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.
The 68th Annual Roy A. Bowers Pharmaceutical Conference Harnessing Innovation and Value in Population Health Management: Predictive Modeling and Patient Stratification to Target High-Risk Populations and Improve Quality will take place on Thursday, November 8, 2018 in Piscataway, NJ. Summit Medical Group MD Anderson Cancer Center's very own Dr. Margaret B. Row, MD, MBA, Interim Chief of Oncology, will be participating on a Panel Discussion focused on Oncology Medical Homes and Oncology Strategy Challenges & Successes. This conference is designed for Pharmacists, other Health Care Professionals and other Stakeholders and is organized by Rutgers Ernest Mario School of Pharmacy.
At a round table discussion hosted by the Arizona State University Health Futures Council on Transformational Trends in Healthcare and Entrepreneurial Responses, Dr. Jeffrey Le Benger will address Summit Medical Group’s participation in the Transformational Trend of Physician Practice Management and speak about the consolidation and acquisition of Physician Practices in a discussion titled "Transformational Healthcare Trends- Impact on Patients, Providers and Payers".
This is a national event with experts and participants from a variety of industries, and perspectives from all over the country and will be held at the Tempe Campus of Arizona State University.
PRESENTER: Jamie L. Reedy, MD, MPH, Chief of Population Health
At theIt’s Negotiable: Contracts Beyond Medicare. Her talk focused on Commercial Value-Based Contract Success. She spoke about SMG-NJ's experience and outcomes in commercial risk contracts and the key contract elements that should be considered when negotiating such arrangements with insurers. Dr. Reedy has also been selected to serve on the NAACOS Board of Directors as a Private Payer ACO Representative, effective January 1, 2019.
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, MD, SVP of Medical Affairs and Quality
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