Medication Optimization Collaboration Summit

Bringing Payers, Providers and Patients Together to Achieve Value in Healthcare

Date: January 16, 2019

Location: The Carolina Inn, Chapel Hill, NC

On Twitter:  @unc_cmo

 

 

Download the Presentations from the Summit

 

About the Summit

The invitation-only gathering of senior leaders from health systems, providers, insurers, pharmacists, patient groups, and federal and state regulators will show­case successful payer and provider collaborations, and the role of medication optimization within new value-based models.

The Medication Optimization Collaboration summit will highlight evidence-based case studies where payers and providers have implemented programs like Comprehensive Medication Management (CMM) that illustrate impact on patient-centered value-based care. Additionally, attendees will develop individualized medication optimization collaboration implementation action plans to enable initiatives within their organizations.

Agenda highlights include:

  • Case studies of medication optimization collaboration
  • Insights into emerging value-based models
  • Creation of action plans to facilitate change

Speakers

Moderator

Susan Dentzer

Susan Dentzer is the President and CEO of the Network for Excellence in Health Innovation, a not-for-profit organization that seeks intelligent ways to advance health and improve health care at sustainable costs.

One of the nation’s most respected health and health policy thought leaders and a frequent speaker and commentator on television and radio, including PBS and NPR, Dentzer previously served as senior policy adviser to the Robert Wood Johnson Foundation, the nation’s largest philanthropy focused on health and health care in the United States. She also was formerly editor-in-chief of the policy journal Health Affairs, and the on-air Health Correspondent for the PBS NewsHour.

Defining Value in Health Care Session

Gary Salamido, Interim CEO, NC Chamber of Commerce

Gary SalamidoGary Salamido, MS, is the Chief Operating Officer and Acting President for the NC Chamber. With decades of experience and a proven track record representing North Carolina business interests at the N.C. General Assembly, Gary led the Chamber’s lobbying, advocacy and political efforts for a number of years before being named its chief operating officer and acting president in 2018.Prior to joining the NC Chamber in September 2011, Gary worked 19 years at GlaxoSmithKline, the last 10 years serving as GSK’s director of state government affairs. Gary’s lobbying responsibilities covered a broad range of issues including corporate tax, environmental impact, tort and liability reform, economic development, workforce development, employment and Medicaid. Gary’s previous work experience includes serving as senior account manager, integrated healthcare markets for GSK and as director of professional and state government affairs for GlaxoWellcome. He obtained his Bachelor of Science in pharmacy from the Albany College of Pharmacy in Albany, N.Y. and a master’s degree in pharmacy administration from the University of Texas at Austin. Gary completed an executive residency in association management with the American Pharmaceutical Association and has experience in hospital and community pharmacy practice.

Eleanor Perfetto, SVP, National Health Council

Eleanor_PerfettoDr. Eleanor M. Perfetto was named Senior Vice President of Strategic Initiatives for the National Health Council (NHC) in July of 2015, and holds a part-time faculty appointment at the University of Maryland, Baltimore School of Pharmacy where she is Professor of Pharmaceutical Health Service Research. Her research and policy work primarily focus on patient engagement in comparative effectiveness and patient centered-outcomes research, medical product development; patient-reported outcome selection and development; and health care quality. Dr. Perfetto holds BS and MS degrees in pharmacy from the University of Rhode Island, and a PhD from the University of North Carolina School of Public Health with concentrations in health policy and epidemiology.

Brenda Shipley

Brenda ShipleyForemost, Brenda is primary caregiver and advocate for Mom, who has multiple chronic conditions and a kitchen drawer brimming with medications. Brenda shares her perspective on preventable medication-related problems that cause patient harm, caregiver distress and unnecessary costs. Brenda’s personal experiences in the role of caregiver fuel her desire for health system change and inform her work advising healthcare innovators. She provides a real-world lens to primary care innovation theories. Brenda has a master’s degree in health advocacy, a bachelor’s degree in business and extensive health care industry experience in private, public and academic sectors. Brenda was recently instrumental in the State of Connecticut’s $45 million State Innovation Model grant and the launch of a health disparities research institute. Prior to that, Brenda led business development for two successful (IPO and acquisition) healthcare technology start-ups. She began her career at a F500 health insurance company implementing new products and technologies for large employer clients. Brenda believes the health care industry already has what it needs to improve primary care delivery when it comes to medication-related problems. The essential ingredients of technology and expertise need to be combined in new ways to optimize patient outcomes and experience. Where there is a will, there is a way.

Collaborating to Achieve Value in Health Care Session

Liz Helms, CEO, California Chronic Care Coalition

liz_helmsLiz Helms is the President/CEO of the California Chronic Care Coalition, an alliance of non-profit, social consumer and provider organizations united to improve the health of Californians with chronic conditions or diseases. Ms. Helms co-founded the Chronic Care Policy Alliance, CCPA, working across state lines to ensure access to affordable, quality health care, giving states a broader voice and advocates for the enforcement of anti-discrimination laws in the ACA.

Ms. Helms was instrumental in bringing the clinical pharmacist on the care team to the Right Care Initiative which won her the Michelotti Public Health Prize from the CA Pharmacy Foundation. In addition to her CCCC leadership roles, Ms. Helms has been the catalyst within the chronic disease community working with the California administration’s health policy division on health care reform, including implementation of prevention, wellness and coordination of care. She serves on many advisory committees including: California Department of Public Health, Chronic Disease Division, Prevention 21, which includes: Comprehensive Medication Management, Healthy Hearts CA. Additionally she is a member or advisor on CA Telehealth Coalition; UC Berkeley, School of Public Health – PCORI grant: “The Comparative Impact of Patient Activation and Engagement on Improving Patient-Centered Outcomes of Care in Accountable Care Organizations”, and is a member of the CA Right Care Initiative. Recently she was elected to a national AIMM board, (Alliance of Integrated Medication Management) and in 2018 joined as an advisor to the NQF Measure Incubator®. IHA and Pacific Business Group on Health are partnering with the National Quality Forum to develop a framework for benchmarking commercial ACO performance.

Kevin Ronneberg, VP, Health Partners

Kevin-RonnebergKevin Ronneberg, MD, joined HealthPartners in 2015 and is responsible for designing health solutions for employer groups, strengthening consumer partnerships, and building new services and programs. He works closely with multiple teams —including product development, health and care engagement, network management, sales and marketing —to connect consumer, employer and care delivery perspectives with a focus on improved health and well-being, affordability and enhanced experience. Dr. Ronneberg has held multiple clinical and administrative leadership roles in health plans, pharmacy, retail and care delivery organizations. Prior to HealthPartners, he was medical director at Target where he focused on brokering partnerships with health systems and developing new reliable and models of care to leverage the expanding role of the pharmacist and nurse practitioner in delivering reliable, high quality and affordable care. He is a graduate of the University of Minnesota Medical School and completed residency training with Park Nicollet Health Services. He is board certified in family medicine.

Arif Khan, B.S.

Arif-KhanArif M. Khan, BS, joined CareFirst in October of 2013 and serves as the Vice President of the Total Care and Cost Improvement Program. He oversees five key areas within medical affairs: Pharmacy Management, Home Based/Post-Acute Care, Behavioral Health and Substance Use Disorder, Clinical Programs, and Program Evaluation.

In this role, he is responsible for program and policy development, vendor management, and contract compliance related to the care management programs that surround the CareFirst Patient Centered Medical Home (PCMH). Some key programs amidst these areas of work include formulary management, specialty pharmacy, enhanced monitoring, addiction support, telemedicine, sleep management, hospice and palliative care, and others. The centralization of these elements under Arif’s leadership is intended to create a connected, impactful array of services to help CareFirst membership obtain high quality care, at the right time, at an affordable cost.

Prior to joining CareFirst, Arif spent his career in management and strategy consulting in the healthcare space and eventually helped start a consulting firm in Washington, DC in 2009. He has expertise in procurement and implementation, organizational restructuring, business process improvement, and vendor management for health plans.

In addition, Arif is actively involved in the community. He serves as Secretary for the Board of Directors of Baltimore Medical System, the largest Federally Qualified Health Center in the region. BMS provides care for more than 50,000 patients in the Baltimore area, including the uninsured, refugee, and underserved populations. He also serves as Treasurer for the Board of Directors of the Our Three Winners Foundation. OTWF oversees a $1,000,000 endowment created to combat biases against ethnic and religious minorities and facilitate philanthropic work in the honor of three students in North Carolina whose lives were tragically cut short by a hate crime.

Arif has an undergraduate degree from UNC-Chapel Hill’s Kenan Flagler Business School and will be attending Duke University’s Fuqua School of Business for his Executive MBA.

Stephen Nuckols, CEO, Coastal Carolina HealthCare

Stephen NuckollsStephen Nuckolls is the chief executive officer of Coastal Carolina Health Care, PA, and their ACO, Coastal Carolina Quality Care, Inc. His responsibilities include the direct management of the 60 provider multi-specialty physician-owned medical practice and its ACO that was selected by CMS in the initial round in April 2012 and is currently in a 2-sided risk model. The group has a large primary care base and their operations include an Ambulatory Surgery Center (GI Endoscopy), Sleep Lab, Urgent Care, and Imaging Center and 15 other practice locations. Mr. Nuckolls facilitated the formation of the medical practice in 1997 and has served in his current role since that time. Prior to the formation of this organization, Mr. Nuckolls helped guide physicians and integrated hospital organizations in the formation of larger systems.

Mr. Nuckolls earned his BA in Economics from Davidson College and his MAC from UNC’s Kenan-Flagler Business School. He is a founding member of the National Association of ACOs and served as their board chair from 2016-2017 and currently serves as Treasurer. Prior to 2016 he served as Treasurer and Chair of their Policy Committee. In addition to these responsibilities he has served on several advisory boards and committees for the North Carolina Medical Society and is a frequent speaker on ACOs and related topics at medical conferences including presentations for the Medical Group Management Association, the American College of Physicians, and the National Association of ACOs.

Maraya Thorland, Interim COO, UNC Health Alliance

Maraya ThorlandMaraya Thorland is the Interim Chief Operating Officer of UNC Health Alliance and UNC Senior Alliance, UNC Health Care’s Clinically Integrated Network and Next Generation Accountable Care Organization. Ms. Thorland leads teams in the development, implementation and ongoing management of value-based care initiatives to ensure successful clinical and financial results.  Ms. Thorland brings over twenty years of broad industry experience, successfully leading teams in a number of roles, ranging from pharmacy and care management operations to strategic development initiatives.  She has held various leadership positions at Biologics, a McKesson Specialty Company, and Blue Cross and Blue Shield of North Carolina, and established and managed a consulting company that provided business development and program and project management services for clients in the health care and higher education industries.

Ms. Thorland served on the boards of Wake Teen Medical Services and North Carolina Therapeutic Riding Center, and currently serves as president on the board of the Women’s Birth and Wellness Center.  Ms. Thorland earned a bachelor’s degree in health and public policy from Michigan State University, and a master’s of public health degree in health management from the University of Michigan.

Healthcare Reform Policy Keynote

Patrick Conway, M.D.

Patrick Conway, MD, joined Blue Cross and Blue Shield of North Carolina as President and CEO in 2017. He most recently served as Deputy Administrator for Innovation and Quality at the federal Centers for Medicare and Medicaid Services (CMS). In this role he also held the position of Director of the Center for Medicare and Medicaid Innovation (CMMI). As the most senior non-political leader at CMS, he is considered one of the driving forces behind the national movement to value-based care, with health care payments tied to quality and innovation.

Conway joined CMS in 2011 as the agency’s Chief Medical Officer and served as Principal Deputy Administrator and Acting Administrator. A respected leader, innovator and clinician, he was elected to the National Academy of Medicine (NAM) in 2014. He is a practicing pediatric hospitalist and before joining CMS, he oversaw operations, quality improvement, and research at Cincinnati Children’s Hospital Medical Center, with a focus on improving patient outcomes across the entire multi-billion dollar health system.

Delivering Impact through Collaboration: Medication Optimization Case Studies

Sarah Rall, Director of Pharmacy, Marshfield Clinic, Marshfield, WI

Sarah-Rall

Sarah is the Director of Pharmacy for Marshfield Clinic Health System, a fully integrated health system in Wisconsin. The health system includes a state wide HMO that services ~260,000 members as well as over 1,000 providers in over 55 locations and 83 specialties and sub-specialties. Sarah is responsible for the pharmacy operations in the health system acute care, ambulatory care, pharmaceutical supply chain and outpatient pharmacy locations. Sarah achieved her doctor of pharmacy degree from Drake University and has served the Marshfield Clinic in various pharmacy leadership roles since achieving her degree.

Marshfield Clinic Health System has been providing clinical pharmacy services in the ambulatory care environment since 2002. The health system currently has 12 ambulatory clinical pharmacists and 3 ambulatory pharmacy residents. Current patient populations of focus for comprehensive medication management include: high-risk Medicare Part D patients, all heart failure patients, adult epilepsy patients, ketogenic diet for epilepsy patients, and high-risk internal medicine patients. In addition, at the end of 2018 services were expanded to include 2,000 high-risk non-medicare patients at the integrated health plan, Security Health Plan.

Total patients served per year in the health system through expanded clinical pharmacy services currently exceeds >7,000 patients with ~4,000 of those patients receiving comprehensive medication management services. Goals for 2019 include an additional expansion for comprehensive medication management for patients served by the health plan.

Amanda Brummel, Director of Pharmacy Services, Fairview Health System, Fairview, MN

Amanda-BrummelAmanda Brummel, PharmD, BCACP serves as the Director of Clinical Ambulatory Pharmacy Services. Dr. Brummel has been employed by Fairview Pharmacy Services since 1999 when she graduated from the University of Minnesota. Dr. Brummel is also an Adjunct Associate Professor at the University of MN. Currently Dr. Brummel has responsibility for the clinical development and integration of ambulatory pharmacy services in the Fairview Health System, including comprehensive medication management, transitions of care and quality outcome measurement. Fairview Health Services is an integrated health care organization with an academic health center, 10 hospitals, 56+ primary care clinics, 65+ specialty clinics, 40+ retail pharmacies and a health plan. Fairview has over 32 thousand employees and 2,400 aligned physicians who completed over 1.8 million clinic visits last year. Our comprehensive medication management program consists of 35 pharmacists in 46 clinic locations.

Jennifer Perlitch, Clinical Consultant Pharmacist, Beth Israel Deaconess Care Organization, Boston

Jennifer-Perlitch

Jennifer Perlitch, RPh. is a clinical pharmacist who currently serves as the Manager of Clinical Pharmacy Services and the Rising Risk Disease Management Program at Beth Israel Deaconess Care Organization (BIDCO). Jennifer‘s work is primarily focused on improving outcomes for complex high-risk and rising risk populations with chronic diseases and educating and collaborating with providers and other health care team members to ensure the safe and effective use of medications to promote optimal outcomes. She has spent the last two years developing and implementing a disease management program focused on optimizing medication regimens for patients with diabetes and hypertension. She has created a unique model of care that delivers well-defined, consistent interventions from a clinical pharmacist and the adjunct supports delivered by health coaches. Jennifer works closely with both internal and external stakeholders and serves as a subject matter expert for her organization in supporting optimal financial and quality performance in their value-based contracts. Jennifer earned her Bachelor of Science in Pharmacy from the Philadelphia College of Pharmacy and Sciences.

BIDCO is a value-based, physician and hospital network and Accountable Care Organization (ACO) in eastern Massachusetts. The BIDCO network includes more than 2,700 physicians, including 500 PCPs, and 8 hospitals; covers nearly 200K risk lives; supports 40 EHR platforms; and is responsible for 35.6M patient encounters annually yielding $1.5B in value-based revenue. BIDCO is committed to creating innovative, industry- leading best practices in the clinical, administrative, and financial aspects of health care with a mission of moving health care forward by engaging providers in their communities to achieve success in a value-based delivery system.

The Carolina Inn
211 Pittsboro Street
Chapel Hill, NC 27516
1-800-962-8519

All events will take place at The Carolina Inn.

Make a Reservation.

Lodging is also available from:

Reservations can be made via the link above or by phone at 1-800-962-8519. For speed and convenience, reference the Medication Optimization Group Code: 707835.

*** We encourage all attendees to book their accommodations by December 17, 2018. ***

Sponsors

We would like to thank the following organizations for their support of the 2019 Medication Optimization Collaboration Summit.

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Eshelman Institute for Innovation logo                          Blue Cross Blue Shield logo

For more information, please contact:

Tashani Gaskins

Conference Administrator