• Overview
  • Audience
  • Agenda
  • Workshop Session
  • Speakers
  • Sponsors/Exhibitors
  • Registration Pricing
  • Venue
  • Media/Press Partners
  • Inquiry
Overview:

2021 Reducing Hospital Readmissions Forum

Reduce Hospital Readmissions through Enhanced Discharge Planning, Improved Payer-Provider Collaboration, and an Efficient Care Transitions Program – Develop an Effective Population Management Model and Enhance the Patient Experience!

October 14 – 15, 2021 • The Roosevelt, A Waldorf Astoria Hotel • New Orleans, LA

Sponsors/Exhibitors & Partners

guideway care logo    Lumeon Logo    MC logo 500x500

Overview

Preventable hospital readmissions are costing the healthcare system approximately $25 billion on an annual basis, and it is estimated that one out of every five Medicare patients is readmitted to the hospital within 30 days of discharge. In an attempt to control excessive spending on avoidable healthcare costs as well to as improve quality care, performance and patient health, CMS has instituted new regulations and higher penalties. Hospitals and health systems are especially affected by the new mandates, and are exposed to increasing financial risk.

We have created a high-level forum featuring providers and payers who will share their insights and expertise on how to lower readmission rates through recognized and proven discharge programs and follow-up plans, simultaneously reducing costs and improving quality of care. This impressive program will include distinguished members from highly regarded institutions comprised of hospitals, health systems, health plans and industry experts; featuring best practices to utilize in today's rapidly evolving world.

This is the only conference on Reducing Hospital Readmissions that will equip you with innovative strategies and tools to be better prepared for 2021. By attending the 2021 Reducing Hospital Readmissions Forum, you will learn what others in clinical integration, utilization management, patient care and reimbursement are doing to be prepared for the challenges that lie ahead in 2022. Register today to reserve your seat at the conference and take advantage of early bird discounts!

We look forward to greeting you in New Orleans!

Audience:

From Hospitals, Health Systems, Health Plans, Employer Plans, TPAs & Managed Care Organizations:

Chief Executive Officers, Chief Medical Officers, Chief Clinical Officers, Chief Operating Officers, Chief Financial Officers

Also, Vice Presidents, Directors, Managers & Executives of:

  • Medical Management
  • Utilization Management
  • Quality
  • Appeals Management
  • Patient Financial Services
  • Patient Care
  • Emergency Medicine
  • Hospitalists
  • Billing
  • Medical Records
  • Operations
  • Strategy
  • Nursing
  • Case Management
  • Care Management
  • Denial Management
  • Compliance
  • Admissions
  • Patient Flow
  • Emergency Department
  • Managed Care
  • Coding
  • Risk
  • Finance
  • Clinical Documentation
  • Physician Assistants

Also of interest to Healthcare Consultants, Solution Providers, Vendors, Purchasers, Physician Groups, Behavioral Health Centers, Healthcare Technology Innovators, Data Analytics Providers, Pharmacy Benefit Managers, Disease Management Organizations, Home Health Care Companies, Third Party Administrators, Pharmaceutical & Medical Device Companies, IT & Business Process Outsourcing Companies, Enrollment Brokers and More!

Agenda:

Day One – Thursday, October 14, 2021

7:15 Conference Registration & Networking Breakfast
8:00

Chairperson's Opening Remarks

8:15

Optimizing Transitions of Care through Effective Collaboration and Partnerships

Michelle Nelson
Senior Director, Health Improvement
United Regional Health Care System 

9:00

Implementing Strategies to Successfully Preventing Readmissions in a Healthcare System

Betsy Felton, MBA, BSN, RN, CEN
Corporate Director, Cardiovascular Service Line
McLaren Health Care 

9:45 Networking & Refreshments Break
10:15

Innovative Strategies for Reducing 30 Day Hospital Readmission Rates

Barbara Sherman, DNP, RN, MSN, MBA, FNP-C, RT-R
Director, Quality Management, Patient Safety, Medical Staff QA/PI, OPPE
WVU Medicine 

11:00

Understanding SDOH (Social Determinant of Health) Impact on Care Management's Ability to Effect Readmissions

Mark Green
Assistant Vice President, Transitions of Care & Post-Acute Care
Ochsner Health System 

11:45

Best Practices in Building an Effective Team and Infrastructure to Reduce Hospital Readmissions

12:30 Luncheon for All Attendees & Speakers
1:30

Implementing Alternative Pathways to Identify High Risk Patient Populations and Avoid Preventable Hospital Readmissions

2:15

Panel Discussion: Essential Strategies to Reduce Preventable Hospital Readmission Rates Across the Continuum of Care

Benjamin Bynum, BSW, MSHCI
Strategic Program Manager, Care Management
AdventHealth

3:15 Networking & Refreshments Break
3:45

Creating an Effective Patient Centered Discharge Plan to Reduce Readmissions and Enhance the Patient Experience

Erin Dowling, MD
Medical Director, Readmission Reduction Initiative
Associate Clinical Professor
UCLA Health 

4:30

Strategies within the Emergency Department to Impact Hospital Readmissions and Patient Flow

Patrice Callagy, RN, MPA, MSN, CEN
Executive Director, Emergency Services
Stanford Health Care 

Shashank Ravi, MD, MBA
Assistant Medical Director, Emergency Medicine
Stanford Health Care 

5:15 End of Day One


Day Two – Friday, October 15, 2021

7:15 Networking Breakfast
8:00

Chairperson’s Recap of Day One

8:15

Re-Engineering Care Delivery Across the Continuum to Reduce Hospital Readmissions

Nihar Desai, MD, MPH
Associate Chief, Clinical Operations
Yale University School of Medicine
Medical Director, Value Innovation
Yale New Haven Health System

9:00

Optimizing Patient/Member Engagement, Communication and Education to Reduce Hospital Readmissions

9:45 Networking & Refreshments Break
10:15

Implementing Collaborative Interventions to Reduce Hospital Readmissions, and Optimize Patient Centered Care

11:00

Strategies to Reduce Hospital Readmissions for a Patient Population with Varying Socioeconomic Conditions

11:45

Implementing a Patient Centered Medical Home Model to Navigate Patients through Care Transitions and Reduce Hospital Readmission Rates

12:30 Conference Concludes
Workshop Session:

Thursday, October 14, 2021 • 5:30 p.m. – 7:30 p.m.

The Role of Data Analytics in Reducing Avoidable Hospital Readmissions

By utilizing historical patient data, providers can start to see which factors will impact future health outcomes, and begin to develop risk score and predictive algorithms to create tailored care interventions. Creating analytics out of Big data is useful, but only when implemented properly. The key is to develop strategies that work to take what the data is telling us and turning it into actionable items. In this session, we will:

  • Discuss several analytic tools to help manage readmissions
  • Discuss how to take these results and turn them into actionable items
  • Discuss how to determine which areas/conditions first since we all have limited resources.

About the Workshop Leaders:
Susan Pantely, FSA, MAAA is a Principal & Consulting Actuary at Milliman. Susan provides actuarial and consulting services to a broad range of clients, including Blue Cross/Blue Shield plans, HMOs, commercial insurers, government agencies, and healthcare providers. Her work includes rate development, provider contract review, reserve certification, capitation development, Medicare risk feasibility studies, HMO start-ups, HMO due diligence, and development of risk sharing and reimbursement arrangements for physician groups, PHOs, ACOs, and other integrated delivery systems. In addition, Susan has extensive experience with the valuation, financial analysis, and projection of healthcare services for several state public health insurance (Medicaid) programs.

Raheel Sohail, MD, MBA is a Healthcare Management Consultant at Milliman. Raheel is a physician who comes to Milliman with extensive experience in health care administration. In many leadership positions, he has garnered extensive experience in planning, developing, and executing strategies for ACO and clinically integrated networks. Prior to joining Milliman, he worked for Prospect Medical, where he was the Executive Director of Next Generation ACO. He was responsible for the operations of an ACO, care coordination, and data analytics. Previously, he worked at a health care consulting firm where he consulted for ACOs, value-based care, care coordination, quality, and data analytics, and physician improvement, marketing, and business improvement.

 

Speakers:

Betsy Felton, MBA, BSN, RN, CEN
Corporate Director, Cardiovascular Service Line
McLaren Health Care  

Mark Green
Assistant Vice President, Transitions of Care & Post-Acute Care
Ochsner Health System  

Barbara Sherman, DNP, RN, MSN, MBA, FNP-C, RT-R
Director, Quality Management, Patient Safety, Medical Staff QA/PI, OPPE
WVU Medicine  

Nihar Desai, MD, MPH
Associate Chief, Clinical Operations
Yale University School of Medicine
Medical Director, Value Innovation
Yale New Haven Health System 

Erin Dowling, MD
Medical Director, Readmission Reduction Initiative
Associate Clinical Professor
UCLA Health  

Patrice Callagy, RN, MPA, MSN, CEN
Executive Director, Emergency Services
Stanford Health Care  

Shashank Ravi, MD, MBA
Assistant Medical Director, Emergency Medicine
Stanford Health Care

    Benjamin Bynum, BSW, MSHCI
Strategic Program Manager, Care Management
AdventHealth 

Michelle Nelson
Senior Director, Health Improvement
United Regional Health Care System  

Susan Pantely, FSA, MAAA
Principal & Consulting Actuary
Milliman

Raheel Sohail, MD, MBA
Healthcare Management Consultant
Milliman 

Claudia Navarro, FMD, MHA, BSN, RN, MSN, FNP-C
Director, Care Coordination
Community Care Plan  

Jeffrey Chapman
Associate Vice President, Health Partnerships
CareSource 

Jason McGill
Director, Managed Care
Washington State Health Care Authority 

Miguel Venereo, MD,FACOG
Senior Vice President & Chief Medical Officer
Community Care Plan 

Karin VanZant
Vice President, Integrated Community Partnerships
CareSource 

Jim Milanowski
President& CEO
Genesee Health Plan 

Dena Stoner
Senior Policy Advisor
Texas Department of State Health Services

Sponsors/Exhibitors:

Exhibitors

guideway care logoGuideway offers Care Guidance services that impact personal factors and social determinants of health in order to drive patient behavioral change as well as patient compliance with clinical instructions. Although clinical workers such as nurses and physicians are experts inside the clinical walls, it's imperative to find economical ways to engage patients outside those clinical walls.  Guideway's Care Guidance services fuse people and technology to take concrete action and remove non-clinical issues, barriers and obstacles that negatively impact patients' care journey, and which prevent patients and care teams from achieving the best possible outcomes. Guideway's services help improve quality, cost, and experience metrics for hospitals in bundles and other alternative payment models, reduce readmissions, improve population health performance for ACOs and CINs, and manage healthcare costs for self-insured employers.

Lumeon LogoLumeon provides Care Pathway Management (CPM) solutions that enable healthcare organizations to efficiently coordinate healthcare delivery, connect gaps in care and quickly launch next-generation care experiences. Its award winning automation platform acts like an autopilot for healthcare journeys, autonomously managing low risk patient journeys, while focusing care teams on a coordinated plan of activities for those most at risk. Lumeon's Care Transitions Management solution reduces readmissions by automatically coordinating follow-up appointments, risk stratifying and monitoring patients and transferring key information to post-acute providers. The platform is deployed across more than 70 health systems across the US and Europe.


For Sponsorship & Exhibit Opportunities, please reach out to This email address is being protected from spambots. You need JavaScript enabled to view it.

Registration Pricing:

Hospitals, Health Systems, Providers, Health Plans

Register by
September 24, 2021

Register by
October 14, 2021

Conference Only

$995

$1195

Conference & Workshop

$1195

$1395

Standard Rate, Vendors, Solution Providers

Register by
September 24, 2021

Register by
October 14, 2021

Conference Only

$1295

$1495

Conference & Workshop

$1495

$1695


Register for the 2021 Reducing Hospital Readmissions Forum

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Workshop Session: The Role of Data Analytics in Reducing Avoidable Hospital Readmissions
Purchase Policy: Cancellations received 30 calendar days prior to the event will be refunded in full less a $225 processing fee. Cancellations received less than 30 calendar days before the event will receive a credit towards a future event which is valid for one year from the date of the event. You may transfer the registration so as long as we receive the request 48 hours prior to the event.
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Venue:

The Roosevelt, A Waldorf Astoria Hotel
130 Roosevelt Way
New Orleans, LA 70112

Phone: 504-648-1200

*Mention Group Code "World Conference Forum" to get the discounted rate of $239/night.

*You can also book online at:

https://book.passkey.com/go/6eba46be

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Media/Press Partners:

MC logo 500x500Managed Care delivers high-interest articles and features developed through original research and writing. Its editorial mission is to advise managed markets physicians, pharmacists, and executives on the integration of the business and medical aspects of the rapidly changing managed care market. A strict fact-checking and peer-review process assures the accuracy and relevance of editorial content.

 

 

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