Members Only Click here for subscriber access, key word searches or to download articles of interest.
Bookstore A complete selection of health management resources for healthcare executives. Your one-stop shop for the leading publications you need!
Click here to browse categories or conduct key word searches to find the products that best meets your needs! Healthcare Benchmarks Find recent e-survey results on a variety of healthcare topics.HIPAA Desktop Find abstracts of news articles on HIPAA.
Healthcare Education and Training
Click here to view a complete list of our upcoming sessions.
With the nation's leading accountable care organizations already testing the waters with CMS' newest value-based reimbursement opportunity, the Next Generation Accountable Care Organization Model, healthcare organizations are evaluating how this new opportunity aligns with their value-based contracting strategy.
With a looming application deadline for a 2017 start for the next round of Next Generation ACOs, the clock is ticking. And, with one approved Next Generation ACO, River Health ACO, already departing the program effective February 1st, the "Go-No Go" decision has become even more critical.
During Next Generation ACO: An Organizational Readiness Assessment, a 45-minute webinar, now available for replay, Healthcare Strategy Group's Travis Ansel, senior manager of strategic services, and Walter Hankwitz, senior accountable care advisor, will provide a value-based, risk contract roadmap to determine organizational readiness for participation in the Next Generation ACO Model in particular and in risk-based contracts in general.
Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ) has awarded $3 million to 51 specialty medical practices as part of a shared savings arrangement through the company's Episodes of Care (EOC) program. The doctors, in five different specialty areas, earned the payments by achieving quality, cost efficiency and patient satisfaction goals in 2014 while treating more than 8,000 Horizon BCBSNJ members.
During Episodes of Care: Improving Clinical Outcomes and Reducing Total Cost of Care Through a Collaborative Payor-Provider Relationship, a 45-minute webinar, now available for replay, Lili Brillstein, director of the Horizon EOC program, will share the details behind the health plan's EOC program, from the episodes they have bundled to the goals and results from the program.
As part of its transitional care program, Community Care of North Carolina (CCNC) has been conducting home visits for high-risk patients since 2008.
Using a modified version of Eric Coleman's Care Transitions Intervention® model, CCNC's RN care managers conduct the home visits post-discharge among clinically complex Medicaid patients.
During Measuring and Evaluating the Impact of Home Visits for Clinically Complex Patients, a 45-minute webinar, now available for replay, Carlos Jackson, PhD., assistant director of program evaluation for CCNC, will share the details behind the home visits program, from how individuals are identified for the intervention to the impact it has on key performance metrics.
A clinical pharmacist-driven medication management effort at Novant Health identifies patients at high-risk for readmissions or ED visits related to adverse drug events.
Using a combination of medication reconciliation, pharmacotherapy review, and patient education, Novant Health's clinical pharmacists are working to reduce preventable readmissions by optimizing medication regimens and removing barriers to adherence among these high-risk patients.
During Medication Management: Using Clinical Pharmacists To Complete Comprehensive Drug Therapy Management Post Discharge in High-Risk Patients, a 45-minute webinar, now available for replay, Rebecca Bean, director, population health pharmacy, Novant Health, shares her organization's medication management approach and why a clinical pharmacist is key to the program's success.
Collaborative Health Systems (CHS), the largest sponsor of Medicare Shared Savings ACOs in the United States, manages 24 ACOs, nine of which generated savings of nearly $27 million in 2014.
While data analytics and integration is one of the greatest challenges for most accountable care organizations, the capture, analysis and reporting of data is the key to ACO success in improving quality, reducing costs and generating savings.
During Physician Reimbursement in 2016: Workflow Optimization for Chronic Care Management and Advance Care Planning, a 45-minute webinar, now available for replay, Elena Tkachev, director of ACO analytics, Collaborative Health Systems, shares her organization's experience in using data analytics effectively to improve ACO results.
One year after the Centers for Medicare and Medicaid Services began reimbursing physician practices for chronic care management services, Bon Secours Medical Group is now comfortable with the CCM reimbursement requirements and is reporting that it's unique approach to this revenue opportunity is ramping up nicely.
And, the organization's approach to chronic care management reimbursement is helping to position itself for advance care planning as a new billable CMS event in the upcoming year.
During Physician Reimbursement in 2016: Workflow Optimization for Chronic Care Management and Advance Care Planning, a 45-minute webinar, now available for replay, Robert Fortini, PNP, chief clinical officer for Bon Secours Medical Group, provides an inside look at his organization's experience with CMS' chronic care management reimbursement this year and how they are leveraging this experience for CMS' newest billable event in 2016—advance care planning.
The continued consolidation of the healthcare industry, the drive toward a value-based payment system and the shifting of risk and costs to healthcare consumers are just some of the trends that will continue to impact the healthcare industry in 2016.
Combined with an election year that's expected to generate a lot of noise about the industry, there's no shortage of challenges and opportunities for healthcare organizations in the year ahead.
During Trends Shaping the Healthcare Industry in 2016: A Strategic Planning Session, a 60-minute webinar on November 12, 2015, now available for replay, Laura Jacobs, executive vice president, GE Camden Group, and Paul Keckley, Ph.D., Managing Director, Navigant, provide a roadmap to the key issues, challenges and opportunities for healthcare providers and payors in 2016.
As the healthcare industry's understanding of the importance of an empowered, engaged patient has increased, Intermountain Healthcare changed its mission statement to reflect the critical role of patients in a value-based healthcare system. "Helping people live the healthiest lives possible" embodies the new environment of shared accountability between patients and providers that is fostered at Intermountain Healthcare.
During A Patient Engagement Framework: Intermountain Healthcare's Approach for a Value-Based System, a 45-minute webinar, on October 28th, now available for replay, Tammy Richards, corporate director of patient and clinical engagement at Intermountain Healthcare, shares the key tenets of Intermountain's patient engagement strategy.
A multi-layer, patient-centered approach to care coordination of Memorial Hermann's ACO covered lives is designed to cover these members under a population health umbrella spanning the entire continuum of care from wellness services to supportive services for end-of-life care.
As the largest not-for-profit health system in Southeast Texas with 13 hospitals, numerous specialty programs and services, and 5,500 affiliated physicians, Memorial Hermann was one of the top Medicare Shared Savings program in 2014 in terms of quality metrics and cost savings and is expecting similar results for the upcoming reporting year. It has been able to move the dial on healthcare costs and quality by providing actionable member data into the hands of physicians and surrounding these physicians with a care team to support the members.
During Care Coordination in an ACO: Managing the Population Health Continuum from Wellness to End-of-Life, a September 29th webinar, now available for replay, Mary Folladori, RN, MSN, FACM, CMAC, system director of care management at the Memorial Hermann Physician Network and ACO, provided the inside details on its care coordination strategy and results.
Bundled payments, narrow networks, competitors as collaborators are just a few of the trends changing the landscape of the post-acute care market as payors seek to reduce costs and clinical variation while improving the quality of the transition from acute to post-acute care.
During Post-Acute Care Trends: Aligning Clinical Standards and Provider Demands in the Changing Landscape, a 60-minute webinar on September 17th, now available for replay, Julia Portale, vice president of community services, Jewish Senior Services, and Colleen Swedberg, MSN, RN, CNL, director for care coordination and integration, St. Vincent's Health Partners, share their organizations' approaches to the evolving post-acute care market.
Brooks Rehabilitation, one of the early adopters of CMS' post-acute bundled payment program, created its own path to success in the program around four domains, including selecting sites of service, standardization of patient assessment, longitudinal care planning and enhancing the role of the care navigator.
Brooks launched its Model 3 Bundled Payments for Care Improvement (BPCI) initiative in October 2013; its Model 2 in January 2014, finishing its first year with over 1,000 bundled episodes for total hip replacements, total knee replacements and hip fractures.
During Bundled Payments for Post-Acute Care: Four Critical Paths To Success, a 45-minute webinar on July 22nd at 1:30 p.m. Eastern, Debbie Reber, MHS, OTR, vice president of clinical services, Brooks Rehabilitation, shares the inside details on these four domains and the resulting, significant savings that Brook achieved through the BPCI program.
Steward Health Care Network, one of the top-performing Medicare Pioneer ACOs, saw its gross savings from participating in the program grow significantly from 2012 to 2013.
Critical to its growth and success in financial and quality improvement gains, has been its comprehensive care management programs across the care continuum, its quality improvement program and its data integration efforts.
During Medicare Pioneer ACO: Care Management, Quality Improvement and Data Integration Yields Substantial Performance Gains, a 45-minute webinar on June 24th, now available for replay, Kelly Clements, Pioneer Program Director, Steward Health Care Network, shares her organization's Pioneer ACO Program experience over the first three Pioneer performance years and how they are leveraging this experience with other risk-based contracts, including the newly announced CMS Next Generation ACO Model.
Yale New Haven Health System has a three-pronged approach to embedded care coordination for three distinct populations for which it has assumed financial accountability in an evolving value-based healthcare system.
From its self-insured employee covered lives to a patient-centered medical home within its employed physicians and a geriatric home-based care model, YNHHS' embedded care coordinators make face-to-face contact in its employee work sites, at primary care practices and with home-bound seniors, as well as conduct telephonic outreach via centralized locations.
During Embedded Care Coordination for At-Risk Populations: A Case Study from Yale New Haven Health System, a 45-minute webinar on June 18th, now available for replay, Amanda Skinner, executive director, clinical integration and population health, Yale New Haven Health System, and Vivian Argento, executive director, geriatric and palliative care services, Bridgeport Hospital, shares the critical role that these various embedded care coordinators play as the organization takes on more financial risk for its employees and other covered lives.
By leveraging its experience in population health management and chronic condition management, Arcturus Health Care has been able to successfully submit its first claim to CMS for the new Chronic Care Management codes that became effective January 1st of this year.
During Medicare Chronic Care Management Billing: Leveraging Population Health Management for Successful Claim Submission, a 45-minute webinar on May 21st, 2015, now available for replay, Debra Burbary, R.N., clinical quality assurance manager with Arcturus Health Care, shared her organization's approach to billing for chronic care management.
AltaMed Health Services has taken a phased approach to developing a comprehensive care management model to coordinate care for complex patients, including dual eligibles with chronic conditions. The first step in developing the model was studying the utilization patterns and the demographic make-up of the population, according to Shameka Coles, director, medical management, AltaMed Health Services Corporation, a 23-site, multi-speciality physician organization in Southern California that has been designated by the Joint Commission as a Primary Care Medical Home and is the largest federally qualified health center in the United States.
During A Comprehensive Care Management Model: Care Coordination for Complex Patients, a 45-minute webinar on May 6th, 2015 webinar, now available for replay, Ms. Coles shared the key steps in developing this care management model, including details on how it was rolled out across its highest-risk patients and preliminary results achieved from this model.
As part of its CMS' Community-based Care Transitions Program demonstration project, the Council on Aging (COA) of Southwestern Ohio has been conducting home visits for Medicare fee-for-service patients at high-risk of readmission to the nine hospitals participating in the program.
The program has reduced readmissions from a baseline readmission rate of 22 percent to between 9 and 12 percent since its inception in March 2012.
During Home Visits: Five Pillars to Reduce Readmissions and Empower High-Risk Patients, a 45-minute webinar on April 21, 2015 at 1:30 p.m. Eastern, Danielle Amrine, transitional care business manager at the Council on Aging Southwestern Ohio, will share the key features of this home visits program, from how the visit is scheduled, what's assessed during the visit, the touch points that occur after the home visit and how the program has evolved since its launch.
A Care Transitions Task Force at San Francisco General Hospital (SFGH) was charged in 2012 with developing a multi-disciplinarian, cross-continuum approach to improving care transitions...not an easy task for an organization that had previously operated with a siloed approach by each hospital service.
The Task Force created a central clearinghouse of all care transition efforts, hired an analyst to create a dashboard to monitor improvements in care transitions and standardized its care transition efforts across the organization as a whole and has begun reporting impressive results even while serving as the public safety net hospital in San Francisco and as the only trauma hospital in that city.
During Cross-Continuum Care Transitions: A Standardized Approach to Post-Acute Patient Hand-Offs, a February 26th webinar, now available for replay, Dr. Michelle Schneidermann, associate clinical professor of medicine for the division of hospital medicine at University of California San Francisco/SFGH and medical director of the San Francisco Department of Public Health Medical Respite and Sobering Center, shared the key achievements of the Care Transitions Task Force and its impact on readmission rates.
An early adopter of remote patient monitoring, CHRISTUS Health has expanded its remote monitoring program to include support for all chronic diseases for patients transitioning from hospital to home, at-risk for high healthcare utilization and costs.
During Remote Patient Monitoring for Chronic Condition Management, a 45-minute webinar on February 24, 2015, now available for replay, Dr. Luke Webster, chief technology officer, CHRISTUS Health, and Shannon Clifton, director of connected care, CHRISTUS Health, shared the key features of the program, including program design and impact, ROI, and how the program fits into the organization's long-term strategy as a risk-bearing organization.
Physician practices stand to gain additional revenue this year with the new Chronic Care Management (CCM) code. Physician practices will now receive reimbursement for care coordination that many were already doing without reimbursement. Complying with the Medicare requirements is not without challenges and hurdles, including engaging and attributing patients and supervising clinical staff.
During Chronic Care Management Reimbursement Compliance: Overcoming Obstacles and Meeting Requirements, a 45-minute webinar on February 12, 2015, now available for replay, Dr. Paul Rudolf, partner, Arnold & Porter LLP, and Nicole Liffrig, counsel, Arnold & Porter LLP, delve into CMS requirements and discuss approaches and challenges to meeting the CCM requirements.
Humana recently distributed $76.8 million in quality awards to approximately 4,700 physician practices through Humana's Provider Quality Reward programs. The program is designed to support providers where they are in their practices as they move through the continuum of care programs focused on the Triple Aim.
During Physician Quality Rewards for Population Health Management, a 45-minute webinar on December 10th webinar at 1:30 p.m. Eastern, Chip Howard, Humana's vice president of payment innovation in the provider development center of excellence, shared how Humana's program supports physicians' transition from volume to value and helps them become successful population health managers.