NAACOS Clinical Operations Agenda
Boot Camp 101
November 14, 2024
10 am – 6 pm
Session | Faculty | |
10:00 am | Welcome and Overview | Melody Danko-Holsomback, VP of Education NAACOS |
10:10 am | Managing TINs and Providers in MSSP and ACO REACH This session will take you through some of the situations you may encounter when managing TINs in MSSP and Providers in ACO REACH. You care about this if you are interested in ensuring that all of your providers are properly enrolled in the program AND are getting all the attribution they should. The session will take you through some program items and tie those items to why it is important to properly manage providers. Finally, we will present several different situations that you might encounter and provide guidance on how to address those situations. | Brad Reel, Vice President, Risk-Based Medicare Programs, Lumeris Paula Burleson, Practice Transformation Specialist, Aledade |
11:00 am | Break | Virtual Lobby |
11:10 am | Evaluating the total cost of care management – The basics of using internal or external resources for care management needs in an ACO This session will provide an overview of the importance of effective care management, when to consider a shared-risk partner, and some criteria when assessing a partner. Overview of experience using of 3rd party partnerships vs inhouse resources. This presentation will present a unique perspective of challenges and benefits of 3rd party partnerships from past and present collaborations. | Mike Siegel, Manager, Opportunity Development, UNC Health Alliance Dianne Duncan, Director, PHSO Health Management Network, Advent Health |
12:00 pm | Break | Virtual Lobby |
12:10 pm | Transforming Healthcare: Developing and Implementing Effective Care Management Programs Care management programs are essential for improving patient outcomes, reducing healthcare costs, and enhancing the overall quality of care. This session will take you through the key operational processes, challenges, and successes in developing and implementing ambulatory and emergency department care management programs designed to deliver measurable benefits to patients and the healthcare system. | Stephanie Turner, Vice President, Population Management, UNC Health Alliance Dianne Duncan, Director, PHSO Health Management Network, Advent Health |
1:00 pm | Break | Virtual Lobby |
1:10 pm | Data Insights to Drive Patient-Centered Interventions This session that explores how data-driven population health management and advanced technologies fuel effective, patient-centered care in clinical settings. It will cover essential data ingestion capabilities and the types of data needed to pinpoint intervention opportunities, along with two real-world case studies that highlight successful, data-informed patient care interventions. | Tully St. Germain, Vice President Informatics Operations, Lumeris Christopher Windham, MD, Physician Executive National Operations, Lumeris |
2:00 pm | Working Lunch | Virtual Breakouts |
3:10 pm | Strategy to Assessing our Populations SDOH Needs This session will describe how one health system designed and developed their processes to advance SDOH screening and health equity initiatives across their ambulatory primary care clinics. This presentation will review the strategy and reasoning that was utilized to collect SDOH screening data, best approaches to implementation of SDOH screening including pros and cons of various options, and how UNC Health is utilizing data to support the SDOH needs of our population. | Kristen Peet, Quality and Organizational Excellence Leader, PCIC Coaching, UNC Health Alliance |
4:00 pm | Break | Virtual Lobby |
4:10 pm | Engaging Providers in HCC Clinical Documentation Accurate, precise and compliant documentation of illness severity is a foundational element of clinical and financial performance in Medicare value-based arrangements. This session will address the importance of engaging ACO providers in how their clinical documentation contributes to improved performance, and how a knowledgeable coding and documentation team can support both participating providers and a compliant approach to this essential work. | Erin Hurlburt, Chief Medical Officer, Population and Community Health, Bon Secours Mercy Health Deann Tate, System Director, Risk Score Accuracy, Bon Secours Mercy Health |
5:00 pm | Sponsored Break: Annova | Virtual Lobby |
5:10 pm | Engaging Primary Care Providers in Value-Based Care This session will provide information on engaging providers in the work of value-based care through various tactics. These include education, orientation, support services and incentives to name a few. Using methods to support providers, surveys to understand their needs and implementing workflows to enhance care are all tactics that will be discussed by our presenters in this session to round out the day of clinical operations topics. | Anne Blanshard, Director of Provider Engagement, SWHR Lindsey Robbins, Director of Market Operations, IHCI |
6:00 pm | Closing Remarks | Melody Danko-Holsomback, VP of Education NAACOS |