Session ID: 
284

Navigating Multi-Hospital, Episode-Based Care Delivery

4:00pm - 5:00pm Thursday, February 14
Orlando - Orange County Convention Center
W307A

Description

As providers transition to a value-based operating model, hospitals and integrated delivery networks have varying levels of readiness to achieve success. The Florida-based Adventist Health System is among the providers working on episode-based bundled payment models with Premier Inc. They combined an intensive 16-hospital process improvement program with the data analytics capabilities needed to make dramatic gains in performance. The health system has seen a nearly 20% decrease in 90-day readmissions and discharges to skilled nursing facilities and up to a 17% decrease in acute hospital length of stay. It has also received in excess of $500,000 in reconciliation payments for its performance in the Comprehensive Care for Joint Replacement program. This session provides an overview of the challenges multi-hospital providers face in creating an integrated, data-driven episode-based care model and the capabilities needed to ensure financial and operational success.

Learning Objectives: 

  • Assess episode-based care delivery modeling for a total joint-bundled payment program
  • Identify analytics capabilities, education, training and process improvements needed across multi-hospital teams
  • Discuss claims analytics data optimization for bundled payment program
  • Recognize challenges with limited data that led to development of a real-time internal bundled payment analytic tool
  • Restate the benefit of standardized data and analytical support for a multi-hospital organization to achieve success with bundled payments

Speaker(s): 

Senior Bundled Payment Engineer,
Adventist Health System
Vice President,
Premier, Inc.

Audience: 

Chief Quality, Chief Clin Transformation Officer
Population Health Management Professional
Quality Professional

Level: 

Introductory