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Social Determinants, Patient Engagement and More | CHC17 Sessions

Published on 10/6/2017

Population health management is about empowering people to take an active role in their health and care. These five population health sessions at Cerner Health Conference 2017 explore how health care organizations can personalize health and care and manage populations to promote better outcomes.

1. Leveraging Innovative Partnerships to Scale Population Health Across Missouri (Session #615)

Tom Tisone, director of network affiliations, University of Missouri Health and executive director, Health Network of Missouri

Michael Seda, director of regional operations,Tiger institute for Health Innovation

As University of Missouri (MU) Health Care has progressed on its value-based care journey, it has developed various types of innovative partnerships to scale care delivery across a larger geographic and population base. The Health Network of Missouri (HNM) consists of six Missouri health systems with objectives that include clinical integration, population health management, cost containment, joint payer contracting, clinical care pathway development and other opportunities to improve health care services for residents. Learn how to quickly and efficiently scale a population health infrastructure across a network and implement a framework that incentivizes the creation of value.

Tom Tisone serves as executive director for the Health Network of Missouri and director of network affiliations for MU Health. His responsibilities include management of network affiliations that include subsidiary and physician practice affiliations and leadership of the Health Network of Missouri.

Michael Seda, FACHE, has served in health care leadership roles for more than 15 years. Currently, he is serving as the director of regional operations at the Tiger Institute for Health Innovation where he leads initiatives that leverage technology to support advanced care coordination and population health across various provider networks.

2. Using Data to Drive Engagement and Wellness (Session #927)

Allison Hess, director of wellness programs, Geisinger Health System

At Geisinger Health System (GHS), an advanced engagement model centered on data analytics is being used to measure engagement on an individual level and to identify personal barriers to success in their myHealth Rewards program. Allison Hess will discuss how a proactive member outreach strategy focused on the most disengaged employees is helping to increase participation rates and re-engage individuals in their health. In this session, Allison will discuss how this model is motivating a stronger workforce that is personally accountable for their health with an increased commitment to living healthier lives.

Allison Hess oversees customized population health and wellness programming for a 500,000-life health plan at GHS. This includes all wellness programming, value based program design and disease management initiatives.

3. Leverage the Power of Knowledge-based Systems to Transform Care (Session #5008)

Lacey Alvarez, practice administrator, Truman Medical Centers

Truman Medical Centers (TMC) kicked off an initiative in 2017 to engage individuals who are uninsured, underserved, or have socio-economic challenges using a systematic approach to the identification, prediction and management of a condition at the population, provider and person level. Early identification of unhealthy trends is critical in preventing serious complications, hospital admissions and emergency room visits. In this session, TMC leadership will discuss how they're improving care management by using technology to optimize health outcomes and provide individualized care through early intervention and automation. Lacey Alvarez will also discuss their proactive approach and working with patients to improve their health and quality of life.

As practice administrator at TMC, Lacey Alvarez provides administrative support for primary care and specialty clinics. She is also an ambulatory liaison for 51 clinics within the TMC system.

4. Use Social Determinants of Health to Impact Health Initiatives and Outcomes (Session #5045)

Dr. Susan Mosier, secretary, Kansas Department of Health

Lily Gadamus, internal program evaluator, Southcentral Foundation

Julia Smith, biostastician, Southcentral Foundation

Randall Wald, data scientist, Cerner

Social determinants of health innovations are vital to successful health strategies. Per Centers for Medicare & Medicaid Services, unmet health-related social needs such as food insecurity and inadequate housing may increase an individual's risk of developing chronic conditions, reduce an individual's ability to manage conditions and increase health care costs. Health systems are developing partnerships and resources to help navigate community resources, address social and economic factors, align the health care priorities of the community and delivery of innovative population health approach for behavior change. This panel, with members from the State of Kansas and Southcentral Foundation, will discuss initiatives for and effectiveness of social determinant of health innovations.

Dr. Susan Mosier is the Secretary of the Kansas Department of Health and Environment and the State Health Officer for Kansas. She is board-certified in ophthalmology and had a solo medical and surgical ophthalmology practice in Manhattan, Kansas, for a dozen years. In 2010, she was elected to serve in the Kansas House of Representatives.

Lily Gadamus is an internal program evaluator for Southcentral Foundations. She also serves on a variety of grants addressing health care integration, holistic wellness, youth development, suicide prevention, trauma-informed care and family violence prevention.

Julia Smith works with a team of data analysts and architects at Southcentral Foundation to guide care delivery, specifically related to quality and operations metrics and registries.

Randall Wald received his undergraduate degree from the California Institute of Technology, and his PhD in Computer Science from Florida Atlantic University. Since joining Cerner, Randall has worked as a data scientist in the Cerner Math team, developing new computational models for predictive analytics to improve patient care and reduce costs.

5. Empowering Consumers in their Health and Care (Session #912)

Brian Beardmore, director of technical services, Memorial Hermann

Ryan Smith, senior vice president of information technology and CIO, Banner Health

Health care is evolving to put more emphasis on the person's experience. In response, organizations are developing new approaches to health and care that focus on convenience. In this session, presenters will discuss the value of creating an easy, convenient experience for patients, members and consumers.

Brian Beardmore is the director of technical services with Memorial Hermann System in Houston, Texas. He has more than 22 years of healthcare experience and is responsible for the Digital Engagement team. In this role, he is responsible for executing its consumer-centric digital engagement strategy via its EveryDayWell consumer web application in partnership with Cerner providing customers, patients, and members access to all their health information in one place.

Ryan Smith is the senior vice president of information technology & CIO at Banner Health, one of the nation's largest not-for-profit healthcare systems. With more than twenty hears working in the health information technology field, his passion is helping transform traditional healthcare delivery models by digitally empowering consumers and providers with highly integrated tools and information. He believes that information and technology hold the keys to improved quality, lower costs, and increased patient engagement and satisfaction.

Cerner Health Conference (CHC) is Cerner's annual, industry-leading health care event, taking place this year from October 9 - 12 at the Kansas City Convention Center. To learn more or to register for the conference and sign up for education sessions,