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A LEADERSHIP FORUM BY:


Real impact for better health The health industry strives to deliver high-quality care and the best-possible outcomes for patients and citizens at lower costs. It’s a goal that health organizations, communities, partners, and Microsoft can all rally around. Innovative, exible, and cost-effective health solutions from Microsoft and its partners help connect people, processes, and information to help advance collaboration and enable health teams like yours to make more insightful decisions, faster. These solutions work in concert with your existing systems to help improve efciency and quality of care.

Come see Microsoft at U.S. News and World Report’s Hospital of Tomorrow Learn more at www.microsoft.com/health


As the editor of U.S. News & World Report, I’ve been privileged to be part of some extraordinary gatherings of newsmakers and industry leaders on many important subjects. But I can’t think of one that is more critical and timely than Hospital of Tomorrow – or one that has brought together a more impressive group of people. Hospitals are at the center of a painful, messy, yet necessary disruption of the healthcare industry. The decisions made by leading institutions over the next year or so will have a profound effect on many lives. We have followed the hospital industry and its consumers closely for more than 20 years. Our rankings have identified the Best Hospitals for the most seriously ill patients in specialties ranging from cancer to neurology to heart disease. Next year we will be broadening our coverage to identify top providers of more routine care, such as hip replacement and heart bypass surgery. We’re also expanding our mission: This first annual forum will examine the most pressing challenges facing the hospital industry and try to surface optimal answers from the nation’s most distinguished healthcare experts and thought leaders. We come at this as journalists whose job is to convene the best minds and to moderate the discussion. We will serve as an intermediary between industry professionals, policymakers, academic experts and, most importantly, consumers. We’ve worked with an advisory council, drawn from the nation’s leading and most innovative hospitals, to help shape a program that will delve into the front-burner issues. Those include population health, readmissions, strategic partnering, Big Data, staffing, EHRs, personalized medicine and, looming over everything, the Affordable Care Act, with all its vast reach and unpredictable outcomes. Both the speakers and the audience are well-suited to probe these challenges and to see if consensus solutions can emerge. Admittedly, this is one conference, and we don’t assume the problems of the world will be resolved. But it’s important to make a start, to create an informal network, and to achieve some continuity of thought. We intend this to be an annual convening, with opportunities to highlight individual topics on an interim basis. We’re pleased to have you join with us in this effort and look forward to working with you in the future. Sincerely,

Brian Kelly Editor and Chief Content Officer U.S. News & World Report generated at BeQRious.com

@USNHoT #USNHOT13


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Table of Contents Sponsors & Supporters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6

General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8

Hospital of Tomorrow Advisory Council . . . . . . . . . . . . . . . . . . . . . . . . . 10 Schedule-at-a-Glance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Keynote Agenda . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Continental Breakfasts/Roundtable Discussions . . . . . . . . . . . . . . . . . 16 Breakout Session Descriptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Floor Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Networking Exhibits & Sponsors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

The clarity you requested is here.

Sam Liu, Manager

What are the core issues? What’s the best opportunity? Where do we go from here? At PwC, we provide the insight, perspective and solutions you need to make the path forward very clear. Through our global network of firms, with more than 180,000 people in 158 countries, we provide quality assurance, tax and advisory services to many of the world’s most successful companies. For more information, visit pwc.com/us/healthindustries

© 2013 PwC. All rights reserved. PwC refers to the PwC network and/or one or more of its member firms, each of which is a separate legal entity. Please see www.pwc.com/structure for further details. This content is for general information purposes only, and should not be used as a substitute for consultation with professional advisors.


Patient-Centered Oncology Care: REAL- WORLD PERSPECTIVES Nove m b e r 1 4 -1 5 , 2 0 1 3 T h e Royal S o n e s t a H arb o r C o u r t | B a l t i mo r e

The landscape is about to change again... Be prepared. On November 14-15, 2013, The American Journal of Managed Care will hold its second annual oncology meeting, “Patient-Centered Oncology Care: Real -World Perspectives,” in Baltimore. Come hear some of the foremost authorities in the industry discuss the opportunities and challenges of payer management of oncology.

FACULTY Peter B. Bach, MD, MAPP Memorial Sloan-Kettering Cancer Center

Ethan Basch, MD UNC Chapel Hill

Join the nation’s top oncology and managed care professionals as they discuss real-world opportunities and challenges facing payers, clinicians, patients, and other allied healthcare professionals in the ever-changing oncology landscape.

Jan Berger, MD, MJ Health Intelligence Partners

Amy Berman, BS, RN The Hartford Foundation

Michael E. Chernew, PhD Co-Editor-in-Chief, The American Journal of Managed Care

Jerry Conway Foundation Medicine, Inc

Jeffrey D. Dunn, PharmD, MBA VRx Pharmacy

AGENDA

Kirby Eng, RPh CVS Caremark

8:00 AM - 8:30 AM—Registration/Breakfast 8:30AM - 9:15AM—Keynote Address

12:30 PM-1:30 PM—Lunch

9:15 AM - 10:45 AM—SESSION 1: PATIENTCENTERED ONCOLOGY CARE: REAL-WORLD PERSPECTIVES

1:30 PM-3:00 PM—SESSION 3: PRECISION MEDICINE

•Presentation1:OncologyPracticeintheEraofPCMHs andACOs:SquarePegsorRoundHoles? •Discussion1:TheRoleofConsumerismin DeliverabilityofCare •Presentation2:IncorporatingPatient-Centered OutcomesinClinicalTrials •Discussion2:ImplicationsofHealthcareReform: “No” Will Be Heard 10:45 AM - 11:00 AM—Break 11:00 AM - 12:30 PM—SESSION 2: QUALITY IN ONCOLOGY •Presentation3:DefiningandMeasuringQuality OutcomesinOncology •Discussion3:EndofLifeCare:ADelicateBalanceof CostandQuality •Presentation4:AnUpdateonClinicalPathways •Discussion4:DesigningPersonalizedBenefitsfor OncologyCare

REGISTER BY

Register now for the best rate!



•Presentation5:TheRoleofGeneticCounseling •Discussion5:CompanionDiagnosticsinTargeted Treatments •Presentation6:ThePresent(andFuture)ofGenetic ProfilinginOncology •Discussion6:NextGenerationGeneticSequencingin Oncology:ReadyforPrimeTime?

Bruce A. Feinberg, DO Cardinal Health Specialty Solutions

A. Mark Fendrick, MD University of Michigan Co-Editor-in-Chief, The American Journal of Managed Care

John L. Fox, MD, MHA Priority Health

Cliff Goodman, PhD The Lewin Group

Ira M. Klein, MD, MBA, FACP Aetna, Inc

3:00 PM-3:15 PM—Break

Michael Kolodjiez, MD

3:15 PM-4:45 PM—SESSION 4: PHARMA/PAYER COLLABORATION: A FOCUS ON THE FUTURE

Aetna, Inc

•Presentation7:WhereDoesHEORFitintheOncology Model? •Discussion7:ValueBasedPricing:TheRoleof OutcomesDatainPricingModels •Presentation8:TheImpactofCERonClinicalTrial DesigninOncology •Discussion8:RedefiningtheRoleofIndustryin Contemporary Healthcare

PRICE

October1

$200

November1

$300

Onsite

$400

Ellen T. Matloff, MS Yale Cancer Center

Thomas J. Morrow, MD Genentech

Lee N. Newcomer, MD, MHA UnitedHealthcare

Scott D. Ramsey, MD, PhD Fred Hutchinson Cancer Research Center

Dennis P. Scanlon, PhD Pennsylvania State University

For more information or to register, go to ajmc.com/meetings

Live


THANK YOU TO OUR SPONSORS & SUPPORTERS

Sponsors:

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We’ve all been there. You rally the staff around a new quality program, put time and resources into it, even see improvement over months, and then the report comes in that shows you’ve slipped back. Is the effort really worth it? The American College of Surgeons has found that quality improvement efforts are more sustainable when supported by four guiding principles: • Setting Standards for care, backed by outcomes data and other scientific research • Building the Right Infrastructure with appropriate staffing, specialists, equipment and checklists • Analyzing Robust Data from medical charts, backed by research to track outcomes after patient discharge • Verifying that the right processes and infrastructure are in place, measuring outcomes, and responding to findings Join us on Tuesday, November 5 and hear real hospital case studies where these guiding principles have been followed.

Case Study Session 404: “Making Quality Stick” Tuesday, November 5, 4 - 5:15 p.m.

Led by: David B. Hoyt, MD, FACS, Executive Director, American College of Surgeons Clifford Y. Ko, MD, MS, MSHS, FACS, Director, Division of Research and Optimal Patient Care, American College of Surgeons

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GENERAL INFORMATION Registration Hours: Monday, November 4 Tuesday, November 5 Wednesday, November 6

10:00 AM - 5:15 PM 7:00 AM - 5:00 PM 7:00 AM - 10:30 AM

Conference Hours:

See Schedule-at-a-Glance on page 12

Speaker and Press Room Committee Room

Speaker and Press badges may be picked up here. Hours of Operation: Monday, November 4 10:00 AM - 5:15 PM Tuesday, November 5 7:00 AM - 5:30 PM Wednesday, November 6 7:00 AM - 12:15 PM

Lost and Found

Lost and found items can be turned in to the Speaker/ Press Room, Committee Room. Items can be claimed in this room during registration hours.

WELCOME RECEPTION Please join us for the opening night reception celebrating this year’s U.S. News Hospital of Tomorrow.

Network with your colleagues. WHEN: Monday, November 4 5:00 PM - 6:30 PM WHERE: Omni Shoreham Hotel

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LEADING THE WAY THROUGH A CHANGING LANDSCAPE

Implementing integrated, technologyenabled solutions that create highperforming healthcare organizations.

Š2013 Navigant Consulting, Inc. All rights reserved. 00002311 Navigant Consulting is not a certified public accounting firm and does not provide audit, attest, or public accounting services. See navigant.com/licensing for a complete listing of private investigator licenses.


HOSPITAL OF TOMORROW ADVISORY COUNCIL We thank the top hospital executives, leading medical experts and healthcare visionaries who shared their ideas and insight to help shape the 2013 Hospital of Tomorrow program. Steven J. Corwin, M.D., CEO New York-Presbyterian University Hospital of Columbia and Cornell

Elizabeth Nabel, M.D., President Brigham and Women’s Health Care

Toby M. Cosgrove, M.D., President and CEO Cleveland Clinic

Ronald R. Peterson, President The Johns Hopkins Hospital and Health System

Kenneth L. Davis, M.D., President and CEO Mount Sinai Medical Center

Gregory Poulsen, Senior Vice President and Chief Strategy Officer, Intermountain Healthcare

Victor J. Dzau, M.D., President and CEO Duke University Health System

Louis A. Shapiro, President and CEO Hospital for Special Surgery

Patricia A. Gabow, M.D., Former CEO Denver Health and Hospital Authority

Peter L. Slavin, M.D., President Massachusetts General Hospital

Dean Gruner, M.D., President and CEO ThedaCare

Michael Williams, D.O., M.D., President University of North Texas Health Science Center

PopHealth_USNewsAd_Final.pdf

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10/17/13

10:26 AM

Population Health Solutions Know. Engage. Manage. Improving the health of your community one person at a time.


When moving toward a value-based care model, you’re sure to encounter a few sharp turns and forks in the road.

Plan your path forward with Optum™, one step at a time. The choices you make in response to such challenges can affect your system’s short-term functionality and long-term success. Optum stands ready to help you methodically plan your shift to a new business model by helping identify opportunities for enhancement and growth across your care continuum. Starting with a comprehensive opportunity assessment, we’ll help you create a road map and provide technology solutions and services to enable organization-wide alignment so that you can achieve better health outcomes and financial stability. To get your free value-based care map and access additional information to help guide your journey, visit optum.com/journey.

Helping 14 million people use information to save lives, improve care and transform health care systems 4 out of 5 Hospitals

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SCHEDULE-AT-A-GLANCE Monday, November 4, 2013 2:30 PM – 3:00 PM

Refreshment Break (Regency Ballroom)

3:00 PM – 5:00 PM

Opening/Keynote Session (Regency Ballroom)

5:00 PM – 6:30 PM

Reception

Tuesday, November 5, 2013 Continental Breakfast with Roundtable Discussions (Regency Ballroom)

7:30 AM – 8:30 AM

Diplomat Ballroom 8:45 AM – 10:00 AM

Ambassador Ballroom

Congressional Room

Session 101:

Session 201:

Session 301:

Session 401:

Healthy Populations: Rethinking Primary and Chronic Care

Hospitals as Health Insurers

Designing Hospitals for 21st Century Care

Provider and Patient Engagement: Innovatively engaging consumers through meaningful interactions, privacy protections, and patient centered care.

Refreshment Break (Regency Ballroom)

10:00 AM – 10:30 AM 10:45 AM – 12:00 PM

Session 102:

Session 202:

Session 302:

Session 402:

Blueprints for Strategic Partnering

A Close-Up Look at EHRs

New Strategies for Preventing Readmissions

Does Healthcare Reform Represent Incremental Change or a Fundamental Shift?

Luncheon/Keynote Session (Regency Ballroom)

12:15 PM – 2:00 PM 2:15 PM – 3:30 PM

Session 103:

Session 203:

Session 303:

Session 403:

Solving the Staffing Dilemmas

The Push to Personalize Medicine

The Future of Academic Medical Centers

Positive Outcomes: Applying Technology to Hospital Business Needs

Refreshment Break (Regency Ballroom)

3:30 PM – 3:45 PM 4:00 PM – 5:15 PM

Executive Room

Session 104:

Session 204:

Session 304:

Session 404:

Unleashing the Power of Big Data

Telemedicine’s Expansive Potential

Fixing End of Life Care

Making Quality Stick

Wednesday, November 6, 2013 Continental Breakfast with Roundtable Discussions (Regency Ballroom)

7:30 AM – 8:30 AM

Diplomat Ballroom 8:45 AM – 10:00 AM

10:15 AM – 12:00 PM

Ambassador Ballroom

Congressional Room

Executive Room

Session 105:

Session 205:

Session 305:

Session 405:

Absorbing the Newly Insured

Inside the U.S. News Rankings

Preventing and Coping With Infections

Intelligent Health Platforms for Value-based Care

Keynote Session (Regency Ballroom) 12


Empowering Outcomes from the ICU to the Home

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Call 978-856-4600 for a demo today! www.alereanalytics.com

analytics-inquiries@alere.com


KEYNOTE SESSIONS Monday, November 4, 2013

Tuesday, November 5, 2013

3:00 PM - 5:00 PM Regency Ballroom

12:15 PM - 2:00 PM Regency Ballroom

OPENING REMARKS

WORKING TOGETHER TOWARD SOLUTIONS


Brian Kelly, Editor and Chief Content Officer, U.S. News & World Report

WELCOME


Michael D. Robinson, General Manager, United States Health & Life Sciences, Microsoft


Peter L. Slavin, M.D., President, Massachusetts General Hospital

Mortimer B. Zuckerman, Chairman and Editor-in-Chief, U.S. News & World Report

THE HOSPITAL AT A CROSSROADS
 Toby M. Cosgrove, M.D., President and CEO, Cleveland Clinic

THE CHANGING FACE OF HOSPITALS AND HEALTHCARE William H. “Bill” Frist, M.D., former U.S. Senate Majority Leader


Brad Kimler, Executive Vice President, Fidelity Investments


Robert C. Robbins, M.D., President and Chief Executive Officer, Texas Medical Center
 Donna E. Shalala, Ph.D., President, University of Miami; former U.S. Health and Human Services Secretary MODERATOR Chas Roades, Chief Research Officer, Health Care, The Advisory Board Company

Surviving and Thriving in the new era of HealthCare
 Gregory Sorensen, M.D., CEO, Siemens Healthcare North America

Shalom Jacobovitz, CEO, American College of Cardiology MODERATOR
 Len Nichols, Ph.D., Director & Professor, Center for Health Policy Research and Ethics, George Mason University

Wednesday, November 6, 2013 10:15 AM - 12:00 PM Regency Ballroom

WHY COLLABORATION IS KEY IN FINDING, STOPPING AND PREVENTING HEALTH PROBLEMS
 Tom Frieden, M.D., Director, Centers for Disease Control and Prevention

BRACING FOR THE WORST: LESSONS IN EMERGENCY PREPAREDNESS
 Jeffrey Bokser, Vice President for Safety, Security and Emergency Services, New York-Presbyterian Hospital
 Eric Goralnick, M.D., Medical Director of Emergency Preparedness, Brigham and Women’s Hospital


Anthony E. Shorris, Senior Vice President, Vice Dean, and Chief of Staff, NYU Langone Medical Center

MODERATOR

Margaret Mannix, Executive Editor, U.S. News & World Report

The Future of Hospital Quality & Value Patrick Conway, M.D., Chief Medical Officer; Director, Center for Clinical Standards and Quality, Centers for Medicare & Medicaid Services

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Are You an Executive Insider? Create a FREE Executive Insight online account to stay on top of the latest healthcare trends. The Executive Insight website offers: n Exclusive online content n Solution-based multimedia videos and podcasts,

including Executive Answers n Educational webinars n Digital editions of Executive Insight with enhanced,

interactive features not found in print n Late-breaking news updates n Expert blogs and columns n Weekly e-newsletters n Whitepapers n And much more!

Become an Executive Insider Today! www.advanceweb.com/executiveinsight


Continental Breakfasts/Roundtable Discussions Join the following companies for a roundtable discussion over breakfast.

Tuesday, November 5, 2013 7:30 AM - 8:30 AM Regency Ballroom

Innovation In a New Healthcare Landscape The current healthcare system needs thoughtful innovation in order to improve the quality of care and to remain affordable in the years ahead. The pace of this evolution provides opportunities for innovators to address these changing needs with new products and systems. The time has come to collaborate differently for a healthier future for patients, providers and product manufacturers. Presented by:

Wednesday, November 6, 2013 7:30 AM – 8:30 AM Regency Ballroom

The Lab as a Profit Center Is your laboratory a money pit or a profit driver? With strategy and follow-through, lab profits are achievable. Applying lean processes in the laboratory, utilizing advanced workflow technology and growing outreach can grow profitability in the lab and in the healthcare system. Healthcare systems sometimes forget about the lab and the impact of lab utilization. It’s important to remember that everyone uses the lab, and there is a lot that can be done to enhance its profitability. Presented by:

Challenging the status quo An orthodoxy is a set of pervasive beliefs that often go unstated and unchallenged—they shape strategy and create blind spots. They are ingrained ways of thinking and acting – from habit or from previous success, commonly held across organizations and industries. If healthcare is in need of change, what is an orthodoxy that should be challenged in order to facilitate it?

What is the positive / negative of more transparency in our industry? Although relatively new to healthcare, transparency can mean different things to different people. And while there seems to be a call for more transparency in general, why is it needed, where can it happen and why is it important? Or not? Presented by:

Presented by:

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What data do I want from CMS? CMS has launched a number of information collection initiatives and is building and integrating databases to capture information pursuant to recent laws like ACA and HITECH. What kinds of CMS data do hospitals wish they could access? logo PMS 403

Presented by:

logo PMS 286

What Has Been Your Experience with Accountable Care Organizations (ACOs)? logo white on black

This discussion aims to solicit feedback from hospitals participating in ACOs (e.g., have you realized savings). For those hospitals that are not part of an ACO, are you considering it and which ACO program is the best fit for your hospital (e.g., Medicare Shared Savings Program vs. the Pioneer ACO Model)? logo PMS 403

logo PMS 286

Presented by: logo PMS Black

logo PMS Black

generated at BeQRious.com

@USNHoT #USNHOT13

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SESSIONS TUESDAY, november 5 SESSION 101: Healthy Populations: Rethinking Primary and Chronic Care

SESSION 201: Hospitals as Health Insurers

8:45 AM - 10:00 AM | Diplomat Ballroom

Speakers: John J. Moynihan, M.D., Chief Medical Officer; Chair, Department of Surgery, Inova Fairfax Hospital Stephen Nolte, CEO, Sutter Health Plus Steven D. Shapiro, M.D., Executive Vice President, Chief Medical and Science Officer, University of Pittsburgh Medical Center

Speakers: Michael Englehart, President, Advocate Physician Partners Gregory P. Poulsen, Senior Vice President and Chief Strategy Officer, Intermountain Healthcare Andrew D. Racine, M.D., Ph.D., Senior Vice President and Chief Medical Officer, Montefiore Medical Center Moderator: Clifford Y. Ko, M.D., M.S., M.S.H.S., F.A.C.S., Director, Division of Research and Optimal Patient Care, American College of Surgeons Trends in reimbursement are increasingly motivating hospitals to develop disease-management programs for the chronically ill and undertake population-based prevention efforts for everyone else. This reorientation toward population health lies outside hospitals’ traditional responsibilities and competencies. Presenters will offer a menu of promising strategies hospitals are pursuing to address the challenge, including opening “corner store” clinics and onsite fitness centers, launching outpatient programs for asthma and diabetes, enlisting non-physician health professionals, developing supervised weight-loss programs, and more.

8:45 AM - 10:00 AM | Ambassador Ballroom

Moderator: George Lynn, Board Member, Valence Health; former CEO of AtlantiCare and American Hospital Association Board Chair As reimbursements shrink and global capitation gains traction as a revenue model, numerous hospitals are blurring the provider-payer line by taking on the risk themselves. This puts hospitals on turf traditionally claimed by insurers and managed care providers. Hospitals that choose to insure a segment of their populations gain a unique opportunity to innovate, diversify their revenue streams, improve care, and manage financial risk. This session will explore the possibilities and the perils.

Presented by:

Presented by:

Financial Risk Management 10 billion in risk management

Population Health

Are you ready to get on the bus? Take a ride with Valence and shii from volume to value.

ValenceHealth.com 888.847.0250

15 million patients

Clinical Integration 30,000 physicians


SESSIONS TUESDAY, november 5 SESSION 301: Designing Hospitals for 21st Century Care 8:45 AM - 10:00 AM | Congressional Room Speakers: David J. Bailey, M.D., President and CEO, Nemours Peter W. Butler, President & COO, Rush University Medical Center Fauzia Khan, M.D., CMO and Co-founder, Alere Analytics Sally W. MacConnell, Vice President for Facilities, Johns Hopkins Medicine Moderator: Michael Morella, Associate Editor, U.S. News & World Report Several new or radically renovated hospitals have implemented design features aimed at improving care and making the customer more satisfied. Participants will review the merits of design features such as re-engineered emergency departments, decentralized nursing stations, all-private rooms that can accommodate services coming in, as well as ubiquitous computing where technology is embedded everywhere, from the walls to the beds, from the surgeon’s tools to the pill bottles. Beds themselves will measure vitals and feed relevant patient information to nurses. Equipment ideally will be interoperable, so, for example, the analgesic pump that might affect breathing will talk to the monitor responsible for detecting respiratory distress.

Presented by:

SESSION 401: Provider and Patient Engagement: Innovatively engaging consumers through meaningful interactions, privacy protections, and patient centered care 8:45 AM - 10:00 AM | Executive Room Speakers: Aurelia Boyer, Senior Vice President and CIO, New York Presbyterian Hospital Hemant Pathak, Assistant General Counsel, Health Care, Microsoft Corporation Leon Rodriguez, Director, Office of Civil Rights, U.S. Department of Health and Human Services Moderator: William O’Leary, Senior Director and Chief Health Policy Officer, Microsoft Health and Life Sciences In the new shared-accountability health economy, customer loyalty can be gained or lost depending on the care experience and outcome of care at each touch point. Achieving optimal care experiences and outcomes requires hospitals to proactively anticipate the risks, needs, and preferences of each consumer and build new service capabilities to adapt their services to those risks, needs, and preferences. Cloud, mobile communications, and consumer device technologies will enable hospitals to connect consumers in new and inexpensive ways to the resources they need to achieve optimal health and outcomes.

But engaging consumers in their health and care in these new ways will also require hospitals and technology vendors to prove to that they have in place the privacy and security protections necessary to protect electronic patient health information from prying eyes and enable consumers to control the access and flow of their personal information with greater granularity.

Presented by:
 Microsoft is a trademark of the Microsoft group of companies

SESSION 102: Blueprints for Strategic Partnering 10:45 AM - 12:00 PM | Diplomat Ballroom Speakers: Steven M. Altschuler, M.D., CEO, The Children’s Hospital of Philadelphia Jesse Cureton, Executive Vice President and Chief Consumer Officer, Novant Health Lloyd H. Dean, President and CEO, Dignity Health Moderator: Ceci Connolly, Managing Director, PwC Health Research Institute Facing an increasingly competitive market, many hospitals and health systems are looking hard at various models of strategic alliance. Some hospital groups, for example, have allied with academic powerhouses to upgrade their clinical care and expand their referral options. Others are forming partnerships with ambulatory clinics and urgent care centers, including those run by pharmacy chains. Panelists will explore the rewards—and pitfalls—of such partnerships, and describe the preconditions necessary for a successful alliance.

Presented by:

SESSION 202: A Close-Up Look at EHRs 10:45 AM - 12:00 PM | Ambassador Ballroom Speakers: Daniel Paoletti, Chief Executive Officer, Ohio Health Information Partnership Ken Rice, Director of System Process Improvements, Sentara Healthcare Moderator: Steven J. Bernstein, M.D., Assistant Dean for Clinical Affairs, University of Michigan Health System It’s no secret that the rapid expansion of electronic health records has revealed a number of knotty problems. For example, with patient information residing on centralized servers or in the cloud, hospitals face growing risks of large-scale breaches. But standard security solutions often hamper patient care and frustrate providers. Meanwhile, vast amounts of data need to move reliably and securely through the healthcare system. This session will highlight several steps every hospital must take to strike the right balance in safeguarding patient information while letting it flow freely when lives are on the line, as well as efforts underway to institute cross-platform protocols.

18


SESSIONS TUESDAY, november 5 SESSION 302: New Strategies for Preventing Readmissions 10:45 AM - 12:00 PM | Congressional Room Speakers: Joel T. Allison, President and CEO, Baylor Scott & White Health Allen S. Weiss, M.D., President and CEO, NCH Healthcare System Moderator: Steve Sternberg, Deputy Health Rankings Editor, U.S. News & World Report To avoid the penalties that CMS has begun imposing for excessive readmissions, hospitals are becoming more involved in what happens beyond their walls and mobilizing resources to ease patients’ transitions to the community. Panelists will outline how they’ve decreased rehospitalizations by, for example, building collaborations with community-based providers and implementing telemedicine. Since these steps can reduce initial admissions as well, affecting volume and revenue, panelists will also offer perspectives on how to navigate this new world.

SESSION 402: Does Healthcare Reform Represent Incremental Change or a Fundamental Shift? 10:45 AM - 12:00 PM | Executive Room Speaker: Gene Lindsey, M.D., CEO Emeritus and Vice Chair, Atrius Health, Harvard Vanguard Medical Associates Changes in the healthcare industry are playing out publicly with conflicting signals. These changes impact every person with both direct and indirect implications on government participation. The panel will present an accurate picture of provider consolidation, explore new material market makers and debate the movement from wholesale to retail. Are providers selling to payers or direct to consumers? Are consumers really making decisions differently?

Presented by:



SESSIONS TUESDAY, november 5 SESSION 103: Solving the Staffing Dilemmas

SESSION 303: The Future of Academic Medical Centers

2:15 PM - 3:30 PM | Diplomat Ballroom

2:15 PM - 3:30 PM | Congressional Room

Speakers: Victor Buzachero, Corporate Senior Vice President, Innovation, Human Resources and Performance Management, Scripps Health William B. Leaver, President and CEO, UnityPoint Health Susan Salka, CEO, President, and Director, AMN Healthcare

Speakers: Victor J. Dzau, M.D., President and CEO, Duke University Health System; Chancellor of Health Affairs, Duke University Ora H. Pescovitz, M.D., Executive Vice President for Medical Affairs, University of Michigan; CEO, University of Michigan Health System Robert C. Robbins, M.D., President and CEO, Texas Medical Center

Moderator: Christopher J. Gearon, Contributing Editor, U.S. News & World Report More than 87 percent of CEOs responding to a recent U.S. News survey said they planned to reduce reliance on independent physicians in favor of a staff model. But the challenges of such a staffing shift are not insignificant. Meanwhile, shortages of skilled healthcare workers are a pressing problem, causing many institutions to take measures such as upgrading worker retention programs. Participants will discuss experiences with the staff physician model and propose creative solutions to the shortage problem.

SESSION 203: The Push to Personalize Medicine 2:15 PM - 3:30 PM | Ambassador Ballroom Speakers: Amy Caro, Vice President, Health IT Programs, Federal and Defense Technologies Division, Northrop Grumman Information Systems Gianrico Farrugia, M.D., Director, Center for Individualized Medicine, Mayo Clinic Howard J. Jacob, Ph.D., Director, Human and Molecular Genetics Center; Founding Director, Personalized Medicine Program, Medical College of Wisconsin C. Wright Pinson, M.D., CEO, Vanderbilt Health System; Deputy Vice Chancellor for Health Affairs, Vanderbilt University Medical Center Moderator: Tim Smart, Executive Editor, U.S. News & World Report Peering into patients’ genes to identify those at high risk for heart disease, diabetes, and certain brain conditions has become reality. Some cancer centers now screen tumors routinely for known mutations that can be targeted by drugs; some experts say such therapy will become the norm rather than the exception. A comparatively cheap genome sequencer could even extend the reach of genomic medicine into community hospitals. An update on the status of personalized medicine, costs and obstacles, and how hospitals are re-orienting care accordingly. logo white on black

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Moderator: Avery Comarow, Health Rankings Editor, U.S. News & World Report Academic medical centers face an especially daunting future. Research funding and federal subsidies only cover part of the cost of running a hospital and clinics, training future physicians, nurses and technicians and carrying out cutting-edge medical research. In the past, AMCs have shifted surpluses from commercially insured patients to cover some of those costs, along with additional shortfalls from treating Medicare and Medicaid patients. But those revenues are shrinking. Moreover, AMCs are stocked with specialists, not the primary care doctors now in demand to keep patients healthy. They also feature decentralized clinical departments and faculty physicians who work in separate groups, making it extremely challenging to form ACO’s and otherwise streamline and integrate clinical services. How can AMCs adapt to the new healthcare realities?

Session 403: Positive Outcomes: Applying Technology to Hospital Business Needs 2:15 PM - 3:30 PM | Executive Room Speaker: Troy Kirchenbauer, General Manager, aptitude LLC While the majority of technology solutions have been focused on patient outcomes, hospitals can’t neglect the business fundamentals that put them in a position to be successful. The supply chain – while not the most glamorous component of healthcare – does demand a lot of attention as it accounts for the second highest expense in your enterprise, next to labor. In this session you’ll learn how the supply chain of the past has been re-imagined to improve the health of your business today, putting our industry on the right path for the future.

Presented by:

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SESSIONS TUESDAY, november 5 SESSION 104: Unleashing the Power of Big Data 4:00 PM - 5:15 PM | Diplomat Ballroom Speakers: Chris Belmont, Vice President and Chief Information Officer, MD Anderson Cancer Center Brad Ryan, M.D., General Manager, Payer & Provider Solutions, IMS Health Eric Schadt, Ph.D., Professor and Chair, Department of Genetics and Genomic Sciences; Director of the Institute for Genomics and Multiscale Biology, Icahn School of Medicine at Mount Sinai Jonathan C. Silverstein, M.D., Vice President, Clinical Research Informatics & Head, Center for Clinical and Research Informatics, NorthShore University HealthSystem Moderator: Brian Kelly, Editor and Chief Content Officer, U.S. News & World Report The healthcare system is drowning in data; by one estimate, all the output from electronic health records, insurance claims, medical images, vital signs of people being remotely monitored by hospitals or smart phone, and gene sequencing results will grow exponentially to about 500 billion four-drawer file cabinets of information by 2020, up from just 10 billion in 2011. High-powered computers and new algorithms have the potential to

rapidly ingest all this wisdom and look for grand patterns that could improve overall care and reduce cost, as well as offer insights to better treat patients at the most precise individual level. The session will explore early efforts to make use of Big Data, and how the pioneers are meeting the main challenges: the cost of the necessary technology and the difficulties of getting systems to communicate with each other.

Presented by:

SESSION 204: Telemedicine’s Expansive Potential 4:00 PM - 5:15 PM | Ambassador Ballroom Speakers: Lynn Britton, President and CEO, Mercy, Chesterfield, Mo. Joseph C. Kvedar, M.D., Founder and Director, Center for Connected Health, Partners Healthcare James P. Marcin, M.D., Professor, Pediatrics & Pediatric Critical Care, University of California Davis Children’s Hospital Yulun Wang, Ph.D., Chairman and Chief Executive Officer, InTouch Health Moderator: Ben Harder, Managing Editor and Director of Healthcare Analysis, U.S. News & World Report

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SESSIONS TUESDAY, november 5 The opportunities for improved and less expensive patient care from telehealth technologies such as virtual consultations with distant specialists, in-home patient monitoring by hospital-based staffers, and tele-ICUs, to name a few, is a matter high on many hospital executives’ agendas. This session will delve into which forms of telemedicine are right for their patients and their bottom lines.

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SESSION 304: Fixing End of Life Care 4:00 PM - 5:15 PM | Congressional Room Speakers: Daniel R. Hoefer, M.D., Chief Medical Officer, Sharp HospiceCare Diane E. Meier, M.D., Director, Center to Advance Palliative Care, Icahn School of Medicine at Mount Sinai Scott T. Shreve, D.O., National Director, Hospice and Palliative Care Program, U.S. Department of Veterans Affairs; Medical Director, Hospice and Palliative Care Unit, Lebanon VA Medical Center Moderator: Anne McGrath, Managing Editor, Publications, U.S. News & World Report Over one quarter of Medicare spending goes toward patients in their final year of life. Too often, it’s for care that is at best marginally life-extending and at worst, futile. As cost and outcomes come under increased scrutiny, hospitals must grapple with how to reign in excessive end-of-life care. We’ll examine how they are adapting to better serve terminally ill patients, and how effective formal hospice and palliative programs are, as well as explore other innovative ways health systems have improved end-of-life care while reducing unnecessary utilization.

SESSION 404: Making Quality Stick 4:00 PM - 5:15 PM | Executive Room Speakers: David B. Hoyt, M.D., F.A.C.S., Executive Director, American College of Surgeons Clifford Y. Ko, M.D., M.S., M.S.H.S., F.A.C.S., Director, Division of Research and Optimal Patient Care, American College of Surgeons Carl R. Boyd, M.D., F.A.C.S., General Surgeon, Memorial Health University Medical Center; Professor of Surgery, Mercer University School of Medicine J. Michael Henderson, M.D., Ch.B., FRCSEd, F.A.C.S., Chief Quality Officer, Cleveland Clinic We’ve all been there. You rally the staff around a new quality program and put a tremendous amount of time and resources into it. Maybe you see improvements one, two, even three months in a row. Then the report comes in that shows you’ve slipped back. You wonder–and maybe a board member asks–was all that time, effort and money really worth it? To improve quality and sustain these improvements, hospitals need a clear picture of what is happening. Many quality programs today claim to measure quality, but lack complete, accurate data necessary to do so. The American College of Surgeons (ACS), a scientific and education

organization of surgeons founded in 1913 to raise the standards of surgical practice and to improve the care of the surgical patient, has workable solutions. ACS quality improvement programs are built around four pillars: Setting the Standards for care that are backed by outcomes data and other scientific research; Building the Right Infrastructure by having in place appropriate and adequate staffing levels, specialists, equipment and checklists; Analyzing Robust Data from medical charts and backed by research to track outcomes after the patient leaves the hospitals (administrative data misses half or more of all complications); and Verifying that the right processes and infrastructure are in place, that outcomes are being measured, and that hospitals and providers are responding to the findings. Quality improvement can be sustainable. Learn more about how the ACS Committee on Trauma sets the standards for trauma; the Commission on Cancer, which accredits cancer centers, offers centers a tool to assess adherence to quality measures in real time; and the ACS National Surgical Quality Improvement Program, a nationally validated, risk-adjusted, outcomes-based program, uses patient charts to develop a database of pre-operative to 30-day post-operative surgical outcomes that help hospitals measure and improve their surgical care.

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WEDNESDAY, november 6 SESSION 105: Absorbing the Newly Insured 8:45 AM - 10:00 AM | Diplomat Ballroom Speakers: Wright L. Lassiter III, CEO, Alameda Health System Nancy Schlichting, CEO, Henry Ford Health System Richard J. Umbdenstock, President and CEO, American Hospital Association Moderator: Joanne Kenen, Health Editor, Politico Tens of millions of uninsured patients will gain coverage under the Affordable Care Act. Institutions on the front lines face myriad challenges in coping with these newly insured. Several hospital leaders will share strategies they’ve implemented to handle the influx.

SESSION 205: Inside the U.S. News Rankings 8:45 AM - 10:00 AM | Ambassador Ballroom Speakers: Avery Comarow, Health Rankings Editor, U.S. News & World Report Steve Sternberg, Deputy Health Rankings Editor, U.S. News & World Report A tutorial on the U.S. News Best Hospitals and Best Children’s Hospitals methodologies. Participants will be able to ask questions and suggest improvements. U.S. News listens carefully to thoughtful critics; many changes made over the years have come from discussions like this one.

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Belonging to MGMA helps my career and my employer. In our highly regulated, constantly evolving environment, it is critical that I stay on top of things. MGMA helps me cut through the clutter and focus on what I need to know now. Brian P. Kelly, MBA, CMPE, CEO, Women’s Healthcare Associates LLC

I am an MGMA member Become part of a community, and receive practical resources designed to elevate performance.

Visit mgma.org/join to learn more.


SESSIONS WEDNESDAY, november 6 SESSION 305: Preventing and Coping With Infections 8:45 AM - 10:00 AM | Congressional Room Speakers: Charles R. Denham, M.D., Chairman, Texas Medical Institute of Technology; Chairman, Global Patient Safety Forum Denise Murphy, R.N., B.S.N., M.P.H., Vice President, Quality and Patient Safety, Main Line Health Jonathan B. Perlin, M.D., Ph.D., President, Clinical and Physician Services; Chief Medical Officer, Hospital Corporation of America Peter J. Pronovost, M.D., Ph.D., Senior Vice President of Patient Safety and Quality, Johns Hopkins Medicine Moderator: Lawrence K. Altman, M.D., Medical Writer, The New York Times; Senior Scholar, Woodrow Wilson International Center for Scholars Hospital-acquired infections are the fourth-leading cause of hospital mortality. Researchers warn that we’re years away from having new drugs capable of beating back the antibiotic-resistant strains now showing up. This session will take a hard look at the scope of the problem, the efforts underway to deal with antibiotic resistance and give drug development a boost, and the innovative steps hospitals are taking to contain the threat of all sorts of hospital-acquired infections.

SESSION 405: Health Intelligence on the Journey to Value-based Care 8:45 AM - 10:00AM | Executive Room Speaker: A.G. Breitenstein, J.D., M.P.H., Chief Product Officer, Provider Markets, Humedica The electronic medical record (EMR) was developed for a fee-for-service world. And while it will always be useful documenting clinical encounters, its utility as an intelligent, cross-continuum, population-health management tool is limited. And as providers navigate their journey from providing care to managing health, they need an analytically intelligent health record in order to succeed. This presentation will discuss a new generation of intelligent health management platforms designed to enable value-based, risk-oriented, data-driven care.

Presented by:

YOUR HOSPITAL BY THE NUMBERS. Advanced visualizations that tell your story. View named data for all 1,800+ rankings-eligible hospitals Analyze and compare over 1,300 Best Hospitals ranking factors Exclusive and previously unpublished data Exportable data & graphs in multiple formats

hdi.usnews.com


FLOOR PLAN REGENCY BALLROOM

REGENCY BALLROOM NETWORKING BOOTHS

25

aptitude LLC

1

Navigant Healthcare

Philips Healthcare

7

American College of Surgeons 17

2

Optum 10

Microsoft 18

U.S. News & World Report

3

InTouch Health 11

Patient Point 19

Siemens Healthcare

4

IMS Health 14

Valence Health 22

Fidelity Investments

5

Beckman Coulter Diagnostics 15

Northrop Grumman 23

Kyruus

6

PwC 16

Alere Analytics 25


NETWORKING EXHIBITS & SPONSORS Booth 11 Booth 25

www.alereanalytics.com

Alere Analytics provides hospitals with unparalleled analytics and clinical decision support on one platform. Leveraging the world’s largest library of evidence-based medical knowledge, our solutions integrate seamlessly with existing HIS workflows and improve clinical, financial and operational performance. We ensure that any decisions made at the point-of-care are in compliance, while our real-time analytics demonstrate immediate improvements in quality for patients and populations.

www.booz.com

www.intouchhealth.com

Booz & Company is a leading global management consulting firm focused on serving and shaping the senior agenda of the world’s leading institutions. Our founder, Edwin Booz, launched the profession when he established the first management consulting firm in Chicago in 1914. Today, as we approach our 100th anniversary, we operate globally with more than 3,000 people in 57 offices around the world.

InTouch Health develops and manufactures the only Class II telemedicine remote presence medical devices that are FDAcleared for active patient monitoring in high acuity clinical environments. These devices allow physicians to conduct reliable, real-time, remote consults from a single portal ranging from EDs, ICUs and procedure rooms to clinics and homes.

kyruus

Booth 6

www.kyruus.com www.cerner.com Booth 17 www.facs.org The American College of Surgeons is a scientific and educational organization of surgeons founded in 1913 to raise the standards of surgical practice and improve the quality of surgical care. ACS helps hospitals improve quality through its Committee on Trauma, Commission on Cancer, ACS NSQIP, and bariatric and breast center accreditation programs.

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www.aptitude.com As the healthcare’s industry’s first online direct contracting market, aptitude LLC was developed to meet the evolving demands of today’s healthcare organizations. Hospitals and suppliers are intrigued by how aptitude re-imagines the contracting model and provides the driving force for a more logical market in which hospitals and suppliers can achieve mutually beneficial, committed purchasing relationships for a better value proposition for both.

Cerner is contributing to the systemic change of health and care delivery. For more than 30 years, we’ve helped make healthcare safer and more efficient. Cerner is building on the knowledge in the system to support evidencebased clinical decisions, help manage populations and empower patients in their care.

www.mgma.com Booth 5 planreview.fidelity.com/nfphealthcare Fidelity Investments is one of the world’s largest providers of financial services, with assets under administration of $4.0 trillion, including managed assets of $1.7 trillion, as of March 31, 2013. Founded in 1946, the firm is a leading provider of investment management, retirement planning, portfolio guidance, brokerage, benefits outsourcing and many other financial products and services to more than 20 million individuals and institutions, as well as through 5,000 financial intermediary firms. For more information about Fidelity Investments, visit www.fidelity.com.

Booth 15

Beckman Coulter Diagnostics, a subsidiary of Danaher Corporation, develops, manufactures and markets clinical diagnostic products that help advance and optimize the clinical laboratory by making workflow easier with reliable instrumentation and results. A global leader in clinical diagnostics, Beckman Coulter is singularly devoted to providing solutions that move the lab forward.

MGMA-ACMPE is the premier association for professional administrators and leaders of medical group practices. In 2011, members of the Medical Group Management Association (MGMA), and its standard-setting division, the American College of Medical Practice Executives (ACMPE), voted to merge to form a new association. The Association represents 22,500 members who lead 13,200 organizations nationwide in which some 280,000 physicians provide more than 40 percent of the healthcare services delivered in the United States.

Microsoft is a trademark of the Microsoft group of companies www.microsoft.com/health

Booth 14 www.imshealth.com/portal/site/imshealth www.beckmancoulter.com

Kyruus applies dynamic, multi-source data analytics to optimize patient access and care continuums. Our solutions help to ensure that patients receive the care they need, when they need it and that healthcare providers and organizations operate at peak efficiency.

IMS Health is the world’s leading information, services and technology company dedicated to making healthcare perform better. With a global technology infrastructure and unique combination of real-world evidence, advanced analytics and proprietary software platforms, we connect knowledge across all aspects of healthcare to help clients improve patient outcomes and operate more efficiently. Customers include pharmaceutical, medical device and consumer health manufacturers and distributors, providers, payers, government agencies, policymakers, researchers and the financial community.

Booth 18

Better care and better outcomes for more people—it’s what we’re all striving for in the health industry. Microsoft works every day with health organizations, communities, and partners around the world to help realize this goal. Founded in 1975, Microsoft (Nasdaq “MSFT”) is the worldwide leader in software, services, and solutions that help people and businesses realize their full potential.

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NETWORKING EXHIBITS & SPONSORS Booth 2 www.navigant.com/healthcareinsights Navigant Healthcare’s 600 professionals are part of Navigant Consulting, Inc.’s (NYSE:NCI) global team of 2,500 employees, dedicated to assisting clients in creating and protecting value in the face of critical business risk and opportunities. These seasoned consulting professionals assist health systems, physician practice groups, payers, and the life sciences companies in designing, developing and implementing integrated, technology-enabled solutions that create high-performing healthcare organizations.

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Booth 7 www.healthcare.philips.com/us_en At Philips Healthcare, we are dedicated to creating the future of healthcare and saving lives. We develop innovative solutions across the continuum of care in partnership with clinicians and our customers to improve patient outcomes, provide better value and expand access to care. We believe clinical excellence and continuous innovation around the patient experience can fundamentally change healthcare as we know it. Our competitive advantage lies in our clinical perspective, the broad clinical subject-matter expertise within the company, as well as the deep clinical relationships we have with our customer base.

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Booth 23 www.northropgrumman.com With over 25 years of extensive health expertise coupled with industry leading system engineering and integration capabilities, Northrop Grumman provides innovative solutions across global Public Health, Federal Healthcare and state level human services.

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www.optum.com/aco

PwC’s Health Industries Group is a leading advisor to public and private organizations across the health industries, including healthcare providers, pharmaceuticals, health and life sciences, payers, employers, academic institutions and non-health organizations with significant presence in the health market.

Booth 3

U.S. News Hospital Data Insights contains a vast historical database of U.S. News Best Hospitals ranking data for over 1,800 hospitals. The web-based platform allows hospital administrators to analyze, visualize and export over 1,300 metrics that lie beneath the Best Hospitals rankings. The data are available by name for all institutions.

http://valencehealth.com

Booth 22

Valence Health provides healthcare organizations solutions for value-based care, helping them better manage their patient populations and accept financial responsibility for the quality of care they provide. Headquartered in Chicago, with three other office locations, Valence Health serves more than 30,000 physicians and 100 hospitals, helping manage the health of over 15 million patients nationwide.

Booth 10

At Optum, we have over 30 years of experience in managing populations, aligning care teams and engaging patients to be active participants in their health. We apply bestin-class analytics, technology and service capabilities to enhance financial performance, improve quality and increase consumers’ satisfaction with the healthcare system.

www.patientpoint.com

Booth 16 www.pwc.com/us/healthindustries

www.usnews.com

Booth 19

PatientPoint® is the leader and innovator of patient engagement solutions at the point of care, including award-winning patient education programs and care coordination platform. The PatientPoint Care Coordination Platform is pre-validated by the National Committee for Quality Assurance (NCQA) for 2011 patient-centered medical home (PCMH) criteria.

http://www.quidel.com Quidel® develops and commercializes clinical diagnostic solutions using molecular, cell culture, and immunoassay methods. With leading brands – QuickVue®, MicroVue™, D3®, Thyretain®, Sofia®, AmpliVue® and Quidel Molecular, Quidel’s products aid in the detection and diagnosis of critical diseases and conditions, e.g., influenza, RSV, hMPV, C. difficile, Strep A, herpes, pregnancy, thyroid disease, Chlamydia trachomatis, H. pylori, and fecal occult blood.

Booth 4 www.usa.healthcare.siemens.com Sustainable Healthcare Technology - solutions engineered to improve patient outcomes while reducing costs - across a complete portfolio of imaging and therapy systems, laboratory diagnostics, and healthcare IT. We’re committed to making U.S. healthcare sustainable - not just by meeting and exceeding the clinical and financial challenges of healthcare reform and today’s economic climate, but by enabling lasting improvements that create happier, healthier patients and a healthier bottom line for providers.

@USNHoT #USNHOT13

generated at BeQRious.com

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Telehealth: The Ultimate in Convenience Care The demand for quick and convenient consultation with doctors has produced plenty of options. By Susan Brink, U.S. News & World Report Dr. Teresa Myers, a family practice physician in Copley, Ohio, describes what she can see on her computer screen during a telehealth conference. “You know what HD television looks like. You can actually see the pimples on the actors’ faces,” she says. “I had a patient who was able to shine her iPhone flashlight to the back of her throat. I could see the exudates [pus-like fluid]. If you see that, you can be pretty sure.” A few more questions, as well as having the patient take her temperature and feel and describe her lymph nodes, and Myers felt confident diagnosing strep throat and prescribing an antibiotic. The consultation started less than five minutes after the patient logged in, cost $49 and lasted 10 minutes. The patient never left home, learned a few things about examining her own body and, two days later, said she felt much better when Myers followed up. Myers is with American Well, a telehealth service which, for seven years, has employed physicians like her for e-visits, or virtual computer consultations, for patients within specific insurance plans or physician practices. But now the service, joining a growing trend toward medical care based on patient convenience rather than physician schedules, is available directly to consumers—whether insured or uninsured, and whether they have a primary care physician or haven’t seen a doctor in years. Anyone can download an app at americanwell. com, enroll, choose from a panel of physicians and talk to a doctor nearly immediately. Using smart phones, tablets or web browsers, people with common symptoms like sore throats, or who need quick advice in ongoing care for chronic conditions, or even those looking for support in kicking the cigarette habit can have a virtual face-to-face with the board certified primary care physician of their choice. Just a few years ago, when patients had symptoms, they could either call their doctors, go to emergency rooms, or tough it out at home. Now the most common alternatives to a scheduled doctor’s office visit include urgent care in free-standing clinics staffed by physicians, employer-based clinics offering a range of care from diagnosing infections to full primary care, and retail clinics within drug stores or big box stores like Walmart. Direct-to-consumer apps add one more possibility to the growing field of convenience medical care. “One aspect of healthcare costs we don’t talk about much is patient time,” says Dr. Ateev Mehrotra , an associate professor of healthcare policy at the Harvard Medical School who has studied alternatives to brick-and-mortar doctor visits. That includes time in the car, time away from work, time in the waiting room, as well as time with the doctor. “When you start counting up all those hours, it turns into a huge amount of time, which adds up to a huge amount of money,” says Mehrotra.

Thanks to Obamacare, healthcare organizations are gearing up to absorb the greatest number of newly insured patients since Medicare enrollees began signing up in 1966. And consumers have granted convenience medicine a place in the changing healthcare market. One study compared traditional office visits to e-visits at four primary care practices for two conditions: sinusitis and urinary tract infections. Researchers found equivalent rates of follow-up care, indicating equal rates of misdiagnosis or failed treatment. They found similar rates of patient satisfaction. But they also found a trend toward higher rates of prescriptions for antibiotics as a result of e-visits, leading them to speculate that without a hands-on exam, doctors may use a more conservative approach and be quicker to prescribe an antibiotic. Other studies largely suggest that electronic visits with primary care doctors provide lower-cost care with similar quality outcomes to traditional trips to the doctor’s office. They’re useful for common, short-term ailments and health advice, not more serious or chronic diseases, and patients who need hands-on exams, lab work or imaging tests are referred to doctors’ offices, clinics or emergency rooms for care. Medicine will always need expert hands-on care to listen to a heartbeat, collect a urine sample, or feel for a lump. But sometimes people don’t need to drag their achy bodies into a car, drive for 45 minutes, and sit in a waiting room with other sick people for a half an hour only to be told their cold symptoms are normal and will run their course. For many such patients, Schoenberg says, “…click, click, click, and you see a physician.”

For more news about the issues that the healthcare industry is facing in the future, please visit usnews.com/hospitaloftomorrow. generated at BeQRious.com @USNHoT #USNHOT13


NOTES

A LEADERSHIP FORUM BY:


A9111-9238-A1-7600 | Š 2013 Siemens Medical Solutions USA, Inc. | All rights reserved

Who will help hospitals live longer? Sustainable Healthcare Technology from Siemens helps providers improve patient outcomes while simultaneously reducing costs. www.usa.siemens.com/sustainable-healthcare

The aging of our population and unhealthy lifestyle choices are bringing about an exponential rise in costly, chronic disease just as healthcare reform seeks to lower costs for all. How can we increase the quality of care while reducing costs? At Siemens, we are rising to the challenge with Sustainable Healthcare Technology.

Sustainable Healthcare Technology is an approach to innovation that puts equal emphasis on developing solutions that help improve patient outcomes and reduce the cost of achieving them. Not one. Not the other. Both. It’s an approach to technology that results in better, more affordable care. Results that show in the financial performance of hospitals, and in the faces of the people they serve.

Answers for life. 1


Hospital of Tomorrow program guide