Health Care Quality Congress 2018

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Friday, October 5, 2018
6:30 AM - 7:00 PM

Registration
Location: Reunion Ballroom Foyer

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7:00 AM - 8:00 AM

Breakfast
Location: Reunion Ballroom Foyer

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8:00 AM - 8:15 AM

Opening Remarks
Location: Landmark B

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8:15 AM - 9:15 AM

Population Health: The Driving Force in Health Care Quality
Location: Landmark B
David B. Nash, MD, MBA – Thomas Jefferson University

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David B. Nash, MD, MBA – Thomas Jefferson University ### 567820###Presenter
9:25 AM - 10:25 AM

Flexible HEDIS
Location: Landmark A
Mary Barton, MD, MPP – National Committee for Quality Assurance

HEDIS

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Mary Barton, MD, MPP – National Committee for Quality Assurance ### 575368###Presenter
9:25 AM - 10:25 AM

Improving Blood Pressure Control Using Team-Based Care: A Clinical Pharmacy Approach
Location: Landmark B
Erica Guetzlaff, PharmD – Group Health Cooperative of South Central Wisconsin
Jennifer Ibrahim, MPA – Group Health Cooperative of South Central Wisconsin

Best Practice

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Erica Guetzlaff, PharmD – Group Health Cooperative of South Central Wisconsin ### 586913###Presenter @@@ Jennifer Ibrahim, MPA – Group Health Cooperative of South Central Wisconsin ### 584025###Presenter
10:35 AM - 11:35 AM

Health Plan Accreditation 2019 Standards Update
Location: Landmark A
Veronica C. Locke, MHSA – National Committee for Quality Assurance

Health Plan Accreditation

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Veronica C. Locke, MHSA – National Committee for Quality Assurance ### 575369###Presenter
10:35 AM - 11:35 AM

Provider-Led Point-of-Care Dispensing of Asthma Supplies and Education Drives Improvements in Asthma Medication Utilization and Reduces Acute Hospitalization Rates in Medicaid
Location: Landmark B
Y. Lily Higgins, MD, MS, MBA – AmeriHealth Caritas

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Y. Lily Higgins, MD, MS, MBA – AmeriHealth Caritas ### 584029###Presenter
11:45 AM - 12:45 PM

Integrating Social Health Data for Improved Patient Care
Location: Landmark B
Sheila K. Shapiro – UnitedHealthcare
Michelle Zambrano – Health Leads

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Sheila K. Shapiro – UnitedHealthcare ### 601825###Presenter @@@ Michelle Zambrano – Health Leads ### 601826###Presenter
11:45 AM - 12:45 PM

HEDIS 2019 Changes: Update to Existing Measures
Location: Landmark A
Cindy Ottone, MHA – National Committee for Quality Assurance

HEDIS

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Cindy Ottone, MHA – National Committee for Quality Assurance ### 575371###Presenter
1:00 PM - 2:00 PM

Advancing the Quality of Diabetes Care: Achieving Glycemic Goals While Preventing Hypoglycemia
Location: Reunion Ballroom ABC
Javier Morales, MD, FACP, FACE – Hofstra Northwell School of Medicine at Hofstra University
Patricia Marine Barrett, MHSA, PCMH CCE – National Committee for Quality Assurance
Cindy Ottone, MHA – National Committee for Quality Assurance

Lunch Industry Supported Symposia

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Javier Morales, MD, FACP, FACE – Hofstra Northwell School of Medicine at Hofstra University ### 623757###Presenter @@@ Patricia Marine Barrett, MHSA, PCMH CCE – National Committee for Quality Assurance ### 525681###Presenter @@@ Cindy Ottone, MHA – National Committee for Quality Assurance ### 575371###Presenter
2:15 PM - 3:15 PM

Addressing the Local Opioid Epidemic through Collective Impact
Location: Landmark B
Angie Finch, RN,CIC – BlueCross BlueShield
Marie Lawson, RN – BlueCare

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Angie Finch, RN,CIC – BlueCross BlueShield ### 584026###Presenter @@@ Marie Lawson, RN – BlueCare ### 584027###Presenter
2:15 PM - 3:15 PM

Utilization Management: Denials & Appeals
Location: Landmark A
Dayna S. Bell, MS, MBA – Health Care Service Corporation (HCSC)
Catherine Gitimu, MS – National Committee for Quality Assurance

Health Plan Accreditation

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Dayna S. Bell, MS, MBA – Health Care Service Corporation (HCSC) ### 600322###Presenter @@@ Catherine Gitimu, MS – National Committee for Quality Assurance ### 594040###Presenter
3:25 PM - 4:25 PM

HEDIS 2019 Changes: New Measures
Location: Landmark B
Cindy Ottone, MHA – National Committee for Quality Assurance

HEDIS

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Cindy Ottone, MHA – National Committee for Quality Assurance ### 575371###Presenter
4:35 PM - 5:35 PM

What the Data is Trying to Tell You about Quality Improvement
Location: Landmark B
Martin A. Makary, MD, MPH, FACS – Johns Hopkins Hospital

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Martin A. Makary, MD, MPH, FACS – Johns Hopkins Hospital ### 554687###Presenter
5:35 PM - 7:05 PM

Exhibit Hall Grand Opening
Location: Reunion Ballroom D/E/F

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Saturday, October 6, 2018
7:00 AM - 8:00 AM

Breakfast
Location: Reunion Ballroom D/E/F

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7:00 AM - 7:00 PM

Registration
Location: Reunion Ballroom Foyer

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8:00 AM - 9:00 AM

Fragmented Health Care–How Clinical Integration Can Improve Partnerships and Quality of Care
Location: Landmark B
Patrick J. Brennan, MD – University of Pennsylvania Health System

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Patrick J. Brennan, MD – University of Pennsylvania Health System ### 567923###Presenter
9:10 AM - 10:10 AM

Complex Case Magement: 2019 Updates (Part 1)
Location: Landmark A
Veronica C. Locke, MHSA – National Committee for Quality Assurance
Shelly M. Smith, RN, MN, CPHQ, PCMH CCE – Health Value Solutions

Health Plan Accreditation

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Veronica C. Locke, MHSA – National Committee for Quality Assurance ### 575369###Presenter @@@ Shelly M. Smith, RN, MN, CPHQ, PCMH CCE – Health Value Solutions ### 575377###Presenter
9:10 AM - 10:10 AM

Measuring What Matters Most: Improving Patient and Caregiver Outcomes through a Unique Person-Centered Approach to Care Planning
Location: Landmark B
Katherine Tardiff, MSN, RN, GNP-BC – Seniorlink, Inc.

Best Practice

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Katherine Tardiff, MSN, RN, GNP-BC – Seniorlink, Inc. ### 584032###Presenter
10:20 AM - 11:20 AM

HEDIS 2018 Revisited: First Year Results
Location: Landmark A
Lauren Niles, MPH – National Committee for Quality Assurance

HEDIS

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Lauren Niles, MPH – National Committee for Quality Assurance ### 575373###Presenter
10:20 AM - 11:20 AM

Member Scorecard: A Targeted Approach to Individualized Gap Closure
Location: Landmark B
Ashleigh E. Drain, BS, MSPH – BlueCross BlueShield of Tennessee

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Ashleigh E. Drain, BS, MSPH – BlueCross BlueShield of Tennessee ### 584036###Presenter
11:30 AM - 12:30 PM

Complex Case Magement: 2019 Updates (Part 2)
Location: Landmark A
Veronica C. Locke, MHSA – National Committee for Quality Assurance
Shelly M. Smith, RN, MN, CPHQ, PCMH CCE – Health Value Solutions

Health Plan Accreditation

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Veronica C. Locke, MHSA – National Committee for Quality Assurance ### 575369###Presenter @@@ Shelly M. Smith, RN, MN, CPHQ, PCMH CCE – Health Value Solutions ### 575377###Presenter
11:30 AM - 12:30 PM

Improving Medicaid Adolescent Well Care Visits: A Comparison of Three Different Outreach Methods
Location: Landmark B
Teresa M. Fulton, RN, MSN – Coordinated Care
Amy M. Kellogg, CMA – Coordinated Care

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Teresa M. Fulton, RN, MSN – Coordinated Care ### 584030###Presenter @@@ Amy M. Kellogg, CMA – Coordinated Care ### 584031###Presenter
12:45 PM - 1:45 PM

Industry Supported Symposia Lunch
Location: Reunion Ballroom ABC

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2:00 PM - 3:00 PM

2019 HEDIS Audit Updates
Location: Landmark A
Wendy Talbot, MPH – National Committee for Quality Assurance

HEDIS

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Wendy Talbot, MPH – National Committee for Quality Assurance ### 575374###Presenter
2:00 PM - 3:00 PM

Population Health Management and Caring for Complex Patients
Location: Landmark B
Yvonne M. Heredia, PhD, MS, RN – Neighborhood Health Plan of RI

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Yvonne M. Heredia, PhD, MS, RN – Neighborhood Health Plan of RI ### 601924###Presenter
3:10 PM - 4:10 PM

A Deep Dive in to the Population Health Management Standards
Location: Landmark A
Natalie Mueller, MPH – National Committee for Quality Assurance

Health Plan Accreditation

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Natalie Mueller, MPH – National Committee for Quality Assurance ### 575375###Presenter
3:10 PM - 4:10 PM

Home and Community Based Services Quality Measures Project to Reduce Unplanned Hospital Admissions
Location: Landmark B
Debra Scheidt, Masters Degree – United Disabilities Services

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Debra Scheidt, Masters Degree – United Disabilities Services ### 584028###Presenter
4:20 PM - 5:20 PM

Know your Members: Opportunities and Challenges Affecting Special Populations
Location: Landmark B
Pamela Riley, MD, MPH – Government of the District of Columbia

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Pamela Riley, MD, MPH – Government of the District of Columbia ### 560461###Presenter
5:20 PM - 6:50 PM

Exhibit Hall Reception
Location: Reunion Ballroom D/E/F

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Sunday, October 7, 2018
7:00 AM - 7:40 AM

Breakfast
Location: Reunion Ballroom Foyer

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7:00 AM - 3:00 PM

Registration
Location: Reunion Ballroom Foyer

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7:40 AM - 8:40 AM

Tightening the Beltway: Providers, Health Plans, the Government, and Making Sense of It All
Location: Landmark B
Nathan Bays, JD – Cain Brothers & Company, LLC

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Nathan Bays, JD – Cain Brothers & Company, LLC ### 567813###Presenter
8:50 AM - 9:50 AM

Ask the Auditor Panel
Location: Landmark B
Wendy Talbot, MPH – National Committee for Quality Assurance
Gina Caltagerone, CHCA, CPHQ – MetaStar
Laura Hart, MACC, CHCA – Attest Health Care Advisors
Anu Sajja, MPH, CHCA – Aqurate Health Data Management, Inc.
Jean Vertefeuille, CHCA – Advent

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Wendy Talbot, MPH – National Committee for Quality Assurance ### 575374###Moderator @@@ Gina Caltagerone, CHCA, CPHQ – MetaStar ### 594037###Presenter @@@ Laura Hart, MACC, CHCA – Attest Health Care Advisors ### 594035###Presenter @@@ Anu Sajja, MPH, CHCA – Aqurate Health Data Management, Inc. ### 594036###Presenter @@@ Jean Vertefeuille, CHCA – Advent ### 594034###Presenter
8:50 AM - 9:50 AM

Population Health Management: New Products and Developments
Location: Landmark A
Natalie Mueller, MPH – National Committee for Quality Assurance

Health Plan Accreditation

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Natalie Mueller, MPH – National Committee for Quality Assurance ### 575375###Presenter
10:00 AM - 11:00 AM

New Measures in the Pipeline for HEDIS 2020
Location: Landmark A
Lauren Niles, MPH – National Committee for Quality Assurance

HEDIS

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Lauren Niles, MPH – National Committee for Quality Assurance ### 575373###Presenter
10:00 AM - 11:00 AM

Learning Collaborative Model for Improving HEDIS Measure Performance: Lessons Learned
Location: Landmark B
Emily Morden, MSW – National Committee for Quality Assurance
Ashlie Corbett, MS – Quality Management, EmblemHealth
Krista Ventrone, RN – Excellus BCBS

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Emily Morden, MSW – National Committee for Quality Assurance ### 575376###Moderator @@@ Ashlie Corbett, MS – Quality Management, EmblemHealth ### 595434###Presenter @@@ Krista Ventrone, RN – Excellus BCBS ### 595435###Presenter
11:15 AM - 12:15 PM

Utilization of Biosimilars: Achieving Value-Based Plan Management Through Access, Outcomes, and Communication
Location: Reunion Ballroom ABC
Jonathan Kay, MD – Physician, UMass Memorial Medical Center

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Jonathan Kay, MD – Physician, UMass Memorial Medical Center ### 623756###Presenter
12:30 PM - 1:30 PM

Data Measures Roadmap: The Future of HEDIS
Location: Landmark A
Emily Morden, MSW – National Committee for Quality Assurance

HEDIS

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Emily Morden, MSW – National Committee for Quality Assurance ### 575376###Presenter
12:30 PM - 1:30 PM

Quality Strategies: Utilizing Data to Proactively Address Medication Administration Variances by Non-licensed Personnel in Long Term Services and Support Settings
Location: Landmark B
Tracey Foster, RN, BSN – BlueCare Tennessee
Leanne Rodgers, RN, MSN, CCM, CPHQ – BlueCare Tennessee

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Tracey Foster, RN, BSN – BlueCare Tennessee ### 584035###Presenter @@@ Leanne Rodgers, RN, MSN, CCM, CPHQ – BlueCare Tennessee ### 592307###Presenter
1:40 PM - 2:40 PM

The Future of Health Care Quality
Location: Landmark B
Michael S. Barr, MD, MBA, MACP, FRCP – National Committee for Quality Assurance

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Michael S. Barr, MD, MBA, MACP, FRCP – National Committee for Quality Assurance ### 525662###Presenter
2:50 PM - 3:00 PM

Closing Remarks
Location: Landmark B

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