AGENDA OVERVIEW

Rising Risk: Patients at Highest Need for Care Coordination
Sponsored by: BambooHealth
Presented by: HealthLeaders
10:00 - 11:05 AM EST

About the Session:

This panel session will focus on care coordination for high-risk and rising-risk patients, two patient populations with complex care needs. Although healthcare providers are usually aware of their high-risk patients, they also need to identify their rising-risk patients, who often will need multiple doctors and medications but don’t yet.

Once the population of rising-risk patients has been identified, healthcare providers can activate workflows to prepare to collaborate with multiple providers, enroll patients in multiple services, link patients to resources, provide timely follow-up appointments, and ensure there’s insurance coverage for services. Care coordination goals for high-risk and rising-risk patients include avoiding care delays and missed opportunities for care.

Panelists:
Jay Desai, SVP, Strategy and Partnerships, Bamboo Health
Adria Grillo-Peck, VP, Integrated Care Management, IU Health
Chris Cheney (Moderator), Senior Clinical Editor, HealthLeaders


 

Creating the Ultimate Care Coordination Playbook
Sponsored by: Vizient
Presented by: HealthLeaders
11:10 - 12:10 PM EST

About the Session:

This panel session will focus on topics related to care coordination in the hospital setting. For example, panelists will discuss best practices in rounding on patients in the inpatient setting, coordinating multidisciplinary care teams, and managing a patient’s care progression.

Panelists will also discuss care management roles and responsibilities for care team members, including physicians, nurses, social workers, and case managers. Finally, panelists will discuss managing the patient’s transition to the post-acute setting, including discharge management, coordinating the care transition, and how the hospital is connected to post-acute settings.

Panelists:
Imran Qadeer, MD, President & CEO, Allegheny General Hospital
Tamara Clift, MSN, RN, CCM, Vice President, Population Health Services Organization | INTEGRIS, Health Partners | Integrated Care Management
Mellisa Martinez, DNP, MBA, RN, CENP, CPHQ, Senior Consulting Director, Vizient
Chris Cheney (Moderator), Senior Clinical Editor, HealthLeaders


 

Care Coordination in the Outpatient Setting
Presented by: HealthLeaders
12:15 - 1:15 PM EST

About the Session:

This panel session will focus on care coordination challenges and solutions for primary care practices and other outpatient settings. Communication is a key challenge, including making primary care practices aware when a patient has an emergency room visit, communication with specialists, and communication during transitions of care such as from acute care to post-acute care. Medication reconciliation is another care coordination challenge to make sure patients are not taking contraindicated drugs. Finally, panelists will discuss care coordination challenges related to social determinants of health such as making resources available for patients and referring patients to community-based organizations.

Panelists:
Susan Manzi, Chair, AHN Medicine Institute, Allegheny Health Network
Chris Cheney (Moderator), Senior Clinical Editor, HealthLeaders