Effective solutions to improve the quality and efficiency of care for medically complex conditions require an understanding of how to overcome the shortcomings of our highly-fragmented healthcare system. Fragmentation of care often leads to misdiagnoses, medical errors and inappropriate high-cost interventions.
The statistics are startling:
Four years ago, a CareFirst BlueCross BlueShield (CarefFirst) launched a successful Patient Centered Medical Home (PCMH) program and their Total Cost of Care Improvement (TCCI) initiatives to provide physicians with tools to coordinate care for members with chronic conditions. To identify cases with highly complex and troubling diagnosis and conditions, the payer implemented a unique approach within their PCMH—targeted and rigorous expert physician reviews. This approach was developed collaboratively with a proven partner to minimize adverse consequences while improving care quality for their members.
Key learning objectives:
Who should attend:
Jennifer Baldwin, RN, MPA, Senior Vice President for Patient-Centered Medical Home, CareFirst
Jennifer joined CareFirst BlueCross BlueShield in 2012. Prior to her position at CareFirst, Ms. Baldwin held two positions at Kaiser Permanente; the first as the chief nurse executive, then, the area administrator for the District of Columbia and Suburban Maryland for Kaiser Permanente. Prior to her time at Kaiser, she held positions as the senior vice president for patient care and services and the chief nurse executive at Holy Cross Hospital, and she has held nursing, administrative, and policy positions at Inova Fairfax and Inova Fair Oaks Hospitals, Georgetown University Hospital, and the U.S. Department of Health and Human Services.
Ms. Baldwin holds a master’s degree in public administration from George Washington University and a bachelor of science in nursing from Villanova University.
Lewis Levy, MD, FACP, Chief Medical Officer, Best Doctors
Lew provides medical leadership to the clinical operations team to deliver the highest quality clinical information on diagnosis and treatment to members and their treating physicians. He has over 25 years of clinical experience as an internist at Harvard Vanguard Medical Associates in Boston. Dr. Levy also has an extensive teaching career as a preceptor in the Internal Medicine Residency Program at Brigham and Women’s Hospital and is an instructor at Harvard Medical School. He continues to practice primary care internal medicine and has participated in pioneer ACO, HMO and FFS arrangements.
Dr. Levy earned his medical degree from the University of Rochester School of Medicine and Dentistry and completed his residency in Internal Medicine at the Graduate Hospital of the University of Pennsylvania.
Peter McClennen, Chief Executive Officer, Best Doctors (Moderator)
Peter brings more than 20 years of experience leading a wide range of health care IT service companies and health systems operations. Immediately prior to joining Best Doctors, he served as President of Population Health Management at Allscripts Health Solutions, building a new business unit focused on the transition to value-based care through patient engagement, systems interoperability and analytics. Previous to that, he led dbMotion Inc, a global medical informatics company, from its early days as a start-up with only one client, to an industry leader in the interoperability and Health Information Exchange (HIE) market space; dbMotion was subsequently acquired by Allscripts. Peter spent his early career in hospitals and medical imaging centers followed by roles at Fujifilm Medical Systems, GE Healthcare and AMICAS Inc. With a deep concentration in health care, he uniquely understands the complex environment and the critical intersection of quality service and efficient operations that lead to sustained success, both in the U.S. and in global markets.