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National Symposium on Value Innovation at Yale

April 27 - April 29, 2016
Omni New Haven Hotel at Yale
New Haven, Connecticut
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The inaugural National Symposium on Value Innovation at Yale will demonstrate how collaboration and best practices help deliver better patient care, more efficiently and effectively than others, while sustaining or improving financial performance. Industry leaders and thought provokers will provide a vision for the future of healthcare management.

Yale New Haven Health will share its “quality-first” approach that reduced variation, improved clinical outcomes and yielded $150 million in savings.

In collaboration with the Yale School of Management, the Center for Outcomes Research & Evaluation and the Center for Biomedical and Interventional Technology, they are sharing their model with other systems in order to accelerate the transition to delivering value-based care.

marna-borgstrom
Marna Borgstrom
President and CEO of Yale New Haven Health System and CEO of Yale-New Haven Hospital
Read Biography
stephen-allegretto
Stephen Allegretto, MPH
Vice President Strategic Analytics & Financial Planning, Yale New Haven Health System
Read Biography
mark-saltzman
Mark Saltzman, PhD
Goizueta Foundation Professor of Biomedical Engineering, Chemical & Environmental Engineering & Physiology, Yale University
Read Biography
dan-michelson
Dan Michelson
Chief Executive Officer, Strata Decision Technology
Read Biography
stephanie-alexander
Stephanie Alexander
Chief Executive Officer, PeraHealth
Read Biography
lisa-stump
Lisa Stump, RPh
Vice President and Interim Chief Information Officer, Yale New Haven Health System
Read Biography
thomas-balcezak
Thomas Balcezak, MD
Senior Vice President of Patient Safety and Quality and Chief Medical Officer, Yale-New Haven Hospital
Read Biography
fiona-morton
Fiona Scott Morton, PhD
Theodore Nierenberg Professor of Economics, Yale School of Management
Read Biography
harlan-krumholz
Harlan Krumholz, MD
Harold H. Hines, Jr., Professor of Medicine and Epidemiology and Public Health, Yale School of Medicine; Director, Center for Outcomes Research and Evaluation, Yale-New Haven Hospital
Read Biography
peter-schulam
Peter Schulam, MD, PhD
Professor of Urology and Chair, Department of Urology, Yale School of Medicine; Chief, Department of Urology, Yale-New Haven Hospital; Director, Yale Cancer Center and Physician-in-Chief, Smilow Cancer Hospital at Yale-New Haven (Interim);
Read Biography

Michael Bennick, MD

Medical Director, Patient Experience; Associate Chief, Internal Medicine, Yale-New Haven Hospital

Janis Bozzo, RN

Senior Clinical Coordinator, ITS Analytics Strategy, Yale New Haven Health System

Maribeth Cabie, RPh

Manager, Pharmacy Services, Yale-New Haven Hospital

Gayle Capozzalo, FACHE

Executive Vice President, Chief Strategy Officer, Yale New Haven Health System

Keith Churchwell, MD

Vice President and Executive Director, Heart and Vascular Services, Yale-New Haven Hospital

Matthew Comerford

Vice President, Internal Consulting Group, Yale New Haven Health System

Sheila Coonan, RN

Manager, Patient Services, Yale-New Haven Hospital

Philip Corso

Manager Applications III, Joint Data Analytics Team, Yale New Haven Health System

Jeptha Curtis, MD

Associate Professor of Medicine (Cardiology), Yale School of Medicine

Richard D'Aquila

President, Yale-New Haven Hospital

Nihar Desai, MD

Assistant Professor of Medicine (Cardiology), Yale School of Medicine

Mario Donini

Manager, Budget & Financial Analysis, Yale New Haven Health System

Seth Feuerstein, MD

Faculty Advisor Innovation and Entrepreneurship; Assistant Clinical Professor of Psychiatry; Yale University Center for Biomedical and Interventional Technology

Howard Forman, MD

Professor of Radiology & Biological Medical Imaging, Yale School of Medicine

Alan Green

Financial Analyst II, Financial Planning & Budget, Yale New Have Health System

Allen Hsiao, MD

Associate Professor of Pediatrics & Emergency Medicine, and Chief Medical Information Officer Yale School of Medicine and Yale New Haven Health System

Michael Ivy, MD

Senior Vice President for Medical Affairs and Chief Medical Officer, Bridgeport Hospital

Tesheia Johnson

Deputy Director and Chief Operating Officer of YCCI and Associate Director for Clinical Research, Yale School of Medicine

Rogerio Lilenbaum, MD

Professor of Medicine (Medical Oncology), Yale School of Medicine, Chief Medical Officer of Smilow Cancer Hospital

Spike Lipschutz, MD

Senior Vice President for Medical Services and Chief Medical Officer, Greenwich Hospital

Christopher Loose. PhD

Executive Director, Center for Biomedical and Interventional Technology (CBIT), Yale University

Abe Lopman

Senior Vice President, Operations and Executive Director of Smilow Cancer Hospital, Yale-New Haven Hospital

Barbara McCloskey, RN

Financial Clinical Coordinator, ITS Analytics Strategy, Yale New Haven Health System

Jack Mortazavi, MD

Postdoctoral Associate in Medicine (Cardiology), Center for Outcomes Research and Evaluation (CORE), Yale School of Medicine

Keith Murphy

Executive Director of Corporate Supply Chain Management, Yale New Haven Health System

Ryan O'Connell, MD

Vice President of Performance & Risk Management, Bridgeport Hospital

Mary O’Connor, MD

Director, Musculoskeletal Center at Yale-New Haven Hospital and Yale School of Medicine

Ian Schwartz, MD

Executive Director of Care Management, Yale-New Haven Hospital

Edieal Pinker, PhD

Professor of Operations Research and Professor of Health Policy, Yale School of Management

Kim Pont, RN

Clinical Data Analyst Finance, Yale New Haven Health System

John Roberts, MD

Professor of Medicine (Medical Oncology), Yale School of Medicine Medical Director, Adult Sickle Cell Program Yale-New Haven Hospital

Sveinn Sigurdsson

Consultant III and Administrator of Clinical Redesign, Internal Consulting Group, Yale New Haven Health System

Jonathan Siner, MD

Assistant Professor of Medicine (Pulmonary), Yale School of Medicine, Medical Director, Medical Intensive Care Unit, Yale-New Haven Hospital

Charles Torre Jr.

Executive Director, ITS Database Administration and Architecture, Yale New Haven Health System

Diane Vorio, RN

Vice President of Patient Services and Associate Chief Nursing Officer, Yale-New Haven Hospital

Jean Zheng, MD, PhD

Engineering Director, Center for Biomedical and Interventional Technology (CBIT), Yale University

Why Should You Attend?

1

Yale New Haven Health will share its “quality-first” approach that reduced variation, improved clinical outcomes and yielded $150M in savings.

2

Industry leaders and thought provokers will provide a vision for the future of  healthcare management.

3

Peers and colleagues will share real-world case studies with actionable ideas you can put into place immediately.

4

Networking will give you the opportunity to talk with professionals who are making significant strides in improving care while lowering costs.

Who Should Attend?

Leaders from the following areas who are looking for real-world solutions for improving care while reducing costs should attend:
  • Clinical
  • Executive
  • Finance
  • Performance Improvement
  • Quality Improvement
  • Operations
  • Cost Management
  • Information Technology
  • Payor
  • Academia
  • Healthcare Manufacturers and Suppliers

Yale Symposium

Date: Wednesday, April 27th
Includes: Access to full day’s activities.
Cost: $100

The option to add on the post symposium events is presented during registration.

Yale Event Schedule

Yale Symposium Presentations

8:00 a.m. Registration and Breakfast
9:00 a.m. Welcome, Overview, Keynote Presentations Begin
10:30 a.m. Coffee Break
10:45 a.m. Presentation 1 (A1 and B1)
11:45 a.m. Presentation 2 (A2 and B2)
12:30 p.m Lunch
1:30 p.m. Presentation 3 (A3 and B3)
2:30 p.m. Presentation 4 (A4 and B4)
3:15 p.m. Coffee Break
3:45 p.m. Presentation 5 (A5 and B5)
4:45 p.m. Presentation 6 (A6 and B6)
5:00 p.m. Registration for Post Symposium Events
5:45 p.m. Closing Keynote Presentation, Wrap-Up and Evaluation
6:30 p.m. Cocktail Reception Begins
7:30 p.m. Reception Begins

Track One: Integration, Scale and New Partnerships

  • A1. Advanced Network Integration Strategies:

    Presenters: Richard D’Aquila; Gayle Capozzalo, FACHE; Abe Lopman and Matthew Comerford

    In this session we will explore YNHHS’ focus on developing an integrated network that provides a full continuum of high-quality, cost-effective care to better serve our communities to include specific integration examples and strategies. We will describe key accomplishments that included consolidating clinical services, the onboarding of close to 4,000 employees, meeting all regulatory requirements, investing in infrastructure enhancements, decreasing overall operating costs and maintaining financial performance.

  • A2. Organizational Priorities Anchored by Advanced Cost Accounting Data:

    Presenters: Richard D’Aquila; Stephen Allegretto, MPH; Dan Michelson and Abe Lopman

    In this session we will demonstrate how robust cost accounting data, combined with EMR and quality data, allowed leaders to identify variations in clinical quality and cost. We will then explore how the data led to actions that improved quality and lowered costs, and continues to facilitate collaboration across organizations and drive opportunities to impact healthcare organization, delivery and reimbursement.

  • A3. The Role of Interdisciplinary Innovation: “Intrapreneurship” and Strategic Partnerships:

    Presenters: Thomas Balcezak, MD; Seth Feuerstein, MD;  Stephen Allegretto, MPH and Christopher Loose, PhD

    In this session we will explore how the Center for Biomedical and Interventional Technology and YNHHS are aligning efforts to engage payors and develop strategic partnerships with industry leaders to address clinical pain points that lead to care and cost variation. We will outline methods for turning ideas into organizational intellectual property with the mindset of progression to commercial products while providing a path to building “intrapreneurship”.

  • A4. Big Data: Predicting Outcomes and Care Intervention:

    Presenters: 4— Nihar Desai, MD; Jack Mortazavi PhD; Barbara McCloskey, RN and Charles Torre, Jr.

    In this session we will describe the use of over 5,000 data elements belonging to cardiac patients by the Center for Outcomes Research and Evaluation (CORE) to develop a predictive model for Quality Variation Indicators. The presenters will discuss the model-building as it applies to patients who undergo CABG, valve surgery and PTCA.

  • A5. The Drivers of Improved Value for Heart and Vascular Destination Services:

    Presenters: Keith Churchwell, MD; Nihar Desai, MD; Kim Pont, RN and Mario Donini

    In this session you will learn how to profile clinical and financial variation for a service line with significant clinical variation driven by complex patients who are crucial to YNHH’s mission and vision – patients transferred in from other hospitals. These patients, however were leading to increased Medicare penalties and significant outcomes variation. We will describe how readily available administrative data can be reliably used for profiling and how engaged clinical leaders were able to drive meaningful conversations with clinicians by integrating Rothman Index data with clinical registry data to highlight variation in care practices and improve quality and cost variation.

  • A6. Integrate, Innovate and Invigorate: The Center for Musculoskeletal Care and Bundled Payments:

    Presenters: Mary O’Connor MD; Keith Murphy; Alan Green and Maribeth Cabie, RPh

    In this session we will demonstrate how a new surgeon’s leadership and vision supporting a new patient-centered model of care combined with historical knowledge and data – a $3m annual implant standardization opportunity that existed for the last five years—to drive FY 2016 improvements in clinical quality and cost. The non-salary cost variation data will be supplemented with trended clinical variation data. We will then explore YNHHS’ movement into the CMS BPCI bundled payments program and the identification of an infrequently used gainsharing program called the Internal Cost Savings (ICS) program which allowed the organization to align efforts at the patient and surgeon level. Initial program results for FY 2016 (Quarter 1) are showing improved quality, a greater than 11% reduction in implant cost and gain-sharing distributions.

Track Two: High Reliability, Technology and Innovation

  • B1. The Influence of Patient Experience and Personal Health Records (PHR):

    Presenters: Michael Bennick MD; Harlan Krumholz, MD and Lisa Stump RPh

    In this session we will explore the “inventory” of technology systems currently deployed and planned for deployment that ensure that we have a full understanding of our patients’ needs and experiences and the impact on quality and cost. We will then explore how these systems combined with our vision for a fully personalized patient health record will enhance our value to our patients.

  • B2. High Reliability (Quality Variation Indicators - QVI™) and Improved Outcomes:

    Presenters: Ryan O’Connell MD; John Roberts MD and Janis Bozzo, RN

    In this session you will learn what it means to be a high-reliability organization and how YNHHS’ code-based quality system (QVIs) is combined with cost and EMR data to allow clinicians to measure clinical improvements over time. Specifically, we will explore two patient populations – those with sickle cell disease and those undergoing lower joint replacement with a recently implemented early recovery after surgery (ERAS) program. Results will show the cumulative and sustained clinical and financial improvements in both groups. The sickle cell disease program alone resulted in significant clinical improvements and a savings of $7m over three years.

  • B3. Developing Value Innovation Leaders:

    Presenters: Howard Forman MD; Mark Saltzman; Peter Schulam, MD, PhD and Rogerio Lilenbaum, MD

    In this session, leaders will describe their practical experiences and present their thoughts on how we are creating real opportunities for academia to partner in new ways to solve complex clinical care and cost variation issues. This dialogue will discuss lessons learned as well as outline the journey ahead of us to develop leaders who incorporate innovative solutions into the many challenges faced by patients, clinicians and hospitals.

  • B4. The Role of Early Identification in the Deterioration of Patients’ Condition: Right Patient, Right Bed, Right Time:

    Presenters: Michael Ivy, MD; Diane Vorio, RN; Sheila Coonan, RN and Stephanie Alexander

    In this session you will learn how YNHH and BH approached the challenge to quickly and consistently identify and treat patients who were clinically deteriorating. Clinicians will describe how focusing on variation in surveillance and patient placement practices produced improvements in patient outcomes and costs and how the improvements generated capacity to accommodate additional patients.

  • B5. The eICU, the EHR and Technology:

    Presenters: Allen Hsiao, MD; Jonathan Siner MD; Spike Lipschutz MD and Tesheia Johnson

    In this session you will learn the role that combined EHR, quality and cost data play in providing evidence of the value of specific work flow and patient care improvements for ICU and clinical research patients. e-ICU users will describe how the EHR both supported centralized clinical patient management that improved quality and lowered cost for YNHH and GH. Clinical research leaders will then demonstrate how the EHR improved clinical research patient selection through protocol development and monitoring.

  • B6. Rapid Cycle Clinical Redesign:

    Presenters: Ian Schwartz, MD; Matthew Comerford; Sveinn Sigurdsson and Philip Corso

    In this session you will learn how YNHHS’ clinical redesign efforts, including early successes and failures, were managed, staffed and monitored, and how efforts evolved over time to include a “redesigned” redesign process. The new process is anchored by a rigorous 90-day project cycle that greatly improved the success rate of selected projects. Managed by a dedicated project management team, evolving variation reduction strategies allow for provider and unit accountability for improvement in care processes.

Strata Post Symposium

Date: Thursday, April 28th
Includes: Access to full day’s activities

Strata Event Schedule

Strata Symposium Presentations

8:00 a.m. Continental Breakfast
8:45 a.m. Welcome & Overview
9:15 a.m. The Synergistic Relationship Between Decision Support & Continuous Improvement (A1)
10:00 a.m. Break
10:15 a.m. A Deep Dive with Yale New Haven Health (A2)
11:15 a.m. Continuous Improvement in Action (A3)
12:00 p.m. Box Lunches & Depart

Decision Support & Continuous Improvement Workshop

  • A1 The Synergistic Relationship Between Decision Support & Continuous Improvement

    Presenters: Liz Kirk, Senior Vice President of Client Services and Cost Improvement Solutions, Strata Decision Technology and Tushar Pandey, Director of Decision Support, Strata Decision Technology

    Understand the synergies between Decision Support and Continuous Improvement. Learn how a strong foundation of advance cost accounting and integrated clinical, financial and operational data can unlock opportunities to drive real improvements in quality and cost within your organization.

    Attendees will learn:

    • How to develop patient populations; see the prevalence, cost and source of hospital acquired conditions and readmissions, and dive deep into financial, operational, and clinical data to identify opportunities for improvement.
    • How to create workflows to track results on improvement programs and quantify the cost savings, and see the actionable information available to senior leaders, physicians, department leaders and change agents.
    • How peers are utilizing StrataJazz to prepare for value based payments and CMS reimbursement models such as the Comprehensive Care for Joint Replacement (CCJR).

  • A2 A Deep Dive with Yale New Haven Health

    Presenter: Steve Allegretto, Vice President Strategic Analytics & Financial Planning, Yale New Haven Health System

    Hear first-hand how Yale’s “quality-first” approach reduced variation, improved clinical outcomes, and yielded $150M in savings and how you can apply the same approach at your organization. You will have an opportunity to ask questions about how they organized their program, how they overcame skeptics and how they meaningfully engaged physicians as partners.

    Attendees will learn:

    • How to manage per unit cost and reduce the cost of care delivery.
    • How to be successful in cost management and quality improvement.

  • A3 Continuous Improvement in Action

    Presenter: Jami Eddington, Solution Manager, Continuous Improvement, Strata Decision Technology

    See a live demo of Strata’s Continuous Improvement solution to learn how your organization can build a successful organizational-wide quality improvement program that drives true cost savings. Learn how you can identify and quantify actionable opportunities to improve quality and reduce utilization among physicians, and see the Yale Quality Variation Indicators in action including pre-built reports, analytics, and algorithms and more.

    Attendees will learn:

    • What you need to operationalize a value improvement program/cost savings program.
    • How to create workflows to build accountability and drive results.
    • How to create performance targets and measure results against the targets and timelines.

PeraHealth’s Annual Rothman Index Roundtable

Date: Thursday, April 28th and Friday, April 29th
Includes: Access to full day’s activities

PeraHealth Event Schedule

PeraHealth Symposium Presentations

Thursday, April 28th, 2015
7:30 a.m. Continental Breakfast
8:30 a.m. Welcome & Overview
9:00 a.m. YNHH Outcomes Achieved Using the Rothman Index
11:00 a.m. Lunch & Panel Discussion: Breakthrough Innovation to Detect Sepsis
1:00 p.m. Houston Methodist Hospital Outcomes Achieved Using the Rothman Index
2:00 p.m. Strategies to Operationalize the Rothman Index
4:00 p.m. PeraHealth Product Overview
5:00 p.m. Closing Remarks
6:30 p.m. Hosted Dinner at the Omni
Friday, April 29th, 2016
7:30 a.m. Continental Breakfast
8:30 a.m. Overview & Purpose of Rothman Index Roundtables
9:00 a.m. RI Roundtable: Breakout Session 1 (Choose A or B)
10:30 a.m. RI Roundtable: Breakout Session 2 (Choose A or B)
12:00 p.m. Closing Remarks & Boxed Lunch
12:30 p.m. – 2:00 p.m. Site Visit at Yale New Haven Health
Thursday, April 28th, 2015
  • Right Patient, Right Bed, Right Time Initiative - Leveraging the RI to Improve Quality and Reduce Cost

    Learn how YNHH’s Right Patient, Right Bed, Right Time initiative leveraged the RI and real-time capabilities to improve quality and reduce cost. Outcomes achieved include reducing mortality 30% at a hospital campus.

  • Identifying Sepsis at Admission and Predicting Onset in the Hospital Using the Rothman Index

    Expert panel to discuss multi-site, 18-month research study to develop predictive models to identify sepsis.

  • EMR Surveillance Intervenes to Reduce Risk-Adjusted Mortality

    Learn implementation and change management strategies Houston Methodist Hospital employed to reduce risk-adjusted mortality 32% on 11 units utilizing RI.

  • Strategies and Best Practices Utilized by Hospitals to Operationalize the RI

    Discuss how leaders leverage the RI to meet clinical and operational needs. Topics include leveraging the RI to predict discharge types and readmission rates in oncology, to manage care through the continuum, to improve communication during interdisciplinary rounding, patient handoffs and unit huddles, and to enhance staffing assignments.

  • Current and New Product Overview

    Discover more about current and new PeraHealth products to expand remote monitoring and analytical capabilities.

Friday, April 29th, 2016
  • Overview and Purpose of RI Roundtables

    Discuss how RI Roundtables can best meet the needs of RI users and researchers.

  • A: RI Roundtable – Research

    Interactive, panel discussion on RI-related research projects.

  • B: RI Roundtable – Clinical Operations

    Interactive, panel discussion on strategies and best practices to hard-wire and operationalize RI.

  • A: RI Roundtable – Pediatrics

    Interactive, panel discussion on the unique opportunities and challenges of leveraging the pRI in the pediatric setting.

  • B: RI Roundtable – Remote Monitoring

    Interactive, panel discussion on the expanded use of the RI in remote monitoring.

Event Registration

Options for presentation selections and other event details that pertain to the individual days will appear on the registration checkout page as well as give you the ability to add on other registration days. Registration is limited

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Yale Symposium

Wednesday April 27th, 2016

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Strata Post Symposium

Thursday April 28th, 2016

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PeraHealth Post Symposium

Thursday April 28th, 2016
Friday April 29th, 2016

Planning Your Visit

Where to Stay

Omni New Haven Hotel at Yale
155 Temple Street
New Haven, Connecticut 06510
Phone: (203) 772-6664

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New Haven Hotel
229 George Street
New Haven, Connecticut 06510

Visit Website   |    Get Directions

Where to Park

Parking is available on site at the hotel. On-site valet ($28.75 per night) and covered self-parking ($23 fee includes in/out privileges).

Dress Code

Business Casual

Sponsors

Value Innovation Sponsors

Gold

Silver

Bronze

Value Innovation Grant Sponsors

Diamond

Platinum