The Role of Leadership Lee B. Sacks, M.D. Executive Vice President, Chief Medical Officer Advocate Health Care Chief Executive Officer Advocate Physician.

Slides:



Advertisements
Similar presentations
1 The Right Care at the Right Time: Are Retail Clinics Meeting a Need? Alliance for Health Reform Briefing | Washington, D.C. | June 18, 2012 Manish Oza,
Advertisements

Commission on Rationalizing New Jersey's Health Care Resources April 29, 2008 Department of Health and Senior Services.
Leading Transformation The Commonwealth Fund March 14, 2013 Steven Blumberg Senior Vice President and Executive Director AltantiCare Health Solutions.
Strategic Plan. Payment Reform is Coming Affordable Care Act State Health Care Innovation Plan The Market Will Adapt Fewer/Larger Payors Fewer/Larger.
The Rhode Island Chronic Care Sustainability Initiative: Building a Patient-Centered Medical Home Pilot in Rhode Island.
Shared Decision-making’s Place in Health Care Reform Peter V. Lee Executive Director National Health Care Policy, PBGH Co-Chair, Consumer-Purchaser Disclosure.
1 State of Reform: The Practical Challenges of Medicaid Integration Karen Lee, CEO.
4th Annual Investor Conference May 16, 2001 HEALTH PLANS DIVISION Panel Discussion: Contributing Value to Cost of Care.
Physician Leadership Bud Chumbley, M.D., MBA President, Aspirus Clinics, Inc., System CCIO MGMA – October 2013.
HFMA December Attacking Rising Costs 23% of the Medicare population has a chronic condition with 5 or more co-morbid conditions that compel them.
Copyright 2014 ValueOptions. ® All rights reserved. Strengthening the Behavioral Health System through Alternative Payment Nancy Lane, Ph.D. Chief Executive.
Financial Models for Pharmacist-Provided Care: Opportunities in Health Care Reform Wayne W. Oliver Center for Health Transformation.
33rd Annual J.P. Morgan Healthcare Conference Jim Skogsbergh President and Chief Executive Officer Lee B. Sacks, M.D. Executive Vice President and Chief.
Innovative Funding Streams Driving Health Laurel Lee - Vice President, Member & Community Engagement State of Reform January 8, 2015.
Allen Kemp, MD; Chief Executive Office Dave Watson, MD; Chief Medical Officer Centura Health Physician Group.
Presentation by Bill Barcellona Sr. V. P
ENTERING THE SOUTH CAROLINA MARKET IN JANUARY 2014 A “CONSUMER OPERATED AND ORIENTED HEALTH PLAN” OR “CO-OP” 1.
Aligning Incentives: Anthem’s Accountable Care Model  Anthem Quality In-sights ®  Patient Centered Primary Care John Syer RVP Provider Engagement and.
National Stage for IHS Innovation Aligning IHS Strategic Initiatives with Federal Payment Reform Opportunities.
DELAWARE HEALTH AND SOCIAL SERVICES Division of Public Health Public Health and PCMH Karyl Rattay, MD, MS Director Delaware Division of Public Health.
Understanding the State Budget David Oppenheim, Executive Director, CSDA Mark Beckley, Chief Deputy Director, DCSS.
Maine Association of Area Agencies on Aging: Aging Advocacy Summit November 14, 2012 Bill Wypyski, LCSW, MPA, MS Chief Executive Officer Harrington Family.
Initiatives & Update. Agenda  Background of FSN  Current Initiatives & Programs  Looming Legislative Issues  Nephrology Workforce in Florida.
A V ISION FOR I DAHO H EALTHCARE Ted Epperly, MD, FAAFP | Chairman | Idaho Healthcare Coalition | President and Chief Executive Officer | Family Medicine.
Reshaping AHDI 2011 Vallie Piloian, CMT, AHDI-F Ann Donnelly, CMT, AHDI-F.
Shared Governance in Action – Quality Panel Dialogue Randy Axelrod, MD—Executive Vice President, Clinical and Patient Services.
An Integrated Healthcare System’s Approach to ACOs Chuck Baumgart, M.D., Chief Medical Officer Presbyterian Health Plan David Arredondo, M.D., Executive.
HIM Breaking Into Informatics Mari Pirie-St. Pierre, MS, RHIA.
1 Thomas A. Raskauskas, MD, MMM President/CEO St. Vincent’s Health Partners 2754 Main Street Bridgeport, CT 06606
Obesity Symposium-Ignite the fight against Obesity: Advocate’s Approach to Population Health Management September 26 th 2014 Pankaj Patel MD MSc Senior.
National Rural Health Resource Center Keeping Rural Health Afloat in a Sea of Change 600 East Superior Street, Suite 404 I Duluth, MN I Ph
ACO’s Al Kurose, M.D. President & CEO Coastal Medical.
SHIP: The Vision for the Future of Healthcare in Idaho Idaho Association of District Boards of Health Annual Meeting | Thursday, June 4, 2015 Ted Epperly,
UNOS Update Region 8 Kenneth Andreoni, M.D. OPTN/UNOS President April 4, 2014.
2015 Washington State of Reform Health Policy Conference Hilton Seattle Airport Conference Center January 8, 2015.
Grassroots Physician Perspective of ACO Transition
Pay for Performance in BCBS Plans Nationally June 22, 2005 National Press Club Bruce E. Landon, M.D., M.B.A.
© 2011 Advocate Physician Partners Advocate Accountable Care Carrie E. Nelson, MD, MS, FAAFP Stakeholder Health September 25, 2015.
1 Informing National Health Policy with Lessons from Geisinger Presentation to Alliance for Health Reform March 20, 2009 Bruce H. Hamory, MD, FACP Executive.
Total Cost of Care Reporting Jim Chase Health Care Financing Task Force October 2, 2015.
Health Information Technology Summit John Tooker, MD, MBA, FACP Executive Vice President/CEO American College of Physicians Washington, DC October 21,
34th Annual J.P. Morgan Healthcare Conference Jim Skogsbergh President and Chief Executive Officer Lee B. Sacks, M.D. Executive Vice President and Chief.
University of Utah Medical Group David Bjorkman, M.D., M.S.P.H. Executive Medical Director.
VP Quarterly Report on Strategies Q3– February 2, 2016 Robbie Peters, Vice President, Financial Services & Chief Financial Officer Vision: Healthy people,
Maine State Innovation Model (SIM) October, 2013.
AACN – Manatt Study In February 2015, the AACN Board of Directors commissioned Manatt Health to conduct a study on how to position academic nursing to.
Putting people first, with the goal of helping all Michiganders lead healthier and more productive lives, no matter their stage in life. 1.
HFMA – Physician Perspective on Key Issues April 5, 2013.
Building a Public Health Informatics Division. OSDH Public Health Informatics Division Identify the needs Develop the proposal Establish division Reality.
Wireless Access SSID: cwag2017
EVP, Chief Medical Officer CEO Advocate Physician Partners
June Gallup, RN, MS, HCS-D, COS-C, BCHH-C
Value Based Payment Programs Quality Payment Program
Roles & Responsibilities May 22, 2017
Hassan El Solh, MD CMO, AUBMC Director July 10, 2017
Responding to Times of Challenge ATMCH Meeting March 5, 2006 Jeffrey G
“The Integrator” Optimal Care for All our Members and Patients
Compensation Committee 2017 Goals – Updated
Paying for Serious Illness Care Under a Global Budget: Opportunities and Challenges Anna Gosline, Senior Director of Health Policy and Strategic Initiatives,
Changing What “Counts” as Healthcare
Integrating Primary Care & Behavioral Health Care with eConsults: Progress Report on HPHC Quality Grant-funded Project Harvard Pilgrim Health Care 2018.
President and Chief Executive Officer
Kirby Bessant Vice President, Consumer Programs
Dexter W. Shurney, MD, MBA, MPH
Key Themes from the Program
Module 3: Part 1 Developing and Implementing a QI Plan: Understanding the QI Plan Adapted from: The Health Resources and Services Administration (HRSA)
Head of Corporate Governance/ Board Secretary
Lorem Ipsum lorem ipsum
Lorem Ipsum lorem ipsum
PCPM Work Group Primary Care Payment Model (PCPM) Chairs
Presentation transcript:

The Role of Leadership Lee B. Sacks, M.D. Executive Vice President, Chief Medical Officer Advocate Health Care Chief Executive Officer Advocate Physician Partners Oak Brook, IL

APP Board & Committee Structure 1,000 PCPs + 2,550 Specialists = 3,550 Total Physician Members Average Group Practice Size 2.5 APP Board of Directors Contract Finance Committee Utilization Management Committee Quality & CI Committee Credentials Committee

Expansion Of Program Over Time CI Program Categories Reporting YR 2006 Reporting YR 2007 Reporting YR 2008 Reporting YR 2009 Reporting YR 2010 Med & Tech Infrastructure Clinical Effectiveness Efficiency Patient Safety Patient Experience Total Measure Count There were 36 measures in the Clinical Integration Program when first introduced in 2004 New measures are added each year to align with Advocate’s strategic objectives and keep pace with standards endorsed by national health policy agencies New measures, revisions to existing measures, and updated performance goals are reviewed/approved by APP QI Committee and APP Board of Directors.

The 2010 Value Report or call ADVOCATE ( ) 2010 Value Report

Engaging Partners PPO and PBM Claims Data Generic Voucher Program AdvocateCare – January 1, 2010 Innovative Contract with BCBS IL Shared Savings Attribution Requirements for Safety, Outcomes, and Service

How CMMI Can Assist Create “Critical Mass” of Alignment Make Medicare Claims Available in Real Time Data on Attributable Patients Align Incentives so Clinical Integration Expands to Medicare FFS – Fund Clinical Integration P4P – Create Shared Savings Program Support Expansion of Infrastructure