Patient-Centered CPD including Outcomes Assessment Models

Conference Presentation: Destination: Patient Outcomes – Our Journey to Improving Patient Care

Journey to Improving Patient Outcomes: Applying Lessons Learned from Home Health Care to Other Provider Settings

Sunday, January 21
11:00 AM - 12:00 PM
Location: Mediterranean 3

Physician Credits: 1.0

Nursing CE Credits: 1.0

Pharmacy Credits: 1.0

ACPE UAN: 0809-9999-18-044-L04-P (Knowledge)

Session Description
Managing diverse and changing patient populations in acute and post-acute settings requires the alignment of care teams with clear processes, evidence-based guidelines, and fine-tuned care pathways to ensure continuous, patient-centric support. This session will focus on three elements of population health management:

First: Effective population management necessitates a strategy that aligns people, processes, and technology specifically fine-tuned across each stage of the care continuum. As value-based contracts replace traditional fee for service payment models, healthcare organizations need to ensure they have aligned a strategy and operational model that manages each individual patient from pre-acute, to acute, to post-acute settings. This segment will outline the key tenants to effective population management, including the necessary people, processes, and technology required to break down care silos, especially in post-acute settings, and align an integrated team and care model focused on each patient’s needs.

Second: One of the common challenges encountered by medical specialty societies is the lack of access to patient chart data. Without this data, the societies are dependent on physicians to self-report any changes in performance (except for PI-CME activities) and it’s very difficult to measure patient or population-level outcomes. The society’s registry originated as an option for its members in private practice to meet the quality reporting requirements that are now in effect. As the old PQRS program has transitioned into the new MIPS program, the society expects that there will be more demand for the registry since its use satisfies some of the MIPS reporting requirements. The society initiated a new QI program (primarily society’s registry) to help its members meet the quality reporting requirements they now face. Since many of its members are in private practice settings, they don’t have the support of a large institution that can provide these resources and the staff support to facilitate the reporting. The society plans to use this information to demonstrate the high quality and improved patient outcomes delivered by appropriate specialty care. From an educational standpoint, it expects to use the data to identify knowledge and practice gaps that can be bridged with additional education. This session will discuss some of the challenges involved in designing their educational program, improving learner participation and other outcomes.

Third:This segment will be a collaborative discussion regarding best practices from both providers and other scenarios posed by participants. The objective is not to come up with a “silver bullet” solution to problems. Rather, participants will have developed a specialized set of tools and best practices to critically analyze patient outcomes scenarios from other provider settings, where applicable.

Learning Objectives:

Mandeep Mangat

Chief Medical Officer
St. Louis, Missouri

With expertise in both clinical and administrative settings, Mandy is a healthcare executive with broad proficiency working as a physician, medical director, healthcare administrator and public health professional in hospitals, health systems, public health organizations and post-acute facilities. Mandy has a proven track record of innovating and building transformational strategies and operational models that integrate care across the continuum, and center on effective patient management.

At Navvis, Mandy leads clinical strategy for the Population Management Services Organization (PMSO), which encompasses people, processes, and technology to unlock volume and value. She also serves as Navvis’ Medical Director, working with clients to develop and execute growth strategies centered on episode management and bundled payments, post-acute care, Accountable Care Organizations (ACOs), and Medicare Advantage.

Mandy has nearly 20 years of extensive clinical and business experience as a physician, medical director, and health care administrator in both acute and post-acute care settings. Her expertise includes hospital medicine, clinical operations, patient safety and population health management. She has focused extensively on leading initiatives centered on effective patient care management across the continuum to drive quality improvement, clinical outcomes, and financial success.

Before joining Navvis, Mandy led the design, development, and implementation of population health initiatives aimed at enhancing the quality of patient care nationwide for BAYADA Home Health Practice. Before BAYADA, Mandy served as the Resident of Executive Administration for Main Line Health System (MLHS), facilitating several service line, patient-centered care (PCMH), quality improvement, and process excellence initiatives. Before MLHS, Mandy worked in several clinical and operational leadership roles in acute care hospital and public health organizations for nearly 12 years.

Mandy earned her Medical Degree from Saint Petersburg Medical Academy, Saint Petersburg, a Masters Degree in Public Health, with a focus in Healthcare Administration, from the West Chester University, Pennsylvania, and Master’s Certification in Lean Six Sigma Healthcare from Villanova University, Pennsylvania.


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Paula Booker

Lead Nurse CE Planner
BAYADA Home Health Care
Moorestown, New Jersey

Paula has been a nurse for over 25 years. Her diverse experience spans from hospital floor nursing in a level 1 trauma center including step down ICU to adjunct clinical faculty for two baccalaureate school’s of nursing to nurse manager in a veterans hospital to over 15 years in home care. Her current role in home care is in staff development assisting with on-boarding employees and overseeing continuing education as the lead nurse planner.


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Steve Folstein

Director of Education
American Academy of Allergy, Asthma & Immunology
Milwaukee, Wisconsin

Steve Folstein, MFA MEd is the Director of Education at the American Academy of Allergy, Asthma, and Immunology. There he oversees a continuing education program that includes a large annual meeting and a variety of directly- and jointly-provided live activities, enduring materials, journal-based CME, and PI-CME. Before CME, Steve worked on curriculum, assessment, and outcomes-based higher education as a college professor.


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Raja Venkata Akunuru

Director, Client Services
EthosCE Learning Management System
Philadelphia, Pennsylvania

Raja Venkata, CHCP, PMP is Director, Client Services at DLC Solutions. In his 10+ years experience in CE in health professions, Raja has been a part of technology implementations for education providers in medical, nursing and other continuing education sectors. He has led speaker engagements on Lean Six Sigma, project management, LMS and QI. In his spare time, he loves reading books on human psychology and science fiction.


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Journey to Improving Patient Outcomes: Applying Lessons Learned from Home Health Care to Other Provider Settings

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