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About this IHI Virtual Expedition

​​Today’s health care system can be daunting. Patients and families must have multiple interactions with various people and organizations across multiple settings. All too often patients and their families encounter a complex, highly-fragmented, and inconsistent communication system across these settings, leading to frustration, confusion, and lack of follow-up.

Effective care coordination is more crucial than ever before as healthcare providers and clinical practices take on more financial risk amid the shift toward value-based care. Clinical outcomes, patient satisfaction and safety, and a greater focus on the health of the population call for greater coordination and communication across communities.

Starting April 10, 2018, this Institute for Healthcare (IHI) Virtual Expedition will give you and your team the tools you need to build a more robust care coordination program. A program that includes effective approaches to common challenges, including:

  • reducing costs
  • improving the quality of care
  • engaging customers and providers
  • achieving better health outcomes
  • enhancing the patient experience.

What you'll learn

At the end of this Virtual Expedition, each participant will be able to:

  • Assess their current care management program, identifying any opportunities to redesign key elements to embed greater collaboration, interaction, and communication across the entire system of care
  • Identify methods to utilize data relating to the social determinants of health into population health efforts
  • Create a care coordination platform that will provide the needed tools to assess, track, and manage opioid program outcomes
  • Build teamwork and enhance clinicians’ care coordination skills

This IHI Virtual Expedition is approved for a total of 5 continuing education credits for nurses and pharmacists.


Session 1: Your Care Coordination Program: The Essential Components
Date: Tuesday, April 10, 2018, 11:00 AM–12:15 PM ET

Session 2: Incorporating the Social Determinants of Health into Population Health
Date: Tuesday, April 24, 2018, 11:00 AM–12:15 PM ET

Session 3: Behavioral Health Integration and the Opioid Crisis
Date: Tuesday, May 8, 2018, 11:00 AM–12:15 PM ET

Session 4: Opportunities around Pharmacy Management Interventions and Local Partnerships
Date: Tuesday, May 22, 2018, 11:00 AM–12:15 PM ET

Session 5: Care Coordination in Advanced Payment Models
Date: Tuesday, June 5, 2018, 11:00 AM–12:15 PM ET

Learn more about course Materials and Technology.​​


Andrew Clendenin Andrew Clendenin, MSW, is a social worker with several years of experience in the health care and social services industry. His background and passion centers on improving health outcomes in underserved populations. Andrew has teaching, clinical and leadership experience in hospitals, schools, social services and community agencies. He is accomplished in program design and innovation from concept to launch, and in leading teams to achieve success in serving people with chronic medical and behavioral health conditions in their communities. Andrew is currently the Director of Behavioral Health at Community Care of North Carolina (CCNC), a not-for-profit that operates as the primary care case management entity for North Carolina Medicaid. Through a public-private partnership, CCNC has brought together regional networks of physicians, nurses, pharmacists, hospitals, health departments, social service agencies and other community organizations. These professionals work together to provide cooperative, coordinated care through the Medical Home model. Andrew holds a B.A. in sociology and a MSW from the University of North Carolina at Chapel Hill.

Denise Levis Hewson Denise Levis Hewson, RN, BSN, MSPH, is Senior Vice President of Physician Partnerships Community Care of North Carolina and Chief Operating Officer, Community Care Physician Network LLC. After receiving her Bachelor of Nursing and Master of Science in Public Health from the University of North Carolina in Chapel Hill Denise has spent most of her career in quality improvement, population health, network development and community-based medical home initiatives targeting vulnerable populations. She is currently the Senior Vice President of Physician Partnerships at Community Care of North Carolina – a state-wide patient centered medical home and population management program serving over 1.6 million beneficiaries in over 1,800 practices and approximately 8,000 primary care providers. Denise also serves as the Chief Operating Officer at Community Care Physician Network, LLC, where she works to support independent physicians to implement additional strategies that closely align with value-based purchasing and health care reform efforts. Throughout her career Denise has consulted with many states and organizations on healthcare delivery system redesign, innovation, care management and coordination, quality improvement, medical homes, population management, clinical integration, network development and evaluation/performance metrics.

Cindy Hupke

Cindy Hupke, BSN, MBA, is a Director at IHI and a content lead for IHI’s Triple Aim for Populations. Over the last 15 years, her work has focused on leading large, strategic population health initiatives to improve population outcomes at scale, with a particular emphasis on reducing disparities and inequities. These initiatives included the US Department of Health and Human Services Health Resources and Services Administration’s Health Disparities Collaboratives and the Indian Health Service’s Improving Patient Care Collaboratives, reaching more than 800 health centers and clinics across the US. Ms. Hupke developed and leads the IHI seminar on Transforming the Primary Care Practice, as well as, The International Leadership Development Program for Physicians, a collaborative program with Harvard T.H. Chan School of Public Health.

Mark Redding

Mark Redding, MD, is Co-Developer of the Pathways Community HUB model. The model supports regional networks deploying CHWs who reach out to at risk individuals identifying and addressing health, social and behavioral health risk in a pay for outcomes approach. Eight states are involved, supported by Medicaid managed care and other pay for value funding resources. Results have been published demonstrating improved health and social outcomes and reduced cost of care. Mark works within the Akron Children’s Hospital Rebecca D. Considine Research Center and as a pediatrician in Mansfield, Ohio.