PRESENTERS: Dr. Ashish D. Parikh, SVP of Medical Affairs and Quality and Deborah A. Molina, MBA, MPA, Six Sigma Black Belt, Director of Quality Improvement
The 2018 IHI National Forum on Quality Improvement in Health Care hosted by The Institute for Healthcare Improvement (IHI) which will take place December 9-12, 2018 in Orlando, FL, has chosen Dr. Ashish D. Parikh and Deborah A. Molina to deliver their presentation titled, "Converting Clinicians to Value Based Care Believers". This is well-deserved recognition of their outstanding quality improvement efforts that are foundational to our ability to engage providers in value.
The agenda consists of half-day Learning Labs, full-day Quick Courses and the two-day General Conference, including four keynote presentations. Dr. Parikh and Ms. Molina's presentation will be a valuable contribution to health care quality improvement and Summit Health Management is excited for them to showcase their work at the National Forum.
The 2018 Institute for Quality Leadership Medicare Advantage and Risk: Delivering on the Promise of Value, hosted by AMGA, which will take place November 13-15, 2018 in San Antonio, TX, our own Dr. Jamie Reedy and Laura Balsamini, PharmD to deliver their presentation titled, "Meaningful Collaboration between Pharmacists and Physicians to Improve Quality and Meet Patient Needs".
As payment models move towards risk-based payments, medical group practices are looking for new ways to create impactful changes that engage and empower the entire care team. This session will share one medical group’s learnings from successful collaborations between physicians and pharmacists that improve patient care and decrease practice workload.
One of the most valuable underutilized resources in medical groups participating in risk-based payment models is inclusion of Clinical Pharmacists on the patient care team. This presentation will share with the audience how we established a clinical pharmacy team at SMG-NJ, defined the roles and responsibilities of Clinical Pharmacists involved in population health management and direct patient care, and share their value proposition in managing pharmacy-related quality metrics, addressing rising pharmacy costs and improving patient medication related safety.
PRESENTER: Jeffrey Le Benger, MD, Chief Executive Officer
Physician engagement is a critical success factor in navigating delivery system transformation. The patient-physician connection is the most important relationship in health care, and optimizing that relationship will reduce health care costs and improve overall quality of care.
The changing nature of competition, the quest to improve the patient experience, and the on-going journey to optimize conventional and new, innovative patient channels are just a few reasons why physician engagement is important. By actively engaging physicians, hospitals, or health systems can build mutualistic relationships, as physician alignment increases your market share and drives revenues.
The following key issues will be discussed:
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PRESENTER: Jamie L. Reedy, MD, MPH, Chief of Population Health
At the 2018 Clinical Navigation Summit hosted by Navigant in Chicago, IL, Dr. Reedy discussed what is needed to be successful as an organization providing medical services; in addition to the key elements of value-based agreements. Dr. Reedy outlined the necessities for success as: a physician-led approach, person-centered care focused on outcomes, retention of care within your network, comprehensive integrated clinical model with providers across the continuum, understanding of value-based contract elements and terms, accurate and timely data, risk stratification and optimal use of care team resources, accurate disease burden capture and aligned incentives – across providers, staff, medical group, payers, and patients.
Dr. Reedy also denoted the key elements of value-based agreements as: understanding of baseline performance, clearly defined attribution methodology, clearly defined geography and service areas, stop loss limits for high-cost patients, understanding of which services will be included and excluded from performance calculations, appropriate comparisons and benchmarks and the importance of percentage split of gainshare.
At the “G-Force” Sharing Sessions at GPIN in Austin, TX, Dr. LeBenger and Dr. Korman delivered a presentation on strategies to help primary care physicians (PCPs) address stress and burnout by allowing them to unplug when on vacation.
Because PCPs get so many tasks, labs that need to be reviewed, and orders to be sign off on, they often cannot go on vacation without logging on to the Electronic Medical Records (EMRs) and doing work. If they choose not to do work on vacation, they will come home to hundreds of tasks making coming back to work awful. Also, the staff left behind must pick up a percentage of the vacationing physicians work on top of their own regular daily work.
As a result, Summit Medical Group (SMG) has hired Advanced Practice Clinicians (APCs) to manage the EMR inbox of physicians when they go on vacation, including labs that need to be reviewed, patients that need to be contacted, etc.
It has been very well received by the PCPs thus far with them commenting that they can truly go on vacation for the first time in a long time and can return to work to a soft landing.
Their presentation at GPIN helped share the strategy with other medical groups and gain awareness and support.
PRESENTER: Jamie Reedy, MD, MPH; Chief of Population Health
As payment models move towards risk-based payment, physicians and medical group practices are looking for new ways to create impactful changes that engage and empower the entire care team. Many physicians are interested in working with pharmacists to improve the health of their patients and decrease the workload in their practices but may not fully realize the capabilities of pharmacists or how to employ or contract with them in their practices. This interactive session, co-sponsored by AMGA, will bring together physicians and medical group practice decision makers from different practice settings to discuss their learnings from successful collaborations between physicians and pharmacists.
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For more information, visit http://www.amga.org/
PRESENTER: Ashish D. Parikh, M.D., Summit Medical Group
This presentation reviewed Summit Medical Group’s experience participating in Medicare’s Next Generation ACO and Horizon’s Population Health Program. Dr. Parikh discussed how Summit Medical Group has been successful in value-based contracts and alternative payment models through the development of a comprehensive population health management strategy, partnerships with payers, and provider engagement.
For more information, visit http://hfmanj.org/meetinginfo.php?id=217&ts=1517840311
PARTICIPANT: Summit Medical Group New Jersey
Summit Medical Group (SMG) in New Jersey contributed a case study to AMGA’s Best Practices in Managing Patients with Heart Failure Compendium, designed to bring together high performing health systems and medical groups to improve care, deliver better value, increase efficiency, and improve the health of patients with congestive heart failure (CHF). SMG was one of 15 high performing best practice organizations to participate in a yearlong collaborative to decrease hospital readmission rates and increase angiotensin–converting enzyme/angiostensin receptor blocker (ACE/ARB), Beta Blocker and angiotensin receptor neprilysin inhibitor (ARNI) utilization in patients with HF. AMGA worked together with the participating organizations to develop the Compendium, which includes case studies from each of the medical groups, academic practices, and integrated delivery systems involved in the Collaborative.
For more information, visit http://www.AMGA.org
PRESENTERS: Ashish Parikh, MD, VP of Quality, and Medical Director, Summit Health Management; Rishita Bhatt, Manager of ACO Operations, Summit Health Management
SMG leaders presented key insights during this valuable webinar focusing on the organization’s experience in the Next Generation ACO model. Both successes and challenges were discussed related to the implementation of the beneficiary enhancement, 3-Day SNF Waiver, and overall care improvements. Attendees included VP and director-level participants from the ACO space, along with corporate CEOs and a handful of CAPG consultants. The presentation was sponsored by the CAPG–The Voice of Accountable Physician Groups, the nation’s largest professional association representing physician groups practicing in the managed care model.
PRESENTER: Ashish Parikh, MD, VP of Quality, and Medical Director, Summit Health Management
This panel discussion provided a senior executive and trustee level perspective on the goals of population health management and how to improve the health outcomes of a group by monitoring and identifying individual patients within the group. Dr. Parikh joined moderator Joe Kuehn, a partner with KPMG, along with other industry experts in a lively format.
PANELIST: Jamie Reedy, MD, MPH, Summit Health Management
Designed to build on past NAACOS presentations on commercial contracting, this panel focused on moving beyond pay for quality and into downside risk or capitation. Representatives from provider organizations across the country shared what they look for in a health plan partner, key elements within benefit design, contract elements that should be front and center, how they achieved success, and lessons they have learned. More than 600 participants attended this discussion in Washington D.C., representing all facets of the ACO space.