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Case Management: Identifying, Monitoring and Managing Target Populations, a 60-minute webinar on September 16, 2010. Targeting case management at conditions and populations that will have the greatest impact on closing gaps in care, while avoiding unnecessary and avoidable resource utilization is the critical element of a successful case management program.
In addition to its clinical case managers, CareOregon has been building its case management program capacity over the last five years to include non-clinical staff members to fill the role of health guides for its Medicare and Medicaid members. Members in need of case management are stratified into this multi-disciplinary team through an overlapping identification methodology.
During this 60-minute webinar, Rebecca Ramsay, BSN, MPH, senior manager of care support and clinical programs at CareOregon, will share the strategies that CareOregon is using to segment patients into different buckets based on patient complexity to ensure that case management resources are allocated effectively.
Coordinating a Virtual Medical Home in Your Community: Lessons from the Iowa Collaborative Safety Net Provider Network, a 45-minute webinar on September 23, 2010, part of the Medical Home Open House series. After identifying a need in the state of Iowa for access to affordable prescription drugs and access to specialists for underserved populations, as well as medical home development for the safety net providers in the state, the Iowa/Nebraska Primary Care Association was awarded state funding to create and manage a provider network to bring together all of the community resources needed to make a medical home possible.
During this 45-minute webinar, Sarah Dixon Gale, lead contract manager, Iowa/Nebraska Primary Care Association and Michelle Stephan, chief executive officer, Siouxland Community Health Center, will share how the primary care providers in this community work with other local, community-based organizations, to improve access to and the quality of care.
The Colorado Accountable Care Collaborative: Practical Lessons from an ACO, a 45-minute webinar on September 29, 2010, part of the Medical Home Open House series. With a January 2011 go-live date for an accountable care organization pilot, the Colorado Department of Health Care Policy and Financing is entering into the final stages of an RFP process to identify regional organizations that will function as ACOs, the medical homes that will serve as providers within the ACO and a state-wide data and analytics vendor that will provide real-time data to the providers within the ACO.
During this 45-minute webinar, Laurel Karabatsos, deputy Medicaid director and Jerry Smallwood, Medicaid reform unit manager, at the Colorado Department of Health Care Policy and Financing, will walk us through the ACO development process in Colorado from the practical challenges to the processes for addressing these challenges.
Reducing Avoidable Emergency Room Visits: Approaches to Redirect Patients to Cost-Effective Care Settings, a 45-minute archive version webinar on September 1, 2010. Many emergency room visits are for conditions and diagnoses that could potentially be treated in more cost-effective settings. With an eye on cost containment and patient satisfaction, many healthcare organizations are seeking to identify, by both diagnosis and patient population, these potentially avoidable emergency room visits.
During this 45-minute archive version webinar Dr. Karen Amstutz, vice president and medical director of Medicaid and Senior Markets, WellPoint, and Dr. Barsam Kasravi, managing medical director for state sponsored program, WellPoint, will share the details on WellPoint's initiatives to reduce avoidable emergency room visits.
Best Practices in Case Management Patient Contact, Monitoring and Follow-up, a 45-minute archive version webinar on August 25, 2010. With the increasing use of case management to manage chronic conditions and the investment needed to implement and fund case management programs, healthcare organizations need a carefully managed strategy to ensure the return on investment in such a program.
During this 45-minute archive version webinar, Jan Van der Mei RN, MS, ACM, continuum case management director at Sutter Health Sacramento Sierra Region, will share Sutter Health's best practices in patient contact, monitoring and follow-up for its case management initiatives.
The Emerging Role of Nurse Practitioners in Expanding Access, Enhancing Revenue, a 45-minute archive version webinar on July 28, 2010. With 32 million people becoming eligible for health coverage in the coming years and an already strained primary care system with a shortage of primary care physicians, physician practices, clinics, hospitals and other providers of care will continue to look to enhance the use of nurse practitioners in the delivery of primary care services.
Studies have shown that nurse practitioners can add substantially to physician productivity and proper utilization of nurse practitioners will ultimately result in better quality and more coordinated care.
During this 45-minute archive version webinar, Linda Lindeke, Ph.D., RN, and CNP, associate professor for the School of Nursing and Department of Pediatrics and director of Graduate Studies for the School of Nursing at the University of Minnesota, will examine how nurse practitioners are being utilized in the physician practice, hospital and clinic settings to increase access to care and coordinate care for patients with chronic conditions.
Minimum Medical Loss Ratios: How Health Plans Should Prepare for the January Compliance Requirements, a 60-minute archive version webinar on July 21, 2010. Beginning in January, health insurers must spend at least 85% of premiums on medical costs in group coverage plans, and at least 80% in individual plans...known as the medical loss ratio. While waiting for final CMS determination on what will constitute medical costs versus administrative costs, the industry has begun preparing for these MLR regulations.
During this 60-minute archive version webinar, John Steele and Steve Young, both managing directors, HealthScape Advisors, will provide an in-depth analysis of what health plans must do now to comply with the January deadline for minimum medical loss ratios and how this might impact health plans operationally and financially.
Improving Physician Performance and Value-Based Reimbursement Levels Through Meaningful Data Sharing, a 45-minute archive version webinar on June 23, 2010. From pay-for-performance programs to shared savings models, a growing number of organizations are testing the ability to pay for quality and not quantity of healthcare services. The collection and sharing of physician performance data is critical to supporting these initiatives.
During this 45-minute archive version webinar, Paul Kaye, MD, medical director at Taconic IPA and Susan Stuard, executive director, THINC, will describe how the sharing of data across its organization is improving physician performance and value-based reimbursement levels.
Reducing Unnecessary Emergency Room Visits: Strategies To Discourage Inappropriate Use and Reduce Preventable Visits, a 45-minute archive version webinar on June 9, 2010. The robust emergency department management program at Kaiser Foundation Health Plan of Colorado is a three-arm initiative that identifies and targets not only the individuals who have used the ED inappropriately and but also the high-utilizers. It also aims to ensure that patients go to the right place for the right kind of treatment for the condition they have.
During this 45-minute archive version webinar, Sara Gray, senior manager of emergency services at Kaiser Foundation Health Plan of Colorado, will share the strategies that Kaiser is using to reduce inappropriate and avoidable ED use through this three-pronged approach.
Home Visits in the Patient-Centered Medical Home, a 45-minute archive version webinar on May 20, 2010, part of our Medical Home Open House Series. While costly to conduct, home visits to patients with complex care needs can provide huge returns by identifying patient compliance barriers that are only apparent when seeing a patient in their home. Many patient-centered medical home initiatives are using home visits as part of a care transition program to reduce avoidable hospital readmissions and emergency room utilization.
During this 45-minute archive version webinar, Dr. Larry Greenblatt, medical director, Duke University Medical Center and Jessica Simo, program manager, Durham Community Health Network for the Duke Division of Community Health will examine the features of a successful home visit initiative, from the types of patients to include to the actual visit itself and the outcomes that it can achieve.
Physician Practices in the Medical Home: Recruiting, Evaluating, Supporting and Measuring the Patient-Centered Team, a 45-minute archive version webinar on May 19, 2010, part of our Medical Home Open House Series. As more private and public payors test the patient-centered medical home model of care, there is a growing need to
identify and select physician practices to participate in the delivery of this type of care.
During this 45-minute archive version webinar, Dr. Marjie Harbrecht, medical and executive director, Colorado Clinical Guidelines Collaborative will examine how practices are recruited, selected and supported in medical home programs.
Patient-Centered Medical Home Transformation: 9 Key Hurdles for Physician Practices To Overcome, a 45-minute archive version webinar on May 12, 2010, part of our Medical Home Open House Series.
During this 45-minute archive version webinar, Michael Earley, CEO, and Dr. Jose Guethon, MBA, President and COO, MetCare of Florida will describe how the MetCare practices have made the transformation to patient-centered medical homes, with an eye on maintaining the profitability of their practices. They will provide an overview of the nine key hurdles and practical, work-a day examples of how these hurdles have been overcome by MetCare physicians as they've moved from a doctor-centric model to a patient-centric model of care.
A Coordinated Discharge Planning Approach to Reduce Avoidable Hospital Readmissions, a 45-minute archive version webinar on April 28, 2010. From a patient's or caregiver's clear understanding of hospital discharge instructions to a phone call a few days post discharge, the hospital discharge is ripe with opportunity to ensure timely follow-up to care and patient compliance, which in turn can reduce avoidable hospital readmissions related to a patient's failure to comply with the hospital discharge plan.
During this 45-minute archive version webinar, Susan Shepard, director of patient safety education, The Doctors Management Company, will break down the hospital discharge process from the time the person is admitted to the hospital to after they are discharged and identify the key areas that can have an impact on avoidable hospital readmissions.
Shared Savings in the Medical Home, a 45-minute archive version webinar on March 31, 2010, part of our Medical Home Open House Series. A shared savings approach for reimbursement can be an effective recruiting tool for high-quality providers to participate in medical home programs.
During this 45-minute archive version webinar, David West, MD, Hospitalist, Grand Junction, Colorado, will examine how to structure a shared savings agreement. Grand Junction, with its high-quality and lower healthcare costs, has been cited by many as an example of how health reform should be structured. A key component of its system is a shared vision and shared incentives.
Achieving Medication and Care Plan Adherence Through an Integrated Care Team, a 45-minute archive version webinar on March 17, 2010. As patients take on greater financial and self-care responsibility in the healthcare system, all members of the care team, including providers (doctors, nurses, nurse practitioners, pharmacists) and payers, need to work together to provide the support patients need to assume this responsibility.
During this 45-minute archive version webinar, Dr. Jan Berger, chief medical officer, Silverlink Communications, Inc., will share practical examples on how the care team can work together to support patients in adhering to care plans, including a model of care that includes the pharmacist on the care team and another that incorporates technology.
Embedded Case Managers: Navigating Care Transitions, Gaps in Care and Patient Compliance, a 45-minute archive version webinar on March 10, 2010, part of our Medical Home Open House Series. Whether embedded in a primary care practice, hospital or nursing facility, embedded case managers are helping patients to navigate the healthcare system in terms of care transitions and compliance to care plans.
During this 45-minute archive version webinar, Diane Littlewood, RN, Regional Manager of Case Management for Health Services, Geisinger Health Plan, will examine an embedded case manager program, from the factors that will help you determine if a program is right for your organization and deciding on the placement to defining roles and responsibilities for a program.