“Transforming Health Care From Volume to Value”

Is fast change coming slowly or is slow change coming like a freight train?  In health care, it seems like both.  Patients, employers, and payers are clamoring for value-based care and leaders are trying to navigate the ever-changing landscape of health care delivery.  Many factors are driving this change – from financial pressures from payers including the Federal and state governments, to new opportunities afforded by innovative care and technology.  Our panel of seasoned experts will unpack how health care is transforming and discuss what you need to know to shape your future.

WELCOME & PROGRAM INTRODUCTION – Fraser Seitel, Moderator

Every institution is facing this challenge, but each institution’s journey is going to be different, based on their current situation and the specific demands of their market and the communities they serve.  Trustees, executive leadership, and physician leaders will view these challenges from differing perspectives within each institution or health system.  Estes Park faculty will surface the questions, concerns, and opportunities inherent in this transformational change in the way we deliver and finance care in this country.

CHANGE HAS TO COME – Jim Kopf

THE DRIVERS OF CHANGE – John Tiscornia, MBA, CPA

CHANGES IN WASHINGTON AND THE STATES – Stuart Altman, PhD; Jennifer Bell & Steven Tringale

PANEL DISCUSSION WITH Q&A

 

“Beginning Transformation Within Your Organization”

Transformation is a journey, not an act.  But it begins with a decision by the hospital (or system) board, the hospital CEO, staff, and medical staff leadership.  The beginning steps show the depth of the decision for change and the likely pace of that change.  Through it all, the transformation must contain costs and increase quality and patient outcomes.

ANNOUNCEMENTS & VIDEO – Fraser Seitel, Moderator

INVENTING THE FUTURE – Leanne Kaiser Carlson, MSHA

WHAT DOES VALUE-BASED CARE LOOK LIKE IN YOUR ORGANIZATION? – Steven Tringale

QUICKENING THE PULSE ON TRANSFORMATION – Della Lin, MD

NEW WAYS OF GENERATING REVENUE AND COST CONTAINMENT- John Tiscornia, MBA, CPA

Hospital and health system executives across the country have identified revenue growth and cost containment as critical priorities in order to position their organizations for success amid the transition to value-based care and growing disruption, competition, and margin pressures in the industry. As many new technologies and growth opportunities arise, offering solutions to financial and operational performance improvement, it is important to align new initiatives with overarching organization strategy and vision to ensure investments deliver results. This session will explore new strategies and technologies for revenue growth and cost containment and provide key considerations to align new initiatives and investments with strategic plans.

RISK MANAGEMENT AND REGULATIONS IN THIS ENVIRONMENT

PANEL DISCUSSION WITH Q&A

 

“Beginning Transformation in Your Community”

ANNOUNCEMENTS & VIDEO – Fraser Seitel, Moderator

Our theme today is concise and compelling. As consumers increasingly seek care outside of the traditional hospital setting, health care leaders must proactively diversify their organizations’ revenue base.  Change requires new collaboration and strategic partnerships in the community to respond to evolving customer needs.

TRANSFORMING UNACCEPTABLE HEALTH REALITIES IN YOUR COMMUNITY – Leanne Kaiser Carlson, MSHA

What are the unacceptable health realities in your community?  And what would it take to change them?  Some of the unhealthiest towns in the world have reversed their trajectory – and so can yours.  Think about how to set a bolder ambition, broaden the health care team, focus on micro-geographies, integrate social interventions with clinical systems, shift economic incentives, and elevate the health of those who work inside the health system.

BUILDING YOUR POST-ACUTE CARE BASE – Joseph Scherger, MD, MPH

What do you want to accomplish with Post-Acute Care?

Reduced readmissions?
Improved health of the patients and family?
Repairing the social determinants of health?

Who should be on your Post-Acute Care team?

Nurse case managers?
Social Workers?
What therapists? – physical, mental health?

How will you measure your success?

THE POSSIBILITY OF INDIVIDUAL LIABILITY FOR BOARD MEMBERS – Dan Mulholland, Esq.

Up until recently, the possibility of board members of hospitals and health systems being held individually liable was very remote.  However, some recent court cases and the increasingly complex regulatory environment makes this a real possibility – if you don’t watch what you’re doing.  This session will review recent developments in this area and suggest some basic rules to keep you out of trouble.

SAFETY BEYOND OUR INNER CIRCLE – Della Lin, MD

Medical care occurs in a continuum, yet patient safety has gained most traction within hospital walls.  Isn’t it time to broaden our efforts?  Dr. Lin describes safety principles that apply throughout the continuum of care and discusses examples of safety science that extend beyond our hospital walls.

MANAGING HIGH UTILIZERS – GETTING PEOPLE TO CHANGE

PANEL DISCUSSION WITH Q&A

 

“Transformation: A Strategy With Risks”

There are many things in today’s world that keep hospitals and health care generally unstable.  The cost of health care is a problem for individuals, states, and the federal government.  Corporations that have disrupted other areas of the economy are entering the field.  At the same time, there is a clear understanding that many health care social problems affect people’s health.  Transformation will occur, but it must be in a way that will help the community.

ANNOUNCEMENTS & VIDEO – Fraser Seitel, Moderator

TAILORING YOUR VALUE-BASED CARE STRATEGIES TO MEET YOUR COMMUNITY’S NEEDS – Steven Tringale

HOW TO ANALYZE YOUR MERGER OPTIONS – Dan Mulholland, Esq.

SOCIAL NEEDS AND DETERMINANTS:  WHAT MATTERS? – Della Lin, MD

DISRUPTIVE IDEAS – CORPORATIONS ENTER THE FIELD – A GROWING THREAT TO THE HOSPITAL AND TO VALUE-BASED CARE – John Tiscornia, MBA, CPA; John Horty, LLB & Jennifer Bell

Disruptors, such as consumers and technology giants Apple, Amazon, Google, and capital investors, are poised to upend the health care industry while providers face unprecedented financial, operational, and regulatory challenges. While many of these disruptors may serve to accelerate the drive toward value-based care, they may also complicate the opportunity for traditional hospitals and health care systems to thrive in this changing environment and reimbursement model. As health care leaders determine how best to respond to industry disruption, it is important to understand this new competitive landscape – both the entrants and their potential impact and the forces and consumer needs spurring them on.

THE LIKELIHOOD OF VARIOUS ASPECTS OF TRANSFORMATION – Robert Mechanic, MBA

USING ANALYTIC DATA AND TRANSFORMATION

PANEL DISCUSSION WITH Q&A

 

“Where Do We Go From Here?” – Jim Kopf

 

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