Bridging the IT Functionality Divide in Care Coordination April 15, 2015 Anne Meara AVP, Network Care Management Dave Kim Strategy Advisory Service Line Executive DISCLAIMER: The views and opinions expressed
More informationCombining Our Strengths April 1, 2011
RehabCare and Kindred Healthcare Combining Our Strengths April 1, 2011 Dear Colleague, As we continue to progress toward successfully combining the strengths of RehabCare and Kindred after the close, I
More informationRejean Carlson, President, OPEN MINDS 2012 OPEN MINDS Best Management Practices Institute February16, 2012 / 11:00am
Rejean Carlson, President, OPEN MINDS 2012 OPEN MINDS Best Management Practices Institute February16, 2012 / 11:00am Traditional CFO role is changing Linking budgeting and forecasting to strategic planning
More informationBusiness Planning Checklist for New PACE Programs
Business Planning Checklist for New PACE Programs 10/03 Responding to the Unique Needs of Seniors and their Families Disclaimer The Business Planning Checklist for New PACE Programs is intended to assist
More informationRVU BASED PHYSICIAN COMPENSATION AND PRODUCTIVITY
RVU BASED PHYSICIAN COMPENSATION AND PRODUCTIVITY Ten Recommendations for Determining Physician Compensation/Productivity Through Relative Value Units 2011 Merritt Hawkins 5001 Statesman Drive Irving,
More informationClinical Integration in Practice Case Study Allina Health
Clinical Integration in Practice Case Study Allina ealth The Second of Six Conference Calls for VA, Inc. Leading Constructive Change Boston Cleveland Dallas Denver Miami San Francisco Washington, D.C.
More informationCare Coordination at Frederick Regional Health System. Heather Kirby, MBA, LBSW, ACM Assistant Vice President of Integrated Care
Care Coordination at Frederick Regional Health System Heather Kirby, MBA, LBSW, ACM Assistant Vice President of Integrated Care 1 About the Health System 258 Licensed acute beds Approximately 70,000 ED
More informationClinically Integrated Networks and Accountable Care Organizations
Clinically Integrated Networks and Accountable Care Organizations 1 Do Nothing 2 Become Someone s Employee 3 Join a Network Provider The wake up call is for POPULATION health management managing clinical
More informationAn Introduction to Population Health Management
An Introduction to Population Health Management James J. Pizzo, Managing Director, Kaufman Hall Robert W. York, Senior Vice President, Kaufman Hall 2015 Kaufman, Hall & Associates, LLC. All rights reserved.
More informationBAY AREA ACCOUNTABLE CARE NETWORK
BAY AREA ACCOUNTABLE CARE NETWORK CHIEF EECUTIVE OFFICER Bay Area, California Position Specification Prepared by: Michael Meyer Ryan Hubbs Meyer Consulting 5900 N. Granite Reef Road, Suite 100, Scottsdale,
More informationGovernance Implications of Healthcare Reform
November 1, 2010 Governance Implications of Healthcare Reform Healthcare boards face tremendous uncertainties as they consider strategic moves to address the healthcare reform law. If the Act s intention
More informationQ. What is your reaction to the U.S. Supreme Court decision on healthcare reform?
Contact: Gail Rosenberg Carolinas HealthCare System 704-355-3800 (office) 704-400-3959 (cell) gail.rosenberg@carolinashealthcare.org An Interview with Carolinas HealthCare System President & Chief Operating
More informationRealizing ACO Success with ICW Solutions
Realizing ACO Success with ICW Solutions A Pathway to Collaborative Care Coordination and Care Management Decrease Healthcare Costs Improve Population Health Enhance Care for the Individual connect. manage.
More informationBehavioral Health and Payment Reform
Behavioral Health and Payment Reform MASSACHUSETTS HEALTH COUNCIL INTEGRATION OF BEHAVIORAL HEALTH CONFERENCE April 3 rd, 2014 Founded in in 1996, Beacon coordinates the MH/SA benefit for approximately
More informationPIONEER ACO A REVIEW OF THE GRAND EXPERIMENT. Norris Vivatrat, MD Associate Medical Director Monarch HealthCare
PIONEER ACO A REVIEW OF THE GRAND EXPERIMENT Norris Vivatrat, MD Associate Medical Director Monarch HealthCare 2 Agenda Pioneer ACO basics, performance and challenges Monarch HealthCare Post-acute network
More informationPIONEER ACO A REVIEW OF THE GRAND EXPERIMENT
PIONEER ACO A REVIEW OF THE GRAND EXPERIMENT Norris Vivatrat, MD Associate Medical Director Monarch HealthCare 2 Agenda Pioneer ACO basics, performance and challenges Monarch HealthCare Post-acute network
More informationCompensation Alignment: The Journey to One Dartmouth-Hitchcock. Clifford J. Belden, MD Chief Clinical Officer Dartmouth-Hitchcock
Compensation Alignment: The Journey to One Dartmouth-Hitchcock Clifford J. Belden, MD Chief Clinical Officer Dartmouth-Hitchcock 1200 Physicians (50% AMC) 400 bed AMC + 5 group practices Group Practice
More informationReducing Avoidable Readmissions Effectively (RARE) Kathy Cummings, RN, BSN, MA Institute for Clinical Systems Improvement
Reducing Avoidable Readmissions Effectively (RARE) Kathy Cummings, RN, BSN, MA Institute for Clinical Systems Improvement Martha and James Acute Episodes Family Doctor Life Expectancy from chronic diseases
More informationSpecial Needs Plans. A Platform and Strategy for Quality and Control Provider Sponsored
A Platform and Strategy for Quality and Control Provider Sponsored Special Needs Plans Alicia Heazlitt, VP, Signature HealthCARE Will Saunders, CEO, AllyAlign Health Agenda Agenda Items Introductions The
More informationWhy Less Is More: Embracing the Niche Network Model for Joint-Venture ASCs
Why Less Is More: Embracing the Niche Network Model for Joint-Venture ASCs Megan R. Perry Corporate Vice President, Sentara Northern Virginia President, Sentara Northern Virginia Medical Center Jeff Leland
More informationAccountable Care Communities 101. Jennifer M. Flynn, Esq. Senior Director, State Affairs Premier healthcare alliance January 30, 2014
Accountable Care Communities 101 Jennifer M. Flynn, Esq. Senior Director, State Affairs Premier healthcare alliance January 30, 2014 Premier is the largest healthcare alliance in the U.S. Our Mission:
More informationDriving change through health care innovation
Driving change through health care innovation We re transforming health care in the Philadelphia region and the nation. As health care reform swiftly moves forward, one thing is certain: We are facing
More informationClinical Integration Partnering with a competitor for the good of our communities
Clinical Integration Partnering with a competitor for the good of our communities Presented by: Tammy Dye, VP Clinical Services & Chief Quality Officer Suki Wright, Dir. Organizatonal Excellence & Innovation
More informationAnalytic-Driven Quality Keys Success in Risk-Based Contracts. Ross Gustafson, Vice President Allina Performance Resources, Health Catalyst
Analytic-Driven Quality Keys Success in Risk-Based Contracts March 2 nd, 2016 Ross Gustafson, Vice President Allina Performance Resources, Health Catalyst Brian Rice, Vice President Network/ACO Integration,
More informationHome Care s Pivotal Role in Patient Transitions from Acute to Post Acute Care Settings:
Home Care s Pivotal Role in Patient Transitions from Acute to Post Acute Care Settings: Experiences of a Successful CCTP Program And So Much More! Jane Pike-Benton Senior Director, Home Health & Post Acute
More informationUS Hospital Information Systems Overview and Outlook, 2013 2020
Brochure More information from http://www.researchandmarkets.com/reports/3067782/ US Hospital Information Systems Overview and Outlook, 2013 2020 Description: The hospital information systems (HIS) market
More information