Cerner Population Health Summit 2015 Explore population health management strategies for today and tomorrow July 23 - 24 | Kansas City, MO 1 Table of contents 3 Welcome letter 4 Themes 5 Meeting information 7 Engage with us 8 Thursday agenda 10 Friday agenda 11 Session abstracts 17 Solutions and Services Discovery 18 Sponsors 19 Building map Please note: The Population Health Summit information was last updated July 16, 2015. Please excuse any updates that were not included prior to printing. @Cerner | #CernerPopHealth 2 Table of contents | Population Health Summit 2015 Welcome letter Welcome to Kansas City! I want to personally thank you for taking the time out of your busy schedules to attend the third annual Population Health Summit. Throughout the next few days, you’ll have the opportunity to collaborate and network with your peers as well as Cerner leaders on the latest and greatest strategies for advancing population health management. In today’s health care environment, change is the new normal. Taking the time to bring together insightful, energized individuals to discuss the progress and opportunities related to population health management is a refreshing way to re-affirm or re-evaluate current initiatives to remain competitive. You’ll hear a variety of unique perspectives from leading organizations across the community and globe on how they are driving efforts in big data, engagement and population management. There will also be opportunities to network with peer organizations and explore new technologies and services. I want to thank you in advance for contributing your knowledge and expertise as together, we shift to a new state of health care – one that focuses just as much on prevention as it does a cure – with the goal to provide a better quality of life to our members and better communities overall. Throughout this summit, I encourage you to stay engaged, ask questions, share insights and think beyond ‘the now’. My hope is that by the end of the event, each of you will have new ideas to consider as you continue your population health management journey. If you need anything during you time here, please don’t hesitate to let me or a member of the Cerner team know. Best regards, Matthew Swindells Senior Vice President Welcome letter | Population Health Summit 2015 3 Themes Big data To know what is happening and predict what will happen with the health of a given population, organizations have to look beyond the information contained within the four walls of a hospital or physician’s office. Providers need a complete picture of a person’s health data—regardless of venue—to make clinical decisions at the point of intervention and personalize care for that individual. It starts with the creation of a data-driven culture and builds towards a holistic approach to care delivery. Building such a culture requires technology to enable complete representations of health data that exists—regardless of whether it is standardized, proprietary or unstructured data—and make it consumable for those who need it, while not burdening those who do not. Existing clinical information, when supplemented by additional social, environmental and behavioral data about the person, allows providers to personalize actions to an individual’s sociological and economic foundation. Intelligence can now drive care and prevention for entire populations while meeting people at exactly the right time and place and in exactly the right way. Population management With a number of market and legislative drivers in favor of value-based care, provider organizations are assuming greater levels of risk for their population’s health and care. Thriving in a value-based environment requires complete, accurate member data to be shared across venues of care and the ability to meaningfully use that data to coordinate care, reduce variance, improve quality and engage individuals at all times. Organizations need strategies, processes and tools to help promote accountability, ensure transparency and ultimately, create the most optimal outcomes for individuals and populations. Engagement Throughout a person’s life, they will move from healthy to sick, engaged to unengaged, and anywhere in between. No matter which state a person may fall, the individual is at the center of their health and care. People who are more involved in their health and care can achieve better health outcomes, incur lower costs and are overall happier and more productive. People have different needs, and engage differently in their health and care— from those who require incentives and instructions from their provider, to those who are proactive in their health and utilize the latest gadgets. Intelligent strategies, processes and tools are needed to personalize engagement with individuals no matter where they fall on the spectrum. Individuals and their care givers (for those who are unable to engage directly) need to be informed and educated in order for long-term, sustainable healthy habits to occur. The influence of individual lifestyle and behaviors on health outcomes is more influential than the efforts of providers or health plans, alone. 4 Themes | Population Health Summit 2015 Meeting information Internet access Wireless Network Name: exhibit-guest No password needed; after connecting, open an internet browser and click Continue. Charging stations For your convenience, charging stations are located near the back of every session room. * Please do not leave your electronic devices unattended. Presentations For event information and presentations, please visit the Population Health – Client Forum uCern group. *Please note that some presentations may not be available until post-event. Continuing education Continuing medical education (CME) and continuing nursing education (CNE) credits will be offered for several of our sessions. Eligible sessions are noted with an asterisk in the agenda. Upon check in at registration, you received a CME/CNE handout and evaluation form with additional details. On Friday upon event conclusion, you can hand in your completed evaluation forms at the registration desk – certificates will be mailed directly to you within four to six weeks. Please see the registration desk for any question pertaining to CME details. Meeting information | Population Health Summit 2015 5 Meeting information Meeting & privacy rooms Conference rooms are available upon request. We have a privacy room onsite. Please visit the registration table or contact Dana Rowland to reserve: 816.382.9664. Session & event surveys We want to know what you think. Provide feedback by: Completing session surveys: You will receive a survey handout as you enter each session room. You can submit your completed surveys outside of the session room or at the registration desk before leaving Population Health Summit. Completing an event survey: Fill out the event survey you received during registration prior to departure and return it to the registration table. Ground transportation Upon conclusion of this event, Cerner will provide transportation to the Kansas City airport (MCI). Transportation will depart from the Kansas City Marriott Downtown lobby at the following time: Friday, July 24 at 1 p.m. CT For shuttle departure questions, please visit the registration desk. 6 Meeting information | Population Health Summit 2015 Engage with us Social media Use the #CernerPopHealth hashtag in your social media posts to share your thoughts and experiences throughout the event. Ask Matthew anything Have questions for Matthew Swindells, SVP of Population Health and Global Strategy, on Cerner’s population health management strategy, best practices or key initiatives? Ask your questions on social media using #CernerPopHealth throughout the first day. Check out the Cerner Blog on Friday for answers to your questions. Video testimonials Share your story during Population Health Summit! We have a videographer onsite in room 2105. Interviews are informal and take approximately 10-15 minutes Footage may be used to promote your organization, Cerner and the adoption of technology in health care You will receive a complimentary flash drive that includes your testimonial Please email ClientAchievements@cerner.com to schedule your interview today. Engage with us| Population Health Summit 2015 7 Agenda WEDNESDAY, JULY 22 4:00 p.m. Kansas City Marriott Downtown, Lobby Registration Available until 7:00 p.m. THURSDAY, JULY 23 7:00 a.m. Breakfast and registration Room: 2103 C & Lobby: 2100 8:00 a.m. Welcome and introduction Room: 2103 A/B Brad Carey, Cerner Corporation 8:15 a.m. General session An industry perspective on population health* Room: 2103 A/B Dr. David Wennberg, Northern New England Accountable Care Collaborative 9:15 a.m. General session Leading transformation with population health* Room: 2103 A/B Dr. Bruce Flareau, BayCare Health System Joe Mott, Intermountain Healthcare 10:15 a.m. Break 10:30 a.m. Breakout sessions Connected cities: Using big data to drive public sector reform in the UK Emerging strategies for aggregating at-risk lives Hakim Yadi, Northern Health Science Alliance (UK) Room: 2104 A Aaron Bybee, Intermountain Healthcare Debra Baverman, Memorial Hermann Health System Room: 2102 A Enabling population health strategies across a network of 2K+ providers Timely and informed intervention with remote patient monitoring Amanda Hammel, Memorial Hermann Health System Room: 2104 B 11:30 a.m. Mike DeGere, Tiffany Rowe & Nicole Wiegert, Agnesian Health Care Room: 2102 B Networking lunch * Denotes Continuing Education 8 Agenda | Population Health Summit 2015 Agenda THURSDAY, JULY 23 (CONT.) 12:30 p.m. Breakout sessions Using data to power clinical intelligence Journey to pediatric population health management Tina Esposito, Advocate Health Care Jeff Hackman, Truman Medical Centers Room: 2104 A Dr. Bill Feaster, Children’s Hospital of Orange County Matthew Swindells, Cerner Corporation Room: 2102 A Navigating payment reform and disruptive market forces Engaging employers: A community outreach strategy Dr. Bharat Sutariya & John Travis, Cerner Corporation Room: 2104 B Todd Pearce, Sharp Health Plan Room: 2102 B 1:30 p.m. Transition 1:45 p.m. Breakout sessions 600K lives and counting: A population health journey and the role of analytics Community care management: Coordinating care across the continuum Dana Gilbert, Advocate Health Care Room: 2104 A Lisa Roome Rago, Advocate Physician Partners Room: 2102 A Critical success factors for the Medicare Savings Program (MSSP) and the Pioneer program Shifting to proactive patient engagement Dr. Claus Hamann, Beacon Health Dr. Navneet Kathuria, Meridian Health Andrew Bramlage, Mosaic Life Care Room: 2104 B 2:45 p.m. Break 3:00 p.m. General session Becoming a population health super hero* Clayton Hicklin & Dustin Viet, Tiger Institute, University of Missouri Room: 2102 B Room: 2103 A/B Rishi Sikka, Advocate Health Care David Bradshaw, Memorial Hermann Health System 4:00 p.m. General session Collaborating to improve health outcomes in Kansas City* Room: 2103 A/B Jennifer Trombla, Black & Veatch Mitzi Cardenas, Truman Medical Centers Dr. Lee Norman, University of Kansas Hospital Julie Wilson, Cerner Corporation 5:00 p.m. Networking reception and Solutions and Services Discovery Foyer: 2103 * Denotes Continuing Education Agenda | Population Health Summit 2015 9 Agenda FRIDAY, JULY 24 7:00 a.m. Breakfast Room: 2103 C & Lobby: 2100 7:50 a.m. Opening remarks Room: 2103 A/B Brad Carey, Cerner Corporation 8:00 a.m. General session Population health management: From vision to value Room: 2103 A/B Matthew Swindells, Cerner Corporation 8:45 a.m. General session Improving communities at the intersection of retail and health care* Room: 2103 A/B Marcus Osborne, Walmart 9:45 a.m. Break 10:00 a.m. Breakout sessions Open HIT platforms — Relevance to population health Beyond acute: Collaborating across care venues Dr. David McCallie, Cerner Corporation Room: 2104 A Ann Abolt, Great River Health Systems Chris Copeland, ICL Sally Lundy, Olathe Health System Room: 2102 A Managing the health of your greatest asset — your workforce Tackling a state population Colleen Meurer, Hallmark Cards Rita Bowie, University of Missouri Room: 2104 B 11:00 a.m. Transition 11:15 a.m. Breakout sessions Breaking down data barriers to nationwide data exchange Scott Stuewe, Cerner Corporation Room: 2104 A Aligning people, processes and technology for performance excellence Dr. Chad Lowe, Adventist West Room: 2104 B 12:15 p.m. Closing remarks & boxed lunch Sam Dawkins, Delta Health Alliance Dr. David Dzielak, Mississippi Department of Medicaid Room: 2102 B Readmission prevention: Integrating intelligence into the workflow Shakeerah McCoy, Nash Health Care Systems Tiffany Ferguson, Northern Arizona Healthcare Room: 2102 A Strategies to impact vulnerable populations Deb Sisco, Truman Medical Centers Room: 2102 B Room: 2103 A/B & Lobby: 2100 * Denotes Continuing Education 10 Agenda | Population Health Summit 2015 Session abstracts An industry perspective on population health* Dr. David Wennberg, Northern New England Accountable Care Collaborative Thursday, July 23 at 8:15 a.m. | Room: 2103 A/B Over the next decade, the health care landscape is expected to change dramatically. Factors such as aging populations, the rapid rise of chronic conditions, the decreasing numbers of primary care providers entering the workforce and the regulatory environment all contribute to continued pressure on the health care economy. One concept that continues to emerge at the forefront of the discussion is population health management. There are many theories to approaching population health management, but it is collectively identified that in order to foster sustainable, thriving communities, we must help keep people healthy and refer those in need of care to high-quality, economical venues. In this opening general session, hear from Dr. David Wennberg of the Northern New England Accountable Care Collaborative and the Dartmouth Institute as he provides an overview of the state of population health, envisions the future landscape and outlines important considerations for providers, consumers of health care and payers. Leading transformation with population health Dr. Bruce Flareau, Baycare Health System Joe Mott, Intermountain Healthcare Thursday, July 23 at 9:15 a.m. | Room: 2103 A/B Remaining competitive as a health care organization depends on the ability to deliver better outcomes with less overall spend. To do this, organizations must think carefully about their population health management initiatives and execute seamlessly on those initiatives. In this session, two industry leaders will share their respective approaches to putting population health management into practice. Joe Mott of Intermountain Healthcare will articulate the importance of connecting mission with transformation and the role that has played in Intermountain’s own transformation. Dr. Bruce Flareau of BayCare Health System will provide a real-world example of taking an organization’s population health initiatives from ‘zero to sixty’ in a short time span, focusing specifically on value-based care transformation. He’ll also share his view of the essential changes that need to occur in order to be successful in value-based care transformation. Session abstracts | Population Health Summit 2015 Connected cities: Using big data to drive public sector reform in the UK Hakim Yadi, Northern Health Science Alliance (UK) Thursday, July 23 at 10:30 a.m. | Room: 2104 A Health and social care are at a crossroads. Despite huge advances in knowledge and technologies, chronic disease burdens are increasing with longevity and lifestyles, care costs are escalating and new threats, such as anti-microbial resistance, are met with few countermeasures. Coordinated and intelligent use of data can address many of these challenges. Yet, current data and their uses are not sufficiently integrated to empower key public and private sector partners to operate at a scale that can transform health and wealth. In particular, there is a need to inform NHS and social care integration with detailed local data analytics to make devolution work. A Connected Health City is a civic partnership in which care services, science, technology, incentives and culture are aligned for continuous improvement and innovation, with best practices seamlessly embedded in the delivery process and new knowledge captured as a by-product of delivering care. Emerging strategies for aggregating at-risk lives Aaron Bybee, Intermountain Healthcare Brigitte Nettesheim, Memorial Hermann Health System Thursday, July 23 at 10:30 a.m. | Room: 2102 A Traditionally, health care delivery and payers exist as two separate types of businesses, but there’s a new trend in town. This shift is essential to providing a full spectrum of care. Join to hear two perspectives on not simply growing the market share they already have, but for the provider side of each business to enter into more at-risk lives across multiple payers (often, starting with themselves). 11 Session abstracts Enabling population health strategies across a network of 2K+ providers Amanda Hammel, Memorial Hermann Health System Thursday, July 23 at 10:30 a.m. | Room: 2104 B As we shift from a volume-driven health care system to one driven around value, organizations are faced with the challenges of transforming their current care model and implementing new strategies that extend beyond the four walls of an organization. In this session, hear how Memorial Hermann Health System is leveraging a population health management platform to know, engage and manage their population for both today and tomorrow. Memorial Hermann will share their efforts to improve provider accountability, enable the business to manage a population through analytics, evolve their care management model and implement community outreach strategies. Timely and informed intervention with remote patient monitoring Mike DeGere, Tiffany Rowe & Nicole Wiegert, Agnesian Health Care Thursday, July 23 at 10:30 a.m. | Room: 2102 B Health care organizations are looking for ways to better manage the health of populations, reduce readmissions and avoid unnecessary costs. Remotely monitoring patients’ health is becoming a key component of this strategy. This session will highlight the value Agnesian HealthCare is seeing with their recently launched Remote Patient Monitoring pilot, which includes capturing data from medical devices and sensors from within participants’ homes, and wirelessly transferring the data directly to the electronic health record. Learn how they are engaging individuals in the program, creating a model for their larger population health strategy, and improving the overall health of these individuals. 12 Using data to power clinical intelligence Tina Esposito, Advocate Health Care Jeff Hackman, Truman Medical Centers Thursday, July 23 at 12:30 p.m. | Room: 2104 A Organizations are harnessing data and clinical intelligence to positively impact population health management initiatives. Hear from Advocate Health Care and Truman Medical Centers about how they're transforming their organizations to focus more on the health of their populations through performance improvement solutions. Journey to pediatric population health management Dr. Bill Feaster, Children’s Hospital of Orange County Matthew Swindells, Cerner Corporation Thursday, July 23 at 12:30 p.m. | Room: 2102 A In today's market, it is critical for organizations to deliver high quality care at lower costs. This session will highlight how a HIMSS Stage 7 pediatric client is currently at full-capitation risk for 150,000 Medicaid, pediatric lives in Orange County. Children's Hospital of Orange County will discuss their journey to establish an ACO for their pediatric population and how they are leveraging HealtheIntentSM solutions to build an affiliated provider network. Navigating payment reform and disruptive market forces Dr. Bharat Sutariya & John Travis, Cerner Corporation Thursday, July 23 at 12:30 p.m. | Room: 2104 B How will the government and private payers continue the unstoppable journey to shift from fee-for-service to value-based payments? In this session, get an overview of multiple government policies and disruptive, private sector market forces affecting population health management. Attendees can expect to gain insight as to how the Centers for Medicare and Medicaid (CMS) plans to incent provider participation and how coordinated care management comes into play, along with determining the crosssection of CMS measurement systems. Session abstracts | Population Health Summit 2015 Session abstracts Engaging employers: A community outreach strategy Todd Pearce, Sharp Health Plan Thursday, July 23 at 12:30 p.m. | Room: 2102 B Many providers and hospitals are actively pursuing direct relationships with local employers, or at least considering it. Learn effective techniques to engage with employers and understand the rationale of one organization’s decision to reach out to their community and the benefits they gained from establishing relationships. 600K lives and counting: A population health journey and the role of analytics Dana Gilbert, Advocate Health Care Thursday, July 23 at 1:45 p.m. | Room: 2104 A The best way to manage a population is one person at a time. Advocate Physician Partners is leveraging population health management technologies to help know, engage and manage around 600K lives. Advocate has implemented several population health solutions powered by a platform that aggregates and normalizes data from disparate sources, including registries and scorecards, longitudinal record, readmission prevention and analytics. In this session, hear about Advocate’s achievements leveraging HealtheIntent and how they are is working with Cerner to advance population health analytics in the areas of utilization, cost and contract performance. Community care management: Coordinating care across the continuum Lisa Roome Rago, Advocate Physician Partners Thursday, July 23 at 1:45 p.m. | Room: 2102 A Critical success factors for the Medicare Savings Program (MSSP) and the Pioneer program Dr. Claus Hamann, Beacon Health Dr. Navneet Kathuria, Merdian Health Andrew Bramlage, Mosaic Life Care Thursday, July 23 at 1:45 p.m. | Room: 2104 B This panel discussion will highlight takeaways to establish an accountable care organization for a Medicare population, manage at-risk contracts and leverage analytics to improve the delivery of health care. Hear from some the most successful accountable care organizations in managing cost, quality and utilization for their Medicare beneficiaries. As a part of the session, speakers will discuss patient engagement, care coordination and analytics that could impact physician behavior. Mosaic Life Care, Meridian Health and Mosaic Life Care will each answer questions about their journey to establish an accountable care organization for their Medicare populations and how they are leveraging analytics to improve the delivery of health care. Shifting to proactive patient engagement Clayton Hicklin & Dustin Viet, Tiger Institute, University of Missouri Thursday, July 23 at 1:45 p.m. | Room: 2102 B University of Missouri Health Care’s mission is to put patients at the center of everything they do. In this session, learn about innovations in this area, including implementing video visits, eClipboard and opening up clinical notes to patients within their HealtheLifeSM solution, MU Healthe. Learn how these approaches are making an impact on the future of health and care for patients across their health system. Health and care services are not limited to a single venue. The ability to coordinate and manage care across a community for a population with certain risks, chronic conditions, complications and high utilization is a key component to improving health outcomes and reducing costs. Hear how Advocate Physician Partners plan to leverage technology to proactively survey, coordinate and facilitate health services across the continuum of care. Session abstracts | Population Health Summit 2015 13 Session abstracts Becoming a population health superhero Population health management: From vision to value Rishi Sikka, Advocate Health Care David Bradshaw, Memorial Hermann Health System Thursday, July 23 at 3:00 p.m. | Room: 2103 A/B Matthew Swindells, Cerner Corporation Friday, July 24 at 8:00 a.m. | Room: 2103 A/B With a number of market and legislative forces in support of population health management, provider organizations are assuming a greater level of risk than ever before. To succeed in risk-based contracts, organizations are turning to a number of strategies to identify new populations, determine the greatest areas of impact within those populations and use resources most efficiently and effectively. In this session, two industry leaders will highlight several keys to thriving in the era of population health management. David Bradshaw from Memorial Hermann Health System will share several keys to successfully delivering valuedriven care in the Houston market. Dr. Rishi Sikka from Advocate Health Care will discuss the foundational role that data and analytics play in powering scalable, effective population health management. Collaborating to improve health outcomes in Kansas City Jennifer Trombla, Black & Veatch Mitzi Cardenas, Truman Medical Centers Dr. Lee Norman, University of Kansas Hospital Julie Wilson, Cerner Corporation Thursday, July 23 at 4:00 p.m. | Room: 2103 A/B As the health care landscape continues to evolve from volume to value, organizations across the health and care continuum are looking for ways to improve the quality of care, operate more efficiently and engage people in managing their health. We must keep members healthy and refer those in need of care to high-quality, economical venues. This session will provide insight into Cerner’s population health management strategy, which will aid organizations to know what is happening within a population, engage members and manage outcomes. Improving communities at the intersection of retail and health care Marcus Osborne, Walmart Friday, July 24 at 9:00 a.m. | Room: 2103 A/B Retailers such as Walmart are staples in nearly every community, providing convenient access to everyday products and services that ultimately improve individuals’ quality of life—in Walmart’s case, more than 140 million consumers on a weekly basis. As health care evolves, retailers are increasingly looking to blend their Creating a culture that supports improving health of a population requires a variety of strategic approaches and the collaboration of deep understanding of consumers with initiatives to broaden access to convenient, affordable health and care services. During multiple stakeholders such as employers, providers and individuals. During this session, hear how employers and providers this session, attendees will hear from Marcus Osborne, Walmart’s vice president of health and wellness payer relations, as he offers are applying an innovative program bundle concept to advance a unique perspective on health care—both as a retailer and an population health management. As a result, employers and employer of more than one million people worldwide. He’ll also providers in the Kansas City area are aligning to elevate the share a few ways in which Walmart is working within communities member experience, tailor engagement and promote improved to promote health and broaden access to affordable, quality care. health outcomes. Attendees will hear the distinct perspectives of senior leaders from Truman Medical Center, the University of Kansas Hospital., Black & Veatch and Cerner. 14 Session abstracts | Population Health Summit 2015 Session abstracts Open HIT platforms — Relevance to population health Dr. David McCallie, Cerner Corporation Friday, July 24 at 10:00 a.m. | Room: 2104 A This session will review the regulatory forces and market pressures that have led to the development of API standards which can support "open platforms" for HIT. Hear how deployment of community-wide population health services can leverage these open platform standards to create heterogeneous networks for care delivery. Beyond acute: Collaborating across care venues Ann Abolt, Great River Health Systems Chris Copeland, ICL Sally Lundy, Olathe Health System Friday, July 24 at 10:00 a.m. | Room: 2102 A Success and effectiveness in the health care industry are being redefined by the ability to gather and integrate data from various venues of care. During this session a panel of presenters representing the continuum of care will discuss how providers outside of acute care are approaching population health and care coordination. Join us to learn about data gaps that exist between care venues today and the benefits that can be achieved by connecting these disparate venues together. Managing the health of your greatest asset — your workforce Colleen Meurer, Hallmark Cards Rita Bowie, University of Missouri Friday, July 24 at 10:00 a.m. | Room: 2104 B No matter what business you're in, your people are your greatest asset. Managing your workforce now and in the future will enable your organization to identify high-impact policies to help accelerate improvement in health status, productivity and quality of life. This session will provide unique perspectives on how two organizations have engaged their employees and families to improve their health—or simply stay healthy. Session abstracts | Population Health Summit 2015 Tackling a state population Sam Dawkins, Delta Health Alliance Dr. David Dzielak, Mississippi Department of Medicaid Friday, July 24 at 10:00 a.m. | Room: 2102 B Understand the role Medicaid plays in the care and early intervention of a population. The Delta Health Alliance and Mississippi Division of Medicaid collaborated with Cerner to use outreach programs and clinical data to reduce costs and improve health outcomes associated with those in the poorest health. Breaking down data barriers to nationwide data exchange Scott Stuewe, Cerner Corporation Friday, July 24 at 11:15 a.m. | Room: 2104 A No person should be disconnected from information that could save their life, whether at home or 1,000 miles away. Providers need complete visibility to the patient record and it will require local, regional and national strategies to connect patient records across organizational, vendor and geographic barriers. During this session attendees will hear how Cerner is embedding CommonWell Health Alliance services into its EHR to enable nationwide data exchange. Here are examples of how clients are starting to collaborate with one other to bring these networks to life in their geographies. Readmission prevention: Integrating intelligence into the workflow Shakeerah McCoy, Nash Health Care System Tiffany Ferguson, Northern Arizona Healthcare Friday, July 24 at 11:15 a.m. | Room: 2102 A Preventing readmissions is a continually evolving process that requires organization and individual dedication. With the changing regulatory environment and the multitude of competing priorities within the care setting, readmissions can be daunting. Hear how Northern Arizona Healthcare and Nash Health Care System began their journey with a fundamental shift in culture , involving buy-in and dedication beyond the care manager to put more care in the patient room. 15 Session abstracts Aligning people, processes and technology for performance excellence Dr. Chad Lowe, Adventist Health Friday, July 24 at 11:15 a.m. | Room: 2104 B Aligning resources, workflow and technology infrastructure is often a complicated process. Adventist Health has implemented a Resilience Center which offers multidisciplinary care for a broad range of chronic conditions to a select group of Medicare Advantage beneficiaries. Learn how this innovative and focused care at the home, clinic, care facility and hospital has led to greater outcomes. Strategies to impact vulnerable populations Deb Sisco, Truman Medical Centers Friday, July 24 at 11:15 a.m. | Room: 2102 B Truman Medical Centers (TMC) is making an impact on the health of their community. Through their unique community outreach program, TMC is taking steps to engage with vulnerable populations and providing them with education to help manage their health. Learn how the TMC team is going from homeless shelters to health fairs, and everywhere in between, to influence a hard-to-reach population. The team is helping to manage chronic conditions, lower hospitalizations, and improve the overall health of these individuals. 16 Session abstracts | Population Health Summit 2015 Solutions and Services Discovery 1 3 4 7 8 11 12 13 2 5 6 9 10 14 15 16 Consulting services Big data 3 Analytics and reporting 1 Performance excellence 4 Research 2 Population health strategy 5 Performance improvement 6 Predictive models Interop. Livongo Health Healthwise Nationwide interoperability Sponsors Livongo Health Population management 7 Community care management 8 Longitudinal record 9 Registries and scorecards Healthwise 10 Clinical intelligence Engagement 11 Sports medicine outreach 12 Community outreach 13 Communities for well-being 14 Patient engagement 15 Personal health devices 16 Workplace health Solutions and Services Discovery | Population Health Summit 2015 17 Sponsors Since 1975, our singular mission has been to help people make better health decisions. The Healthwise mission combined with our innovative spirit leads to solutions that improve the impact of health education. Healthwise information embedded in Cerner’s EHR helps physicians improve care quality with patient education delivered within the workflow. Patients can connect to more education about their care in the patient portal. Healthwise Patient Engagement Solution for Cerner. www.healthwise.org 18 Livongo Health, a Cerner partner, is reinventing the way people manage chronic conditions, beginning with diabetes. Livongo is focused on improving the experience for people with diabetes, the people who care for them (family, friends, physicians), and the people who pay for their care. By offering the right information, tools and support, at the right time, Livongo empowers people with diabetes to live better and improve their health while reducing the cost of care. Sponsors | Population Health Summit 2015 Building map Kansas City Convention Center | 2100 Building 301 W. 13th Street | Kansas City, MO 64105 Building map | Population Health Summit 2015 19 @Cerner | #CernerPopHealth