HAS 16 Answers Calls for Intensive, Interactive Learning with New Deep Dives

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has16-logoIn response to requests from previous HAS attendees for longer, more in-depth sessions, HAS will add three two-hour “deep dive” sessions to the 2016 lineup. This expanded programming will allow participants to explore complex topics with substantive experts in the field in question—presentations best experienced in an extended two-hour format. This deep dive approach contributes to the HAS mission to become the authority for outcomes improvement and better serve attendees.

The new extended format adds a new type of learning experience to the summit. This allows attendees to learn at different levels, including the 45–50 minute nationally recognized keynote, one-of-a-kind 10-minute analytics walkabouts, and one-hour breakout sessions. And now with three two-hour deep dive sessions, participants can have a more intensive look at select topics with leaders in their respective fields.

The HAS 16 inaugural two-hour deep dives include the following sessions:

  • Partners’ Care Management Strategy: A 10-Year Journey
  • Improving Outcomes in a Value-Based Environment: Holistic Care Management for Complex Medical Conditions
  • Leading Adaptive Change to Create Value

Partners’ Care Management Strategy: A 10-Year Journey

Sreekanth Chaguturu, MD and Eric Michael Weil, MD—both of Massachusetts-based Partners Healthcare, will present an overview of Partners’ care management strategy. In particular, this session will focus on high-risk patient populations, including how to identify these individuals and how to segment them in a care management program.

High-risk patients are those individuals who are the sickest in a population and often have chronic, complex conditions. As a result, they require well-coordinated and often costly care. As healthcare moves toward payment for outcomes (a value-based model), Partners has recognized a need to more effectively manage the chronically ill. In response, they’ve developed the Integrated Care Management Program (iCMP).

During an 80-minute presentation, Drs. Chaguturu and Weil will discuss the goals and strategies of iCMP. Primarily, the program aims to help patients stay healthier longer by providing the specialized care and services they need to prevent complications and avoid hospitalizations. Tactics include matching high-risk patients with a nurse care manager who helps develop a customized healthcare plan as well as monitor the patient and coordinate care around their high-risk needs. In addition to improving health outcomes for patients, iCMP also targets cost reduction by coordinating care and helping patients avoid costly, unnecessary hospitalization.

Active now for a decade, iCMP has enrolled more than 13,000 patients. Thus far, improved outcomes for participants include a drop in hospital readmission of 20 percent and a drop in mortality rates of 4 percent, plus an annual net savings of 7 percent.

In addition to hearing Drs. Chaguturu and Weil’s insights, attendees will participate in discussions among separate tables in the room, giving all present a chance to contribute to the conversation and learn from their peers.

Topics for the table discussions will include:

  1. Describe what patient populations you would place in a care management program.
  2. How do you go about identifying these patients in your organization?
  3. List the components of managing a high-risk care management program (people, process, technology, resources, etc.) in these categories:
    • Must-haves
    • Should-haves
    • Things that would be nice, but we could live without them
  1. How would you manage different patient populations (Medicare, Medicaid, etc.)?
  2. What measures would you want to have in order to monitor and manage your care management program (structure, process, and outcome measures)?

This two-hour session will wrap up with a short video on care management with vignettes on its impact on patient life and a recap of the discussion, including lessons learned and strategies for moving the program forward.

Improving Outcomes in a Value-Based Environment: Holistic Care Management for Complex Medical Conditions

Allina Health’s Kyle Grunder, Director of Provider Operations Courage Kenny Rehabilitation Institute (CKRI), and Jill Henly, Manager, Care Coordination and Social Work CRKI, will give a two-hour presentation about their organization’s focus on outpatient rehabilitation. As part of Allina Health, CKRI aims to maximize quality of life for people of all abilities and help them achieve health and wellness while also providing better stewardship of the system’s resources (in other, words a value-based reimbursement model).

As an organization, Allina has recognized how advanced care management can help people with disabilities, injuries, or complex medical conditions achieve the highest possible degree of health, functioning, and quality of life, while also lowering costs. Their advanced care management approach supports whole-person care coordination with a focus on preventive care to address the complexity of caring for someone with a disability.

Allina created CKRI in 2013 to bring forward their vision of holistic value-based care for people with complex medical conditions. Today CKRI is the fifth largest non-profit rehabilitation program in the country with 45 locations, 1,500 employees, 2000 volunteers, and over 95,000 lives touched each year. To date, the CKRI innovative care model has saved their communities $11.2 million annually while improving patient quality of life.

Objectives of CKRI include:

  • Early identification of patients in need of CKRI services
  • Better coordinated interdisciplinary care for inpatients
  • Consistent use of care coordinators
  • More effective care transitions between the emergency department, inpatient care, rehabilitation, and home
  • Providing support services for patients post discharge (including use of community support services)
  • A focus on the best care for each patient to achieve the highest quality of life rather than decisions based on cost or reimbursement considerations

CKRI has successfully implemented a highly collaborative and multi-disciplinary approach to comprehensive rehabilitation characterized by a holistic view of health. This new data-driven care model features an effective blend of health system and community services in support of patients, focusing not only on patients’ medical needs, but also on their vocational, social, and emotional needs.

In addition to presenting on CKRI, Grunder and Henly will lead table discussions that delve into key topics related to holistic care management for complex medical conditions. Discussions will include:

  1. What challenges have you encountered in your organization caring for stroke patients (an important area of care at CKRI)?
    1. If you are not a care provider or do not have experience in stroke care, what challenges have you witnessed by family members or friends who have experienced a stroke or other serious disability?
  2. What types of patient reported data do you collect and how do you use it?
    1. If you are not currently collecting patient reported data, what are the obstacles you face in implementing this practice?

Grunder and Henly will conclude this session with a discussion of lessons learned and future goals for CKRI.

Leading Adaptive Change to Create Value

Val Ulstad, MD, MPA, MPH, will present the third opportunity in our deep dive lineup, Leading Adaptive Change to Create Value. This session will show participants how to apply the fundamentals of adaptive leadership—which maps the territory of human behavior, describing what people do and how they behave when faced with change—to become more effective and purposeful when driving change.

Adaptive leadership is a conceptual framework that Dr. Ron Heifetz developed to help individuals thrive amidst uncertain changes. It creates a shared language that everyone in an organization can speak and understand. In addition, adaptive leadership involves concepts and practices that can establish systemwide value by creating clarity that empowers others to make progress in their work. This is especially critical to healthcare, as the industry is burdened by complex problems, scarce resources, and fast-paced change. By understanding human behavior and employing genuine engagement and transparent (yet accountable) decision-making processes, you can guide and drive the changes critical to your organization’s success.

Some of the key components of adaptive leadership that Dr. Ulstad will discuss in this session include:

  • Exercise Adaptive Leadership with Influence—Not Just Authority: Adaptive leadership relies on a balance between authority, power, and influence, all working together.
  • What People Won’t Tell You, Their Behavior Will Reveal: A productive amount of tension helps people build their confidence and sense of effectiveness—too much or too little and they’re outside of the productive zone. Adaptive leadership principles include understanding behaviors to help recognize when people are outside this zone, whether they are above or below it.
  • Start by Lowering the Heat to Bring People Back into the Work: The challenge in the exercise of leadership is that the behavior looks the same above the productive zone and below the productive zone. Using the metaphor of heat, keep the heat in the zone (not too hot or too cold) in which people can stay productive.

Dr. Ulstad is an educator in independent practice and a process consultant with over 25 years of academic and private cardiology practice, physician leadership experience, and award-winning teaching skills. Refocusing a life of “heart work” toward the challenge of facilitating human development, she now works within organizations and teams to catalyze transformative change.

Like the other two deep dives, Dr. Ulstad’s session will be also include a presentation and discussion. The layout, however, will be theatre seating instead of tables, but there will still be plenty of interaction among attendees.

Don’t Forget to Sign Up!

For 2016 all HAS attendees must sign up for each breakout sessions they want to attend. This includes traditional one-hour breakouts and the new two-hour deep dive format. Registered attendees will receive an email with sign-up information.

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