Our Agenda

Move to Value Virtual Summit

October 13-14, 2020

Tuesday, October 13

7:00 A.M.Registration
8:00 A.M.Welcome
8:05 A.M.Mara McDermott, JD – McDermott+Consulting
“Value-Based Care in an Election Year: the View from Washington, DC”
COVID-19 has underscored the vulnerabilities and weaknesses of a fee-for-service payment system. Many organizations are responding by taking a closer look at models with more sustainable cash flow, like direct contracting and primary care first. This session will examine how the federal government has responded by providing additional flexibility in existing models and doubling down on new models. We will also examine the effects of the 2020 Presidential election on the movement to value-based care.
9:00 A.M.Cory Sessoms, MD + Richard Orr, MD – Wake Forest Health Network    
“Healthy Transitions Clinic Update: Reducing Readmissions and Improving Quality”
The Wake Forest Health Network Complex Care Clinic is a comprehensive transitional care clinic staffed by CMAs, an RN nurse navigator, a social worker, Pharm D’s, a physician assistant, a nurse practitioner, and two physicians focused on improving the outcomes of patients with who have been hospitalized and are in risk-based contracts. By using a team approach and a large set of tools and strategies, the team has substantially reduced hospital readmissions, improved patient outcomes, and lowered the cost of care for these patients. Dr. Richard Orr and Dr. Cory Sessoms will present an update to last year’s results, providing additional answers and insights for successfully implementing a value based transitional care clinic.
10:00 A.M.Morning Break
10:30 A.M.Payer Panel
11:30 A.M.Tara Cho, JD, CIPP/US, CIPP/E + Toni Peck, JD – Womble Bond Dickinson
“The Regulatory and Privacy and Security Implications of Partnerships between Community Organizations and ACOs”
Social determinants of health play a critical role in an accountable care organization’s ability to successfully manage healthcare outcomes of its patients. Partnerships with community based organizations and other non-traditional health care entities, such as food banks, religious organizations, and shelters are crucial to addressing these social determinants. Tara Cho and Toni Peck will explore the regulatory and privacy and security implications of partnerships between community based organizations and accountable care organizations.
12:30 P.M.Lunch & Networking
1:00 P.M.Robert Fields, MD – Mount Sinai Health System
“From Model T to Tesla: Transforming Systems Towards Value”
Despite innovation in many aspects of healthcare diagnostics and treatments, innovation in healthcare delivery has been exceedingly slow and often ineffective. It is also clear the cumulative effect of technology and advancement in diagnostics and therapeutics has not translated into higher value care or radically better outcomes. We will discuss the investments and strategies health systems need to make to drive improved outcomes at scale and drive value within their systems.
2:00 P.M. Gary Gunderson, M.Div., D.Min., D.Div. – Wake Forest Baptist Medical Center
“Turning on the Social Immune System: How Networks of Faith and Meaning Build the Social Muscle for the Social Determinants”
COVID comes to teach us that more roles are essential to health than we thought and as a wide network of organizations is guiding health policy toward well-being, not just absence of disease. That network is thinking of faith as a kind of social immune system that animates the other social assets in times of crisis as well as normal times when we focus on the complex web of chronic conditions. Wake Forest Baptist Health’s FaithHealth Division is the largest ongoing array of promising practices designed to make this real, but not without lessons learned about what not to do. 
3:00 P.M.Afternoon Break & Networking
3:30 P.M.Shannon Parrish, BSN, RN – CHESS Health Solutions
“Relationship Building In and Beyond the Ambulatory Setting”
The presentation will highlight the effectiveness of an interdisciplinary team in the ambulatory setting. This has long been a valued component of acute and post-acute care settings. The interdisciplinary team is often either under resourced or not a part of ambulatory care settings. Highlighted will be collaborative relationships with community partners and organizations. The discussion will also include Present team structure and Role Delineation, Data on pharmacy and social work referrals, Basic outcomes reporting. Join us to hear about high utilizer meetings, outcomes, and patient stories.
4:30 P.M.Mitesh Patel, MD, MBA  Penn Medicine Nudge Unit
“Using Nudges to Improve the Delivery of Health Care”
The way information is frame or choices are offered can significantly influence medical decision-making. Nudges are subtle changes to the design of choice architecture that can have an outsized impact on our behavior. This talk will describe how principles from behavioral economics can be used to design nudges within health care to improve patient outcomes. The talk will present examples from a wide range of clinical settings and offer lessons learned for broader implementation.
5:30 P.M.Closing Remarks followed by AMA (Ask Me Anything)

Wednesday, October 14th

8:00 A.M.Welcome
8:05 A.M.David Nash, MD, MBA – Jefferson College of Population Health
“Physician Leadership Needed to Deliver High Value Care”
Dr. David Nash, a nationally acclaimed physician leader and teacher, will explore the deep connection between leadership and our ability to deliver high value, harm free, health care. By drawing on his thirty year experience he will first outline the many failures of our system, and describe how we landed at a place where health took a back seat to health care delivery. Drawing on the tenets of performance improvement, population health, and management of complex organizations, he will provide a vocabulary to better understand the challenges that we face. He will offer some detailed solutions, including, changing clinical training, aligning economic incentives, closing the feedback loop and reducing waste in the system. Finally, he will describe the system of the future and the role of patient engagement in their own care”.
9:00 A.M.Ajay Dharod, MD, FACP + David Miller, Jr., MDMS – Wake Forest School of Medicine
“Empowering Patients and Improving Preventive Care with Digital Health”
Compared to most other developed nations, fewer American’s receive guideline-recommended preventive services. The growing prevalence of smartphones, broadband access, tablet devices and electronic health records creates new opportunities to improve care using digital health and applied clinical informatics. The presenters will discuss their journey creating and implementing patient-facing digital health apps, including strategies for connecting health apps to the electronic health record.
10:00 A.M.Morning Break & Networking
10:30 A.M.Jennifer Gabbard, MD – Wake Forest School of Medicine
“Integrated Multidisciplinary Approach to Advance Care Planning for Vulnerable Older Adults
Within an ACO”

Dr. Gabbard will provide an overview of the IMPACT study, which was a randomized comparative effectiveness trial focused on improving advance care planning in outpatient primary care for vulnerable older adults.  She will discuss a scalable approach of using nurse navigators and the Medicare Annual Wellness visit to promote patient and family engagement in Advance Care Planning.  The study comprised of 759 vulnerable older adults from 8 primary care clinics throughout the CHESS/WFBH network.
11:30 A.M.Keith Anderson, MBA + Chris GarciaMD – LabCorp
“Working with Your Lab Partner in Value-Based Care”
As the move to transform the delivery and reimbursement of health care services continues, relationships between, and among, those in the industry have evolved and will continue to do so in the future. Historically, the value of a laboratory partner had been framed by the proportion of the healthcare dollar it represented, somewhere less than 5%. However, as the shift in reimbursement moves from a solely focused on fee-for-service to one that incorporates demonstrating value and health outcomes, laboratory services take on expanded importance. In an environment that puts and emphasis on demonstrating and documenting the quality of care being provided, the information available from lab data and results become increasingly important. Getting accurate, timely information from your lab partner can help with quality reporting, network performance and provider performance. During our discussion we will touch upon different ways having the right lab partner can assist you with performance in value-based care settings.
12:30 P.M.Lunch & Networking
1:00 P.M.Yoga
1:30 P.M. Peter Read, DO + Dianne Schultz, DNP, MSN, RN – Unity Point Health
“UnityPoint Health: Moving to Value through Innovative Relationships & Care Models”
UnityPoint Health System is transforming care delivery. Move to value requires healthcare redesign committed to value-based outcomes. As a population health service line, Care at Home provides a suite of services designed to proactively manage UnityPoint’s ACO attributed population in the ambulatory space. In-sourced services, remote monitoring, and waiver supported care models optimizes value driven ROI. Exceptional quality and economic outcomes are demonstrated as a result of these innovative relationships and care models. Care at Home suite of services spans ED, hospital, and SNF replacement option. Dr. Read will present exemplar cases demonstrating value through innovative relationships and Dr. Schultz will present outcomes demonstrating value through innovative care models.
2:30 P.M.Care Coordination Panel
3:30 P.M.Afternoon Break & Networking
4:00 P.M.Jesse C. James, MD, MBA – CHESS Health Solutions
“Working Together for the Future: The Innovation Lab at CHESS”
This presentation will introduce the CHESS Innovation Lab. CHESS is engaging in strategic  partnerships with organizations from academia, information technology and community services to discover, vet and catalyze clinical and technological value services. This presentation will describe the roadmap for CHESS to move these companies from blueprints in 2020 to implementation in 2021.
5:00 P.M.Closing Remarks