Agenda

AGENDA


time iconApril 8, 2024 07:00
Holiday Ballroom Foyer
time iconApril 8, 2024 07:00
See Event Map
time iconApril 8, 2024 09:00
Johnson A&B

Effective quality improvement (QI) begins by understanding the problem you are trying to solve. This mini plenary will discuss several tools that Medicaid and Children's Health Insurance Program (CHIP) agency staff can use to understand challenges and identify solutions for QI, as well as help identify the measures and partners needed to effect change. Participants will hear from an improvement advisor and state speaker who will describe these tools and how they applied them in their QI efforts. The class will also review new resources and tools developed by CMS to help state staff and their QI partners address other key areas of improvement in Medicaid and CHIP programs. 

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Deirdra Stockmann, PhD, MUP, (Moderator)
Director,
Division of Quality and Health Outcomes, Center for Medicaid and CHIP Services,
Centers for Medicare & Medicaid Services

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Jane Taylor, MHA, MBA, ED.D.
Improvement Advisor,
Jane A. Taylor, ED.D., LLC

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Tony Richards, MPH, PMD Pro
Director,
Office of Child Welfare,
Center for Managed Care,
Bureau for Medical Services,
West Virginia Department of Health and Human Resources

time iconApril 8, 2024 09:00
Holiday 1-3

Climate change represents an unprecedented threat to the health of people around the world, particularly certain groups that – for reasons of long-time discrimination, disenfranchisement, and underinvestment – are much more exposed to climate-related harm. Given this, the Biden Administration created a new Office of Climate Change and Health Equity (OCCHE) to mobilize all of HHS to act in support of communities and providers across the country addressing this challenge. In this session, the OCCHE team and colleagues from CMS will describe the scope and nature of climate-related threats to health, and tools and resources to support providers and other stakeholders in tackling them, including billions of dollars in tax credits and grants from the Inflation Reduction Act and forthcoming programming from CMS.

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Anita Monteiro
Director, iQuality Improvement & Innovation Group
Centers for Medicare & Medicaid Services

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Joe McCannon
Special Expert and Senior Advisor,
Agency for Healthcare Research and Quality/Office of Climate Change and Health Equity

time iconApril 8, 2024 09:00
Holiday 6

CMS is committed to promoting clinician well-being through our efforts to support clinicians and systems in providing high quality care, and to identify and reduce administrative burden. A systems approach to promoting well-being and resilience in health care is a cornerstone of the National Academy of Medicine’s Action Collaborative on Clinician Well-Being and Resilience. This session will explore insights and tools from four leaders in this field who are working to strengthen and energize the health care workforce by better understanding the factors that lead to clinician burnout and promoting joy in health care. Speakers from the American Medical Association (AMA), the University of Colorado School of Medicine, Duke University Health System and Johns Hopkins Medicine will discuss the negative impact of health care worker burnout on both individuals and health care systems, and share strategies organizations can use to support well-being and resilience and create space for health care workers to stay energized and deliver excellent care.

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Lotte Dyrbye, MD, MHPE
Senior Associate Dean of Faculty and Chief Well-being Officer,
University of Colorado School of Medicine

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Lee Daugherty Biddison, MD, MPH
Chief Wellness Officer,
Director of Credentialing,
Associate Professor,
Johns Hopkins School of Medicine

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Christine Sinsky, MD
Vice President of Professional Satisfaction,
American Medical Association

time iconApril 8, 2024 10:30
Key Ballroom & Live Streamed

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Jean Moody-Williams, RN, MPP
Deputy Director,
Center for Clinical Standards and Quality,
Centers for Medicare & Medicaid Services

time iconApril 8, 2024 10:35
Key Ballroom & Live Streamed

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Chiquita Brooks-LaSure
Administrator,
Centers for Medicare & Medicaid Services

time iconApril 8, 2024 10:50
Key Ballroom & Live Streamed

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Andrea Palm
Deputy Secretary
Department of Health and Human Services

time iconApril 8, 2024 11:05
Key Ballroom & Live Streamed

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Elizabeth “Liz” Fowler, PhD, JD
Deputy Administrator and Director,
Center for Medicare and Medicaid Innovation,
Centers for Medicare & Medicaid Services

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Meena Seshamani, MD, PhD
Deputy Administrator and Director,
Center for Medicare,
Centers for Medicare & Medicaid Services

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Dora Hughes, MD, MPH
Acting Chief Medical Officer & Acting Director,
Center for Clinical Standards and Quality,
Centers for Medicare & Medicaid Services

time iconApril 8, 2024 11:35
Key Ballroom & Live Streamed

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Daniel Tsai
Deputy Administrator & Director,
Center for Medicaid and CHIP Services,
Centers for Medicare & Medicaid Services

time iconApril 8, 2024 11:50
Key Ballroom & Live Streamed

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Aditi Mallick, MD
Acting Director,
Office of Minority Health Centers for Medicare & Medicaid Services

time iconApril 8, 2024 12:05
Key Ballroom & Live Streamed

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Jean Moody-Williams, RN, MPP
Deputy Director,
Center for Clinical Standards and Quality,
Centers for Medicare & Medicaid Services

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Susannah Bernheim, MD, MHS
Chief Quality Officer & Acting Chief Medical Officer,
Center for Medicare and Medicaid Innovation,
Centers for Medicare & Medicaid Services

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David M. White
Patient Advocate

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Carol Pugh
Caregiver

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Laura Cooley, PhD
Editor-in-Chief,
The Journal of Patient Experience

time iconApril 8, 2024 12:30

Grab & Go stations will be conveniently located throughout the main convention floor (Floor 2).

Food Trucks will be stationed on Eutaw Street beneath the Skywalk.

Explore any of the amazing nearby restaurants

time iconApril 8, 2024 12:35
time iconApril 8, 2024 12:45
Holiday 6

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Anita Monteiro
Director, iQuality Improvement & Innovation Group
Centers for Medicare & Medicaid Services

time iconApril 8, 2024 14:00
Poe A&B

This is In Person Session.

Alzheimer’s Disease and Alzheimer’s Disease Related Dementias (AD/ADRD) affect as many as six million people in the United States, a number expected to more than double by 2060.  AD/ADRD are debilitating conditions that impair memory, thought processes, and function, primarily among older adults. The chance of developing dementia is not equal—Black and Latino Americans are more likely to develop AD/ADRD, as are people with risk factors such as high blood pressure, diabetes, and depression.

AD/ADRD has physical, psychological, social, and economic impacts for the person, families and caregivers, communities, and the nation. Person-centered care is effective for people living with dementia when care goals are known and used to guide nonpharmacologic and pharmacological treatment.  This session will address the importance of person-centered, patient-clinician decision making and identify ways to use the approach in dementia care planning broadly.

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Adrienne Mims, MD, MPH, AGSF
Chief Medical Officer,
Rainmakers Strategic Solutions

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Shari Ling, MD (Moderator)
Deputy CMS Chief Medical Officer,
Centers for Medicare & Medicaid Services

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Esther Oh, MD, PhD
Associate Professor of Medicine,
Psychiatry and Behavioral Sciences and Pathology,
Johns Hopkins University School of Medicine

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Tonya Saffer, MPH
Director,
Division of Healthcare Payment Models within the Patient Care Models Group,
Center for Medicaid and CHIP Services,
Centers for Medicare & Medicaid Services

time iconApril 8, 2024 14:00
Johnson A&B

This is In Person Session

This session will explore findings from section 1115 Substance Use Disorder (SUD; (#17-003 RE: Strategies to Address the Opioid Epidemic) and Serious Mental Illness (SMI; #18-011 Opportunities to Design Innovative Service Delivery Systems for Adults with a Serious Mental Illness or Children with a Serious Emotional Disturbance) demonstrations.  States conduct structured monitoring and rigorous evaluations of the demonstrations, and the Centers for Medicaid and CHIP Services (CMCS) conducts federal monitoring and evaluation of both demonstration opportunities to support identifying best practices and learning and diffusion.  CMCS will share key findings and discuss how it uses findings.  Based on data submitted to CMS through June 2022, between the baseline and Demonstration Year 3 and later, the demonstrations were associated with a 17.1 percent increase in the number of beneficiaries using SUD treatment services.  For beneficiaries with opioid use disorder (OUD), the demonstrations were associated with an increase in the share of beneficiaries receiving medication assisted treatment (MAT).  However, overdose death rates increased in 10 out of 14 states and the rate of ambulatory/preventive care use declined in 11 of 14 states.   Presenters will discuss state activities to address findings, including but not limited to strategies to increase access to MAT.  Lastly, Kentucky will share how their team uses the information to inform continuous process and quality improvement of the demonstration.

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Sarah Sheets, MPhil
Research Analyst,
State Demonstrations Group,
Center for Medicaid and CHIP Services,
Centers for Medicare and Medicaid Services

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Leslie Hoffman, M.Ed., LSSYB
Kentucky Cabinet for Health and Family Services,
Department for Medicaid Services

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Danielle Daly, PhD, MS
State Demonstrations Group,
Center for Medicaid and CHIP Services,
Centers for Medicare and Medicaid Services

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Angela Sparrow, MSW, CSW
Behavioral Health Supervisor,
Kentucky Cabinet for Health and Family Services,
Department for Medicaid Services

time iconApril 8, 2024 14:00
Peale A-B

This is In Person Session

The Indian Health Service (IHS) continues to support the expanded use of telehealth to provide patient care after the COVID-19 Public Health Emergency (PHE). This presentation will focus on an overview of the use of telehealth at the IHS and the support the Centers for Medicare & Medicaid Services (Centers for Medicare & Medicaid Services) provides. The presentation will include the accomplishments in expanding telehealth from April 2020 to the present. The various telehealth services available at the IHS will be discussed including Centers for Medicare & Medicaid Services’ support provided to rural and frontier areas. Issues in providing audio-only services will be discussed and aligned with services on the Medicare Telehealth Services List for CY 2024. Presenters will provide metrics describing the utilization of telehealth in IHS. Telehealth best practices will be discussed, and quantitative and qualitative results from IHS patient and IHS provider telehealth surveys will be addressed. Finally, patient outcomes utilizing telehealth services will be included and quality improvement options provided.

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Susan Karol, MD
Chief Medical Officer,
Division of Tribal Affairs,
Centers for Medicare & Medicaid Services

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Susy Postal, DNP, RN-BC
Chief Informatics Officer,
Indian Health Service

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Chris Fore, PhD
Director,
Indian Health Service Telebehavioral Health Center of Excellence

time iconApril 8, 2024 14:00
Key Ballroom 1-4

This is In Person Session

The purpose of the proposed panel is to describe the CMS Innovation Center’s approach to strengthening the focus on quality, outcomes, and experience within the Innovation Center’s alternative payment models. The resulting Quality Pathway emerged from the 2021 strategic refresh and includes development of a process to certify models for expansion based on quality improvement. The panel will introduce the pathway, describing how it elevates patient outcomes and experience of care within alternative payment models and emphasizes the translation of a model’s theory of action into measurable benefits for patients. The panel will discuss how this alignment of model design and quality strategy also drives new approaches to model evaluation, and how the Quality Pathway will be used to identify when a model may be eligible for expansion based on demonstrated quality improvement in alignment with CMMI’s statutory mandate. Having addressed the conceptual basis for the Pathway, the panel will share examples of models recently under development to demonstrate how the pathway will be used at the Center. This will include insight into design choices around measure selection, implementation decisions on data collection, and evaluation considerations on methodological approach. As part of discussing implementation of the pathway, the panel will identify a number of considerations entailed in executing this new approach to model quality strategies at the Center, such as those associated with novel measure development and rigorously evaluating the impact of models on patient outcome and experience.

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Noemi Rudolph, MPH
Director,
Research and Rapid Cycle Evaluation Group,
Center for Medicare and Medicaid Innovation (CMMI)

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Jacob Quinton, MD, MPH
Medical Officer,
Center for Medicare and Medicaid Innovation (CMMI),
Centers for Medicare & Medicaid Services

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Susannah Bernheim, MD, MHS
Chief Quality Officer & Acting Chief Medical Officer,
Center for Medicare and Medicaid Innovation,
Centers for Medicare & Medicaid Services

time iconApril 8, 2024 14:00
Latrobe

Assuring the transplantation of every kidney offer includes ensuring that those patients who are likely to soon receive an organ offer are prepared to accept. Froedtert Memorial Lutheran Hospital’s quality improvement activities highlighted a potential opportunity for refinement in this aspect of the pre-transplant process. Beginning in Spring 2023, the transplant team developed and executed an enhanced patient preparation called Top of the List to meet this need.  

From the perspective of a long-time dialysis social worker and transplant recipient, Mr. Mace will bring his insights on supporting patients waiting for a transplant. He will also share his experience on how to build collaborative communication and standard processes between the dialysis facility and the transplant program to ensure patients are transplant ready.

Top of the List focuses on ensuring patients based upon the OPTN allocation sequence at the top of each blood type are “transplant ready.” Froedtert’s enhancements to the process included: weekly calls to the patient from the pre-transplant coordinator, immediate review of medical records including updates from dialysis units, weekly care team meetings with multi-disciplinary review, and weekly emails to the patients’ dialysis centers to ensure timely communication on pertinent patient issues or changes in status. While outcome data is still being collected, the process shows potential to increase organ offer acceptance and simplifying activities when the offer is made.

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Mercedes Islas, BSN, RN
Froedtert Memorial Lutheran Hospital

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Michael Mace, MSW, LICSW
Nephrology Social Worker,
Fresenius Kidney Care

time iconApril 8, 2024 14:00
Holiday 4-5

This is In Person Session

The Mishawaka Indiana Home Therapy Team has operated on the premise that everyone deserves to attain their highest level of health and quality of life with improved dialysis treatment options. The Team aimed to cultivate a culture change and develop an effective strategy for delivering excellent kidney patient care. 

A foundational component of the team’s strategy is based on Jean Watson’s Theory of Human Caring. In tandem with Watson's theory, the team integrated Lean Six Sigma principles into the framework. 

This innovative process began in 2022 and incorporated elements into the new model, including group training, transforming traditional nursing roles, instilling an “owner versus renter” mentality, process improvement, and patient satisfaction through relationship-building practices. This foundation was designed to enhance the ability to deliver higher levels of care that improve the quality of life for every patient, every day. 

During the group training implementation, clinical staff witnessed an exceptional phenomenon. Peer-to-peer relationships blossomed, spirits lifted, and the atmosphere in the room became magical. Patients were learning from each other and forming friendships that transcended the one-on-one training. Patients and caregivers began encouraging one another and forming their own support networks. The clinic’s dynamic was transformed because of it. Within the first 10 months, the number of trained patients surpassed the clinic's entire patient population from the previous year. This model of care is transformative and can lead to meaningful human connections that enhance the quality of care and improve a patient’s quality of life.

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Tammy Carmean, MBA-HM, BSN, RN,
Fresenius Home Therapies Program Manager,
Fresenius Kidney Care

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Donna Ferguson, RN, BSN
RN Charge Nurse II,
Fresenius Kidney Care

time iconApril 8, 2024 14:00
Holiday 6

This is In Person Session

Four presenters, each a Partnership to Advance Tribal Health (PATH) team member supporting a different Indian Health Service (IHS) facility, will share their process, methods and goals for supporting a community in building a Community Health Assessments (CHA). Each presenter played a different role in the CHA process, illustrating how this work should be guided by each specific community or group and how trust, flexibility and responsiveness are keys to success in any initiative. Presenters will share their experiences, tools used, recommendations, challenges and successes for collaborating with a tribal community in building a CHA.

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Linda Griskell, MHA (Moderator)
PATH Task Order Director,
Comagine Health

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Tasha Peltier, MPH, CPH
PATH Quality Improvement Advisor and Community Engagement Advocate,
Quality Health Associates of North Dakota

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Carrie Howard, MA, CPHQ, CPPS
PATH Quality Improvement Advisor,
Stratis Health

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Julia Drishinski, BSN, RN, CPHQ
PATH Quality Improvement Advisor,
Mountain Pacific

time iconApril 8, 2024 14:00
Ruth

This is In Person Session

Over the past two years, CMS has made significant strides in advancing oral health across all our programs. From 2020-2023, a CMS learning collaborative focused on advancing oral health prevention in primary care. Topically applied fluoride varnish effectively prevents dental caries in children and adolescents. Because young children under 5 are more likely to see a primary care provider (PCP) than a dental provider, PCPs are uniquely positioned to support oral health prevention by offering fluoride varnish as part of primary care visits and connecting beneficiaries to dental care. The session will open with an overview of the technical assistance CMS provides state Medicaid and CHIP agencies and their quality Improvement (QI) partners to advance oral health prevention in primary care for Medicaid and CHIP beneficiaries, featuring several state QI projects from the affinity group, highlighting their strategies, partnerships, and lessons learned.

In 2022, CMS conducted its first-ever oral-focused human-centered design research in four states, interviewing nearly 100 people (i.e., beneficiaries, providers, advocates, state administrators, etc.) to understand barriers to oral health care access for the Medicaid and dually eligible population to inform policy change. In this session, The CMS Chief Dental Officer, Dr. Chalmers, will present the findings from that engagement.

CMS also convened a Workgroup to gather stakeholder feedback from experts in the field to plan strategic priorities for the next phase of our Medicaid and CHIP Oral Health Initiative. The focus is to assess gaps related to oral health and access to care for Medicaid and CHIP beneficiaries and recommend strategic priorities for the next five years. The session will conclude the workgroup process and overview of the final report and recommendations.

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Margo Rosenbach, PhD
Vice President and Director of Health Program Improvement,
Mathematica

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Andrew Snyder, MPA, (Moderator)
Senior Policy Advisor,
Center for Medicaid and CHIP Services,
Centers for Medicare & Medicaid Services

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Natalia Chalmers, DDS, MHSc, PhD
Chief Dental Officer,
Office of the Administrator,
Centers for Medicare & Medicaid Services

time iconApril 8, 2024 14:00
Holiday 1-3

This is In Person Session

Emergency preparedness planning in nursing homes is crucial for safeguarding vulnerable populations, especially amid the challenges resulting from the pandemic. Staffing shortages limit the ability to focus on preparedness, with 77 percent of nursing homes facing challenges preparing for public health emergencies and natural disasters, according to a recent OIG report. To address this, Telligen developed an online assessment tool aligned with federal regulations and co-designed with nursing home partners to assist nursing homes in creating comprehensive emergency plans. This tool evaluates existing plans, procedures, and resources, focusing on evacuation plans, staff training, and essential resource availability and provides a comprehensive gap analysis for users to target their improvement efforts. Coordination with local emergency services for effective crisis collaboration is emphasized.

Upon completion, Telligen helps nursing homes identify and rectify gaps in their plans, enhancing their responsiveness to various emergencies. This session will highlight lessons learned from 368 completed assessments across a four-state region, showcase Telligen's collaboration with nursing home corporations to enhance testing, training plans, and system-level awareness for improvement, and offer best practices to foster a culture of readiness and resilience, ultimately ensuring the health and safety of residents and staff during crises.

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Rejie Abraham, (Moderator)
Centers for Medicare & Medicaid Services,
DCPH

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Brian Feist, BSN, RN
Senior Quality Improvement Facilitator,
Subject Matter Expert for Emergency Preparedness,
Telligen

time iconApril 8, 2024 14:00
Key Ballroom 9-12

This is In Person Session

Patient safety events (PSEs) remain a persistent challenge in our healthcare system, and the Centers for Medicare & Medicaid Services (CMS) has adopted the goal of Zero Preventable Harm as part of its National Quality Strategy (NQS). This presentation will (1) discuss the prevalence of PSEs among Medicare beneficiaries, (2) analyze associated additional inpatient care and financial costs, and (3) provide insight to support CMS’ aim to promote the safest possible care for all. The Beneficiary and Family Centered Care National Coordinating Oversight and Review Center (BFCC NCORC) screens 4,000 Medicare medical records annually for PSEs, leading to follow-up actions by the BFCC-Quality Improvement Organizations (QIOs). NCORC analyzed additional days of hospitalization and payment associated with PSEs projected on a national level, by sample weighting, representing beneficiaries based on 4,000 Medicare discharges between October 2020 and December 2021. Over 5,000 PSEs were identified, and half of beneficiaries experienced at least one, with 6% being deemed preventable. PSEs were associated with nearly four additional days of inpatient care on average, totaling 32.5 million additional days nationally. This equates to $86 billion per year, or about one-tenth of all Medicare spending. Preventable PSEs cause about 5.7 million additional days of care, and over $15 billion in spending. Patient safety is the cornerstone of high-quality healthcare, yet PSEs happened in more than half of Medicare beneficiary hospitalizations, accounting for nearly 10% of all Medicare spending. These findings reinforce the urgent need for CMS’ quality agenda, and the goal of achieving zero preventable harm.

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Li Chen, Ph.D
Health Research Lead,
Avar Consulting

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Wendy Gary, MHA, (Moderator)
Chief Operating Officer,
Avar Consulting;
Executive Director,
BFCC-QIO;
Project Director,
BFCC NCORC

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Jacklyn Vollmer, MPH
Quality Improvement and Operations Support Specialist,
Avar Consulting

time iconApril 8, 2024 14:00
Key Ballroom & Live Streamed

This session provides an overview of the Merit-based Incentive Payment System (MIPS) cost measure development process, measure methodologies (construction and attribution), cost measure scoring, and feedback reporting.

Cost measures are used to assess the overall cost related to providing and receiving medical care. Costs can include the direct costs of treatment, the total costs borne by a patient across all providers, follow-up care, outcomes after treatment, or some mixture of these.  Cost measures are developed and maintained in iterative processes involving in-depth input from content experts and the public, such as Technical Expert Panels, Clinical Expert Workgroups, and persons and families with lived experience related to the cost measures. CMS uses Medicare administrative claims data to calculate cost measure performance, which means clinicians don’t have to submit any data for this performance category. MIPS eligible clinicians and groups who get scored on any of the cost measures will receive category and measure-level scoring information in their MIPS Performance Feedback Patient-Level Data Reports. 

CMS will review an example of how a measure is developed, constructed, and scored. This will include defining an episode, identifying a clinician-patient relationship, determining the period of care, assigning costs of clinically related services, accounting for patient heterogeneity, calculating measure scores, and providing pertinent claims level feedback.

The session will provide insight on the methodologies CMS employs for developing and scoring cost measures, and how CMS is striving to improve the cost measures resources and data available to clinicians.

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Allie Newsom, MPH
Senior Policy Lead,
Acumen, LLC

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Christopher Reinartz, (Moderator)
Division Director,
Information Systems Group,
Center for Clinical Standards and Quality,
Centers for Medicare & Medicaid Services

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Donta Henson, MS
Center for Clinical Standards and Quality,
Centers for Medicare & Medicaid Services

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Shirley Fung, MPH, MSMR,
MIPS Scoring, Data & Analytics, and Operations Lead,
Center for Clinical Standards and Quality,
Centers for Medicare & Medicaid Services

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Steven Szeliga, MS,
QPP Chief Product Owner,
ICF International, Inc.

time iconApril 8, 2024 14:00
Virtual Event Platform

In response to the President’s executive order to advance racial equity and support for underserved communities, the Department of Health and Human Services (HHS) established an equity action plan. In alignment with this plan, Beneficiary and Family-Centered Care Quality Improvement Organizations (BFCC-QIOs) are working to identify and address barriers to equitable access and utilization of beneficiary protection, support, and advocacy services.

BFCC-QIOs offer case review services for beneficiaries who think they may be entitled to additional Medicare-covered services, or who think the quality of care they received does not meet clinical standards. Using BFCC-QIO program data, we assessed the degree to which case review services are being utilized by beneficiaries of different races and ethnicities.

Disparities in case review utilization are evident among Hispanic and Asian beneficiaries and these disparities may further contribute to existing health outcome inequalities. The concern is that these beneficiaries are still experiencing premature healthcare service termination or other quality of care issues such as gaps between government and other health providers, but are not exercising their right to review and possibly resolve these issues through BFCC-QIO program services.

BFCC-QIOs are carefully analyzing the approach and implementation strategies for their work. Seeking input from experts, stakeholders and Medicare beneficiaries, BFCC-QIOs are identifying strategies to improve access and awareness and reduce disparities in use of BFCC-QIO case review services that may contribute to poor health outcomes.

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Scott Fortin, MBA
Sr. Director Communications and Outreach,
Kepro

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Carmen Villegas, RN, BSN, BCPA
Immediate Advocacy Manager,
Livanta

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Stephanie Fry, BA, CPXP
Associate Vice President,
Westat

time iconApril 8, 2024 14:00
Virtual Event Platform

The 2024 National Impact Assessment aggregates retrospective data from 26 CMS quality and value-based incentive programs to characterize quality and efficiency impacts associated with the use of measures. The session will focus on summarizing key findings from these comprehensive analyses that provide important insights regarding effects of the COVID-19 pandemic during the period of analysis. We will describe national measure performance trend data pre-COVID-19 (2016–2019) compared with results in the initial years of the COVID-19 public health emergency (PHE)— 2020 and 2021— and describe patient impact and costs avoided when performance for select measures improved. Data also will be presented on how the CMS measure portfolio is evolving to reduce measurement burden and address CMS quality priorities. Lessons learned from the COVID-19 PHE and proposed actions to improve the resilience of quality measurement and the health care system will be discussed. Finally, underscoring equity as a primary objective of the CMS National Quality Strategy, the session will explore patterns of disparities in quality measure scores and offer insight into underlying drivers of disparities identified through focus groups in underserved communities.

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Robert Ziemba, PhD
Statistician,
HSAG

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Kyle Campbell, PharmD
Project Director,
HSAG

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Kendra Hanley, MS, BA
Impact Assessment Team Lead,
HSAG

time iconApril 8, 2024 14:00
Virtual Event Platform

Million Hearts® prioritized strategies for building healthy communities and optimizing care through a committed focus on specific populations experiencing inequities. This session describes how Million Hearts 2027 is addressing health equity with a review of communication assets and opportunities for engagement, an exploration of health equity-related issues for widespread use of self-measured blood pressure monitoring and cardiac rehabilitation, and an overview of new and future opportunities to reduce cardiovascular maternal health disparities.

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Haley Stolp
Policy and Partnership Strategist,
Centers for Disease Control Disease Control and Prevention

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Laurence Sperling, MD, FACC, FAHA, FACP, FASPC
Executive Director,
Million Hearts Initiative,
Centers for Disease Control and Prevention

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Taylor Streeter, MPH
Health Scientist,
ASRT, Inc.

time iconApril 8, 2024 15:00
Key Ballroom & Live Streamed

This session will bring together experts in the field of Behavioral and Physical Health Integration from CMS’s Center for Medicare & Medicaid Innovation (CMMI), the Agency for Healthcare Research and Quality (AHRQ), and the Office of the National Coordinator for Health Information Technology (ONC) to discuss innovations and lessons learned. The speakers will share what they are doing in their specific areas and engage in discussion around 5 key elements of integration: 1) team based care, 2) workforce training, education and culture, 3) community and individual needs, 4) payment and 5) infrastructure, IT and data sharing.

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Elisabeth Kato, MD, MRP
Medical Officer,
Agency for Healthcare Research and Quality

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Shari Ling, MD (Moderator)
Deputy CMS Chief Medical Officer,
Centers for Medicare & Medicaid Services

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Michael Wittie
Public Health Analyst,
Office of Policy,
Office of the National Coordinator for Health Information Technology

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Rebecca VanAmburg
Social Science Research Analyst,
Center for Medicare and Medicaid Innovation,
Centers For Medicare & Medicaid Services

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Karran Phillips, MD, MSc
Deputy Director,
Center for Substance Abuse Treatment,
SAMSHA

time iconApril 8, 2024 15:00
Holiday 1-3

This is In Person Session

This session will inform and engage participants in the development of Project PIVOT (Patients Involved in developing Outcomes Together), a patient-driven research initiative to identify and prioritize Patient Reported Experiences (PREs) and Patient-Reported Outcomes (PROs) that matter most to them on the issues of patient safety, diagnosis safety and health equity.

Purpose: There is heightened national awareness, including at the White House, across CMS and other DHHS agencies, and among researchers about improving patient experiences and outcomes by addressing embedded patient safety, diagnostic and health equity challenges. In the past, improvement work has incorporated traditional tools such as clinical outcome measures and satisfaction scores. There has been limited incorporation of PREs and PROs prioritized by patient/consumer community. Project PIVOT will provide an opportunity for a range of diverse patients/families, and communities, especially those who experience marginalization, to come together with measure development experts to identify and prioritize PREs and PROs that matter most to them.

Evaluation: The ultimate goal of Project PIVOT is to identify existing validated patient reported measures of patient safety and discrimination/bias and facilitate the creation of new validated measures where none exist to ensure more meaningful measurement and future research.

Outcomes:

  • Patient-identified and prioritized, existing, validated PREs and PROs
  • Patient-identified and prioritized PREs and PROs for which no validated measures exist
  • PREs and PROs that address specific challenges faced by minorities, persons with disabilities or chronic conditions, persons at risk for disparate maternal/child health outcomes, and other communities at heightened risk for disparate outcomes.
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Suz Schrandt, JD
Founder,
CEO and Chief Patient Advocate,
ExPPect

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Martin Hatlie, JD
Founding Member,
Patients for Patient Safety US

time iconApril 8, 2024 15:00
Holiday 6

This is In Person Session

Recognizing the scope and complexity of health system challenges can be overwhelming. Committing to improving quality in healthcare can be exciting but daunting. What does a successful path forward look like? As the PHE taught us, it’s the basics: consistent processes, quality monitoring and most importantly, staff engagement, that are at the heart of routine or extraordinary medical responses. This session will discuss how to focus on the basic systems and foundation necessary to build any quality intervention, both organizationally and personally. This session is focused on the power of personal purpose in shaping the path forward, and our collective responsibility in making and sustaining improvements.

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Anita Monteiro
Director, iQuality Improvement & Innovation Group
Centers for Medicare & Medicaid Services

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Joshua Cartwright, DHA, MHL, CPHQ, FACHDM
Associate Principal – HRC
Chartis

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David Wright, MPA
Director,
Quality Safety & Oversight Group,
Centers for Medicare & Medicaid Services

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Tom Evans, MD, FAAFP
President & CEO,
Iowa Healthcare Collaborative

time iconApril 8, 2024 16:00
Johnson A&B

This is In Person Session

This session will focus on the Equity in Postpartum Care Challenge prize competition, which rewards innovative strategies to improve postpartum care for Black or African American and American Indian or Alaska Native (AI/AN) beneficiaries enrolled in Medicaid or Children’s Health Insurance Program (CHIP). The competition emphasizes follow-up care form conditions associated with morbidity and mortality in the later postpartum period, including diabetes, postpartum depression and/or postpartum anxiety, hypertension, and substance use disorders (SUD). Two winners will speak about their winning projects and how they succeeded in scaling and spreading their ideas to improve equity in postpartum care.

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Kristen Zycherman, RN, BSN
Quality Improvement Technical Director,
Division of Quality and Health Outcomes, Children and Adult Health Program Group,
Center for Medicaid & CHIP Services

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Adi Hirshberg, MD
Director of Obstetrical Services, Clinical Associate Professor, Maternal Fetal Medicine,
Hospital of the University of Pennsylvania, Penn Medicine

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Lindsay Standeven, MD
Assistant Professor of Psychiatry and Behavioral Sciences and Clinical Education Director,
The Johns Hopkins Reproductive Mental Health Center

time iconApril 8, 2024 16:00
Peale A-B

This is In Person Session

This session will provide information about the statutory and regulatory quality requirements associated with HCBS waiver programs.  The session will outline the quality assurances states must provide, including obligations for quality monitoring and improvement.  It will also provide details about the Center for Medicaid and CHIP Services quality oversight including health and welfare site visits in states.

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George Failla, Esq.
Director,
Medicaid & CHIP Operations Group,
Division of Home and Community Based Services Operations and Oversight,
Center for Medicaid and CHIP Services,
Centers for Medicare & Medicaid Services

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Susan Cummins
Technical Director,
Medicaid & CHIP Operations Group,
Division of Home and Community Based Services Operations and Oversight,
Center for Medicaid and CHIP Services,
Centers for Medicare & Medicaid Services

time iconApril 8, 2024 16:00
Poe A&B

This is In Person Session

This session will focus on efforts from CMS and NIH/NHLBI to improve access, quality, and the experience of health care for individuals with Sickle Cell Disease (SCD). In 2023, CMS released a new CMS Action Plan for SCD. The Action Plan is based on listening sessions and lessons from the field as CMS is continuously gathering information on what barriers exist for individuals and providers. CMS will highlight some activities in the SCD Action Plan that address the challenges specific to CMS programs which are designed to improve health outcomes and reduce health disparities for individuals with SCD. In addition, this session will address current NIH/NHLBI efforts that are underway to advance our research and knowledge of SCD to help improve the lives of those living with this disease. Lastly, you will hear from a representative from the Maryland Sickle Cell Disease Association and her experience with SCD.

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Teanika Hoffman, MA
CHW,
Sickle Cell Coalition of Maryland

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Shondelle Wilson-Frederick, PhD, NHLBI
Chief Engagement Officer,
National Heart, Lung and Blood Institute (NHLBI)
National Institutes of Health (NIH)

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Melissa Majerol
Cell and Gene Therapy Access Model Co-Lead,
Center for Medicare and Medicaid Innovation (CMMI)

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Jessica Lee, MD, MSHP
Acting Chief Medical Director,
Center for Medicaid and CHIP Services,
Centers for Medicare & Medicaid Services

time iconApril 8, 2024 16:00
Holiday 6

This is In Person Session

As CMS seeks to align quality measures through the Universal Foundation, there remain important measurement gaps. The CMS Innovation Center strategically chooses to develop new measures when tied to the overarching goal of a model.  We will describe the context, importance and development of new measures for Center for Medicare and Medicaid Innovation (CMMI) alternative payment models. 

CMMI will discuss considerations for new measure development in newly announced CMMI models, as well as the approach and rationale for new measure development in current models.  This session will also highlight novel measures under the Integrated Care for Kids (InCK) and Emergency Triage, Treat, and Transport (ET3) model and the Guiding an Improved Dementia Experience model to highlight this work:

InCK:  There is evidence that interventions aimed at reducing rates of youth out of home placement (OOHP) have the potential to both improve children’s health outcomes and reduce their rates of avoidable health care utilization.  This session will provide an overview of the novel OOHP measure developed for the InCK Model. This measure reports the rate of new OOHP episodes per 1,000 attributed beneficiaries in a set geographic area.

ET3:  The ET3 Model tested an innovative new approach to paying for emergency ground ambulance services in Medicare. In order to better assess the efficacy of triage interventions, CMMI developed the Post-Triage Emergency Department (ED) Visit measure that assessed the rate at which patients return to the ED within three days of an intervention.

Participants will learn how the CMS Innovation Center evaluates opportunities to develop new quality measures and the details of recently developed measures.

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Alexis Lilly, MBA
Deputy Director,
Center for Medicare and Medicaid Innovation (CMMI),
Centers for Medicare & Medicaid Services

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Chadwick Morgan, MPH
Integrated Care for Kids
Center for Medicare and Medicaid Innovation (CMMI)
Centers for Medicare & Medicaid Services

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Emily Creveling, MSW
Integrated Care for Kids Model Co-Lead,
Center for Medicare and Medicaid Innovation (CMMI),
Centers for Medicare & Medicaid Services

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Jacob Quinton, MD, MPH
Medical Officer,
Center for Medicare and Medicaid Innovation (CMMI),
Centers for Medicare & Medicaid Services

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Marvin Nichols, MHA
ET3 Model Lead,
Center for Medicare and Medicaid Innovation (CMMI),
Centers for Medicare & Medicaid Services

time iconApril 8, 2024 16:00
Key Ballroom 1-4

This is In Person Session

A critical part of advancing reform and addressing provider burden in the health care system is creating meaningful alignment among payers.  Over the last year, both Center for Medicare and Medicaid Innovation (CMMI) and the Learning and Action Networks (LAN) have announced new models and initiatives meant to generate directional alignment that balances the need for multi-payer alignment goals with payer flexibility.  This session describes how these efforts work together to generate this alignment at both the national and local levels.

Emphasizing both collaborative and individual efforts, CMMI and the LAN will highlight key initiatives and milestones generating meaningful multi-payer alignment across the healthcare market.  In both instances, these efforts adopt the principles of directional alignment, where alignment does not require identical arrangements or programs, but looks to create collaboration and alignment around core areas, such as quality measurement, and create closer alignment over time.  

Participants will learn how CMMI and the LAN are working together and with a wide range of partners to advance alignment in key areas of delivery system reform.

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Sonya Streeter, MPP, MPH
Associate Vice President,
Westat

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Chiao Wen Lan, PhD, MPH, CPH
Social Scientist,
End Stage Renal Disease National Coordinating Center (ESRD NCC)

time iconApril 8, 2024 16:00
Holiday 4-5

In the aftermath of the COVID-19 pandemic, hospitals struggled with low performance in healthcare-associated infections (HAIs). Hospitals were overwhelmed and frustrated with their performance as a result of competing priorities due to COVID-19 and resultant staff turnover.  Health care professionals, specifically infection preventionists (IPs) struggled during and after the pandemic.

In 2023, TMF launched a series of topic-specific affinity discussion groups to address lagging performance by its supported  hospitals on specific patient safety measures. Each affinity group met monthly for three months and focused on one specific topic. We started with topics that hospitals struggled to improve, such as sepsis and pressure injuries. We provided short on-demand videos, tools and resources, and access to a subject matter expert for each group. The theme of Cultivate Your Patient Safety Environment was used across all affinity group topics.

The Alliant Hospital Quality Improvement Contractor (HQIC) applied a peer-to-peer strategy through hospital networking and one-on-one customized calls to reduce HAIs as well as improve reporting of National Healthcare Safety Network (NHSN) data. As a result of a networking call, one hospital was able to learn from a high performing hospital to significantly decrease pressure injuries. An Infection Preventionist and subject matter expert worked one-on-one with hospitals that had newly hired IPs or staff new to the role. Together, they identified gaps and implemented interventions that led to change and improvement in HAIs. Coaching packages which included best-practice interventions and links to relevant resources and professional websites were shared with hospitals. The data were monitored over time until target goals were achieved.

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Donna Cohen, BSN, RN, CCM
Director Quality Programs,
Alliant Health Solutions

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Rose Langdon, BSN, MBA, CPHQ, FNAHQ
Lead Educator,
TMF Health Quality Institute

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Karen Holtz, MS, MT(ASCP), CPHQ
HQIC Education Lead,
Alliant Health Solutions

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Ann Werner, MSW, CPHQ
Director,
TMF Health Quality Institute

time iconApril 8, 2024 16:00
Holiday 1-3

This is In Person Session

Hospital Quality Improvement Contractor (HQIC) use a variety of data sources to inform their ability to provide customized technical assistance. As early adopters and promoters of the Centers for Disease Control and Prevention (CDC) Hospital Sepsis Program Core Elements, Health Quality Innovators (HQI) leveraged this framework to identify hospital program needs and designed a flexible core of technical assistance to meet hospitals at various levels of sepsis program implementation. Health Quality Innovators (HQI) analyzed the NHSN 2022 Patient Safety Component—Annual Hospital Survey, specifically responses under the Sepsis Management and Practices section. Questions in the annual survey are closely tied to the CDC’s Hospital Sepsis Program Core Elements, however, Health Quality Innovators (HQI) was already using this framework with HQIC hospitals prior to the official launch of the program in August 2023. Health Quality Innovators (HQI) used the survey results to inform technical assistance planning and one-on-one coaching. IPRO also created a sepsis gap assessment to obtain an in-depth understanding of the hospitals’ needs. This gap assessment was then used to inform education needs and content for inclusion in a sepsis affinity group. In addition, IHC created and utilized low performer reports to identify the hospitals and specific components in the greatest need for technical assistance and sepsis education. All three Hospital Quality Improvement Contractors (HQICs) use Medicare FFS Administrative Claims data and site visits to measure improvement in sepsis mortality. Approximately 669 hospitals enrolled in either the Health Quality Innovators (HQI), IPRO or IHC, Hospital Quality Improvement Contractor provider engaged in a variety of interventions to reduce sepsis mortality over three years of the Hospital Quality Improvement Contractor project. These interventions included change pathways, affinity groups, action plans, office hours, educational events, podcasts, site visits and survivor stories. Several initiatives were expanded to include collaboration with additional Hospital Quality Improvement Contractors. During this session, we will highlight both Hospital Quality Improvement Contractor wide interventions as well as specific case studies describing specific systems, processes, and strategies that attributed to improvements in sepsis care and reduced mortality.

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Virginia Brooks (Moderator) MHA, CPHQ, FACHE
Vice President,
Health Quality Innovators

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Rebecca Boll, MSPH, CPHQ
Senior Director,
IPRO

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Charisse Coulombe, MS, MBA, CPHQ, CPPS
Director,
Hospital Quality Initiatives,
Iowa Healthcare Collaborative (IHC)

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Kendra Cooper, MSN-HCQ, RN, CPHQ
Consulting Manager,
Health Quality Innovators

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CarlaLisa Rovere-Kistner LCSW, CPHQ, CCM
Quality Improvement Specialist,
IPRO

time iconApril 8, 2024 16:00
Key Ballroom & Live Streamed

In May 2023, the Independent Evaluation Contractor (IEC) hosted a roundtable discussion with representatives from all 12 Quality Innovation Network – Quality Improvement Organizations (QIN-QIO) contractors; the discussion aimed to understand how contractors define, measure, and report attributable impact within individual healthcare environments. Findings from the 2023 closed-door session and subsequent follow-up data were analyzed. Insights pertaining to alignment of success definitions informed the development of CMS resources to support contractors’ use of success stories to support assessment of attributable impact.

The goal of this IEC presentation is to share progress toward adequately identifying and reporting success stories in quality improvement that suggest that provider impacts may be attributable to the contractors’ support.. The IEC will present analyses from QIN-QIO-furnished qualitative data related to identified cases of observed healthcare improvement collected during the NQIIC 12th SOW, November 2019 through November 2023. Findings include QIN-QIO feedback on challenges in capturing their own success and opportunities for improving the definition of success. The IEC will discuss lessons learned and next steps to help QIN-QIOs improve the process of identifying and communicating  evidence of attributable impact.

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McCall Glover, MPH
Data Scientist,
Booz Allen Hamilton

time iconApril 8, 2024 16:00
Key Ballroom 9-12

This is In Person Session

More than one fifth of American adults live with chronic pain, with about seven percent experiencing “high impact” pain. In US military veterans, chronic pain is even more common, with nine percent suffering from severe pain. Pain is a debilitating condition that negatively affects quality of life and work and is closely associated with depression, dementia, suicidality, and substance use. Pain also disproportionally impacts people who are racial and ethnic minorities, bisexual, divorced/separated, living with a disability, and have chronic conditions like arthritis and kidney disease. Nearly 80 percent of people with Medicare report chronic pain that interferes with function. Pain causes disability and social isolation, and is an ongoing burden for individuals, families, friends, caregivers, and health systems. Advancing pain care across all groups, ages, and settings is a public health imperative. Addressing pain effectively is one of the four goals of CMS’s Behavioral Health Strategy, prompting new monthly payment codes to help people with Medicare more easily access holistic care in an ongoing clinical relationship. The Department of Veterans Affairs (VA) has a long history of developing successful solutions for pain management. Its Stepped Care Model of Pain Management is one example and there is new work in pain measurement that offers potential to better tailor care. The person-centered and team-based approaches employed by the VA can serve as a model for other health systems seeking feasible, effective pain care that improves lives.

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Paige Mathew, PharmD, BCPS, BCGP
Pain Management and Opioid Stewardship Clinical Pharmacy br/>Program Manager, Department of Veterans Affairs

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Scott Lawrence, DC, CHCQM, FABQAURP
Senior Advisor,
CMS Quality Improvement and Innovation Group

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Tara McMullen, PhD, MPH
Associate Director Opioid Safety,
Veterans Health Administration

time iconApril 8, 2024 16:00
Latrobe

This is In Person Session

The road to becoming a High Reliability Organization (HRO) can be long and complex. The Minnesota Hospital Association (MHA) saw the desire from Minnesota hospitals and health systems to begin their HRO journeys and, using their unique process to tackle quality improvement, developed a strategic process for implementing and rolling out an HRO program. MHA created a road map for their members to use to successfully implement their own HRO program from getting started, all the way through advanced HRO implementation. MHA’s Director of Quality and Safety, John Sellner, PharmD, RPh, will present on MHA’s strategic process to tackling quality and the implementation and rollout of the High Reliability Road Map. Roderick Baker, Winona Health Minnesota will review Winona Health’s utilization of the Road Map in their HRO journey and provide recommendations to participants on how to utilize HRO resources to inform learnings and make improvements along the way.

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John Sellner, PharmD
Association Director of Quality and Safety,
Minnesota Hospital

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Roderick Baker
Associate Vice President of Development,
Winona Health

time iconApril 8, 2024 16:00
Ruth

This is In Person Session

This session will provide an overview of the CMS Framework for Advancing Health Care in Rural, Tribal, and Geographically Isolated Communities and how it supports CMS’s overall efforts to advance health equity, expand access to quality, affordable health coverage, and improve health outcomes for all Americans. The Framework’s six priorities were identified through lessons learned and feedback from those living and working in rural, Tribal, and geographically isolated communities. CMS’s approach to operationalizing this Framework over the next five years will be informed by ongoing public engagement, as appropriate, and CMS will continue to monitor trends in health and health care that uniquely impact rural, tribal, and geographically isolated areas.

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Kitichia Weeks, MA
Health Insurance Specialist/Account Manager,
Division of Health Plans Operations,
Centers for Medicare & Medicaid Services

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Thomas Bane, PhD, LMSW
Special Assistant to the Regional Administrator,
OPOLE,
Centers for Medicare & Medicaid Services

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Ashby Wolfe, MD, MPP, MPH
Regional Chief Medical Officer,
Center for Clinical Standards and Quality,
Centers for Medicare & Medicaid Services

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Susan Karol, MD
Chief Medical Officer,
Division of Tribal Affairs,
Centers for Medicare & Medicaid Services

time iconApril 8, 2024 16:00
Virtual Event Platform

Over the past two years, CMS has made significant strides in advancing oral health across all our programs. From 2020-2023, a CMS learning collaborative focused on advancing oral health prevention in primary care. Topically applied fluoride varnish effectively prevents dental caries in children and adolescents. Because young children under 5 are more likely to see a primary care provider (PCP) than a dental provider, PCPs are uniquely positioned to support oral health prevention by offering fluoride varnish as part of primary care visits and connecting beneficiaries to dental care. The session will open with an overview of the technical assistance CMS provides state Medicaid and CHIP agencies and their quality Improvement (QI) partners to advance oral health prevention in primary care for Medicaid and CHIP beneficiaries, featuring several state QI projects from the affinity group, highlighting their strategies, partnerships, and lessons learned.

In 2022, CMS conducted its first-ever oral-focused human-centered design research in four states, interviewing nearly 100 people (i.e., beneficiaries, providers, advocates, state administrators, etc.) to understand barriers to oral health care access for the Medicaid and dually eligible population to inform policy change. In this session, The CMS Chief Dental Officer, Dr. Chalmers, will present the findings from that engagement.

CMS also convened a Workgroup to gather stakeholder feedback from experts in the field to plan strategic priorities for the next phase of our Medicaid and CHIP Oral Health Initiative. The focus is to assess gaps related to oral health and access to care for Medicaid and CHIP beneficiaries and recommend strategic priorities for the next five years. The session will conclude the workgroup process and overview of the final report and recommendations.

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Margo Rosenbach, PhD
Vice President and Director of Health Program Improvement,
Mathematica

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Andrew Snyder, MPA, (Moderator)
Senior Policy Advisor,
Center for Medicaid and CHIP Services,
Centers for Medicare & Medicaid Services

time iconApril 8, 2024 16:00
Virtual Event Platform

During this patient-centered roundtable session, attendees will learn from kidney dialysis/transplant patients, the NKF, ESRD Networks, QIN-QIOs, TAQIL, and experts as they explore the complete kidney transplant journey.  

From the five CKD stages to dialysis treatment options, and the transplant process, the expert panel will highlight gaps throughout the transplant care continuum and identify potential solutions, including strategies to reduce inequities experienced by underserved communities. 

To address these identified gaps, speakers will review available partnership opportunities, new programs being tested in select communities, critical resources accessible to healthcare professionals, as well as the vital need to improve patient education that is culturally and linguistically appropriate throughout the kidney care system.

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Victoria Cash MBA, BSN, RN, CPHQ
Executive Director,
IPRO ESRD Network of the Ohio River Valley

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Ivory Harding, MS
Director,
Quality and Regulatory Affairs,
National Kidney Foundation

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Matthew Cooper MD
Chief of Transplantation,
Director of the Solid Organ Transplant Line and Professor of Surgery at the Medical College of Wisconsin,
Medical College of Wisconsin

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Sherri Morgan-Johnson RN, BSN, MHSA, FAC-COR III
Nurse Consultant,
Centers for Medicare & Medicaid Services

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Sumeska Thavarajah, MD
Medical Director,
Fresenius Kidney Care

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Charles Rice, CPhT, MTM, BBM
ETCLC National Faculty, Patient and Family Representative

time iconApril 8, 2024 16:00
Virtual Event Platform

This is In Person Session

Drug overdose deaths in the United States, driven by illicit fentanyl and other opioids, remain at historically high levels – with more than 107,000 lives lost in the past year, and millions more struggle with opioid and other substance use disorders. The opioid crisis reaches every corner of our country, from alleyways to nursing homes, and requires an immediate call to action. Federal partners, local governments, healthcare institutions, and communities are working together to provide viable solutions to combating the opioid crisis.

There is a nationwide need for education on medications for opioid use disorder (MOUD) to increase the number of practitioners eligible to manage and/or prescribe appropriate medications. Medicare providers are uniquely positioned to create the gold standard of opioid use disorder treatment by screening, diagnosing, and treating Medicare patients for opioid use disorder as routine healthcare. They can also exhibit positive attitudes to reduce stigmas associated with opioid use disorder. 

This session will consist of a panel discussion where, IPRO, the Quality Innovation Network-Quality Improvement Organization (QIN-QIO) will describe the state of the opioid crisis from a nursing home perspective and discuss how to improve patient safety in vulnerable populations. The Substance Abuse and Mental Health Services Administration (SAMHSA) will provide regulatory updates on opioid prescribing, the stigma of opioid addiction, and discuss key elements of Opioid Treatment Programs (OTPs).  Finally, the Health Resources and Services Administration (HRSA), Federal Office of Rural Health Policy (FORHP), will share opioid-related resources and funding opportunities to engage partners in rural communities.

time iconApril 8, 2024 17:00
Key Ballroom & Live Streamed

This session will take a closer look at what the current state of clinical quality is in the US and the opportunities for AI to improve it, if implemented responsibly and effectively. CHAI is a community of health systems, public and private organizations, and expert practitioners of AI and data science, who have come together to harmonize standards and reporting for health AI and educate end-users on how to evaluate these technologies before adoption.

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Brian Anderson, MD
CEO Coalition for Health AI, Inc.

time iconApril 8, 2024 17:30
Key Ballroom & Live Streamed

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Jean Moody-Williams, RN, MPP
Deputy Director,
Center for Clinical Standards and Quality,
Centers for Medicare & Medicaid Services

time iconApril 8, 2024 17:35
Key Ballroom Foyer & Lobby B

The Gallery Walk will showcase Poster presentations. This engaging event provides attendees with the opportunity to explore a diverse array of poster presentations, each highlighting innovative research, best practices, and case studies in the field of quality management. Attendees will have the chance to interact with poster presenters, fostering meaningful discussions, networking, and knowledge exchange.

time iconApril 9, 2024 07:00
Holiday Ballroom Foyer

time iconApril 9, 2024 07:00
See Event Map
time iconApril 9, 2024 09:00
Holiday 1-5

In 2022, the Centers for Medicare & Medicaid Services (CMS) launched the CMS National Quality Strategy (NQS), a plan aimed at improving the quality and safety of health care for everyone, with a special focus on those from underserved and under-resourced communities. The CMS NQS builds on CMS’ efforts to improve health care quality for individuals across their lifespan and continuum of care by using all the Agency’s levers, including value-based payment programs and models; health and safety standards (including conditions for coverage and conditions of participation); survey and certification programs; quality measurement and public reporting; and quality improvement technical assistance. Join us to learn more about the recent publication, Quality in Motion: Acting on the CMS National Quality Strategy, and current CMS actions and accomplishments regarding equity and engagement, outcomes and alignment, safety and resiliency, and interoperability and scientific advancement.

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Michelle Schreiber, MD
Deputy Director,
Quality & Value, Centers for Medicare & Medicaid Services

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Susannah Bernheim, MD, MHS
Chief Quality Officer & Acting Chief Medical Officer,
Center for Medicare and Medicaid Innovation,
Centers for Medicare & Medicaid Services

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Martin Hatlie, JD
Founding Member,
Patients for Patient Safety US

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Jessica Lee, MD, MSHP
Acting Chief Medical Director,
Center for Medicaid and CHIP Services,
Centers for Medicare & Medicaid Services

time iconApril 9, 2024 09:00
Holiday 6

This Mini Plenary will highlight expert clinicians’ and system leaders’ approaches to healthcare delivery and quality improvement for many of the most complex patients for whom American systems care – community members with comorbid substance use disorder, mental illness, and chronic pain. Patients with this complex triad often experience unmet healthcare needs and substantially worse health and social outcomes - reflecting not only clinical complexity but also significant challenges in accessing and paying for services, variations in quality of care, and entrenched system failures to address health related social needs. Leaders with deep clinical expertise and experience working in systems to improve care for people with substance use disorders, mental illness, and chronic pain will discuss their methods to tackle challenging clinical and social scenarios, recommending practical resources and that they and their systems use to integrate approaches to quality improvement, care delivery, and social determinants of health. Master Class experts will represent federal (SAMHSA Center for Substance Abuse and Treatment (invited)), clinical academic (the University of Alabama Birmingham and Department of Veterans Affairs (invited)), and state (New York Office of Addiction Services and Supports (invited)) systems, offering diverse vantage points and practical approaches and tools to address the needs of patients with this complex triad of conditions.

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Benjamin Springgate, MD, MPH, FACP
Professor of Medicine and Public Health,
Louisiana State University Health-New Orleans

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Chinazo Cunningham
Commissioner,
New York State Office of Addiction Services and Supports

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Karran Phillips, MD, MSc
Deputy Director,
Center for Substance Abuse Treatment,
SAMSHA

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Stefan Kertesz, MD, MSc
Professor,
University of Alabama at Birmingham Heersink School of Medicine and the Birmingham Alabama Health Care System Homeless PACT

time iconApril 9, 2024 10:30
Key Ballroom & Live Streamed

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Jonathan Blum
Principal Deputy Administrator & Chief Operating Officer,
Office of the Administrator,
Centers for Medicare & Medicaid Services

time iconApril 9, 2024 10:40
Key Ballroom & Live Streamed

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Anita Monteiro
Director, iQuality Improvement & Innovation Group
Centers for Medicare & Medicaid Services

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Dora Hughes, MD, MPH
Acting Chief Medical Officer & Acting Director,
Center for Clinical Standards and Quality,
Centers for Medicare & Medicaid Services

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David Wright, MPA
Director,
Quality Safety & Oversight Group,
Centers for Medicare & Medicaid Services

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Tamara Syrek Jensen
Director, Coverage and Analysis Group

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Karen Tritz
Centers for Medicare & Medicaid Services
Director of the Survey & Operations Group

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Michelle Schreiber, MD
Deputy Director,
Quality & Value, Centers for Medicare & Medicaid Services

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Lisa Parker
Centers for Medicare & Medicaid Services
Director of the Clinical Standard Group

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Mark Plaugher
Centers for Medicare & Medicaid Services
Acting Director of the Information System Group (ISG)

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Jennifer Dubbs
Director, Business Operations Group
Center for Clinical Standards and Quality
Centers for Medicare and Medicaid Services

time iconApril 9, 2024 11:05
Key Ballroom & Live Streamed

The Centers for Medicare & Medicaid Services (CMS) is committed to improving performance on key patient safety metrics through the application of CMS levers such as quality measurement, payment, health and safety standards, and quality improvement support. This session is a conversation with CMS Senior Leadership and Federal partners to renew our collective commitment to patient safety. We will be discussing progress that has been made, as well as challenges faced, since the 2023 CMS Quality Conference. Additionally, the panel will speak to a call to action for our healthcare community so that together we can achieve our patient safety goals.

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Michelle Schreiber, MD
Deputy Director,
Quality & Value, Centers for Medicare & Medicaid Services

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Dora Hughes, MD, MPH
Acting Chief Medical Officer & Acting Director,
Center for Clinical Standards and Quality,
Centers for Medicare & Medicaid Services

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Arjun Srinivasan, MD
Deputy Director
Program Improvement in the Division of Healthcare Quality Promotion at the Centers for Disease Control and Prevention (CDC)

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Craig A. Umscheid, M.D., MS
Director,
Center for Quality Improvement and Patient Safety (CQuIPS)
Agency for Healthcare Research and Quality (AHRQ)
Department of Health and Human Services

time iconApril 9, 2024 11:35
Key Ballroom & Live Streamed

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Natalia Chalmers, DDS, MHSc, PhD
Chief Dental Officer,
Office of the Administrator,
Centers for Medicare & Medicaid Services

time iconApril 9, 2024 11:45
Key Ballroom & Live Streamed

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Christi A. Grimm
Inspector General,
Office of Inspector General,
Department of Health and Human Services

time iconApril 9, 2024 12:10

Grab & Go stations will be conveniently located throughout the main convention floor (Floor 2).

Food Trucks will be stationed on Eutaw Street beneath the Skywalk.

Explore any of the amazing nearby restaurants

time iconApril 9, 2024 12:10
time iconApril 9, 2024 13:30
Key Ballroom 1-4

A critical part of advancing reform and addressing provider burden in the health care system is creating meaningful alignment among payers.  Over the last year, both Center for Medicare and Medicaid Innovation (CMMI) and the Learning and Action Networks (LAN) have announced new models and initiatives meant to generate directional alignment that balances the need for multi-payer alignment goals with payer flexibility.  This session describes how these efforts work together to generate this alignment at both the national and local levels.

Emphasizing both collaborative and individual efforts, CMMI and the LAN will highlight key initiatives and milestones generating meaningful multi-payer alignment across the healthcare market.  In both instances, these efforts adopt the principles of directional alignment, where alignment does not require identical arrangements or programs, but looks to create collaboration and alignment around core areas, such as quality measurement, and create closer alignment over time.  

Participants will learn how CMMI and the LAN are working together and with a wide range of partners to advance alignment in key areas of delivery system reform.

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Kate Davidson LCSW
CMMI,
Centers for Medicare & Medicaid Services,
Director of the Learning and Diffusion Group (LDG)

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Mark McClellan M.D., PhD
Director,
Margolis Center for Health Policy at Duke University

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Dr. Helen Burstin MD, MPH, MACP
CEO,
Council of Medical Specialty Services

time iconApril 9, 2024 13:30
Key Ballroom & Live Streamed

This session will explore recently released CMS guidance on health-related social needs (HRSN) and how states are implementing housing and nutritional supports to improve the quality of care and health outcomes. In November 2023, CMS issued an Informational Bulletin on how states can address health-related social needs (HRSN) in Medicaid and the Children’s Health Insurance Program (CHIP), and framework of services and supports considered allowable under specific authorities, including section 1115 demonstrations. CMS has approved 1115 demonstrations for HRSN services in states including Arizona and Washington. Presenters from these state Medicaid programs will describe how they have implemented housing and nutritional supports, integrating with existing social and housing services, as well as how they are measuring associated changes in health care utilization and quality, and health outcomes.

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Jessica Lee, MD, MSHP
Acting Chief Medical Director,
Center for Medicaid and CHIP Services,
Centers for Medicare & Medicaid Services

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Christopher Chen, MD, MBA, FACP
Medical Director,
Medicaid Washington State Health Care Authority

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Ruben Soliz, MPH
Federal Relations Lead and Health Policy Advisor
Arizona Health Care Cost Containment System

time iconApril 9, 2024 13:30
Peale A&B

With more than 70% of Medicaid and Children's Health Insurance Program (CHIP) beneficiaries enrolled in managed care, states can have a significant impact on improving health services delivery and outcomes for their Medicaid and CHIP beneficiaries by working with their managed care plans (MCPs) on quality improvement (QI) initiatives. State staff from Texas Health and Human Services developed an approach to coordinating MCP QI efforts around a common state aim statement. Each MCP chose and implemented an improvement project to complement the state aim, and the state created a structure to enhance peer learning and impact. Participants will hear from a state speaker about their approach and from a participating MCP that ran its own supportive QI project. This session will also review resources developed by Centers for Medicare & Medicaid Services to help state Medicaid and CHIP staff and their MCP QI partners implement a similar approach.

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Emily Stauffer Rocha, MBA, MSN, RN, NE-BC, CHCQM,
Director of Clinical Innovation,
Texas Health and Human Services Commission

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Crystal O'Reilly BSN, RN
AVP,
Quality and Care Management Affairs,
Cook Children's Health Plan

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Susan Ruiz, BA
EPSDT/Children’s Health Subject Matter Expert,
Division of Quality and Health Outcomes,
Children and Adult Health Program Group,
Center for Medicaid & CHIP Services

time iconApril 9, 2024 13:30
Key Ballroom 9-12

The panel presentation will provide an update to the Medicare Value-Based Care Strategy. The presentation will specifically focus on progress along the three objectives of the Strategy—Alignment, Growth and Equity—as well as future priorities and vision.

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Michelle Schreiber, MD
Deputy Director,
Quality & Value, Centers for Medicare & Medicaid Services

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Purva Rawal, PhD
Chief Strategy Officer at the CMS Innovation Center
Centers for Medicare and Medicaid Services

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John Pilotte
Director of the Performance-based Payment Policy Group (P3)
Center for Medicare at the Centers for Medicare & Medicaid Services

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Sophia Sugumar (Moderator) MSHM
Program Policy Lead,
Division of Electronic and Clinical Quality,
Centers for Medicare & Medicaid Services

time iconApril 9, 2024 13:30
Johnson A&B

Health disparities continue to persist among patients with End Stage Renal Disease (ESRD). Marginalized racial and ethnic minority and low socioeconomic populations have a disproportionate burden of involuntary discharges (IVDs) and other disparities, such as lack of access to transplantation and higher unplanned hospital readmissions. Structural competency for equitable kidney care is an approach in which healthcare professionals recognize and respond to health and illness as the downstream effects of broad social, political, and economic factors. It serves as an equity framework for overcoming disparities and bias in healthcare. Applying this approach in kidney care can play a significant role in reducing health disparities and advancing health equity. The ESRD National Coordinating Center (NCC) developed a three-module structural competency training for kidney professionals to address health inequities. The training provides specific, evidence-based interventions and strategies to address the structural drivers of kidney care inequities, including IVDs.

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Keith Norris MD
Distinguished Professor of Medicine,
UCLA Division of General Internal Medicine and Health Services Research

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Ken Teasley
Patient Facility Representative br/>NCC Legacy PSME
CAB, Harlem Wellness Center- MT. Sinai

time iconApril 9, 2024 13:30
Ruth

This presentation will examine the implications of historical prescribing practices on patients receiving Chronic Opioid Therapy (COT) and assess the subsequent changes in prescribing patterns, patient access, and associated risks. This presentation will feature a panel from the Compass Program, including an addiction medicine physician, a pharmacist, a nurse, and a family medicine physician participant. The panel will discuss several of the core pillars of the Compass Program and how they are being implemented within the participant cohort to change clinical practice and improve patient outcomes. They will discuss resources to support opioid-sparing management of acute pain to reduce opioid exposure, utilizing nonopioid pharmacologic agents and nonpharmacologic therapies. For patients maintained on chronic opioid therapy (COT), the panel will discuss risk management strategies to increase patient safety including rotation to safer agents, providing naloxone, using patient-specific tapering strategies, and minimizing co-prescribing of other sedating agents. Lastly, the panel will discuss the critical need for primary care providers and family medicine physicians to help reduce overdose mortality trends by offering treatment of OUD with buprenorphine products, supported by resources, 1-on-1 coaching, and education from the Compass Program.

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Jen Brockman, MHA, BSN, RN, CPPS,
Chief Clinical Program Officer & OPSS Project Director,
Iowa Healthcare Collaborative

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Don Stader, MD, FACEP
OPSS Medical Director & Addiction Medicine Specialist,
Stader Opioid Consultants

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Laurie Fisher, MD
Family Medicine Physician & OPSS Cohort,
Town Plaza Family Practice

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Rachael Duncan, PharmD, BCPS, BCCCP
OPSS Coach,
Stader Opioid Consultants

time iconApril 9, 2024 13:30
Holiday 4-5

In response to the President’s executive order to advance racial equity and support for underserved communities, the Department of Health and Human Services (HHS) established an equity action plan. In alignment with this plan, Beneficiary and Family-Centered Care Quality Improvement Organizations (BFCC-QIOs) are working to identify and address barriers to equitable access and utilization of beneficiary protection, support, and advocacy services.

BFCC-QIOs offer case review services for beneficiaries who think they may be entitled to additional Medicare-covered services, or who think the quality of care they received does not meet clinical standards. Using BFCC-QIO program data, we assessed the degree to which case review services are being utilized by beneficiaries of different races and ethnicities.

Disparities in case review utilization are evident among Hispanic and Asian beneficiaries and these disparities may further contribute to existing health outcome inequalities. The concern is that these beneficiaries are still experiencing premature healthcare service termination or other quality of care issues such as gaps between government and other health providers, but are not exercising their right to review and possibly resolve these issues through BFCC-QIO program services.

BFCC-QIOs are carefully analyzing the approach and implementation strategies for their work. Seeking input from experts, stakeholders and Medicare beneficiaries, BFCC-QIOs are identifying strategies to improve access and awareness and reduce disparities in use of BFCC-QIO case review services that may contribute to poor health outcomes.

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Scott Fortin, MBA
Sr. Director Communications and Outreach,
Kepro

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Carmen Villegas, RN, BSN, BCPA
Immediate Advocacy Manager,
Livanta

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Stephanie Fry, BA, CPXP
Associate Vice President,
Westat

time iconApril 9, 2024 13:30
Poe A-B

Over the past two years, CMS has made significant strides in advancing oral health across all our programs. CMS has developed a set of cross-cutting initiatives that engage teams across our organization to drive the goals highlighted by the strategic pillars and enhance focus on critical components of our work. These initiatives are high-level, multi-year priorities for CMS that bring our centers and offices together to leverage their expertise and strengthen collaboration. The CMS Chief Dental Officer will describe the launch and work under the Oral Health Cross-Cutting Initiative. Access to oral health services promotes health and wellness and allows beneficiaries and consumers to achieve the best health possible. States have the flexibility to determine what dental benefits are provided to adult Medicaid enrollees. While most states offer at least emergency dental services for adults, less than half of the states currently provide comprehensive dental care. There are no minimum requirements for adult dental coverage. More than 1 in 4 (26%) adults in the United States have untreated tooth decay. Over the last ten years, dental pain has been a top reason for opioid prescribing upon discharge from the ED, thereby contributing to the overdose crisis. There is a bi-directional link between oral health and substance use disorder. This session will focus on the outcomes of two studies that analyzed Medicaid enrollment and claims data. These studies examine oral health needs, disparities, and access to dental services for Medicaid adults with substance use disorders, as well as the impact of the COVID-19 public health emergency, state coverage policies, and socio-demographic factors on adults' access to dental services.

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Jessica Maksut PhD
Technical Director,
Office of Minority Health;
Centers for Medicare & Medicaid Services

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Carla Shoff PhD,
Senior Advisor to the Chief Dental Officer,
Office of the Administrator;
Centers for Medicare & Medicaid Services

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Lorel Burns DDS, MS
Assistant Professor,
NYU College of Dentistry

time iconApril 9, 2024 13:30
Latrobe

The Customer Focused Research Group (CFRG) within the Office of Burden Reduction and Health Informatics (OBRHI) will present on their Behavioral Health and Oral Health Human-Centered Design Customer Engagements. Human-Centered Design (HCD) is the process CMS uses to understand the people for which they write policies; and create programs and services. CFRG will share the qualitative research aimed at understanding how to ensure equitable access to oral health care without stigma. Each respective engagement revealed many insights in addition to an opportunity to co-create illustrations with external customers to highlight and raise the customers’ voice in supporting those suffering with substance use disorders.

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Morgan Taylor
Lead Human Center Design Specialist,
Office of Burden Reduction & Health Informatics (OBRHI)

time iconApril 9, 2024 13:30
Holiday 6

The 2024 National Impact Assessment aggregates retrospective data from 26 CMS quality and value-based incentive programs to characterize quality and efficiency impacts associated with the use of measures. The session will focus on summarizing key findings from these comprehensive analyses that provide important insights regarding effects of the COVID-19 pandemic during the period of analysis. We will describe national measure performance trend data pre-COVID-19 (2016–2019) compared with results in the initial years of the COVID-19 public health emergency (PHE)— 2020 and 2021— and describe patient impact and costs avoided when performance for select measures improved. Data also will be presented on how the CMS measure portfolio is evolving to reduce measurement burden and address CMS quality priorities. Lessons learned from the COVID-19 PHE and proposed actions to improve the resilience of quality measurement and the health care system will be discussed. Finally, underscoring equity as a primary objective of the CMS National Quality Strategy, the session will explore patterns of disparities in quality measure scores and offer insight into underlying drivers of disparities identified through focus groups in underserved communities.

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Robert Ziemba, PhD
Statistician,
HSAG

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Kyle Campbell, PharmD
Project Director,
HSAG

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Kendra Hanley, MS, BA
Impact Assessment Team Lead,
HSAG

time iconApril 9, 2024 13:30
Holiday 1-3

Approximately 68 million people in the United States speak a language other than English at home, and of those, 8.2% speak English less than very well. Individuals with limited English proficiency (LEP) do not speak English as their preferred language and have a limited ability to read, write, speak, or understand English. A lack of meaningful language access can lead to inequitable access to health and human services. Research indicates that adverse events affect patients with LEP more frequently, are often caused by communication problems, and are more likely to result in serious harm compared to those that affect English-speaking patients. Providing language access decreases barriers to equal access to health and human services. During this session, you will hear from three leaders working to ensure language access. They will share insights from the federal perspective with a focus on policy and communications, as well as from one large health system and their 20-year experience with language services.

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Maria Moreno MPH
Program Manager
Sutter Health

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Genevieve Babecki
Language Access Coordinator,
HHS/Office of Civil Rights

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Lina Rashid
Senior Policy Advisor,
Centers for Medicare and Medicaid Service/Center for Consumer Information and Insurance Oversight

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Anita Pinder
Director,
Centers for Medicare & Medicaid Services/Office of Equal Opportunity & Civil Rights

time iconApril 9, 2024 13:30
Virtual Event Platform

The purpose of the proposed panel is to describe the Centers for Medicare & Medicaid Services Innovation Center’s approach to strengthening the focus on quality, outcomes, and experience within the Innovation Center’s alternative payment models. The resulting Quality Pathway emerged from the 2021 strategic refresh and includes development of a process to certify models for expansion based on quality improvement. The panel will introduce the pathway, describing how it elevates patient outcomes and experience of care within alternative payment models and emphasizes the translation of a model’s theory of action into measurable benefits for patients. The panel will discuss how this alignment of model design and quality strategy also drives new approaches to model evaluation, and how the Quality Pathway will be used to identify when a model may be eligible for expansion based on demonstrated quality improvement in alignment with CMMI’s statutory mandate.

Having addressed the conceptual basis for the Pathway, the panel will share examples of models recently under development to demonstrate how the pathway will be used at the Center. This will include insight into design choices around measure selection, implementation decisions on data collection, and evaluation considerations on methodological approach. As part of discussing implementation of the pathway, the panel will identify a number of considerations entailed in executing this new approach to model quality strategies at the Center, such as those associated with novel measure development and rigorously evaluating the impact of models on patient outcome and experience.

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Susannah Bernheim, MD, MHS
Chief Quality Officer & Acting Chief Medical Officer,
Center for Medicare and Medicaid Innovation,
Centers for Medicare & Medicaid Services

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Noemi Rudolph, MPH
Director,
Research and Rapid Cycle Evaluation Group,
Center for Medicare and Medicaid Innovation (CMMI)

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Jacob Quinton, MD, MPH
Medical Officer,
Center for Medicare and Medicaid Innovation (CMMI),
Centers for Medicare & Medicaid Services

time iconApril 9, 2024 13:30
Virtual Event Platform

Oral health is a crucial component of overall well-being. States are mandated to provide dental care for children under Medicaid and the Children's Health Insurance Program (CHIP). However, a 2023 report revealed that only 46% of Medicaid-insured children and teens had a dental check-up in 2018. The COVID-19 pandemic further hindered access to dental services, with a 20% reduction in treatments for children. This decrease in access to preventive and necessary dental care has led to a higher reliance on emergency services and the need for antibiotics to treat advanced dental issues and their complications. The pandemic also necessitated a shift towards less invasive treatments, like silver diamine fluoride (SDF). Healthcare systems aiming to enhance patient experience often encounter significant obstacles, indicating the necessity to modify behaviors and practices throughout various organizational levels and sectors. However, they can also benefit from applying well-established principles and methods for quality improvement (QI).

This session will delve into the findings from three joint studies analyzing enrollment and claims data from the Transformed Medicaid Statistical Information System (T-MSIS). These studies aim to understand how Medicaid-enrolled children used oral health services during 2019, 2020, and 2021. The data reveals patterns over time and highlights significant variations based on geography and demographics. Notably, there has been no substantial change in the rates and duration of antibiotic prescriptions for dental issues. Nevertheless, there is a marked increase in the use of silver diamine fluoride and a growing number of emergency department visits for non-traumatic dental problems, especially among children with special healthcare needs. These trends highlight numerous opportunities for quality improvement efforts at various levels and areas within the dental care system.

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Meagan Khau, MHA (Moderator)
Director,
Data and Policy Analytics Group,
Office of Minority Health,
Centers for Medicare & Medicaid Services

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Kimia Imani, MS
DDS/PhD Student,
University of Washington School of Dentistry

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Kaylie Magidson, DDS
Pediatric Postdoctorate Student,
New York University College of Dentistry

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Beau Meyer, DDS, MPH
Associate Professor,
The Ohio State University College of Dentistry

time iconApril 9, 2024 13:30
Virtual Event Platform

The Indian Health Service (IHS) continues to support the expanded use of telehealth to provide patient care after the COVID-19 Public Health Emergency (PHE). This presentation will focus on an overview of the use of telehealth at the IHS and the support the Centers for Medicare & Medicaid Services (CMS) provides. The presentation will include the accomplishments in expanding telehealth from April 2020 to the present. The various telehealth services available at the IHS will be discussed including CMS’s support provided to rural and frontier areas. Issues in providing audio-only services will be discussed and aligned with services on the Medicare Telehealth Services List for CY 2024. Presenters will provide metrics describing the utilization of telehealth in IHS. Telehealth best practices will be discussed, and quantitative and qualitative results from IHS patient and IHS provider telehealth surveys will be addressed. Finally, patient outcomes utilizing telehealth services will be included and quality improvement options provided.

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Susan Karol, MD
Chief Medical Officer,
Division of Tribal Affairs,
Centers for Medicare & Medicaid Services

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Susy Postal, DNP, RN-BC
Chief Informatics Officer,
Indian Health Service

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Chris Fore, PhD
Director,
Indian Health Service Telebehavioral Health Center of Excellence

time iconApril 9, 2024 14:30
Key Ballroom & Live Streamed

There is no denying that that there is much work to be done to improve the transplantation system as there are over 100, 000 patients waiting for organ transplants, as of October 2023.

In September 2023, a federal collaborative, led by the Centers for Medicare & Medicaid Services (CMS) and the Health Resources and Services Administration (HRSA), called the Organ Transplantation Affinity Group (OTAG), launched with a goal of strengthening accountability, equity, and performance to improve access to organ donation, procurement, and transplantation for patients, donors, families and caregivers, and providers.

Join this listening session to learn about and provide feedback on OTAG’s mission to strengthen federal oversight and support of the organ transplantation system.

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Jean Moody-Williams, RN, MPP
Deputy Director,
Center for Clinical Standards and Quality,
Centers for Medicare & Medicaid Services

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Suma Nair, PhD, MS, RD
Associate Administrator,
Health Services Bureau,
Health Resources and Services Administration

time iconApril 9, 2024 14:30
Holiday 1-3

Learn about the Age-Friendly Health Systems movement and how it leads to improved outcomes for older adults and health system resilience. Presenters will share actionable opportunities, implementation successes and programs for specific settings.

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Terry Fulmer, PhD, RN, FAAN
President,
The John A. Hartford Foundation

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Leslie Pelton, MPA
Vice President,
Institute for Healthcare Improvement

time iconApril 9, 2024 14:30
Holiday 4-5

The Healthcare and Public Health (HPH) sector continues to experience increasingly sophisticated cyberattacks that exploit complex hospital infrastructures, underfunded cybersecurity functions, and numerous vulnerable legacy medical devices. These cyberattacks against the sector are growing both in numbers and severity. ASPR, in its Sector Risk Management Agency (SRMA) role and with active involvement from stakeholders across the Department of Health and Human Services (HHS), proactively confronts these growing cyber threats and strengthens the HPH sector’s cybersecurity posture. In December, HHS published a roadmap outlining how the department will level up to this challenge to make our healthcare system more resilient and prepared for cyber threats. In January, aligned with the first pillar in this new roadmap, HHS—through ASPR—published HPH Cybersecurity Performance Goals to further help healthcare organizations implement these high-impact cybersecurity practices.

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Brian Mazanec, PhD
Deputy Director,
Office of Preparedness,
Department of Health and Human Services

time iconApril 9, 2024 14:30
Holiday 6

Data-driven quality improvement is the foundation of healthcare transformation. The ability to visualize the end goals, outcomes and results, strategically leverage healthcare data, then design a quality improvement process/intervention to deliver outcomes is what separates the highly effective quality improvement professionals from those that are not. This session focuses on the practices and interventions quality improvement professionals can use on a daily basis to help them relate the small decisions to the bigger picture and ensure that what’s produced eventually will be valuable.

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Anita Monteiro
Director, iQuality Improvement & Innovation Group
Centers for Medicare & Medicaid Services

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Timmy T. Nelson
Patient Advocate/Outreach Advisor,
UPS (retired)/Network 4, Quality Insights,
Chester County Community Foundation

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Sven T. Berg, MD, MPH
Chief Executive Officer,
Quality Insights

time iconApril 9, 2024 15:30
Latrobe

Oral health is a crucial component of overall well-being. States are mandated to provide dental care for children under Medicaid and the Children's Health Insurance Program (CHIP). However, a 2023 report revealed that only 46% of Medicaid-insured children and teens had a dental check-up in 2018. The COVID-19 pandemic further hindered access to dental services, with a 20% reduction in treatments for children. This decrease in access to preventive and necessary dental care has led to a higher reliance on emergency services and the need for antibiotics to treat advanced dental issues and their complications. The pandemic also necessitated a shift towards less invasive treatments, like silver diamine fluoride (SDF). Healthcare systems aiming to enhance patient experience often encounter significant obstacles, indicating the necessity to modify behaviors and practices throughout various organizational levels and sectors. However, they can also benefit from applying well-established principles and methods for quality improvement (QI).

This session will delve into the findings from three joint studies analyzing enrollment and claims data from the Transformed Medicaid Statistical Information System (T-MSIS). These studies aim to understand how Medicaid-enrolled children used oral health services during 2019, 2020, and 2021. The data reveals patterns over time and highlights significant variations based on geography and demographics. Notably, there has been no substantial change in the rates and duration of antibiotic prescriptions for dental issues. Nevertheless, there is a marked increase in the use of silver diamine fluoride and a growing number of emergency department visits for non-traumatic dental problems, especially among children with special healthcare needs. These trends highlight numerous opportunities for quality improvement efforts at various levels and areas within the dental care system.

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Meagan Khau, MHA (Moderator)
Director,
Data and Policy Analytics Group,
Office of Minority Health,
Centers for Medicare & Medicaid Services

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Kimia Imani, MS
DDS/PhD Student,
University of Washington School of Dentistry

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Kaylie Magidson, DDS
Pediatric Postdoctorate Student,
New York University College of Dentistry

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Beau Meyer, DDS, MPH
Associate Professor,
The Ohio State University College of Dentistry

time iconApril 9, 2024 15:30
Key Ballroom 1-4

Drug overdose deaths in the United States, driven by illicit fentanyl and other opioids, remain at historically high levels – with more than 107,000 lives lost in the past year, and millions more struggle with opioid and other substance use disorders. The opioid crisis reaches every corner of our country, from alleyways to nursing homes, and requires an immediate call to action. Federal partners, local governments, healthcare institutions, and communities are working together to provide viable solutions to combating the opioid crisis.

There is a nationwide need for education on medications for opioid use disorder (MOUD) to increase the number of practitioners eligible to manage and/or prescribe appropriate medications. Medicare providers are uniquely positioned to create the gold standard of opioid use disorder treatment by screening, diagnosing, and treating Medicare patients for opioid use disorder as routine healthcare. They can also exhibit positive attitudes to reduce stigmas associated with opioid use disorder. 

This session will consist of a panel discussion where, IPRO, the Quality Innovation Network-Quality Improvement Organization (QIN-QIO) will describe the state of the opioid crisis from a nursing home perspective and discuss how to improve patient safety in vulnerable populations. The Substance Abuse and Mental Health Services Administration (SAMHSA) will provide regulatory updates on opioid prescribing, the stigma of opioid addiction, and discuss key elements of Opioid Treatment Programs (OTPs).  Finally, the Health Resources and Services Administration (HRSA), Federal Office of Rural Health Policy (FORHP), will share opioid-related resources and funding opportunities to engage partners in rural communities.

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Robert Accetta, RPh, BCGP, FASCP
Senior Pharmacist,
IPRO QIN_QIO

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Megan Meacham, MPH
Director,
Rural Strategic Initiatives Division,
Health Resources and Services Administration (HRSA)

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Wanda Pamphile, PharmD, MPH
Senior Health Insurance Specialist,
Centers for Medicare & Medicaid Services

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Karran Phillips, MD, MSc
Deputy Director,
Center for Substance Abuse Treatment,
SAMSHA

time iconApril 9, 2024 15:30
Johnson A&B

It is a focus of the Biden-Harris Administration to make it easier for states to support schools in providing critical health care services, especially mental health services, for millions of students across the nation. The Bipartisan Safer Communities Act helped pave the way for the Medicaid guidance Delivering Services in School-Based Settings: A Comprehensive Guide to Medicaid Services and Administrative Claiming announced in May 2023 as a significant overhaul of school Medicaid billing. The new guidance is designed to streamline the process of school-based billing and increase students’ access to healthcare at school. This session provides an overview of the flexibilities provided in the guide, including allowing state Medicaid agencies to change the way that services are paid for in schools, as well as which providers can bill for services in schools. This session will highlight intra-state coordination between a State Medicaid Agency and Local Educational Agency (LEA) to leverage school-based services to improve behavioral health service delivery to children in Medicaid and CHIP and how they are measuring the improvements (e.g., increasing claiming and delivery of behavioral health services). This session will highlight how states can ease the administrative burden for schools so that more services can be paid for by Medicaid/CHIP—bringing more money into the schools for health services—and by extension allowing for more services.

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Kate Ginnis MSW, MPH
CMCS Senior Advisor for Youth Coverage
Centers for Medicare and Medicaid Service
Medicare & Medicaid Services

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Kate Yager MA
Director of Medicaid
Chicago Public Schools

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Sergio Obregón M.Ed.
Bureau Chief for Medical Eligibility and Special Programs, Division of Eligibility
Illinois Department of Healthcare and Family Services

time iconApril 9, 2024 15:30
Peale A&B

The HIV viral suppression measure included in CMS’ Adult Core Set (HVL-AD) offers a unique opportunity to promote inter-program, intra-state collaboration to share data and develop joint and/or complementary policies to drive high-impact, sustainable improvement for Medicaid beneficiaries living with HIV. NASTAD was funded by the Health Resources and Services Administration (HRSA) HIV/AIDS Bureau (HAB) to support building the capacity to calculate and report the HVL-AD measure to CMS, through the implementation of a quality improvement collaborative. Calculation of the HVL-AD measure uniquely utilizes multiple data sources in addition to claims data, including clinical and laboratory data received by public health programs. Panelists for this session will discuss how the use of multiple data sources across both Medicaid and public health programs, served as the catalyst for inter-agency collaboration, in which they will focus on recent experiences initiating HVL-AD reporting and use the data from a participating state in the collaborative. Panelists will highlight the process of inter-agency engagement, their team accomplishments and lessons learned particularly highlighting collaboration strategies. The session will offer insights into what it takes to create the conditions for both enabling collaboration as well as how that collaboration has led to the strategic use of the data plan engagement strategies that will support the improvement of health outcomes for Medicaid beneficiaries living with HIV.

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Bashirat Olayanju, MPH,
Director, Health System
NASTADs Integration

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Marlene Matosky MPH, RN,
Chief - Clinical and Quality Branch
Health Resources and Services
Administration

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Parker James, MPP,
Policy Analyst
The Hilltop Institute

time iconApril 9, 2024 15:30
Key Ballroom & Live Streamed

Increasing alignment and coordination across CMS quality programs and initiatives focuses our attention on high priority clinical areas and amplifies the impact of CMS actions. The CMS National Quality Strategy serves as a guide for collaboration as we concentrate our efforts to advance health equity, address maternal morbidity and mortality, streamline the CMS quality measurement portfolio, and improve the delivery of safe care. Join us to hear the current activities and accomplishments of programs across CMS as we work to get closer to the high-quality, safe, equitable, and resilient health care system envisioned for all individuals.

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Jessica Lee, MD, MSHP
Acting Chief Medical Director,
Center for Medicaid and CHIP Services,
Centers for Medicare & Medicaid Services

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Douglas Jacobs, MD, MPH
Chief Transformation Office
Center for Medicaid and CHIP Services;
Centers for Medicare & Medicaid Services

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Susannah Bernheim, MD, MHS
Chief Quality Officer & Acting Chief Medical Officer,
Center for Medicare and Medicaid Innovation,
Centers for Medicare & Medicaid Services

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Michelle Schreiber, MD
Deputy Director,
Quality & Value, Centers for Medicare & Medicaid Services

time iconApril 9, 2024 15:30
Holiday 1-3

Million Hearts® prioritized strategies for building healthy communities and optimizing care through a committed focus on specific populations experiencing inequities. This session describes how Million Hearts 2027 is addressing health equity with a review of communication assets and opportunities for engagement, an exploration of health equity-related issues for widespread use of self-measured blood pressure monitoring and cardiac rehabilitation, and an overview of new and future opportunities to reduce cardiovascular maternal health disparities.

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Haley Stolp
Policy and Partnership Strategist,
Centers for Disease Control Disease Control and Prevention

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Laurence Sperling, MD, FACC, FAHA, FACP, FASPC
Executive Director,
Million Hearts Initiative,
Centers for Disease Control and Prevention

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Taylor Streeter, MPH
Health Scientist,
ASRT, Inc.

time iconApril 9, 2024 15:30
Key Ballroom 9-12

During this patient-centered roundtable session, attendees will learn from kidney dialysis/transplant patients, the NKF, ESRD Networks, QIN-QIOs, TAQIL, and experts as they explore the complete kidney transplant journey.  

From the five CKD stages to dialysis treatment options, and the transplant process, the expert panel will highlight gaps throughout the transplant care continuum and identify potential solutions, including strategies to reduce inequities experienced by underserved communities. 

To address these identified gaps, speakers will review available partnership opportunities, new programs being tested in select communities, critical resources accessible to healthcare professionals, as well as the vital need to improve patient education that is culturally and linguistically appropriate throughout the kidney care system.

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Victoria Cash MBA, BSN, RN, CPHQ
Executive Director,
IPRO ESRD Network of the Ohio River Valley

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Ivory Harding, MS
Director,
Quality and Regulatory Affairs,
National Kidney Foundation

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Matthew Cooper MD
Chief of Transplantation,
Director of the Solid Organ Transplant Line and Professor of Surgery at the Medical College of Wisconsin,
Medical College of Wisconsin

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Patrick Gee Ph.D
Founder,
iAdvocate

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Sherri Morgan-Johnson RN, BSN, MHSA, FAC-COR III
Nurse Consultant,
Centers for Medicare & Medicaid Services

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Sumeska Thavarajah, MD
Medical Director,
Fresenius Kidney Care

time iconApril 9, 2024 15:30
Ruth

IPRO and Alliant Health Solutions deployed multiple assessments and conducted technical assistance to understand the current health equity needs of Hospital Quality Improvement Contractors (HQIC) supported hospitals. The responses revealed that hospitals are most concerned about and need support for preparing for the new CMS health equity reporting requirements. In response, IPRO and Alliant Health Solutions developed multiprong approaches to support hospital health equity implementation, including Learning and Action Networks (LAN) with subject matters experts, affinity groups, one-on-one technical assistance, SDOH resources, discharge tools, a dynamic six-step model for hospital health equity implementation, and a bite-sized learning video series on health literacy, cultural and linguistically appropriate standards (CLAS). Additionally, Alliant Health Solutions worked with a hospital in Georgia, which prompted dedicated monthly health equity office hours co-led by the Alliant Health Solutions health equity lead and a representative from the Georgia hospital. 

In addition, the HANYS and Convergence HQIC teams will describe organizational approaches to addressing and advancing health equity. HANYS will describe their experience developing and administering a health equity gap analysis assessment and how hospitals have used the tool, identified gaps, and taken action by addressing & implementing practice recommendations across all 7 assessment categories. The Convergence HQIC team will describe the approach to equity that focuses on building reliable, culturally sensitive processes for implementing a Social Drivers of Health (SDOH) screening program in hospitals across a variety of settings.

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Laura Benzel, MS, BS, CCSGB,
Project Director, Health Equity Lead,
IPRO

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Natalie Graves MPH,
Director, Research & Implementation,
Convergence Health Consulting

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Nicole Ford MBA, CPHQ,
Project Manager,
Healthcare Association of New York State

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Rosa Abraha MPH,
Health Equity Lead,
Alliant Health Solutions

time iconApril 9, 2024 15:30
Holiday 6

Attend this presentation to hear about the work Quality Insights and TMF Health Quality Institute, two Quality Innovation Network-Quality Improvement Organizations, have done around hospital readmissions.

The first part of this session will focus on how standardization of communication can reduce or prevent unnecessary hospital readmissions across the continuum of care. Since 2019, the TMF Quality Innovation Network-Quality Improvement Organization healthcare quality improvement specialists, along with health care providers and partners in the community of El Paso, Texas, identified poor communication among the health care providers in the community that resulted in high readmission rates. To combat these rates, the community developed a Nurse-to-Nurse Report to standardize communication among the health care providers in the community that treat the same patients being readmitted. 

The second part of this session will compare parametric and nonparametric cost estimates for hospital readmissions.  Using Medicare claims data from Pennsylvania and West Virginia spanning 2017-2022, we estimate how much more, on average, Medicare beneficiaries with selected index diagnoses cost when readmitted within 30 days, compared to those not readmitted, after controlling for demographics and comorbidities. This estimation is accomplished via a robust machine learning variable importance framework. This approach avoids the assumptions associated with parametric methods, and thus enhances accurate valuation."""

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Stephanie Hursey, MSN, MHA, CCM (Moderator),
Contract Officer Representative,
Centers for Medicare & Medicaid Services, DCPH

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Vanessa Andow, CPHQ, CPPS, FACHE,
Project Director,
TMF Health Quality Institute

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Sadiq Bouda Abdulai, PhD
Senior Data Analyst,
Quality Insights

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Jill Manna BA, PMP.
Quality Improvement Specialist,
TMF Health Quality Institute

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Grace Bolanos Sewell, MA, CCLS, CPHQ
Quality Improvement Specialist,
TMF Health Quality Institute

time iconApril 9, 2024 15:30
Holiday 4-5

Rapidly advancing technology, access to data, and secure ways to communicate with an increasingly tech-savvy cross-section of the American population has changed how we think about protecting Medicare beneficiaries and the Medicare Trust Fund. Beneficiary and Family-Centered Care Quality Improvement Organizations (BFCC-QIOs) are adopting strategies to improve access and efficiency while reducing burden for all parties.

In their scope of improving the effectiveness, efficiency, economy and quality of services provided to Medicare beneficiaries, BFCC-QIOs review case documentation, medical records, and/or Medicare claims for more than 400,000 records annually. BFCC-QIOs also produce detailed documentation for providers and Medicare beneficiaries to summarize findings for beneficiary-initiated quality of care reviews. Continuously looking to improve quality, BFCC-QIOs identified ways to streamline processes, resulting in improved outcomes and beneficiary- and family-centered services. 

To support providers, BFCC-QIOs are implementing cutting edge technologies such as artificial intelligence and machine learning to create efficiencies in case review and documentation processes; these have resulted in reduced burden, improved patient-safety and improved standardization. To support beneficiaries, BFCC-QIOs utilize these tools to ensure appropriate implementation of plain language in documentation intended for beneficiaries and families. Finally, to support the Medicare Trust fund, BFCC-QIOs developed approaches to streamline records review and more efficiently use physician review time for identification of cases that are likely to be misaligned with CMS policies.

While technology cannot replace the need for human review, input, and interactions, BFCC-QIOs have identified ways to maximize efficiencies and use administrative, clinician, and beneficiary time when it is most valuable.

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Wendy Gary, MHA, (Moderator)
Chief Operating Officer,
Avar Consulting;
Executive Director,
BFCC-QIO;
Project Director,
BFCC NCORC

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Josh Dominick, MPA,
Director, Business Intelligence
Kepro

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Jed Shakarji,
Data Analyst II,
Avar Consulting

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Brian Salzer, MS, PMP
Data Science Team Lead,
Avar Consulting

time iconApril 9, 2024 15:30
Virtual Event Platform

Over the past two years, CMS has made significant strides in advancing oral health across all our programs. CMS has developed a set of cross-cutting initiatives that engage teams across our organization to drive the goals highlighted by the strategic pillars and enhance focus on critical components of our work. These initiatives are high-level, multi-year priorities for CMS that bring our centers and offices together to leverage their expertise and strengthen collaboration. The CMS Chief Dental Officer will describe the launch and work under the Oral Health Cross-Cutting Initiative. Access to oral health services promotes health and wellness and allows beneficiaries and consumers to achieve the best health possible. States have the flexibility to determine what dental benefits are provided to adult Medicaid enrollees. While most states offer at least emergency dental services for adults, less than half of the states currently provide comprehensive dental care. There are no minimum requirements for adult dental coverage. More than 1 in 4 (26%) adults in the United States have untreated tooth decay. Over the last ten years, dental pain has been a top reason for opioid prescribing upon discharge from the ED, thereby contributing to the overdose crisis. There is a bi-directional link between oral health and substance use disorder. This session will focus on the outcomes of two studies that analyzed Medicaid enrollment and claims data. These studies examine oral health needs, disparities, and access to dental services for Medicaid adults with substance use disorders, as well as the impact of the COVID-19 public health emergency, state coverage policies, and socio-demographic factors on adults' access to dental services.

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Jessica Maksut PhD
Technical Director,
Office of Minority Health;
Centers for Medicare & Medicaid Services

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Carla Shoff PhD,
Senior Advisor to the Chief Dental Officer,
Office of the Administrator;
Centers for Medicare & Medicaid Services

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Lorel Burns DDS, MS
Assistant Professor,
NYU College of Dentistry

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Natalia Chalmers, DDS, MHSc, PhD
Chief Dental Officer,
Office of the Administrator,
Centers for Medicare & Medicaid Services

time iconApril 9, 2024 15:30
Virtual Event Platform

The True Cost of Patient Safety Events and Pursuing the Goal of Zero Harm

Patient safety events (PSEs) remain a persistent challenge in our healthcare system, and the Centers for Medicare & Medicaid Services (Centers for Medicare & Medicaid Services) has adopted the goal of Zero Preventable Harm as part of its National Quality Strategy (NQS). This presentation will (1) discuss the prevalence of PSEs among Medicare beneficiaries, (2) analyze associated additional inpatient care and financial costs, and (3) provide insight to support Centers for Medicare & Medicaid Services’ aim to promote the safest possible care for all. The Beneficiary and Family Centered Care National Coordinating Oversight and Review Center (BFCC NCORC) screens 4,000 Medicare medical records annually for PSEs, leading to follow-up actions by the BFCC-Quality Improvement Organizations (QIOs). NCORC analyzed additional days of hospitalization and payment associated with PSEs projected on a national level, by sample weighting, representing beneficiaries based on 4,000 Medicare discharges between October 2020 and December 2021. Over 5,000 PSEs were identified, and half of beneficiaries experienced at least one, with 6% being deemed preventable. PSEs were associated with nearly four additional days of inpatient care on average, totaling 32.5 million additional days nationally. This equates to $86 billion per year, or about one-tenth of all Medicare spending. Preventable PSEs cause about 5.7 million additional days of care, and over $15 billion in spending. Patient safety is the cornerstone of high-quality healthcare, yet PSEs happened in more than half of Medicare beneficiary hospitalizations, accounting for nearly 10% of all Medicare spending. These findings reinforce the urgent need for Centers for Medicare & Medicaid Services’ quality agenda, and the goal of achieving zero preventable harm.

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Li Chen, Ph.D
Health Research Lead,
Avar Consulting

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Jacklyn Vollmer, MPH
Quality Improvement and Operations Support Specialist,
Avar Consulting

time iconApril 9, 2024 16:30
Key Ballroom & Live Streamed

This session will explore the broader definition of harm beyond physical safety, and the importance of addressing inequities to achieve zero harm. Dr. Gandhi will share strategies and tactics to show how leading organizations are innovating and transforming a culture and leveraging high reliability to build engaged, resilient care teams that deliver safe, high-quality care and the optimal patient experience.

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Tejal Gandhi, MD, MPH, CPPS
Chief Safety and Transformation Officer,
Press Ganey

time iconApril 9, 2024 17:00
Key Ballroom & Live Streamed

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Jean Moody-Williams, RN, MPP
Deputy Director,
Center for Clinical Standards and Quality,
Centers for Medicare & Medicaid Services

time iconApril 10, 2024 09:00
Holiday Ballroom
time iconApril 10, 2024 09:00
Holiday Ballroom
time iconApril 10, 2024 10:00
Holiday Ballroom & Live Streamed

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Jean Moody-Williams, RN, MPP
Deputy Director,
Center for Clinical Standards and Quality,
Centers for Medicare & Medicaid Services

time iconApril 10, 2024 10:05
Holiday Ballroom & Live Streamed

As the newest Medical Officer to join CMS, Dr. Lenise Cummings-Vaughn will share her insights and lessons learned as a Hub leader for the AHRQ ECHO National Nursing Home COVID Action Network and the themes that emerge including balancing patient needs for socialization with infection control, resource management, staffing stabilization, burn out, and education on best practices and quality assessment and improvement.

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Lenise Cummings-Vaughn, MD, CMD
Medical Officer,
Center for Clinical Standards and Quality,
Centers for Medicare & Medicaid Services

time iconApril 10, 2024 10:30
Holiday Ballroom & Live Streamed

This session will demonstrate how one of the committees that is part of the Moving Forward Coalition assembled residents, care partners, advocates, and researchers to develop a step-by-step Resident Council Guide for nursing home residents, staff, and community members. We will describe how the guide is currently being piloted and tested in 4 nursing homes and what we hope to learn from this pilot. We will discuss the importance of a resource guide and its use to assist nursing homes to implement, sustain, and continually enhance an effective, person-centered Resident Council.

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Anna Fisher, CADDCT, CDP, CMDCP, CDSGF, QCP
Education Consultant/Nurse,
Hillcrest Health Services

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Mairead Painter, BSW
Long Term Care Ombudsman,
State of Connecticut

time iconApril 10, 2024 11:00
Holiday Ballroom & Live Streamed

The NET program enriches the lives of NH residents by recruiting community partners to actively engage in activities that bring value to residents. The NET program evaluates the impact and feasibility of the community taking an active role to improve resident experiences and quality of life.

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Patricia Gagliano, MD
Task Order 1 Lead and Vice President,
IPRO’s Healthcare Quality Improvement Department

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Melanie Ronda, MSN, RN, LTC-CIP, CPHQ
Task 3 Lead,
Infection Preventionist and a Director in IPRO’s Healthcare Quality Improvement Department,
IPRO QIN-QIO

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Jennifer Wieckowski, MSG
Senior Executive Director,
Health Services Advisory Group

time iconApril 10, 2024 11:30
Holiday Ballroom & Live Streamed

Part 1: Since April 2020, Quality Improvement Organizations have received Targeted Response Quality Improvement Initiative (TRQII) referrals from CMS for nursing homes identified as needing assistance with infection control, COVID hot spots, and low vaccination rates. Great Plains QIN operationalizes a multi-faceted best practice approach to facilitate engagement and action leveraging all encounters with nursing homes to improve infection control practices and vaccination uptake.

Part 2: This session will focus on applying high reliability concepts to team members and throughout quality projects to increase nursing home participation in targeted response quality improvement initiatives."

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Nicole Haas, MPH, CPH, CPHQ
Quality Improvement Initiative Manager,
Alliant Health Solutions

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Dee Kaser, RN, CDCES
Quality Improvement Advisor,
Great Plains

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Stephanie Meduna, RN, BSN
Quality Improvement Advisor,
Great Plains

time iconApril 10, 2024 12:00

Grab & Go stations will be conveniently located throughout the main convention floor (Floor 2).

Food Trucks will be stationed on Eutaw Street beneath the Skywalk.

Explore any of the amazing nearby restaurants

time iconApril 10, 2024 13:00
Holiday Ballroom & Live Streamed

This presentation will feature insights from the San Francisco Department of Public Health's Chief Quality Officer, HSAG representatives and CMS, offering a comprehensive understanding of the recertification journey of San Francisco's Laguna Honda Hospital and Rehabilitation Center (LHH), the 2nd largest public run skilled nursing facility in the United States. Attendees will gain valuable insights into the strategies employed for successful culture change and sustainability, providing a compelling narrative of resilience, collaboration, and innovation in addressing healthcare challenges.

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Barb Averyt, MHA
Senior Executive Director,
Health Services Advisory Group

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Troy S. Williams, MSN, RN, CPHQ, CPHRM
Laguna Honda CMS Recertification Co-Incident Commander,
Chief Quality Officer,
San Francisco Health Network, San Francisco Department of Public Health

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Keith Chartier, DrPH, MPH
Executive Director,
Health Services Advisory Group

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Jim Bossemeyer
Acting Director, Division of SF/Seattle Survey & Enforcement
Centers for Medicare & Medicaid Services

time iconApril 10, 2024 13:30
Holiday Ballroom & Live Streamed

Part 1 – Mountain Pacific Project Firstline team co-created an interactive, team and skills-based activity that provided innovative learning for health care professionals. The Escape Room is a “fun and effective way to learn,” while improving the team culture. Part 2 - Comagine Health QIN-QIO designed and implemented a two-part model to evaluate participant and facility level learning collaborative outcomes over time for single cohorts and across cohorts to access impact and growth. Strategies for learning collaborative evaluation, highlighting an example focused on a Hypertension SMBP learning collaborative will be shared.

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Crystal Morse, MS HSA, CSW, CCM
Senior Account Manager,
Mountain Pacific Quality Health

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Laura Myerchin Sklaroff, MA, EdD
Director,
Systemwide Quality Improvement Evaluation,
Comagine Health

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Callie Perkins, BSN
Wyoming Account Manager,
Mountain Pacific Quality Health

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Ann Jensen, MPH, CPH
Healthcare Data Analyst,
Comagine Health

time iconApril 10, 2024 14:00
Holiday Ballroom & Live Streamed

During this unprecedented SNF employee shortage, employee retention is paramount. Forest Hill of DC’s efforts led to a front-page story in the NTY, an AHCA Program of the Year, and the District of Columbia’s first CNA apprenticeship program.

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Tina Sandri, MHSA, LNHA, QCP, RYT-200
Chief Executive Officer,
Forest Hills of DC

time iconApril 10, 2024 14:30
Holiday Ballroom & Live Streamed

Eimee Casal, Division of Nursing Homes, Colleen Frey, Division of Community and Population Health, and Shequila Purnell-Saunders, Division of Chronic and Post Acute Care of the Center for Clinical Standards and Quality at the Centers for Medicare and Medicaid Services will discuss several recent and forthcoming initiatives impacting nursing home providers, residents, and families."

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Colleen Frey
Director,
Division of Community and Population Health,
Centers for Medicare & Medicaid Services

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Eimee Casal, BSN, RN, LNHA
Quality and Safety Branch Manager,
Division of Nursing Home,
Centers for Medicare & Medicaid Services

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Shequila Purnell-Saunders
Director,
Division for Chronic and Post Acute Care,
Centers for Medicare & Medicaid Services

time iconApril 10, 2024 15:00
Holiday Ballroom & Live Streamed

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Jean Moody-Williams, RN, MPP
Deputy Director,
Center for Clinical Standards and Quality,
Centers for Medicare & Medicaid Services