About

Becoming patient-centered and accountable for a patient’s total care experience—and not just “our part”—is a transformational change for most hospitals and health systems. But, the need for change is becoming more and more urgent as hospitals will no longer be paid for readmissions and are increasingly being included or excluded in networks based on their value equation. Many hospitals and health systems have been piloting innovative programs to address these looming changes.

Blurring the Lines: Eliminating Health Care Industry Silos will explore best practices that positively impact patient quality, cost reduction and overall coordination of care.

Course Objectives

• Discover what initiatives are driving the need for patient-centered, coordinated care.
• Find out best practice programs and ideas that have been successful at improving quality and decreasing cost.
• Identify the elements that made the strategies successful as well as their limitations.
• Learn payment models that reward these efforts and outcomes, such as bundled payments and shared savings models.

Who Should Attend?

All health care professionals interested in delivering greater value to the organization should attend including hospital CEOs, COOs, CFOs, CNOs, chief medical officers, chiefs of staff, business development officers, medical directors, nurse case managers, physician leadership, risk managers, quality directors, post-acute providers (SNFs), and in-house counsel.

Sponsored by: Hospital Association of Southern California

Agenda

7:30 a.m. Registration and Continental Breakfast

8 a.m.   Welcome

Michael Hunn, Senior Vice President/Regional Chief Executive, Providence Health & Services Southern California
George Mack, Vice President, Payer/Provider Relations, HASC

8:15 a.m. Blurring the Lines and Eliminating the Silos 

Steve Valentine, President, The Camden Group
Barbra Riegel, Vice President, The Camden Group

9:15 a.m. View of the Future

Jim Barber, President/CEO, HASC

10:15 a.m. Break

10:30 a.m. Alignment: The Secret Ingredient to Achieving Exceptional Outcomes

 Richard Afable, MD, President/CEO,
 Hoag Memorial Hospital Presbyterian

11:30 a.m. Real Alignment for REAL Results: PIH/CareMore Experiment

Leeba Lessin, President, Health Plan Division, CareMore

Jim West, President/CEO, InterHealth Corp. (Presbyterian Intercommunity Hospital)

12:15 p.m. Networking Lunch

1 p.m.  California Health Care: Sea Changes Under Way

Don Crane, President/CEO, CAPG

1:45 p.m. A Commercial ACO Model

C.R. Burke, President/CEO,St. Joseph Heritage Care

Juan Davila, Senior Vice President, Health Plan Network Management, Blue Shield

2:30 p.m. Panel Discussion

Panelist: Richard Afable, MD, Jim Barber, C.R. Burke, Don Crane, Juan Davila, Leeba Lessin, Barbra Riegel, Steve Valentine, and James West

3:15 p.m. Wrap-Up

George Mack, Vice President, Payer/Provider Relations, HASC

3:45 p.m. Adjourn

Faculty

Richard Afable, MD, MPH, is president and chief executive officer of Hoag Memorial Hospital Presbyterian. Formerly, Dr. Afable was the executive vice president and chief medical officer at Catholic Health East, and founder and president/chief executive officer of Preferred Physician Partners, an Ohio-based physician practice management company. Early in his career, Dr. Afable was also a professor and private practice physician specializing in internal medicine and geriatrics.

Jim Barber is president and chief executive officer of the Hospital Association of Southern California (HASC); Chairman of AllHealth, HASC’s wholly-owned for-profit subsidiary; and Vice Chairman ex-officio of the National Health Foundation, a non-profit charity affiliate of HASC. Prior to HASC, Mr. Barber served in various hospital administrative positions throughout Southern California.

C.R. Burke is president and chief executive officer of St. Joseph Heritage Care. Over the past two years, he directed the expansion of St Joseph to markets in Humboldt, Sonoma, Napa and San Bernardino counties, adding four medical groups and becoming the only statewide Medical Practice Foundation. 

Don Crane is president and chief executive officer of the California Association of Physician Groups (CAPG), a professional association representing capitated accountable care organizations.  He is also Co-Chair of Cal eConnect, California’s state-wide health information exchange. Mr. Crane is a health care and corporate attorney, and was formerly Vice President and Corporate Counsel to UniHealth, an integrated health care company.

Juan Davila is the senior vice president of Health Plan Network Management, accountable for unit cost results for all provider group, hospital, and ambulatory surgery contracting for Blue Shield of California. He manages Provider Network Management, Network Analytics, and Model Contracts. Mr. Davila is also responsible for managing the BlueCard, National Account and major account lines of business for Blue Shield.

Leeba Lessin is the president of CareMore, a health care delivery system and Medicare Advantage Plan specializing in Special Needs Health Plans serving the chronically ill and frail. CareMore’s health care model serves Medicare beneficiaries in the Los Angeles, Orange, San Bernardino, Stanislaus and Santa Clara counties of California, in addition to Clark County, Nevada and Pima, Arizona.

Barbra Riegel is a vice president with The Camden Group.  With more than 20 years of health care experience, she specializes in strategic planning and business advisory services. She recently wrote a white paper on Accountable Care Organizations (“ACOs”) that was published by The Governance Institute.  Ms. Riegel has assisted clients with integrated delivery systems, advised on joint ventures and physician-hospital alignment strategies, and led the development of new Knox-Keene licensed health plans.

Steve Valentine is president of The Camden Group, a national health care management consulting company. With more than 30 years of health care consulting experience, he has considerable expertise in the areas of strategic planning, business transactions, mergers, hospital-physician relationships and financial analysis. Mr. Valentine was an early pioneer on hospital turnarounds.

James West is the president and chief executive of lnterHealth Corp., an integrated delivery system comprised of: Presbyterian Intercommunity Hospital (PIH), a medical foundation and independent physician association known as Bright Health Physicians of PIH. He joined PIH following 12 years of progressive leadership at Kaiser Permanente.