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October 25, 2016 – Free Executive Web Briefing Sponsored By CMT, a Relias Learning Company

In an era of value-based purchasing and health care cost containment, high readmission rates have become a distinguishing mark of health care inefficiency – and reducing these high rates is now a focus of Federal and state government efforts. Central to reducing avoidable readmissions is improving the use of data analytics to deliver efficient, evidence-based care to individuals following a discharge. High-performing analytics platforms can produce actionable reports to be used as decision support throughout the care management process – from risk identification and stratification that defines the intensity of care management required, to continual reports showing adherence to treatment goals.

Join OPEN MINDS, Molina Healthcare of Illinois, Memorial Health System, and Chestnut Health Systems on October 25 at 1:30pm ET to hear how this Illinois-based behavioral health provider consortium joined together to create cost effective solutions to save Illinois payers money specifically in the area of hospital readmissions. Illinois is now in its third year of mandatory managed care, which covers 2.1 million of its 3 million Medicaid recipients. The session will provide both the providers’ and payer’s perspective on this arrangement including the risks, challenges, and rewards facing the payer when shared data is attempted.


Agenda

During this 90-minute executive web briefing sponsored by CMT, a Relias Learning Company, attendees will:

  • Discover key strategies for creating dialogue between payers and providers for sharing data
  • Uncover tactics for using data to reduce unnecessary hospitalization
  • Identify key organizational or structural changes that may require their organization to take on shared savings for reducing hospital readmissions

Featured Speakers

Orville Mercer, MSW, Vice President of Behavioral Health, Chestnut Health Systems

Orville Mercer MSW, has 38 years of experience in the community behavioral health field working primarily with complex and difficult to treat populations. He was the CEO of MetroCentre in Illinois until its merger with Chestnut Health Systems in 1996, and has since then, led the growth of a dynamic community based system that now encompasses 13 locations with 400 employees. Chestnut Health Systems has been piloting targeted case management approaches to Managed Medicaid Health plans in the region that have resulted in significant reduction of health costs for designated high user cohorts with an outstanding ROI for these health plans.

Janice Gambach, LCSW, MPA, President, Memorial Behavioral Health and System Adminstrator, Memorial Health System

Ms. Gambach has been the President of Memorial Behavioral Health since 2008. Memorial Behavioral Health is one of the largest providers of mental health services in central Illinois, serving more than 10,000 individuals each year in central Illinois. It is part of a larger health system with four hospitals, a primary care network and other ambulatory support services. There is also a large school of medicine. She has worked within that system and the school of medicine to integrate behavioral health within emergency rooms, and primary care and specialty clinics. She also partnered with the Southern Illinois University Community Family Medicine, Federally Qualified Health Center in co-locating a SAMHSA Primary and Behavioral Health Care Integration Grant Program within the Community Mental Health Clinic.

Katie Jones, MSW, LCSW, Director of Behavioral Health, Molina Healthcare of Illinois

Ms. Jones is a Licensed Clinical Social Worker. She completed her Bachelor’s degree in sociology and her Master’s degree in social work. Giving voice to recovery has been her passion since entering the field in 1999, ranging from clinical social work as a case manager, therapist and team leader to her administrative work as a state hospital liaison and nonprofit organization executive director. Katie has had the opportunity to provide screening, crisis intervention services, and group facilitation within a diverse array of community mental health programs and private practice venues. In addition, she has served the community through rural mental health initiatives, public awareness campaigns and professional education and training, promoting increased understanding about effective suicide intervention skills as well as the hope, and the expectation, for recovery. Katie brings a strengths-based, solution-focused approach to her work as Director of Behavioral Health for Molina Healthcare of Illinois.

Brandon Danz, MHA, MPA, Senior Associate, OPEN MINDS

Brandon W. Danz, MHA, MPA brings to the OPEN MINDS team extensive executive-level experience in health care regulatory affairs, Medicaid policy, systems transformation, strategic planning, and population health management within several systems of care including physical health, behavioral health, long-term care, and care for individuals with intellectual disabilities.

Mr. Danz previously served as Special Advisor to the Secretary of the Pennsylvania Department of Human Services, one of the largest state human service agencies in the nation with over 17,000 staff and an annual operating budget of $32 billion. In his executive role, Danz led efforts in regulatory innovation and strategic policy development related to health care delivery transformation, introduction of risk-based payment methodologies, improved use of health information technology, and cross-systems care management and coordination.

Registration for this executive web briefing is exclusively for members of CMT, a Relias Learning Company.

Unable to attend? Still register! At the conclusion of the event, all registrants will receive a recorded copy of the executive web briefing and presentation slides — regardless of attendance.

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