2023 Hospital @ Home Leadership Summit Speaker Bio
Tom Kiesau, Chief Innovation Officer & Leader, Chartis Digital, The Chartis Group
Thomas Kiesau is a Senior Partner with Chartis, the firm’s Chief Innovation Officer, and leader of the Digital Practice, the firm’s business unit dedicated to digital transformation planning and execution across the healthcare arena. Prior to assuming leadership of the Digital Practice, he led the firm’s Strategy Practice. With more than 20 years of experience, Mr. Kiesau has served as an advisor to many of the nation’s leading children’s hospitals, academic health centers, faculty practice groups, integrated health systems and community hospitals. He directs consulting engagements principally in the area of digital transformation, including digitally-enabled care model transformation, home as a site of care, digital consumer experience and digital operating model design and implementation. Mr. Kiesau has also led the development of corporate strategy and product development strategy for multiple integrated business process and technology firms that serve the healthcare industry. He speaks and publishes frequently on a wide array of topics related to digital transformation and is regular media contributor on healthcare disruption.
Scaling Your Hospital at Home Program
As of August 2023, 125 health systems with 295 hospitals in 37 states had been granted CMS waivers for Acute Hospital Care at Home programs since late 2020, when CMS first introduced the program. Yet only a fraction of these programs have gotten off the ground, and even fewer have begun to scale toward their full potential. While COVID-related urgencies to standing up hospital-at-home programs have subsided, health systems have gained a clear appreciation for the economic benefits offered by hospital at home, including standalone profitability, capacity creation, and capital avoidance, along with a variety of other benefits, including better clinical outcomes, increased patient satisfaction and innovative ways to engage providers. To fully realize these benefits, health systems must not only launch programs, but also have dedicated, disciplined and methodical efforts to bring these programs to meaningful scale over time. During this interactive session, we’ll explore the economic, operational, clinical, and cultural factors necessary for full benefit realization. The presenter will discuss some of the challenges that health systems have faced as they grow, lessons learned, and mitigation strategies that can accelerate hospital-at-home program growth trajectories and enable health systems to realize more benefits more quickly.
Leveraging Hospital at Home to Enable Care at Home Initiatives
Health systems are increasingly finding that the broad spectrum of operational and technological capabilities built out or planned for hospital at home programs can also serve as the supporting infrastructure for a broader care at home ecosystem, delivering myriad strategic and operational benefits. Programs such as acute care transition programs, remote chronic disease management, infusion at home, post-acute monitoring at home, ED at home, and others, not only utilize many of the same types of personnel and tools as hospital at home, but also extend the health system’s ability to more seamlessly provide patient care across a variety of care journeys. A broader care at home ecosystem can enable better care transitions, enhanced patient access, greater clinician insight into holistic patient care, and more equitable, high-quality outcomes. This session will discuss the benefits of the broader ecosystem and how it may be derived from the foundation established by hospital at home. The session will also review the economic opportunities and challenges presented by other home-based care models, and how care at home programs may provide longer-term leverage for health systems as they increasingly get into risk-based arrangements.