Session ID: 

Integrating Acute and Post-Acute Care to Improve Outcomes

1:00pm - 2:00pm Wednesday, February 13
Orlando - Orange County Convention Center


With the rapid growth in managed care plans and the shift to value-based payment models, acute and post-acute care providers must be able to collaborate, coordinate care and share data with each other to survive. This session will explore how to make that happen, starting with creating an integrated clinical network, creating a preferred partner network and leveraging technology to manage care across the entire continuum. It will explore how to create clinically integrated networks between care settings. You will hear first-hand how Lancaster General Health--a member of the University of Pennsylvania Health System (Penn Medicine)--and Landis Homes--a senior living community that provides healthcare, skilled nursing and rehabilitative services--partnered to reduce readmission rates, length of stay, skilled nursing costs, and improve transitions of care and advance care planning.

Learning Objectives: 

  • Identify the technology components necessary to successfully achieve outcomes-based reimbursement across care settings and the degree of integration that must be achieved to create a true value-based care solution
  • Identify and measure the negative effects of transactional information exchange during critical stages of care; e.g., patient intake and care transition
  • Define specific stages in automating care coordination, with the goal of shifting from a transactional perspective to a longitudinal view of patient information
  • Create a framework for a collaborative effort between acute and post-acute providers that drives improved cost and quality performance and alignment on clinical initiatives
  • Recognize and document the benefits of standardized care/clinical plans for conditions such as congestive heart failure, pneumonia and hip fractures that commonly require post-acute care


Clinical IT specialist,
Landis Homes
Interim Director, Post Acute Care Continuum ,
Lancaster General Health


Chief Quality, Chief Clin Transformation Officer
Population Health Management Professional