The Medical Home Web Summit

 
 

  The Medical Home Web Summit  –
 Health Plan, Hospital and Payment Initiatives plus more

 

Healthcare Web Summit   Thursday, October 29th, 2009
1:00 p.m. to 2:30 p.m. Eastern (10:00 - 11:30 a.m. Pacific)
Click here to find out what time your event starts in your time zone.
co-sponsored by:
 
  • Health Plan, Hospital System and Payment System Initiatives
  • Live Webinar, Downloadable Podcasts, plus additional features
  Register for $295
Call 209.577.4888 or
Click here to register
  • CIGNA - Medical Clinic of North Texas Pilot Program and other CIGNA medical home initiatives
  • Palmetto Health Richland Care hospital system medical home initiative
  • Episodic Care Payment Systems modeled for medical homes
  • Plus Medical Home Podcasts on :Children's Mental Health, Medical-Dental Homes, and PCMH Future Direction
 
  Webinar Faculty:
Kenneth Phenow, MD, Senior Medical Director, North Texas, CIGNA
   

 

Webinar Faculty:
Marc Barnes, Director, Richland Care, Palmetto Health

      Webinar Faculty:
Guy D'Andrea
Discern, LLC
  Podcast Faculty:
Dave Tayloe, Jr., Goldsboro Pediatrics
Valerie J H Powell, Robert Morris University
Franklin Din, HP Medical Informatics Center of Excellence
Jaan Sidorov, Sidorov Health Solutions
 
 
Overview
  
Patient Centered Medical Homes have emerged as an integral component of health care reform and as the mainstream model of the future for primary care delivery. For health plans, hospitals, provider organizations, government, and vendors to the industry, there is a critical need for information now on what relevant initiatives are out there, and what experiences do they offer that will benefit stakeholders moving forward.

Co-sponsored by Medical Home News, the Medical Home Web Summit examines Patient Centered Medical Home initiatives undergone by health plans, hospital systems and payment systems in a featured live webinar, plus addresses additional key medical home topics in downloadable faculty podcasts, a medical home article library and exclusive e-poll.

The Medical Home Web Summit includes presentations on the CIGNA - Medical Clinic of North Texas Pilot Program and other CIGNA medical home initiatives; the Palmetto Health Richland Care hospital system medical home initiative; Episodic Care Payment Systems modeled for medical homes; plus Medical Home Podcasts on :Children's Mental Health, Medical-Dental Homes, and the Future Direction of Patient Centered Medical Homes.

 
Webinar Agenda
  
Live Medical Home 2009 Webinar Agenda
Thursday October 29, 2009

1:00 p.m. to 2:30 p.m. Eastern 
(10:00 a.m. - 11:30 a.m. Pacific)
Click here to find out what time your event starts in your time zone.

Webinar Agenda: (Eastern Time)

  • 1:00 pm - 1:05 pm Introductions and logistics - Raymond Carter, Editor, Medical Home News (Moderator)
  • 1:05 pm - 1:35 pm Health Plans and Medical Homes: CIGNA Patient Centered Medical Home Initiatives - Kenneth J. Phenow, MD, MPH, Senior Medical Executive, CIGNA Healthcare of Texas and Oklahoma
  • 1:35 pm - 2:05 pm Hospitals and Medical Homes- Palmetto Health's Richland Care Experience - Marc Barnes, Director, Richland Care, Palmetto Health
  • 2:05 pm - 2:30 pm Modeling Episode Payment for the Patient-Centered Medical Home - Guy D'Andrea
    President and Founder, Discern Consulting
 
Podcasts and More
  
Faculty Podcasts
plus companion materials available for download 24/7 include:
  • Children's Mental Health and the Medical Home by Dave Tayloe, Jr., MD, FAAP, President of the American Academy of Pediatrics and Practicing Pediatrician, Goldsboro Pediatrics
  • The Medical-Dental Home, Achieving Comprehensive Care for Chronic Illness through Integrating Medical-Dental Care and Data by Valerie J H Powell, RT (R), PhD, Professor, Computer & Information Systems, Project on Clinical Data Integration (CDI), Robert Morris University; and Franklin Din, DMD, MA, Executive Director, Medical Informatics Center of Excellence, Global Healthcare, EDS an HP company
  • The Medical Home: Where We Are and Where We’re Going, by Jaan Sidorov, MD, MHSA, Sidorov Health Solutions
  • Plus other Web Summit features including a Medical Home Article Library, and an exclusive Medical Home e-poll

 

 
Learning Objectives
 
Participants will gain an understanding of the following:
  • The plans, case experience and perspectives of a major health plan involved in medical home initiatives
  • The case experience of a hospital system operating a medical home program and the impact upon the community.
  • The implications and design of modeling episodic payment systems for medical homes
  • A discussion of additional key issues relating to patient centered medical homes including children's mental health, medical-dental care, and and examination of current and future trends.
Who Should Attend
  
Interested attendees would include:
  • C-Suite Executives
  • Medical Directors
  • Planning and Strategic Executives and Staff
  • Clinical Executives and Staff
  • Business Development Executives and Staff
  • Network Management Executives and Staff
  • Provider Relations Managers and Staff
  • Provider Contract Administrators
  • Health Benefit Managers
  • Medical Home Solutions Provider Staff
  • Business and Market Intelligence Staff
  • Other Interested Parties

Attendees would represent organizations including

  • Medical Groups
  • Provider Organizations
  • Health Plans
  • Hospitals
  • Pharmaceutical
  • Employers
  • Care and Disease Management Organizations
  • TPAs
  • PBMs
  • Government Agencies
  • Media
  • Consultants, Vendors and Solutions Providers
Registration
  
Individual Registration Fee: $295
. Web Summit CD-ROM: $40 for attendees; $335 for non-attendees after the event.
Corporate Site licensing also available. Click here to register or call 209.577.4888 We look forward to your participation in this event!

Special Medical Home News subscription offer: Attendees can subscribe to Medical Home News for the discounted annual rate of $295 (save $173 off the $468 regular rate) Click here to subscribe at the discounted rate. Already a subscriber? Medical Home News subscribers can attend for a 50% discount for the Medical Home Web Summit. Mention MHNews as your discount code when registering to attend.

 
Faculty
 
 

Kenneth J. Phenow, MD, MPH
Senior Medical Executive, CIGNA Healthcare of Texas and 
Oklahoma

 

  Kenneth J. Phenow, M.D., M.P.H. as is CIGNA's medical director for the North Texas market.
Phenow joins CIGNA HealthCare from United Healthcare of Southwest Ohio, North Kentucky and Indiana where he served as the chief medical officer. Prior to that, he served in several roles including lead physician for PhyAmerica Inc. at the Marine Corps Base in Camp Pendleton, Calif. and associate medical director for the Southern Region of Scott & White Health Plan.

Phenow received his bachelor's degree in biochemistry and political science from the University of California at San Diego, a master's degree from University of California at Los Angeles School of Public Health and his medical degree from Medical College of Wisconsin. He is a member of the Texas Medical Association, American College of Physician Executives and U.S. Armed Forces Association of Family Practice.


Marc Barnes, Director, Richland Care
Palmetto Health
 
  Marcus Barnes is the director of Richland Care, Palmetto Health, a program designed to help the uninsured gain access to primary and specialty care. The Richland Care model has been called a medical home network and consists of the following services: primary care through a medical home, pharmaceuticals, specialty care, hospital care, mental health and substance abuse services, disease management, identification of utilizers and educational materials.

Prior to working for Palmetto Health, Barnes spent six years working with Healthsouth Rehabilitation Hospital as the outpatient coordinator where he gained experience in patient affairs, billing, medical records and case management. Barnes received a Bachelor of Science in Management and Human Resources from the Darla Moore School of Business at the University of South Carolina.


Guy D'Andrea
President & Founder, Discern Consulting
 
  Guy D’Andrea founded Discern, LLC in 2004. Since that time, Mr. D’Andrea has worked with leading health care organizations nationwide – including The Leapfrog Group, Bridges to Excellence and the National Business Coalition on Health – to design, implement and evaluate pay-for-performance and value-based purchasing strategies. Mr. D’Andrea specializes in assessing the return on investment from these programs and has built ROI models for several clients. Projects undertaken by Discern include the design and development of hospital and physician pay-for-performance programs, value analysis for HIT adoption, an interactive P4P decision tool for health care purchasers, and quality standards for wellness programs.Before starting Discern, Mr. D’Andrea spent seven years as Vice President at URAC, where he was responsible for the development of URAC’s accreditation programs, including quality standards for PPOs, utilization management organizations, case management organizations and consumer-directed health care. Prior to URAC, he spent five years working on managed care regulatory and policy issues with the American Association of Health Plans (now AHIP) and the Maryland Association of HMOs.

Mr. D’Andrea has co-authored several papers on health care reform, including: “Should Health Care Come with a Warranty?” featured in Health Affairs, “Physicians Respond to Pay-for-Performance Incentives: Larger Incentives Yield Greater Participation” in The American Journal of Managed Care, and “Sustaining The Medical Home: How Prometheus Payment Can Revitalize Primary Care” for the Robert Wood Johnson Foundation. Mr. D’Andrea received an undergraduate degree in philosophy from Cornell University. He earned dual Master of Business Administration degrees from Columbia University and the London Business School, where he graduated as the valedictorian of his program. He is a member of the American Association of Health Care Consultants and the American College of Healthcare Executives.

Dave Tayloe, Jr., MD, FAAP, President of the American Academy of Pediatrics and Practicing Pediatrician, Goldsboro Pediatrics
 
  David T. Tayloe, Jr., MD, FAAP, is the 2008-2009 President of the American Academy of Pediatrics (AAP), based in Elk Grove Village, Illinois. The AAP is the nation's largest pediatric organization, with a membership of 60,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists. Dr. Tayloe is a full-time general pediatrician. He founded a solo practice in Goldsboro, N.C., in 1977, after completing medical school at the University of North Carolina and pediatric residencies at St. Christopher's Hospital for Children and North Carolina Memorial Hospital. He helped establish the successful child health system in North Carolina that includes the NC Universal Childhood Vaccine Distribution Program, the physician-directed Medicaid managed care initiative, and the NC Health Choice Program (SCHIP).

Since 1985, Dr. Tayloe has been a member of the North Carolina AAP Chapter, which won the Outstanding Chapter Award of the AAP when he was President (1993-1995). He has served in leadership positions with the national AAP since 1989 including: Committee on State Government Affairs; Chapter Forum Committee Chair; Committee on Community Health Services; District IV Vice-Chair and District Chair. He has served as the Board Liaison to the Task Force on Immunizations. As a member of the long-range Planning Committee of the American Board of Pediatrics (ABP), he has continued to lead the effort to incorporate mental health competencies into the agenda of the ABP.


Valerie J H Powell, RT (R), PhD, Professor, Computer & Information Systems, Project on Clinical Data Integration (CDI), Robert Morris University
 
  Dr. Powell has over 26 years experience in medical informatics, most of it involving the Department of Veterans Affairs (VA) and the Indian Health Service. She credits her interest in integration of health care systems to her collaboration in the early 1980s with Dr. Charles J. Austin, who authored textbooks on hospital information systems and taught health administration. More recently she has been involved in radiologic informatics, serving on the Imaging Education Committee of the Association for Educators in Imaging and Radiologic Sciences (AEIRS). She serves as Education and Training Chairwoman for WorldVistA, a non-profit organization.

Now in her 50th year of teaching, she teaches networks and routing, information security, advanced medical computing, and discrete mathematics. She has been invited to lecture or provide technical input abroad on health care informatics topics in Germany, Mexico, Japan, Austria, and Canada. She has hosted a number of conferences on electronic health records (EHRs). Because of her extensive involvement in health care informatics, Governor Ed Rendell appointed her to the Pennsylvania Governor’s Commission on Chronic Care Management, Reimbursement, and Cost Reduction in 2007. Dr. Powell’s software standards experience: member, X3/DBSSG (Database Systems Study Group), member, NCITS/T3, Telecommunications, chair, NCITS/J21, Model-Based Formal Specification Languages, a committee with US Technical Advisory Group responsibility for ISO standards.


 

Franklin Din, DMD, MA Executive Director, HP Medical Informatics Center of Excellence
 
  After over twenty years of clinical dental experience and three years of academic teaching experience, Frank completed an NLM post-doctoral fellowship in Biomedical Informatics at Columbia University in 2005. He previously served a Senior Informatics Consultant for Apelon, Inc. His path into Informatics and Terminologies began with recognition, as a clinician, of the inadequacies of paper-based patient records. He created tools, in PC and Palm versions, that provided decision support on medical conditions and their affect on dental treatment. In response to the World Trade Center attack of 2001, as an NDMS/DMORT (National Disaster Medical System / Disaster Mortuary Operational Response Team) forensic dentist, Frank modeled and developed a database to track the status of antemortem and postmortem dental records, as well as provide an audit trail for the chain of custody for the records. For the Hurricane Katrina recovery in 2005, he separated the dental identification unit from the dental data gathering unit in the morgue. While at Columbia University, Frank developed a search and subset tool for SNODENT. In addition, he led a three student team which prototyped personalized health information delivery via cell phone text messaging in order to reach the mobile minority teen population.

Prior to Apelon, Frank worked as a Terminology Analyst for the Veterans Health Administration (VHA) in the Enterprise Terminology Service group. He created a tool to conduct mappings between concepts in the VistA etiology files and SNOMED CT for the LDSI (Lab Data Sharing Initiative) project that links the VHA and the Department of Defense lab systems. In addition, he created an MS Excel tool to conduct a mapping from the Kaiser Permanente ICD-9 based problem list into a SNOMED CT based list. This work became the basis of the FDA’s SPL problem list. Frank serves as the lead in developing collaborative work in knowledge discovery with the Ohio State University Department of Biomedical Informatics and Clinical and Translational Research Center as well as improving the extraction of the analytic data from OSU Medical Center’s Information Warehouse.


Jaan Sidorov, MD, MHSA,
Sidorov Health Solutions
 
  Jaan Sidorov M.D. is a general internal medicine physician with over 20 years experience in primary care, disease management and population based care coordination. Dr. Sidorov is a Medical Director in the Medical Informatics Center of Excellence at EDS, an HP Company. Dr. Sidorov has numerous peer-reviewed publications, two of which were named as “Best Article” by DMAA and one of which on the electronic medical record was listed as “most read” by the prestigious health policy journal Health Affairs. He had been quoted in the Wall Street Journal and National Public Radio’s All Things Considered as well as the Disease Management Advisor. He is the author of the widely read “Disease Management Care Blog,” available at http://diseasemanagementcareblog.blogspot.com / and is a much sought after speaker who has presented research findings nationally and internationally in the areas of health services research, disease management and managed care insurance.

He received his medical degree from the Pennsylvania State University College of Medicine, and did his internship and residency at the Dartmouth Hitchcock Medical Center in Hanover, New Hampshire. He has also served as a Chief Resident, at Reading Hospital, Reading, Pennsylvania. He received additional training in health services research through the Faculty Development Fellowship of the University of North Carolina at Chapel Hill and in managed care through the American Association of Health Plans certified managed care executive program. He also has a Masters Degree in Health Services Administration from Marywood University in Scranton Pennsylvania. He is a past Treasurer and member of the executive committee of the Board of Directors of the Disease Management Association of America (DMAA). Dr. Sidorov is board certified in internal medicine and is a Fellow of the American College of Physicians. He is a Medical Director in the EDS Medical Informatics Center of Excellence and is President of PMSLIC, the largest physician malpractice insurance company in Pennsylvania. He also holds a 4th Degree Black Belt Master Rank in Chimukwan style Tae Kwon Do.
 
 
 
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