Readmissions Summit
Readmissions Summit
Readmissions Summit
Readmissions Summit
Readmissions Summit
Readmissions Summit



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Go to Agenda:
Preconference | Day 2


Agenda: Day I
Thursday, December 5, 2013


7:00 a.m. Registration Opens

Welcome Coffee in the Exhibit Hall


DAY I MORNING - THE CURRENT LANDSCAPE
8:00 a.m.

Welcome and Introductions

Deborah Morris Nadzam, PhD, RN, BB, FAAN
Senior Consultant and Project Director, CMS Partnership for Patients, Joint Commission Resources, Oak Brook, IL (Chair)
8:15 a.m.

Readmissions -- The U.S. Landscape

Claudia A. Steiner, MD, MPH
Research Medical Director, Center for Delivery, Organization, and Markets (CDOM), Agency for Healthcare Research and Quality, Rockville, MD
Presentation Material (Acrobat)
8:45 a.m.

Update on CMS Partnership for Patients Initiative

Deborah Morris Nadzam, PhD, RN, BB, FAAN
Senior Consultant and Project Director, CMS Partnership for Patients, Joint Commission Resources, Oak Brook, IL
Presentation Material (Acrobat)
9:30 a.m.

The Drivers of Readmissions and Implications for Performance Measurement

Karen Joynt, MD
Instructor, Harvard School of Public Health, Department of Health Policy and Management, Boston, MA
Presentation Material (Acrobat)
10:00 a.m. Networking Break in the Exhibit Hall
10:30 a.m.

Health Plan Interests and Innovations in Reducing Readmissions

Jeff Lemieux, PhD
Senior Vice President, AHIP Center for Research, America's Health Insurance Plans, Washington, DC
Presentation Material (Acrobat)
11:00 a.m.

Partnering with the Senior Services Community to Reduce Readmissions

Cheryl Philips, MD
Senior Vice President for Advocacy and Public Policy, LeadingAge, Washington, DC
Presentation Material (Acrobat)
11:30 a.m.

Integrating Care for Populations and Communities -- The National QIO Innovations Initiative

Traci Archibald, OTR/L, MBA
Quality Improvement Group, Center for Clinical Standards and Quality, Centers for Medicare and Medicaid Services, Baltimore, MD
Presentation Material (Acrobat)
12:00 p.m. Networking Luncheon

DAY I AFTERNOON - MODELS THAT WORK
MINI SUMMIT I - Proven Hospital Strategies and Tools
1:15 p.m. Welcome and Introduction

L. Gordon Moore, MD
Chief Medical Officer, Treo Solutions, Troy, NY (Mini Summit Chair)
1:45 p.m. Readmissions, Palliative Care, and a Frailty Index

Stephen Evans, MD
Physician Group Leader, IPC of New York Medical Services, PC; President and Chief Executive Officer, Videx-US, LL, Buffalo, NY

Margaret Sayers, MS, GNP
Chief Operating Officer, Videx-US, LLC, Clarence, NY
Presentation Material (Acrobat)
2:15 p.m. The Medication REACH Program

Deborah Hauser, RPh, MHA
Network Pharmacy Director, Einstein Medical Center, Philadelphia, PA

Mariel Sjeime, PharmD
Transitions of Care Pharmacist, Einstein Medical Center, Philadelphia, PA
Presentation Material (Acrobat)
2:45 p.m. "Good to Go"

Paula Burks, RN, BSN
Director of CCU/Step Down, Cullman Regional Medical Center, Cullman, AL
Presentation Material (Acrobat)
3:15 p.m. Networking Break in the Exhibit Hall
3:45 p.m. Use of Social Workers Post Discharge

Laura Bronstein, PhD, LCSWR, ACSW
Interim Dean, College of Community and Public Affairs and Director, Institute for Intergenerational Studies, Binghamton University, State University of New York, Binghamton, NY

Shawn A. Berkowitz, MD, CMD
CAQ-Geriatrics, AAFP, AGS, Director of UHS Geriatrics; Co-Director Geriatric Education Theme/SUNY Upstate Medical, Assistant Professor of Geriatrics and Family Medicine, Associate Program Director of Geriatric Fellowship, Associate Medical Director, UHS Senior Living at Ideal, Binghamton University, State University of New York, Binghamton, NY
Presentation Material (Acrobat)
4:15 p.m. Avoiding Readmissions through Collaboration (ARC)

Bruce Spurlock, MD
President and Chief Executive Officer, Cynosure Health Solutions, Roseville, CA
Presentation Material (Acrobat)
4:45 p.m. Work Smarter to Prevent Readmissions -- Point of Care is Key

Barbara S. Harvath
Senior Director, Performance Technologies, The Advisory Board Company, Washington, DC

Joyce M. Schwarz, RN, MPA, CNAA
Vice President, Quality, Robert Wood Johnson University Hospital Hamilton, Hamilton, NJ
Presentation Material (Acrobat)
5:15 p.m. Faculty Panel and Audience Q&A

L. Gordon Moore, MD
Chief Medical Officer, Treo Solutions, Troy, NY (Moderator)
5:45 p.m. Networking Reception

MINI SUMMIT II - New Community Partners and Partnerships to Reduce Readmissions
1:15 p.m. Welcome and Introductions

Neil Smiley
Chief Executive Officer, Loopback Analytics, Dallas, TX (Mini Summit Chair)
Presentation Material (Acrobat)
1:45 p.m. Housing Services -- the Vermont SASH Model

Nancy Rockett Eldridge
Executive Director, Cathedral Square Corporation, South Burlington, VT
Presentation Material (Acrobat)
2:15 p.m. Point-of-Care Information in the Transition

Eric Heil
Co-founder, President, and Chief Executive Officer, RightCare Solutions, Horsham, PA
2:45 p.m. Home Health Agencies

Misty Kevech, RN, BS Ed, MS, COS-C
Project Coordinator, Home Health Quality Improvement, Pittsburg, PA
Presentation Material (Acrobat)
Handout Material (Acrobat)
3:15 p.m. Networking Break in the Exhibit Hall
3:45 p.m. The Retail Pharmacy as a Readmissions Partner

Ian Duncan, FSA, FIA, FCIA, MAAA
Vice President, Clinical Research and Reporting, The Walgreen Company, Chicago IL
Presentation Material (Acrobat)
4:15 p.m. Best Practices for Care Transitions from Urgent Care and Emergency Departments to Other Settings

Rebekah Gardner, MD
Senior Medical Scientist, Healthcentric Advisors; Assistant Professor of Medicine, Brown University Providence, RI
Presentation Material (Acrobat)
4:45 p.m. AAA-Funded Senior Services Programs in the CCTP

Judy Willig, LCSW
Executive Director, Heights and Hills, Supporting Brooklyn's Older Adults, Brooklyn, NY
Presentation Material (Acrobat)
5:15 p.m. Faculty Panel and Audience Q&A

Neil Smiley
Chief Executive Officer, Loopback Analytics, Dallas, TX (Moderator)
5:45 p.m. Networking Reception

MINI SUMMIT III - Predictive Modeling, Advanced Analytics, and Metrics Issues in Readmissions
Joint Session with the Predictive Modeling Summit
1:15 p.m. Welcome and Introductions

Michael Hollenbeck
Vice President of Healthcare Solutions, Predixion Software, San Juan Capistrano, CA (Mini Summit Chair)
1:30 p.m. Using Predictive Modeling to Reduce Readmissions

Curt Sellke
Vice President Analytics, Indiana Health Information Exchange, Indianapolis, IN
Presentation Material (Acrobat)
2:15 p.m. Early Warning Tools and Psychosocial Assessment to Reduce Readmission Rates: A Case Study Part I

Clifford T. Fullerton, MD, MSC
Vice President of the Chronic Disease Institute, Baylor Healthcare System, and Chief Medical Officer, Baylor BQA (ACO), Garland, TX

J. Sairamesh, MPhil, PhD
Chief Executive Officer, 360Fresh, Inc.; Managing Director, The Advisory Board, San Francisco, CA
Presentation Material (Acrobat)
2:45 p.m. Early Warning Tools and Psychosocial Assessment to Reduce Readmission Rates: A Case Study Part II

Mae Centeno, DNP, RN, CCRN, CCNS, ACNS-BC
Senior Director,Chronic Disease Institute, Baylor Healthcare System, Dallas, TX

Randall Williams, MD
Chief Executive Officer, Pharos Innovations, Northfield, IL
Presentation Material (Acrobat)
3:15 p.m. Networking Break in the Exhibit Hall
3:45 p.m. Big Data, Advanced Analytics, and Readmissions

Paul Hake, MSPA
Program Director, Patient Care and Insights, IBM Software Solutions Group, Southbury, CT
Presentation Material (Acrobat)
4:15 p.m. Comparing Different Predictive Models

Dean Boyer
Chief Technology Officer, HRAA, Plantation, FL
Presentation Material (Acrobat)
4:45 p.m. Dynamic Adaptive Action Modeling for Care Management Interventions with Complex Pediatric Patients

Herbert Fillmore
Vice President, Strategic Innovations, Treo Solutions, Troy, NY
Presentation Material (Acrobat)
5:15 p.m. Faculty Panel and Audience Q&A

Michael Hollenbeck
Vice President of Healthcare Solutions, Predixion Software, San Juan Capistrano, CA (Moderator)
5:45 p.m. Networking Reception


Go to Agenda:
Preconference | Day 2




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