MIAMI

Connect. Inspire. Lead.
The nation’s only essential conference

Conference

Schedule

VITAL2019 offers an unparalleled program with five education tracks, more than 30 sessions, and valuable content forged by member experience.

WEDNESDAYTHURSDAYFRIDAY


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Agenda


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Topics We Will Cover

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Day 1

Wednesday, June 19


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Welcome

Conference registration open

7 am–7 pm

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Preconference Workshop

Funding Population Health Programs (preregistration required)

8am–noon
Workshop Details

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Government Relations Academy

8 am–noon

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Fellows Program

8 am–noon

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Board Meeting

Institute board meeting (closed)

8:30–11:30 am

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Climate Resilience at Essential Hospitals Luncheon

Noon–1 pm
Luncheon Details

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340B Interest Group Meeting

1–1:45pm

The 340B Interest Group brings together individuals interested in discussing issues related to the 340B Drug Pricing Program. Open only to full members of America’s Essential Hospitals.


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First-time attendee orientation

1:45–2:15 pm

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Financial Interest Group Meeting

2:15–3 pm

The Financial Interest Group is a platform for essential hospital leaders to learn and share knowledge about their unique financial challenges. Open only to full members of America’s Essential Hospitals.


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General Session

Opening general session

3:30–5:15 pm
This session will feature a president’s address from Dr. Bruce Siegel, a presentation from our partner Premier, and a keynote from Ezekiel Emanuel.
Session Details

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Opening reception

5:15–6:30 pm

Day 2

Thursday, June 20


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Conference registration open

7 am–5 pm

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Networking breakfast

7–8 am

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Multiple Tracks

Critical Conversations (choose one of five)

8–9 am
  • Better Approaches to End-Of-Life Care
  • Breaking the Glass Ceiling: The Woman’s Leadership Experience
  • The Economics of Medicare GME: Starting New Training Programs
  • Bundling Social Determinants and Quality Work to Improve Population Health
  • Value-Based Population Health Strategies and Innovations in Action
Better Approaches to End-Of-Life Care

Track: Clinicians as System Partners
Junior Ballroom A, Fifth Floor

Essential hospitals often serve the sickest patients in their communities and care for many patients near the end of their lives. This poses unique challenges for meeting patient needs and reflecting the quality of care through publicly reported data. Two essential hospitals will share lessons learned in providing quality, compassionate end-of-life care in the right place, at the right time for each patient. UK HealthCare (@UK_HealthCare), in Lexington, Kentucky, has leveraged a key partnership with community hospice providers to implement a dedicated inpatient hospice unit and a virtual inpatient hospice service. University Health System (@UnivHealthSys), in San Antonio, operates a general inpatient hospice program through a similar partnership. Both hospitals will share data showing their programs’ impact on the Triple Aim Plus.

Julieanne Eddy, RN, MPH
Senior Director of Palliative Care
University Health System

Jon Housley, PharmD, MBA
Assistant Operations Executive
UK HealthCare
@JJHousleyUK

Jessica McFarlin, MD
Assistant Professor of Neurology
UK HealthCare

Breaking the Glass Ceiling: The Woman’s Leadership Experience

Track: Executive Leadership Lessons
Junior Ballroom B, Fifth Floor

Gender disparities persist in hospital executive leadership. While women make up the majority of the health care workforce, only 19 percent of hospital CEOs are women and only 4 percent of health care companies are run by women. This session will explore gaps, behaviors, and biases that contribute to gender inequities in the workforce, with a special focus on diversity. A panel of 2018 Essential Woman’s Leadership Academy graduates will discuss confidence, language, identity, and the power of critical conversations in leadership development. Panelists will share approaches both men and women can take to help women advance their careers.

Jo-el Detzel, MSHA
Vice President, Ancillary and Support Services
Maricopa Integrated Health System

Averil Kane
Associate Chief Financial Officer
Cambridge Health Alliance

Jamie Hughes, MSN, RN
Associate Administrator
Harris Health System

Leslie Safier, MPH
Director of Performance Improvement
Zuckerberg San Francisco General Hospital and Trauma Center

Ann Varghese, OTR, MBA, MHA
Director, Ambulatory Operations
UTMB Health

The Economics of Medicare GME: Starting New Training Programs

Track: Finance and Payment Policy
Junior Ballroom C, Fifth Floor

The rules surrounding Medicare GME reimbursement are complex and starting new training programs is not as simple as applying for new accreditation. From conceptualization to the first resident in training, presenters from the University of Texas Health Science Center at Tyler (@UTHealthTyler), in Tyler, Texas, and Germane Solutions (@TheGermaneTeam) will walk through several issues that organizations are likely to face when starting new residency training programs. This session will showcase how one essential hospital navigated these challenges to expand their GME footprint in the market. The session will also explore strategies to improve the economics of GME and how to avoid common pitfalls we see in the industry.

Daniel Deslatte, MPA
Senior Vice President of Business Affairs and External Relations
The University of Texas Health Science Center at Tyler

Jonathan Scaglione
Director of Academic Medicine Consulting Group
Germane Solutions

Bundling Social Determinants and Quality Work to Improve Population Health

Track: Improving Population Health
Plaza 4, Fifth Floor

Hayward Wellness Center, a federally qualified health center within Alameda Health System (@AlamedaHealth), in Oakland, California, presents a conceptual and operational road map for integrating the often incomplete, siloed work of addressing social determinants while improving quality of care. By collaborating with multiple partners, Hayward Wellness codesigned, operationalized, and hardwired workflows that empower front-line staff and providers to confidently address social determinants, such as food insecurity and social isolation, alongside clinical care.

The center bundled innovative community partnerships to develop “pharmacies” for nutrition assistance, social needs, behavioral health needs, and clinical services—all of which help patients fulfill providers’ prescriptions for health.

Steven Chen, MD
Medical Director, Hayward Wellness Center
Alameda Health System

Benjamin Emmert-Aronson, PhD
Cofounder, Director of Operations
Open Source Wellness

Helen Pagilagan, DNP, RN
System Manager, Care Management Education
Alameda Health System

Value-Based Population Health Strategies and Innovations in Action

Track: Innovations in Health Care
Plaza 5, Fifth Floor

Value-based Population Health Strategies and Innovations in Action

As health care moves from traditional fee-for-service models to value-based care, essential hospitals are developing innovative tools and systems to successfully navigate this new landscape. In this session, presenters from The MetroHealth System (@metrohealthCLE), in Cleveland, will describe how they used “share of wallet” metrics to increase operating revenue, improve integration across the continuum of care, and position the health system to reduce total cost of care. Temple University Health System’s (@TempleHealth) Center for Population Health will present scalable examples of population health strategies in action, including a clinically integrated network, post-acute care model, chronic disease management, and transitions of care—all supported by data and risk stratification that optimize efficiency and resource dissemination.

Steven Carson, RN, BSN, MHA
Vice President, Clinical Integration; Chief of Operations
Temple Center for Population Health
Temple University Health System

Nabil Chehade, MD, MSBS
Senior Vice President, Chief Population Health Officer
The MetroHealth System
@nchehade

Susan Freeman, MD, MS
President and CEO
Creative HealthCare Initiatives Inc.

Ryan Johnson, MBA, MS
Manager, Business Operations and Finance for Care Delivery
The Population Health Innovation Institute
The MetroHealth System


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General Session and Town Hall Meeting

9–10:30 am
This session will feature a town hall meeting and a keynote address from Sue Klebold, mental health advocate and author of A Mother’s Reckoning: Living in the Aftermath of Tragedy.
Session Details

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Networking break

10:30–11 am

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Multiple Tracks

Education breakout sessions (choose one of five)

11 am–12:15 pm
  • Demonstrating the Value of “In-Workflow” Clinical Decision Support
Demonstrating the Value of “In-Workflow” Clinical Decision Support

Track: Clinicians as System Partners
Junior Ballroom A, Fifth Floor

Clinical decision support (CDS)—when provided in an appropriate context to the right provider at an actionable point in the work flow—can be an effective tool to decrease low-value care and encourage the use of evidence-based guidelines. Analytics that help us understand the CDS environment can help decrease alert fatigue, making room for more effective alerts. Users of these tools will describe examples of initiatives to reduce alert fatigue, cost savings from canceled orders and unnecessary care, and ways CDS tools make it easier for clinicians to make better decisions. Presenters also will discuss CDS and analytics tools as a bridge to value-based care.

Wendy Whittington, MD
Physician Executive
Premier Inc.

  • Toxic Teams: Diagnosis and Treatment
Toxic Teams: Diagnosis and Treatment

Track: Executive Leadership Lessons
Junior Ballroom B, Fifth Floor

Fast-moving health care teams are great at serving urgent patient needs. But what happens when the urgency is over, and the team needs to work well together day-to-day? Unresolved baggage can burden fast-moving teams—wounds from long-standing conflicts and resentments fester, often exacerbated by a leadership vacuum or lack of ongoing professional development.

This workshop, by leaders at NYC Health + Hospitals’ (@NYCHealthSystem) Kings County Hospital Center, in Brooklyn, New York, will help participants learn to recognize a toxic team and recognize when that toxicity affects the bottom line. In this session, participants will learn to assess and apply real-life solutions to treat the toxic team, as well as coaching and communication strategies to set new leadership up for success.

Vera Appiah-Agyemang, RN, CNM, MSN
Senior Associate Director of Nursing, Maternal Child Health
Kings County Hospital Center
NYC Health + Hospitals

Steve Salee, MSW, MPA
Partner and Founder
Wildfire Strategies
@stevesalee

Wendy Wilcox, MD, MPH, MBA
Chair of Obstetrics, Gynecology, and Women’s Health
Kings County Hospital Center
NYC Health + Hospitals

  • Foundations of Essential Hospital Funding
Foundations of Essential Hospital Funding

Track: Finance and Payment Policy
Junior Ballroom C, Fifth Floor

Medicaid provides critical funding for essential hospitals. The joint role of the federal government and states in defining how Medicaid pays providers, and the funding of those payments, creates both opportunities and tremendous complexity.

This session will describe the fundamentals of the federal, state, and local roles in Medicaid funding and payments, including:

    • the supplemental payment programs that make up a vital patchwork of support for essential hospitals; and
    • the legal mechanisms for funding the nonfederal share of Medicaid payments.

Sarah Mutinsky, JD, MPH
Deputy Washington Counsel, America’s Essential Hospitals
Founding Senior Advisor, Eyman Associates PC

  • Leveraging Community Health Workers to Improve Population Health
Leveraging Community Health Workers to Improve Population Health

Track: Improving Population Health
Plaza 4, Fifth Floor

Community health workers (CHWs) are front-line public health professionals with a close understanding of the community they serve. They provide individualized services to overcome health and social inequities and bridge the gap between communities or individuals and service providers. Research demonstrates CHWs can help to reach high-risk populations and improve outcomes, while maximizing scarce program resources.

This session will share three essential hospitals’ experience with CHWs. Sinai Urban Health Institute (@SinaiChicago) will present research and best practices for CHW interventions; University of Chicago Medicine (@UChicagoMed) will share its framework for a comprehensive multisite pediatric asthma management collaborative involving CHWs; and Los Angeles County Department of Health Services (@LACountyDHS) will describe its Medicare Section 1115 waiver program, which uses CHWs to manage the medical and social needs of high-risk individuals.

Brenda Battle, RN, MBA
Vice President, Urban Health Initiative; Chief Diversity, Inclusion, and Equity Officer
The University of Chicago Medicine

Louise Giles, MD, MPH
Director, Asthma Center
Comer Children’s Hospital
The University of Chicago Medicine

Shamsher Samra, MD, MPhil
Medical Director, Whole-Person Care Re-entry
Los Angeles County Department of Health Services

Dennis Hsieh, MD, JD
Assistant Professor, Department of Emergency Medicine; Director, Medical Legal Community Partnerships—Whole Person Care Los Angeles
Harbor UCLA Medical Center
Los Angeles County Department of Health Services
@countyeddoc

Stacy Ignoffo, MSW
Director of Community Health Innovations, Sinai Urban Health Institute
Sinai Health System

Helen Margellos-Anast, MPH
Senior Research Director, Sinai Urban Health Institute
Sinai Health System
@HelenMAnast

  • California Whole Person Care: Progress and Early Results
California Whole Person Care: Progress and Early Results

Track: Innovations in Health Care
Plaza 5, Fifth Floor

California’s Whole Person Care program is a statewide initiative to improve care for patients with complex medical and social needs. Twenty-five pilot sites across the state were selected to participate. This session will describe the structure of the program overall, as well as the range of models and services offered by pilot sites. Los Angeles County Department of Health Services (@LACountyDHS) and San Mateo County Health (@SMCHealth) will share their experiences implementing the program, including partnership successes; efforts to build data infrastructure; and strategies to engage patients experiencing homelessness, severe mental illness, and substance use disorder.

Amanda Clarke, MPH
Associate Director of Programs
California Health Care Safety Net Institute
California Association of Public Hospitals and Health Systems

Sandra Kiapi
Management Analyst
San Mateo County Health

Belinda Waltman, MD
Medical Director, Whole Person Care Los Angeles
Los Angeles County Department of Health Services


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Gage Awards

Gage Awards Luncheon

12:15–2 pm

Celebrate excellence as we honor outstanding programs in quality and population health with the Gage Awards. The prestigious awards are presented to member hospitals and health systems for creative, successful programs and activities that enhance patient care and meet community needs. Join us to honor our 2019 recipients.

Luncheon Details

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Multiple Tracks

Mini-Sessions (choose one of five)

2:15–2:45 pm
  • Successful Culture Change on the Path to Zero Harm
  • Mass Casualty Response and Communications: Are You Ready?
  • Texas v. Azar: Understanding Legal Challenges to the ACA
  • Equity of Care: Strategy, Partnerships, and Execution
  • Implementing an Integrated Care Delivery System
Successful Culture Change on the Path to Zero Harm

Track: Clinicians as System Partners
Junior Ballroom A, Fifth Floor

In 2014, Erie County Medical Center (@ECMCBuffalo), in Buffalo, New York, launched a campuswide initiative to promote a culture of zero harm in relation to using restraints. The initiative, which continues today, helped to significantly reduce restraint use in the hospital’s inpatient units. The initiative’s long-term plan began by engaging multidisciplinary teams to educate staff on crisis intervention, encouraging a cultural shift as staff realized how to enact change. Leadership empowered staff at all levels to think creatively when determining alternatives to restraint. Tactile tools, heightened purposeful rounding, and other innovative methods all helped achieve the goals of the initiative.

Karen Ziemianski, RN, MS
Senior Vice President of Nursing
Erie County Medical Center

Mass Casualty Response and Communications: Are You Ready?

Track: Executive Leadership Lessons
Junior Ballroom B, Fifth Floor

“Code green” is announced. Multiple trauma patients are inbound to your hospital. First responders, patients’ families, and media are descending.

What are your responsibilities and limitations when law enforcement locks down your hospital? What is the chain of command when communicating patient status? What is your plan to manage the influx of hundreds of media outlets?

This session will cover Broward Health’s (@BrowardHealth) response to the mass shootings at Marjory Stoneman Douglas High School and Fort Lauderdale-Hollywood International Airport. Leadership will share valuable insight for C-suite executives, directors, and communications staff regarding emergency management, activating the command center, partnering with emergency responders, understanding the needs of the media, preparing for visits by elected officials, caring for the caregivers, and protecting patients.

Gino Santorio, MPA
President and CEO
Broward Health

Texas v. Azar: Understanding Legal Challenges to the ACA

Track: Finance and Payment Policy
Junior Ballroom C, Fifth Floor

Nearly a decade after enactment, the Affordable Care Act (ACA) continues to be the subject of litigation. Hear from an expert a brief history of legal challenges to the ACA, including previous challenges that landed before the Supreme Court, and the emergence of the latest case, Texas v. Azar. This session will explore the legal aspects of the case and forecast next steps as it works its way through the courts.

Eva Johnson, JD
Senior Advisor, Eyman Associates

Equity of Care: Strategy, Partnerships, and Execution

Track: Improving Population Health
Plaza 4, Fifth Floor

Navicent Health (@NavicentHealth) in 2015 noted that its community had significant health outcomes disparities, excessive readmissions, avoidable admissions, and lack of primary care access. A comprehensive plan was created that included identifying disparities and developing community health partnerships to increase access to primary care. As a result, disparities in avoidable admissions in chronic obstructive pulmonary disease, heart failure in men, and diabetes in women were identified and resolved.

Carol Babcock
Director, Healthy Communities and Palliative Care
Navicent Health

Christopher Cornue
Senior Vice President, Chief Strategy and Chief Innovation Officer
Navicent Health
@Cornue

Roy Gilbreath, MD
Senior Vice President, Chief System of Care Integration Officer
Navicent Health

Implementing an Integrated Care Delivery System

Track: Innovations in Health Care
Plaza 5, Fifth Floor

Achieving success in population health management requires shifting the focus away from the responsive nature of acute care in favor of an emphasis on prevention, wellness, and disease management. The Chronic Care Model (CCM) is an evidence-based framework that has been widely adopted as an effective approach to implementing integrated, patient-centered care delivery systems designed to help achieve the Triple Aim. In this session, staff at Nashville General Hospital will discuss how they used the patient-centered medical home model, which is informed by the CCM, to employ a rigorous and systematic process of care delivery. They also will demonstrate how the CCM can serve as an excellent basis for following America’s Essential Hospitals’ Population Health at Essential Hospitals road map.

Eric Stephens, MBA
Chief Analytics Officer
Nashville General Hospital
@EricBStephens

Jennifer Sujdak
Director of Care Integration
Nashville General Hospital
@JennSujdak

Joseph Webb, DSc, MSHA
CEO
Nashville General Hospital


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Networking break

2:45–3:15 pm

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Multiple Tracks

Mini-Sessions (choose one of five)

3:15–3:45 pm
  • Language Access Tools for Safe LEP Patient Communication
Language Access Tools for Safe LEP Patient Communication

Track: Clinicians as System Partners
Junior Ballroom A, Fifth Floor

Patients with limited English proficiency (LEP) face communication barriers that can have adverse effects on safety and quality of care. Language access data collection and analysis is necessary to identify individualized language assistance needs, plan for safe communication at each point of care, and monitor health equity. Cambridge Health Alliance (@challiance) created the Language Services Documentation Tool, an innovative tracking system within the electronic health record system enabling consistent collection of real-time data on how LEP patients’ language needs are met in each clinical encounter. Join this presentation to learn how the tool is used to guide the quality improvement process, and leave with a toolkit for identifying and cultivating language access champions both in leadership and on the front lines!

Vonessa Costa
Manager, Multicultural Affairs and Patient Services
Cambridge Health Alliance

Ranjani Paradise, PhD
Assistant Director of Evaluation
Institute for Community Health

  • Managing the Message in an (Often) Unmanageable Environment
Managing the Message in an (Often) Unmanageable Environment

Track: Executive Leadership Lessons
Junior Ballroom B, Fifth Floor

All public health care systems must meet the challenges of competing priorities, limited public funding, and varied reputations—good and bad—among stakeholder groups. Operating in the proverbial fishbowl presents additional obstacles when developing and executing strategies in a dynamic and competitive environment.

This session will explore how one of the country’s most storied public health systems—Cook County Health, in Chicago—has adapted to the new health care environment and repositioned itself among employees, patients, elected officials, civic leaders, and taxpayers. Intentional and sustained support from the board of directors and executive leaders, and their work with the communications and marketing team, has been paramount in the health system’s strategy to develop and manage messaging in an often unmanageable environment.

Jay Shannon, MD
CEO
Cook County Health

Caryn Stancik, MPA
Chief Communications and Marketing Officer
Cook County Health

  • State Trend: Transforming Population Health through Medicaid Financing
State Trend: Transforming Population Health through Medicaid Financing

Track: Finance and Payment Policy
Junior Ballroom C, Fifth Floor

This session will share how four Ohio-based health systems serving safety-net roles formed a coalition to transform health in the state. The coalition members implemented delivery-system changes in exchange for the opportunity to gain Medicaid supplemental payments. The session will include critical insights into the coalition’s political and clinical implementation strategy and its commitments to improve care for those at risk of or living with opioid or other substance abuse disorders. Presenters also will review the value-based payment arrangement leveraged by the Medicaid supplemental payment opportunity.

Michael Dalton, MSOD
Director, State Government Relations
The MetroHealth System
@michaelrdalton

  • When Health Care is True Care: Medical-Legal Partnerships
When Health Care is True Care: Medical-Legal Partnerships

Track: Improving Population Health
Plaza 4, Fifth Floor

Patients dealing with serious illness are burdened with more than disease management; some might have unmet legal needs, as well. Hospital systems are not equipped to readily provide civil legal services for populations that rely on the health care safety net, and these patients often lack the resources to access such services on their own. Barriers civil legal services for vulnerable populations create an untenable inequity in access. Medical-legal partnerships ensure these needs are met and that patients experiencing the crisis of illness, as well as those taking care of them, know their rights. Join presenters from Erie County Medical Center (@ECMCBuffalo), in Buffalo, New York, and the Center for Elder Law & Justice (@elderjusticeny) to discuss the value of medical-legal partnerships.

Kathleen Grimm, MD, MHSc
Director, Supportive Medicine and Palliative Medicine
Erie County Medical Center

Sandra Lauer, RN, BSN
Continuum of Care Director
Erie County Medical Center

Karen Nicolson, Esq.
CEO
Center for Elder Law & Justice

  • One Health—Treating the Person First
One Health—Treating the Person First

Track: Innovations in Health Care
Plaza 5, Fifth Floor

A review of patient data at Regional One Health, in Memphis, Tennessee, revealed that the top 25 users of the emergency department (ED) visited the ED an average of 85 times at a cost of more than $4 million over 18 months.

Learn how Regional One, in response to these findings, established a new program to reduce the burden on ED super users. The program, One Health, is open to uninsured, complex patients who have visited the ED 10 or more times or who have had four or more hospitalizations. It is designed to form authentic healing relationships and meet the self-identified needs of the patients, primarily related to social determinants of health.

Within 11 months, the program reduced ED visits by 61 percent and inpatient admissions by 71 percent. The program helped to avoid more than $3.2 million in health care costs.

Susan Cooper, MSN, RN
Chief Integration Officer, Senior Vice President
Regional One Health


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Poster session

3:45–5 pm
  • Learn More
Learn More

Metropolitan Ballroom 2–4, Third Floor

Discover the innovative work of essential hospitals during the poster session showcasing projects from the VITAL2019 conference, the 2018 Fellows Program, and Gage Award winners and honorable mentions. See the VITAL2019 Abstracts Guide for more information about the posters. Authors will attend the poster session to answer questions about their projects.


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FAN Event

Federal Action Network (FAN) networking reception (invitation-only)

5–6:30 pm
  • Learn more
Learn more

Join your colleagues for a reception exclusively for members of the Federal Action Network (FAN), America’s Essential Hospital’s individual membership category for member hospital employees interested in federal advocacy. The FAN reception will take place on Thursday, June 20, at the JW Marriott Marquis from 5–6:30 pm. This year our reception will take place on the nineteenth floor, which features an indoor golf school, bowling alley, billiard room, corporate lounge and stainless-steel infinity sky pool.

If you’re not yet a member of the FAN, sign up today to join this community of member advocates for expanded networking; access to exclusive events, news, and resources; participation in our political action committee; and an opportunity to help shape the association’s advocacy agenda.

For more information on the FAN, please contact Jocelyn Wiles at jwiles@essentialhospitals.org.


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Open night to enjoy Miami

7–10 pm

Day 3

Friday, June 21


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Conference registration open

7:30 am–noon

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Networking breakfast

7–8 am

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Multiple Tracks

Critical Conversations (choose one of five)

8–9 am
  • Opioid Treatment: From the Emergency Department to Primary Care
Opioid Treatment: From the Emergency Department to Primary Care

Track: Clinicians as System Partners
Junior Ballroom A, Fifth Floor

In 2017, more than 72,000 people in the United States died of a substance overdose. This session describes how Memorial Healthcare System (@mhshospital), a large public health care system in Hollywood, Florida, has tried to address this needless loss of life.

Presenters will describe the synergy of individual components working in unison to address a community concern of this magnitude. Presenters will discuss how the health system handles the opioid epidemic through medication-assisted treatment, substance use disorder programming, and primary care delivery. They will highlight positive outcomes for patients receiving integrated care services, including the challenges and successes of the comprehensive care model.

David Freedman, MEd
Project Director
Memorial Healthcare

Angela Mooss PhD
Executive Director
Behavioral Science Research Institute

Claudia Vicencio PhD
Clinical Supervisor for Outpatient Behavior health
Memorial Regional Hospital
@instaphd

  • Changing Culture and Surviving a Financial Crisis
Changing Culture and Surviving a Financial Crisis

Track: Executive Leadership Lessons
Junior Ballroom B, Fifth Floor

Essential hospitals sometimes face declining profitability, stagnant satisfaction, and average quality scores. This session highlights how two Arizona essential hospitals drove quality and operations improvements by engaging leaders and galvanizing the culture at their organizations.

Learn how Maricopa Integrated Health System (@MIHS_AZ) engaged leaders in the change process and undertook a cultural transformation through a series of 100-day “workouts” to find savings throughout their organization. This effort resulted in a turnaround of more than $170 million and re-energized the organization.

In addition, explore how Yuma Regional Medical Center (@YumaRegional) aligned strategy and operations by connecting the balanced scorecard and lean management systems to drive hundreds of systematic improvements. This effort improved the hospital’s quality, financial, and operational performance and allowed the organization to pivot from exploring affiliation and partnership opportunities with larger systems to proceeding as an independent hospital system.

Kris Gaw, MBA
Chief Operating Officer
Maricopa Integrated Health System

  • Cost of Care: Emerging Policies & Tools for Patient Conversations
Cost of Care: Emerging Policies & Tools for Patient Conversations

Track: Finance and Payment Policy
Junior Ballroom C, Fifth Floor

The cost of health care is on the minds of patients, providers and policymakers. As policymakers continue to explore their role in increasing transparency in health care costs, essential hospitals can use effective cost of care conversation tools to help patients navigate this complex issue. This session will feature an overview of current public policy trends and work that the Essential Hospitals Institute is leading around cost of care conversations. It will also showcase the work of an essential hospital collaboration to produce cost of care tools for use in your organization.

Kim Erwin
Founder and Codirector, Institute for Healthcare Delivery Design, Population Health Sciences, Office of the Vice Chancellor for Health Affairs
University of Illinois at Chicago

Erin O’Malley, MLA
Senior Director of Policy, America’s Essential Hospitals

Deborah Roseman, MPH
Principal Project Specialist, America’s Essential Hospitals

  • Breaking the Cycle: Hospital-based Violence Intervention
Breaking the Cycle: Hospital-based Violence Intervention

Track: Improving Population Health
Plaza 4, Fifth Floor

Details coming soon.

Dennis Hsieh, MD, JD
Assistant Professor, Department of Emergency Medicine; Director, Medical Legal Community Partnerships—Whole Person Care Los Angeles
Harbor UCLA Medical Center
Los Angeles County Department of Health Services
@countyeddoc

Javier Martinez
HBVI Case Manager
Southern California Crossroads

Shamsher Samra, MD, MPhil
Attending Physician, Department of Emergency Medicine
Harbor-UCLA Medical Center
Los Angeles County Department of Health Services

  • Reducing Disparities: A California Statewide Effort
Reducing Disparities: A California Statewide Effort

Track: Innovations in Health Care
Plaza 5, Fifth Floor

Little is known about the potential of pay-for-performance (P4P) programs to reduce racial and ethnic disparities in health care. California is implementing a P4P program called PRIME in 21 public health care systems statewide. This session will explain how PRIME is structured to address disparities and summarize early outcomes across California.

Learn how UC San Diego Health System (@UCSDHealth) developed a sophisticated population health program and increased data collection on race, ethnicity, language, sexual orientation, and gender identity. Also hear about Contra Costa Health Services’ (@CoCoHealth) experience designing a culturally-responsive intervention in partnership with patients, faith-based organizations, and a Medicaid managed care health plan, which increased hypertension control for African Americans.

Amanda Clarke, MPH
Associate Director of Programs
California Health Care Safety Net Institute
California Association of Public Hospitals and Health Systems

Erika Jenssen, MPH
Assistant to the Health Services Director
Contra Costa Health Services

Amy Sitapati, MD
Chief Medical Information Officer, Population Health
UC San Diego Health System


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Closing general session

9–11:30 am
Essential Hospitals are defined by their commitment to underserved communities. Transforming the health of vulnerable populations demands that these organizations go far beyond their walls to work across multiple sectors of the community. Three essential hospital CEOs will share their perspectives on leading efforts to address the social determinants of health. This session will also include a federal legislative and regulatory update from America’s Essential Hospitals’ Beth Feldpush, DrPH, Senior Vice President of Policy and Advocacy and Carlos Jackson, Vice President of Legislative Affairs.
Session Details

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