2023 Leadership Summit
Agenda

Monday, June 5, 2023

7:30 am Registration Opens

8:30 am – 10:30 am Choose between two Optional Pre-Conference Workshops
Workshop A: Moving Equitable Care Home

Sandeep Pulim, MD, VP Clinical Strategy & Partnerships, Biofourmis

Tahir Haque, MD, Senior Medical Director, Biofourmis

Experts argue that every healthcare system should be developing a hospital-at-home strategy to remain relevant and able to meet changing consumer expectations, to deliver more equitable care, and to meet the demands of an aging population.

Is your organization developing a strategic plan or evaluating your readiness to launch a home-hospital or remote patient management program? What are the essential elements needed to ensure program success and optimize outcomes? What's needed to get stakeholder buy-in and ensure feasibility? This deep dive workshop session will explore and dissect key foundational elements needed for a successful hospital-at-home strategy and how to address key challenges. This engaging workshop will leverage subject matter experts, insights from the participants, and best practices from first-hand experience across topics such as, staffing, infrastructure, supply chain, payment models, technology, regulatory factors, care coordination, metrics, and more.

Understand the key drivers for hospital at home success
Explore common pitfalls and how to avoid them
Discover how home hospital fits in the full continuum of home health
Learn more about third-party innovations and resources available to help take your program to the next level

Workshop B: SOLD OUT Advanced Hospital at Home Strategy
Tom Kiesau, Chief Innovation Officer and Leader, Chartis Digital

Mark Krivopal, MD, MBA, Director, Performance Operations, Chief Physician Executive, Chartis Digital

This workshop is now sold out but all delegates will have access to the recording, as will all subscribers to the ICD Healthcare Network

In this session, participants will learn some of the key tools and approaches to support the growth and scaling of a hospital at home program, to create a financially viable and strategically differentiated organizational asset. The workshop will focus on an array of topics such as approaches for: driving stakeholder change management, improved patient identification, intake, and onboarding, developing a scalable technical infrastructure, creating an enterprise clinical command center, leveraging hospital at home for other care at home use cases, and creating hospital at home management reporting capabilities.

Explore common pitfalls that contribute to hospital at home programs failing to scale and achieve their desired impact
Gain insights into the steps and activities essential to successful hospital at home launch and growth
See examples of leading best-practices in hospital at home planning and operations
Understand how hospital at home programs can serve as a strategic beachhead to other impactful care at home business models

10:30 am - 11:30 am Welcome Reception in Sponsor Showcase - Sponsored by Rfoodx
Join us for some refreshments, meet our sponsors and let the networking begin.

11:30 am - 11:45 am Welcome Remarks
Colleen Hole, BSN, MHA, FACHE, VP, Clinical Integration, Chief Nurse Executive, Atrium Health Medical Group

11:45 am – 12:30 pm Home Hospital: Outlook and Opportunities
David Levine, MD, MPH, MA, Clinical Director for Research & Development, Healthcare at Home, Mass General Brigham and Associate Professor of Medicine, Harvard Medical School

While home hospital is not a new concept, home-hospital programs have gained prominence as a substitute to traditional hospitalization in recent years, especially with the momentum gained during the pandemic. This forward-looking keynote session will explore the big-picture view of the current state of home hospital and where experts believe the care-delivery model is going. What are the opportunities to better serve an aging population and meet patients’ preferences? This presentation will delve into the people, technology, medicine, patients, and caregivers of home hospital’s next chapter.

Discuss the accomplishments of the home hospital movement to date
Explore the opportunities ahead in acute care delivery at home
Catalyze the home-hospital movement locally and nationally

12:30 pm – 1:15 pm Hospital at Home: Is It a Go or No Go? Determining Organizational Readiness for Launching a Successful Program
Colleen Hole, BSN, MHA, FACHE, Vice President, Clinical Integration, Chief Nurse Executive, Atrium Health Medical Group

Though the Hospital at Home concept has been around for decades, the pandemic has propelled the model forward as the “shiny new object” for many health systems. But just because it seems that everyone is doing it isn’t reason enough to pursue hospital at home in your organization. The decision to implement a program should be informed by a careful assessment of organizational readiness and based on realistic expectations.

Define the Value Proposition (“Making the Case”) for launching a hospital-at-home program
Identify the most significant issues to consider in determining organizational readiness
Discuss strategies to address these issues to mitigate risk and assure success

1:15 pm – 1:45 pm Networking Break in Sponsor Showcase

1:45 pm – 2:15 pm Choose between two interchangeable breakout sessions
Track A
No More Buildings: Creating the New Paradigm of Healthcare

Eliza (Pippa) Shulman, DO, MPH, Chief Medical Officer, Medically Home

Gregory Snyder, MD, VP of Clinical Strategy and Quality Improvement, Medically Home

Acute care in the home has expanded widely beyond just traditional hospital substitution, supporting new care models for cancer care, chronic disease, and care for vulnerable populations which replaces facilities all together. There is a strong financial case to replace capital spend with investment in the home. By moving care outside of buildings, we place the patient and their caregiver at the center creating opportunity for a new paradigm of patient centeredness.

Define the value proposition for shifting capitol spend to enhance capabilities outside of brick-and-mortar facilities
Understand incentives for health systems, payors, and value-based providers
Identify unique opportunities to enhance care for specific populations potentially opening up new market opportunity

Track B
By the Numbers, Financial Models, Value Propositions and Projections for the Next Generation of Hospital at Home Programs
Tom Kiesau, Chief Innovation Officer and Leader, Chartis Digital

In this session, participants will be exposed to the several different value-drivers created by hospital at home programs, in both traditional “fee for service” (FFS) as well as value-based care (VBC) operating models. Attendees will also learn how to create financial models that demonstrate the ROI potential for an advanced hospital at home program.

Understand the key drivers of hospital at home value creation in FFS & VBC operating constructs
Learn how to create a realistic, metric-driven financial model that highlights the ROI of a Hospital at Home program
Discover common mistakes in hospital at home financial modeling that can dramatically impact the true benefit and impact of hospital at home

2:20 pm – 2:50 pm Choose between two interchangeable breakout sessions
Track A
Issues in Strategic Engagement: Building Stakeholder Endorsement and Partnership for your Program
Ila Mapp, DNP, RN. CCRN-K, Director, Advanced Care at Home, UNC Health

Implementing a Hospital at Home program requires a multidisciplinary team of innovative, motivated, and dedicated partners. This partnership must be funneled from Senior Executives down to frontline internal and external providers. This breakout session will provide you the insight of identifying those key stakeholders, provide you recommendations on how to promote your Hospital at Home program for endorsement, and mitigation strategies for overcoming the possible barriers that may arise and/or exist within your organization.

Identify your internal and external stakeholders and their importance
Engineer socialization and educational methodologies for your Hospital at Home program
Recognize and overcome barriers and threats associated with Hospital at Home programs

Track B

A Welcomed Disruption? Consumer Trends Favor Less In-Hospital Care

Shannon Germain Farraher, MBA, BSN, PCCN, Senior Analyst, Forrester Research

Consumers demand personalization and convenience. Consumers also seek new experiences, especially when offerings are comprehensive, and quality isn’t compromised. And why shouldn’t they? Healthcare organizations (HCOs) are tasked with meeting consumers where they are, but first must understand their readiness and acceptance of receiving care in non-traditional settings. In this session, Forrester Research Consumer Data will highlight various aspects of consumer sentiments as it relates to acute home care.

Uncover consumer sentiments toward adopting alternative care delivery models
Highlight challenges and opportunities of the consumer experience
Explore ways HCOs can reinvent their approach to consumer engagement in acute home care

3:00 pm - 3:45 pm Health Equity and Hospital at Home
Michael Chin, MD, Associate Medical Director, MassHealth and Assistant Professor, University of Massachusetts Chan Medical School

Colleen Hole, BSN, MHA, FACHE, VP, Clinical Integration, Chief Nurse Executive, Atrium Health Medical Group

Tuyet-Trinh (Trini) Truong, MD, FACP, Associate Professor of Medicine, Icahn School of Medicine at Mount Sinai, Chief Medical Officer, Mount Sinai at Home

Hospital at home or home-based acute care is in the position to bridge the gap of health equity. The innovative care-delivery model is helping to better assess patients’ social determinants of health through access to patients’ home environments. The session will discuss some of these important benefits and explore existing data on hospital at home and health equity. The panelists will also explore aspects that providers should consider related to social and safety screenings; potential impacts on caregiver burden; language, social and culture care congruencies; and the continuum of post-acute care. Join this panel session to explore these important topics and more.

Discuss how Hospital at home is uniquely positioned to bridge the gap of health equity
Review the existing data on Hospital at home outcomes related to health equity
Address the significant issues related to Health Equity in a Hospital-at-home program

3:45 pm - 4:30 pm Thinking Through the Patient and Caregiver Perspective (PANEL)
Moderator: Charlotte Yeh, MD, Chief Medical Officer, AARP Services, Inc.

Panelists: Rachelle Alpern, MBA, MHA, Rapid Response Network Manager, UNC Advanced Care at Home
Michael Maniaci, MD, Medical Director, Advanced Care at Home, Mayo Clinic
Pita Nims, RN MN, Director, Hospital at Home and Telehospitalist, Providence

Chiedozie Udeh, MBBS, MHEcon, MBA, FCCP, FCCM, FASA, Enterprise Medical Director, ICU Operations and Medical Director, eHospital, Cleveland Clinic Health System

Hospital at home promises to be one of the key care-delivery models of the future—helping to better meet the demands of an aging population and new patient preferences’ by delivering acute-level care in the comfort of patient homes. But what are the potential downsides for patients and caregivers and what are the additional considerations needed by healthcare providers to ensure all needs are met? This panel session will explore thinking through the patient and caregiver perspective holistically.

Explore patient and caregiver experience in greater depth
Discuss key considerations to minimize an increased burden on caregivers
Share examples of what leading programs are doing to ensure all patient needs are met

4:30 pm Opening Night Reception in Sponsor Showcase

Sponsored by Medically Home

Tuesday, June 6, 2023

8:00 am - 8:30 am Coffee in Sponsor Showcase

8:30 am – 8:45 am Welcome Remarks
Colleen Hole, BSN, MHA, FACHE, VP, Clinical Integration, Chief Nurse Executive, Atrium Health Medical Group

8:45 am - 9:30 am

Launching Your Hospital at Home Program, Change Management Perils and Pearls in Your Program’s First Six Months

Constantinos (Taki) Michealidis, MD, MBA, MS , Medical Director, Hospital at Home, UMass Memorial Health and Assistant Professor, UMass Chan Medical School

Your team has spent months of hard work preparing for your home hospital program go-live – building the pro-forma, securing C-suite support, investing in home technology, building the supply chain, testing workflows, modifying your EMR, and recruiting and hiring a talented care team. You have just admitted your first patient! How do you set yourselves up for success the next six months?

Explore potential key perils in the first six months after a home hospital program’s launch
Understand key mitigation strategies that begin before launch and extend after launch that can help set your program up for success during the first six months.
Discuss key C-suite, organizational, cultural, clinical, supply chain and economics drivers of success for a high-performing home hospital program.

9:30 am - 10:15 am Achieving Regulatory and Payment Certainty for Hospital at Home (PANEL)
Moderator: Krista Drobac, Founder, Moving Health Home and Partner, Sirona Strategies

Panelists: Stephen Dorner, MD, MPH, MSc, Chief Clinical and Innovation Officer, Mass General Brigham Healthcare at Home

Christopher McGhee, CEO and Co-Founder, Current Health, A Best Buy Company
Nathan Starr, DO, Medical Director, Home Services, Castell Intermountain Healthcare

In December of 2022, Congress extended the hospital-at-home waiver for two years, unlocking regulatory and reimbursement certainty at the federal level. However, what’s still left on the table is finding a long-term solution and state-level regulatory barriers. We are at a pivotal time, with an opportunity to help Congress and the Administration work through these issues to expand acute home-based care beyond the pandemic experience.

Provide an appreciation for the policy barriers that stakeholders are grappling with in designing and implementing hospital-at-home programs at both the state and federal levels
Understand the direction the industry is headed in approaching the future of hospital at home, including key decision points, structure, scope, payment design, and more
Gain insight on how Congress and the Administration could act to ensure stakeholders have the regulatory and reimbursement certainty to continue to grow and scale hospital-at-home programs

10:15 am – 10:45 am Networking Break in Sponsor Showcase
Sponsored by Inbound Health

10:45 am – 11:15 am Choose between two interchangeable breakout sessions

Track A

Hospital at Home Staffing Strategies

Candra Szymanski, MS, RN, Associate Vice President, Hospital at Home, UMass Memorial Health

Casey Phillips, MS, RN, Manager, Hospital at Home, UMass Memorial Health

The hospital at home concept has allowed hospital systems to build their own unique “villages”. Models can vary from providing full in-home care, partial in-home care and full virtual care. This session will provide insight on what staffing resources are needed to run a hospital-at-home program and what the care model at UMass Memorial Medical Center looks like in comparison to other models.

Understand the differences in staffing UMass Hospital at Home program compared to other hospital at home models
Discuss strategies for selecting the right staff for your hospital-at-home program
Describe role of logistical challenges with staffing a hospital-at-home program

Track B
Leveraging Technology to Scale Your Hospital-at-Home Program
Jared Conley, MD, PhD, MPH, MD, PhD, MPH, Associate Director of MGH Healthcare Transformation Lab. Assistant Professor, Harvard Medical School

Technology has transformed many industries to deliver more and more services in the convenience of our homes. Healthcare is following suit and, through the use of telemedicine, remote patient monitoring, supply chain and care coordination tech, hospital-level care is poised to scale in the home setting as well. In this session, we will explore several ways in which technology can be employed to enhance your hospital-at-home program and ultimately reach scale and enable many more patients to benefit from this care model. We’ll review existing technological innovation to empower clinicians and patients, as well as tackle the challenges of embedding tech and how to best overcome them. The session will focus on key principles and practical tips for both leaders and frontline clinicians.

Explore the opportunities to effectively embed RPM and telemedicine technologies to increase patient eligibility and improve clinical-team efficiencies
Discuss optimizing supply chain reliability and clinical team coordination using technological solutions
Discover how to achieve techquity in hospital at home and ensure robust patient engagement and reliable device connectivity across diverse populations and locales

11:25 am – 11:55 am Choose between two interchangeable breakout sessions

Track A

Acquisition, Selection and Intake: Getting More Patients for Your Hospital at Home Program
Russell Ledford, MD, Program Director, Hospital at Home, Vanderbilt University Medical Center

The task of recruiting patients into a Hospital at Home program is generally called intake. Intake can be much more challenging than envisioned in the development phase of H@H programs prior to implementation. "Out of 1000 beds there must be at least 20-30 patients daily that meet inclusion criteria for our program" is a comment this speaker has heard more than once. Successful intake requires a robust and timely screening process, balanced service-line outreach and collaboration, creativity, institutional awareness and alliance, operations that maximize intake opportunities, and a team that is flexible and goal-oriented. Getting all of this right daily can be challenging but gets better over time. This session will explore these issues and more.

Understand intake iterations and learn how to design a good "pull" process
Explore the challenges of institutional awareness and service-line outreach
Learn how to create new opportunities for your program

Track B

The Regulatory Landscape: Navigating Waiver Requirements, Reporting, and Medicaid Reimbursement

Lisa Tripp, VP, Government Affairs, Medically Home

Ray Quintero, Managing Partner, Healthsperien

The CMS Acute Hospital Care at Home Waiver brought Hospital at Home into the mainstream of health care in America. What happens at the Federal and State level now that Congress has extended the CMS Acute Hospital Care at Home Waiver through Dec. 31, 2024? This presentation will focus on the new federal legislation extending Hospital at Home, the reporting requirements in the federal legislation, regulatory challenges and opportunities at the state level and the state of Medicaid reimbursement for Hospital at Home.

Learn the federal legislation extending the CMS Acute Hospital Care at Home Waiver, with a particular focus on the new reporting requirements.
Understand the state-specific issues in advancing hospital at home and the legislative and regulatory approaches being adopted to address these issues.
Hear about the state of Medicaid reimbursement for Hospital at Home

12:00 pm – 12:45 pm Luncheon
Supported by Best Buy Health

12:45 pm – 1:15 pm Dessert and Coffee in Sponsor Showcase

1:15 pm – 1:45 pm Choose between two interchangeable breakout sessions

Track A

Development of Pharmacy Services to Support Hospital at Home
Michael Cotugno, RPh, Director of Pharmacy Patient Care Services, Brigham and Women’s Hospital

The Acute Hospital Care at Home Program is a patient care model that expands acute-level care beyond hospital walls. It is imperative to integrate pharmacy services into the planning, implementation, and patient care management for hospital-at-home services. This session will discuss specific pharmacy services, implementing pharmacy services, and the challenges of supporting pharmacy services for a hospital at home program.

Identify areas of opportunity for pharmacy services to support Hospital at Home programs
Evaluate pharmacy implementation considerations for a Hospital at Home program
Discuss compliance and operational challenges for medication distribution and oversight for the Hospital at Home program

Track B

Optimizing Technology and Workflows to Protect Patient Safety and Improve Staff Experiences

Eve Dorfman, MA, RN, NEA-BC, Vice President, NYU Langone Health

Christopher McGhee, CEO and Co-Founder, Current Health, A Best Buy Company

Hospital-at-Home programs offer the potential to deliver improved outcomes for patients and more satisfying care delivery experiences for providers. But these results don't just happen. Program design, technology configuration, and workflow creation are essential components to a thriving and scalable program. This session will discuss the approach NYU Langone took for optimizing technology and workflows for their home hospital program. The presenters will discuss the work technical and clinical teams accomplished to define high priority workflows and how they executed a 6-week Epic integration with provider experiences as top priority. They’ll also discuss how to configure technology to ensure patient safety, identify deterioration early, and escalate care.

Understand which Hospital-at-Home workflows should be prioritized for integration with the EHR
Describe strategies for optimizing workflows to maximize efficiency and effectiveness for clinicians and referring providers
Explore key opportunities to configure technology to ensure safety
Learn the importance of effective communication and collaboration between stakeholders to achieve program scalability

1:50 pm – 2:20 pm Choose between two interchangeable breakout sessions
Track A
Leveraging Home Health and Other Existing Services for Hospital at Home

Nathan Starr, DO, Medical Director, Home Services, Castell Intermountain Healthcare

Acute Hospital at Home requires significantly more care than what traditional Home Health offers, as the goal is to replace inpatient hospitalization. However, Home Health has aspects that can augment Acute Hospital at Home. This session will explore how Intermountain Health’s Acute Hospital at Home program leveraged Home Health and other existing resources to efficiently offer hospital level care over a large geographic area.

Understand how home health fits in with acute Hospital at Home programs under value-based care and CMS waiver programs
Learn how hospitals and health systems can expand the geographical size of acute Hospital at Home via partnerships with home health and other resources

Track B

Metrics and Measurement in Hospital at Home

David Levine, MD, MPH, MA, Clinical Director for Research & Development, Healthcare at Home, Mass General Brigham and Associate Professor of Medicine, Harvard Medical School

As healthcare systems look to evaluate their home hospital program, establishing standardized metrics and measurement plays an important role. In addition to process and outcome metrics, programs should establish focus measurement on equity and the experience of patients and caregivers. Are there standard measurements that have been established industry wide? And what are the reporting requirements for CMS? This session will explore best practices for measurement and reporting.

2:30 pm – 3:15 pm The Payer’s Perspective: A Broader Definition of Value (PANEL)
Moderator: Patrick Kneeland, MD, SFHM, VP of Medical Affairs, DispatchHealth
Panelists:David Brumley, MD, MBA, Senior Vice President and Chief Medical Officer, Fallon Health
Jatin Dave, MD, MPH, Chief Medical Officer, MassHealth and Associate Professor, Population and Quantitative Health Science, UMass Chan Medical School

Vivian Reyes, MD, National Physician Lead for Kaiser Permanente Care at Home, The Permanente Medical Group, Inc.

While healthcare challenges in the first wave of COVID-19 sparked interest, the value proposition of in-home hospitalization alternatives is fueling the model's momentum as we move out of the public health emergency. Although, early in the pandemic, large academic medical centers and health systems adopted the shift through the government's Acute Hospital Care at Home waiver, payers are increasingly leaning into strategies that include high acuity healthcare in the home. However, to create sustainable reimbursement mechanisms, we first need a better definition of the value provided by this model of care.  This panel presentation will explore the considerations from the perspective of a payer including how to clinical comfortability (quality and safety), member experience of care, and figuring out mundane logistics like billing procedures.

Discuss the key metrics to better understand bottom line value
Explore the payer’s perspective on the value of high-acuity healthcare in the home including: quality and safety, measuring medical cost savings, and the value beyond direct medical cost savings
Understand the obstacles to ongoing scaling of these programs
Learn more about the monthly reporting requirements including unanticipated mortality, transfer to inpatient care at brick-and-mortar hospitals, and volume of patients treated

3:15 pm – 3:30 pm Closing Remarks
Colleen Hole, BSN, MHA, FACHE, VP, Clinical Integration, Chief Nurse Executive, Atrium Health Medical Group and David Levine, MD, MPH, MA, Clinical Director for Research & Development, Healthcare at Home, Mass General Brigham and Associate Professor of Medicine, Harvard Medical School

3:30 pm Conference Concludes