7:00 - 7:45 a.m.
7:30 - 8:30 a.m.
8:30 - 8:45 a.m.
Staten Island Borough President
8:45 - 9:15 a.m.
NY State Medicaid Director, Deputy Commissioner of NYS Department of Health
9:30 - 10:45 a.m.
The Power of One, the Power of Many: Applying Social Movement Thinking to Health Care Improvement
Presenter: Dr. Helen Bevan, Horizons Group, NHS England
Dr. Martin Luther King talked about "the fierce urgency of now, “the need to mobilize many people to take action immediately. There has never been a time of greater need for forward momentum and energy in our healthcare improvement efforts. In this highly interactive workshop, we will learn from the leaders of the great social movements who have been able to mobilize thousands of people around a common cause and ignite change at scale. We will pull out the principles of this form of leadership of change and consider the practical implications for our current healthcare improvement efforts.
Dr. Helen Bevan, Horizons Group, NHS England
Why Now? Accelerating Learning and Spread in Health Care Today
Presenter(s): Lisa Shilling, Kaiser Permanente
Health care as an industry is going through dramatic changes and is under intense pressure to adapt to a model that focuses on value over activity. What will it take for us to succeed? How might we learn from other industries and find ways to collaborate and solve intractable issues?
This breakout will share learnings from other industries where rapid transformation is required to succeed, including an example of how this is being adapted in health care today. Participants will be able to discuss needs and potential ways that the approach can be applied locally.
Lisa Shilling, Kaiser Permanente
Personal Mastery for Transformational Leadership
Presenter: Dr. Neil Baker, Neil Baker Consulting and Coaching
Transformational change depends on how fast and far people shift roles and ways of thinking and relating. Emotional tension and resistance are human and ubiquitous constraints. Within such stress and complexity, leaders are faced with the difficult tasks of simultaneously managing their own reactions, standing firm on decisions, and engaging others with individual consideration. Through case examples, methods will be presented to enhance "personal mastery”-- learning the way to desired results and creative relationships.
Dr. Neil Baker, Neil Baker Consulting and Coaching
Advancing BH Integration in Primary Care: Using Self-Assessment and Technology to Support Sustainability
Presenters: Henry Chung, MD and Michelle Blackmore, PhD, Montefiore
Integrated care is effective in coordinating behavioral and medical conditions. Despite its promise, practices with varying organizational readiness may encounter challenges in restructuring care delivery. Using a continuum-based framework as a practice self-assessment and roadmap for key integration domains, with technology support (interactive voice response, smartphone applications), may further sustainability of new care models by maximizing patient engagement. Montefiore Health System will share results from the framework and technology pilots that support sustainability and quality outcomes. Through case studies and interactive discussion, they will present strategies to use the framework and support clinical workflow while maximizing patient engagement with technology.
Henry Chung, MD
Michelle Blackmore, PhD, Montefiore
Quality & Equity: Two Sides of the Same Coin
Driving Healthcare Equity by Leveraging Assets
Presenter(s): Dr. Kimberly Wisdom, Henry Ford Health System
Quality and equity are two sides of the same coin. They are inextricably linked. However, how does an organization ensure favorable, high quality outcomes when caring for patients/employees/a community with such complex medical and social needs? For several decades Henry Ford Health System has been on a journey to address health disparities and achieve health and healthcare equity. Lessons learned will be shared and discussed to help accelerate the learnings for organizations who are just beginning the journey and enrich the journey for seasoned organizations looking to identify innovative ideas to implement.
Dr. Kimberly Wisdom, Henry Ford Health System
MAX Plus!: Community Collaboration to Reduce High Utilization
Presenters: Janet L. King, MBA, BSIE, Director of System Transformation, Finger Lakes Performing Provider System, Pallavi Kamjula, MD, Medical Director of Care Coordination, Arnot Health, Mary Vosburgh, MSN, MSM, RN, NEA-BC, Vice President of Nursing, Arnot Health- St. Joseph’s Hospital, Marilyn Cristofaro, RN, BSN, Community Mental Health Program Coordinator, Family Services of Chemung County, Inc., Annheleen A. Smith, AA, AAS, BS, MSW, System Director of Continuum of Care, Arnot Health, Catherine E. Basu, LCSW, MSW, Clinical Director, Casa-Trinity of Chemung and Bradford County
In this session, a panel of multiple MAX participants will discuss innovative ways to utilize the MAX process to drive reduction in high utilization across a community. As part of the Finger Lakes PPS, Arnot Ogden Medical Center in Elmira conducted a High Utilizer MAX project in partnership with Catholic Charities and Family Services of Chemung County. The process effectively reduced high utilization at the medical center and is sustained through bi-weekly hospital/CBO collaborative meetings. A second MAX project has begun with St. Joseph’s Hospital, also part of Arnot Health, with a focus on behavioral health. This MAX project will include greater CBO involvement in parallel with the structured workshops. Once complete, the two MAX teams will come together to ensure there is an optimal process for high utilization across the system and in the community.
Janet L. King, MBA, BSIE, Director of System Transformation, Finger Lakes Performing Provider System
Pallavi Kamjula, MD, Medical Director of Care Coordination, Arnot Health
Mary Vosburgh, MSN, MSM, RN, NEA-BC, Vice President of Nursing, Arnot Health- St. Joseph’s Hospital
Marilyn Cristofaro, RN, BSN, Community Mental Health Program Coordinator, Family Services of Chemung County, Inc., Annheleen A. Smith, AA, AAS, BS, MSW, System Director of Continuum of Care, Arnot Health
Catherine E. Basu, LCSW, MSW, Clinical Director, Casa-Trinity of Chemung and Bradford County
Creating Integrated Delivery Systems with Health System and Tier 1 Community Based Organizations
Presenters: Nancy Copperman and Randi Dresner, Northwell/Nassau Queens/ Suffolk CC
Social determinants of health (SDH) have been reported to be drivers of over 50% of health outcomes. These SDH reach beyond the boundaries of traditional health care to include sectors such as food insecurity, housing and built environments, and it is the interrelationships among them that determine individual and population health. Partnerships between Tier 1 community based organizations (CBOs) and health systems leverage both parties’ resources to improve health outcomes. This session will provide a roadmap to identify population-specific SDH needs, engage Tier 1 CBOs and develop outcome driven, sustainable initiatives necessary to create an integrated delivery system.
Nancy Copperman, MS, RD, CDN, Vice President, Community Health, Northwell Health, Nassau Queens PPS and Suffolk Care Collaborative
Randi Dresner, President and CEO, Island Harvest
Joanne Robinson, RN, MSPH, Managing Director, Interfaith Nutrition Network
Christina Butcher, BS, Healthy Living Director, YMCA of Long Island
11:00 a.m. - 12:15 p.m.
Understanding Experience and Co-Designing Solutions
Presenter: Dr. Lynne Maher, Ko Awatea, New Zealand
Co-design reflects a fundamental change in the traditional health professional-patient relationship. The co-design approach is based on partnership, values expertise of those delivering and those receiving care, and enables a wide range of people to make a contribution in the formulation of solutions.
While relatively new to many health services, co-design is the ‘go to’ method for leading service organizations such as Starbucks, Ritz Carlton and many airlines. Some health organizations have been trailblazers and their use of co-design methods has resulted in many improvements including clinical care that is higher in quality across a range of conditions, reduction in adverse safety events, better use of preventative services such as screening and immunizations and better experiences for those delivering and receiving care. Now is the time for everyone in health to consider co-design as their ‘go to’ method
This session is designed as a primer on the six step co-design process. It will provide an overview, some insights and high level case study examples from a variety of health systems. Attendees will learn what co-design is about, how it has been applied and the difference it can make.
Dr. Lynne Maher, Director of Innovation, Ko Awatea, Health System Innovation and Improvement, Counties Manukau Health, New Zealand
A Framework for Achieving
Presenter(s): Peter Knox, President Knox and Associates Consulting; former
Executive Vice President and Chief Learning and Innovation
Officer, Bellin Health, Wisconsin
Sustainable results at breakthrough levels for populations
can only be achieved by designing a new system
anchored in a deep knowledge of the population being
served. Demand and capacity matching ensure that the
right resources, in the right amounts, at the right time are
available to support the care teams as well as support
each individual on their life journey. This session will
provide a comprehensive framework and roadmap for
achieving long term sustainable results for populations. The
framework consists of five key dimensions: building the new
infrastructure, building the new analytics engine, a nine step
roadmap for achieving results for any population, co-creation
and building a sustainability plan. Based in production
system design and design thinking, the framework and
roadmap will guide a new system design producing short
term results and long term sustainability.
Peter Knox, President Knox and Associates Consulting; former
Executive Vice President and Chief Learning and Innovation
Officer, Bellin Health, Wisconsin
Practical Measurement for Improvement: Systems Level Measures and Project Level Measures
Presenter: Brandon Bennett , Improvement Science Consulting
Building capability and designing improvement projects to achieve outcomes that matter for our communities can be difficult. More challenging still is figuring out how to measure our systems and our progress toward those outcomes.
Organizations are faced with two critical questions on a regular basis: How do we know how well we are doing systemically? And how do we know if the improvement work we are engaged in is making a difference? Understanding the relationship between systems level measures and improvement project level measures can be a real challenge. In this session, participants will have the opportunity to explore these concepts and strategize how they might be applied in their home setting.
Brandon Bennett, Improvement Science Consulting
Community Based Organization Consortium Panel (More Details to Come)
Presenter(s): Marilyn Fraser, Arthur Ashe Institute
Emily Rogan, Project Manager, CBO Planning Grant, Health and Welfare Council of Long Island
Innovative Strategies to Impact the Substance Use Disorder Epidemic
Presenters: Joseph Conte, PhD, Executive Director, Staten Island Performing Provider System, Adrienne Abbate, MPA, Executive Director, Staten Island Partnership for Community Wellness (SIPCW); Project Director for the Tackling Youth Substance Abuse (TYSA) coalition, Diane Arneth, RN, Executive Director, Community Health Action of Staten Island, Mansoor Khan, MD, MHA, FAAEM, Chairman, Department of Emergency Medicine, Richmond University Medical Center, Michael McMahon, JD, District Attorney, Richmond County DA’s Office
The prevalence of substance abuse, particularly the opioid epidemic, remains a pressing issue for New York State and the Staten Island community. Addressing this issue requires cross-sector partnerships to identify practical solutions, investment in new programs and resources, and community-wide education. Initiatives such as Tackling Youth Substance Abuse (TYSA), Emergency Department Warm Handoff, and Heroin Overdose Prevention and Education (HOPE), and the use of Peers and other resources have all facilitated significant progress in addressing the SUD problem. These efforts impact measurable outcomes including the reduction in preventable ED utilization, criminal justice system diversion, and engagement in SUD treatment. This panel will present and elaborate on strategies implemented, resources used, outcomes, and impact on the substance abuse problem on Staten Island.
Joseph Conte, PhD, Executive Director, Staten Island Performing Provider System
Adrienne Abbate, MPA, Executive Director, Staten Island Partnership for Community Wellness (SIPCW); Project Director for the Tackling Youth Substance Abuse (TYSA) coalition
Diane Arneth, RN, Executive Director, Community Health Action of Staten Island
Mansoor Khan, MD, MHA, FAAEM, Chairman, Department of Emergency Medicine, Richmond University Medical Center
Michael McMahon, JD, District Attorney, Richmond County DA’s Office
"If You Build it, They Will Screen": Social Needs Screening
Presenters: Nicolette Guillou, MPH, Senior Project Manager, Montefiore Health System, Theresa Soriano, MD, MPH, Senior Vice President, Care Transitions & Population Health, Mount Sinai St. Luke's, Mount Sinai Health System, Matthew A. Weissman, MD, MBA, FAAP, Chief Medical Officer/VP of Medical Affairs, Community Healthcare Network, Natalie Bergstrom, Project Manager, Care Transitions & Population Health, Mount Sinai St. Luke's
In this session, Montefiore and Mount Sinai PPS will present approaches, operations, and implications to screen for social needs. Social determinants of health (SDH), or social needs, are well-known to contribute to poor health behaviors and outcomes, especially in vulnerable populations like Medicaid beneficiaries. DSRIP has catalyzed a sense of urgency to tackle these social determinants in the clinical setting and through new collaborations with community partners. To this end, Montefiore has built SDH screening tools in EPIC, launched screening and referral workflows at 23 Patient Centered Medical Home (PCMH) sites, and is integrating NowPow to facilitate community based organization (CBO) connections. From March to July 2017, 5,310 patients completed the screen; Montefiore learned that housing and financial insecurity were the most frequently reported risk factors.
At Mount Sinai PPS, multi-stakeholder efforts established recommendations for a SDH screening tool for broad implementation across various partners within the PPS with the goal to better assess, and therefore address, social issues affecting individuals in their communities. Attendees will learn about the development of Mount Sinai’s screening tool and early results of implementation of this initiative.
Nicolette Guillou, MPH, Senior Project Manager, Montefiore Health System
Theresa Soriano, MD, MPH, Senior Vice President, Care Transitions & Population Health, Mount Sinai St. Luke's, Mount Sinai Health System
Matthew A. Weissman, MD, MBA, FAAP, Chief Medical Officer/VP of Medical Affairs, Community Healthcare Network
Natalie Bergstrom, Project Manager, Care Transitions & Population Health, Mount Sinai St. Luke's
12:15 - 1:15 p.m.
1:15 - 2:15 p.m.
Author, founder of Health Begins, and evangelist of the ‘upstreamist’ movement, Rishi shares breakthrough solutions to reinvigorate primary care in the US and protect the future of our health by addressing the social and environmental conditions at the source of illness.
2:30 p.m. - 3:45 p.m.
Build, Drive, and Sustain Effective Partnerships with "Upstream Quality Improvement”
Presenters: Dr. Rishi Manchanda and Sara Bader, Health Begins
With the primary goal of reducing avoidable hospital use by 25% over five years, health systems involved in New York State’s Medicaid Delivery System Reform Incentive Payment (DSRIP) Program are helping to fundamentally restructure the healthcare delivery system. As a result, health systems are building a wide variety of partnerships with non-medical partners to address social determinants of health in order to generate better outcomes and value for different populations. These cross-sector efforts to improve population health hold great promise but face significant challenges, including lack of organizational readiness, operational efficiency, and coordination among partners. In this workshop, Dr. Rishi Manchanda and Sara Bader from HealthBegins will draw on their experience addressing these challenges, share real-world examples and lessons, and help participants learn how to build, drive, and sustain more effective cross-sector partnerships using an approach known as “Upstream Quality Improvement.”
Rishi Manchanda, MD, author of The Upstream Doctors, President and Founder, HealthBegins, Los Angeles, CA
Sara Bader, MCD, CPQH, Senior Manager, Upstream Quality Improvement, HealthBegins
A Framework for Achieving Sustainable Population Results
Presenter(s): Pete Knox, President, Knox and Associates Consulting
Run for Your Money: BPHC's MY3 Performance Improvement SPRINT
Presenters: Caitlin Verilli and Amanda Ascher, MD, Bronx Partners for Healthy Communities
In Spring 2017, Bronx Partners for Healthy Communities (BPHC) implemented an incentive payment program designed to support achievement of the PPS’s MY3 annual performance targets by closing specific metric-related care gaps within a narrow three-month period. MY2 performance helped BPHC identify 11 priority, high-revenue and impactful measures. Participants included primary care providers, care management organizations and community pharmacies. While the program was an overall success, results varied by provider type. In this session, BPHC presenters will share their methodology to stimulate change and improve performance, their learning from the SPRINT, and their current work on a set of long-term payment methodologies to incentivize sustained and continuous improvement (the “Marathon”).
Caitlin Verrilli, Director, Project Management, Bronx Partners for Healthy Communities
Meredith Stanford, Manager, Continuous Quality Improvement, Bronx Partners for Healthy Communities
Rebekah Epstein, Project Manager, Bronx Partners for Healthy Communities
Amanda Ascher, Chief Medical Officer, Bronx Partners for Healthy Communities
Enhancing Ambulatory Behavioral Health Access for Adults and Children in Crisis
Presenters: George Alvarado and Christina Gerdes, Northwell Health
Long Island Jewish Medical Center, which includes Cohen’s Children’s Hospital and Zucker Hillside Hospital, has created new ambulatory behavioral health services for adults and children to improve treatment access and provide community-based crisis stabilizations services. The Zucker Hillside Behavioral Health Crisis Center is an adult walk-in center open to the community, offering immediate comprehensive psychiatric evaluation and initiation of treatment. The Cohen’s Children’s Behavioral Health Urgent Care provides same day evaluations to patients under 18, referred by schools, pediatricians, and the larger community. The session will review clinical, operational and fiscal implications for the sustainability and scale of each of these models.
George Alvarado, MD, Associate Director of Ambulatory Behavioral Health, Northwell Health Solutions, Northwell Health
Christina Gerdes, MD, MA, Chief Psychiatrist, Behavioral Health Crisis Center, Zucker Hillside Hospital
Success in Mobile Crisis Service Delivery: Building on the Efficiencies of the Emergency Response System
Presenter: Timothy Egan, Rockland Paramedics
The DSRIP program has allowed Rockland Paramedic Services, Inc. to expand the reach of the Behavioral Health Response Team (BHRT) mobile mental health crisis program in Rockland County. This session will focus on the benefits and efficiencies of using Emergency Medical Services (EMS) as part of a 911 emergency response system to deliver mobile crisis services; the use of data to inform programmatic decisions; collaboration with the hospital and Local Government Units (LGU) to address ER referral “hotspots;” and unanticipated uses of mobile crisis team, including follow-up "well checks" for patients discharged from emergency departments.
Timothy P. Egan, EMT-P, CACO, Chief Information Officer, Rockland Paramedic Services
A RHIO Innovation to Aid in the Incorporation of Sharable Health Information Data
Presenters: Nathaniel Brown and Ani Arjune, Northwell Health and Nassau Queens PPS
The vast majority of health information data available through SHIN-NY is not utilized. We know this because the count of individual patients with data in SHIN-NY far exceeds the number of patients who give consent for their data to be consumed; and providers do not perceive value in the data available for a variety of reasons. This session will describe a utilization project that systematically studied usage patterns among primary care practices (PCPs), skilled nursing facilities (SNFs), and community based organizations (CBOs), and used those findings to focus improvement efforts. The results led to updated training methodologies, better incorporation of health information into care workflows, and improved user satisfaction.
Nathaniel Brown, MA, PMP, Program Director, DSRIP IT, Northwell Health, Nassau Queens PPS
Ani Arjune, Project Manager for IPA Network Integration, Northwell Health
4:00 - 5:00 p.m.
Senior fellow at Duke’s Fuqua School of Business, Dan founded and is the director of the Change Academy, a program designed to boost the impact of social sector leaders, and co-author, of three New York Times bestsellers: Decisive, Switch, and Made to Stick. Each has been translated into over 30 languages.
5:00 - 6:30 p.m.
6:30 - 8:30 p.m.
Health Innovation Pitch Event
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