Day One · Thursday, April 21, 2016
| 8:00 AM–8:20 AM |
Welcome, Introductions, Orientation to the Seminar Cory Sevin
After this session, participants will be able to:
- Describe the objectives of the seminar
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| 8:20 AM–9:30 AM |
Effective Care Designs for Patients with Complex Needs
Rebecca RamsayAfter this session, participants will be able to:
- Describe current knowledge of populations with complex needs
- Identify characteristics of promising care designs that improve outcomes and lower costs for this population
- Describe the BHLC Roadmap to redesign process to impact your population
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| 9:30 AM–9:45 AM |
Break |
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| 9:45 AM–10:45 AM |
Improving Care and Lowering Costs - Real World Program Designs (Stanford Coordinated Care and CareOregon)
This session will highlight two successful programs and the design processes used to develop the care models for their patients with complex needs and high healthcare costs.
Alan Glaseroff and Rebecca Ramsay
After this session, participants will be able to:
- Describe the care models from Stanford Coordinated Care (SCC) and CareOregon (CO) focused on impacting individuals with complex needs and high healthcare costs
- Identify how SCC and CO operationalize the characteristics of guiding principles in their programs
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| 10:45 AM–11:45 AM |
Design Thinking – How to Approach Care Design and Redesign Alan Glaseroff
After this session, participants will be able to:
- Describe principles of human-centered design and its use in redesigning healthcare services for populations with complex needs
- Describe principles of effective service redesign
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| 11:45 AM–12:45 PM |
Lunch |
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| 12:45 PM –2:15 PM |
Providing Value Through Population Segmentation Successful population management focuses on segmenting the population, learning the specific needs and assets of the segment and designing effective services to meet these needs. Strategies to accomplish these tasks will be discussed.
Rebecca Ramsay
After this session, participants will be able to:
- Discuss considerations for choosing a population of patients with complex needs for care redesign
- Identify methods to understand the needs and assets of your chosen population to guide care redesign
- Discuss methods to identify individuals for enhanced care using historical and real-time data
- Identify methods you can test to more effectively identify individuals for enhanced care
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| 2:15 PM –2:30 PM |
Break |
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| 2:30 PM –3:45 PM |
Patient Engagement-Self-Identified Goals and Care Planning Successfully engaging individuals with complex needs and high costs is a key step to successful programs. Traditional engagement methods often do not work for these populations. This session will provide an overview and skill building in engagement methods to use in programs for individuals with complex needs and high costs Alan Glaseroff and Cory Sevin
After this session, participants will be able to:
- Describe the importance of care plans focused on “what matters to the patient”
- Describe effective engagement methods for patients with complex needs
- Identify 1-2 patient engagement skills you can test in your organization and/or daily work
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| 3:45 PM–4:45 PM |
Develop a Care Model to Impact Outcomes and Costs for Your Complex Needs Population Developing a set of interventions that impact outcomes and costs for complex, high cost populations is best done by learning what works with individuals from the population and then growing those interventions. This session will guide participants through a learning and design process they can apply to their programs.
Cory Sevin
After this session, participants will be able to:
- Identify services needed based on the needs and assets of the population
- Describe a care model design process starting with deep learning from 5 individuals
- Identify strategies to refine and develop your care model for patients with complex needs to effectively improve outcomes and impact costs
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| 4:45 PM –5:00 PM |
Putting it All Together Cory Sevin
After this session, participants will be able to:
- Identify action steps to take to refine participant’s complex care programs.
- Reflect on the day’s lessons
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| 5:00 PM –6:00 PM |
Reception |
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Day Two · Friday, April 22, 2016
| 8:00 AM –8:20 AM |
Welcome Back and Faculty Q&A Cory Sevin
After this session, participants will be able to:
- Review Day 2 Agenda
- Discuss questions and observations from Day 1
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| 8:20 AM –9:20 AM |
Strengthen Partnerships Within and Outside of Your Organization This session will describe methods to develop strong partnerships to enhance care delivery.
Cory Sevin
After this session, participants will be able to:
- Describe methods your team can use to form and strengthen partnerships
- Identify action items to enhance care delivery through partnerships
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| 9:20 AM –9:40 AM |
Break |
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| 9:40 AM –10:40 AM |
Deploy Your Care Model Once you have a set of interventions or care model that is effective with your complex needs population, reliable delivery to individuals is needed to create better outcomes and impact costs. This session will discuss how to develop reliable processes to deploy the care model as it grows to serve more individuals.
Alan Glaseroff
After this session, participants will be able to:
- Discuss strategies to develop reliable and effective processes
- Identify measures useful in assuring effective care processes
- Discuss challenges of taking your care model to scale
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| 10:40 AM –11:40 AM |
Scale-up and Sustainability-Considerations The greatest opportunity for better outcomes and impacting costs is when all individuals who need the services receive them. This session will offer a process to grow the program so that it is operationally and financially sustainable at scale.
Rebecca Ramsay
After this session, participants will be able to:
- Describe a process to sustainably grow the program to serve all who need the services
- Describe the importance of continually engaging all 4 levels of stakeholders-payers, physicians, organizational leaders, and patients
- Discuss strategies for engaging these different stakeholders
- Identify action items
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| 11:40 AM –12:00 PM |
Putting it All Together Cory Sevin
After this session, participants will be able to:
- Identify the status of each step discussed today
- Identify action items
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| 12:00 PM –1:00 PM |
Lunch |
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| 1:00 PM –1:45 PM |
Workforce Development New roles and new ways of working with individuals with complex needs are often needed. In this session we will discuss common challenges and successful strategies to developing and supporting the workforce.
Rebecca Ramsay
After this session, participants will be able to:
- Discuss common challenges of developing and deploying an effective workforce for patients with complex needs
- Describe promising workforce development strategies for populations of patients with complex needs
- Discuss the cost-benefit to various types of staff
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| 1:45 PM- 2:00 PM |
Adjourn |
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