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October
25
2017
The Path to Clinical Integration: Two Children’s CINs Tell How They Achieved a Framework for Success with Accreditation
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Live
01:00 PM - 02:30 PM EDT
$0.00 Register Now
 

Clinically Integrated Networks (CINs) enable health systems and providers to deliver value-based care, improving clinical outcomes, cost efficiencies and patient satisfaction. The organizational framework of a CIN also provides legitimacy to negotiate with payers. But, structuring a CIN is complicated and comes with compliance risks. The U.S. Federal Trade Commission, Department of Justice and state regulators closely scrutinize the structures of these networks to safeguard against antitrust violations. 

CINs are choosing URAC Clinical Integration Accreditation to demonstrate clinical integration, navigate the complex requirements of the FTC and DOJ to avoid regulatory and legal pitfalls, and empower the organization to implement the proper operational and compliance foundations to ensure success with payers and partners.

You’ll hear from Casey Osborne, Vice President, PCCN, and Ginger Hines, Senior Director of Operations, SCCN, on why they chose to pursue accreditation and their experiences in the accreditation process. Find out how the process of URAC accreditation helps create a sustainable framework for clinical integration and walks the organization through the steps for setting up a network aligned with the FTC guidelines. You’ll discover how Clinical Integration Accreditation helps to:

  • Negotiate from a stronger position with payers and partners
  • Achieve better agreements and delegated services in medical management under value-based and risk arrangements
  • Avoid the complex reviews by legal counsel and consultants (PCCN is able to budget less money for legal and consulting fees)

Plus, Osborne and Hines will provide tips on the accreditation process including:

  • How to establish a roadmap to launch CIN accreditation activities at your organization to achieve clinical integration standards
  • Tips to organize your efforts for the submission requirements
  • How to ensure your team is on board with the final documentation that is submitted to URAC
  • Resources required and the time to get accreditation
  • The proper team and approach to work through the accreditation process
  • What to expect during the desktop review and onsite audits
  • The role that care coordination programs play in Clinical Integration accreditation
  • The role of the health system or hospitals in the accreditation process
  • And much more.

Don’t miss this great opportunity to hear from two CINs – one that recently became URAC accredited for clinical integration, and one that is currently going through the process – on their experiences. Plus, you’ll get a chance to ask the speakers questions directly through the live Q/A session in the last 30 minutes of the webinar. 

ABOUT THE SPEAKERS

Casey Osborne, Vice President, Phoenix Children’s Care, has oversight and responsibility for Payer and Provider Operations, as well as the health system’s Physician Relations Department and Provider Enrollment Department.  Under his leadership, PCCN has grown to become the first pediatric, URAC Accredited, Clinically Integrated Network in the country and has grown to be recognized as one of the top pediatric clinically integrated networks in the nation.  PCCN manages over 150,000 children in various risk based shared savings and pay for performance models.  Casey is also is involved with strategy around the approach to integration and pediatric care for Medicaid lives in the state of Arizona. 

Ginger Hines, Senior Director of Operations, Seattle Children’s Care Network, is an accomplished healthcare leader with more than 25 years’ experience in healthcare administration, operations and management consulting. Her work for the past four years has focused on delivering new models of care, interventions and care transformation efforts for populations in accountable care and value based risk arrangements. Before joining Seattle Children’s, Ginger was the Senior Director of Operations and Model of Care for Providence Health and Services in the Population Health Division.

Deborah Smith, MN, RN-BC, URAC’s product development principal, has previously served URAC as a senior advisor for strategy and innovation, director of product development, consultant, and volunteer with URAC for more than 18 years. She recently oversaw the development of URAC’s Telehealth Accreditation program and the redesign of the organization’s patient centered medical home (PCMH) program.

On Demand
3-month Unlimited Access to Recorded Event. Does Not Include Live Event.
$0.00 Register Now
 

Clinically Integrated Networks (CINs) enable health systems and providers to deliver value-based care, improving clinical outcomes, cost efficiencies and patient satisfaction. The organizational framework of a CIN also provides legitimacy to negotiate with payers. But, structuring a CIN is complicated and comes with compliance risks. The U.S. Federal Trade Commission, Department of Justice and state regulators closely scrutinize the structures of these networks to safeguard against antitrust violations. 

CINs are choosing URAC Clinical Integration Accreditation to demonstrate clinical integration, navigate the complex requirements of the FTC and DOJ to avoid regulatory and legal pitfalls, and empower the organization to implement the proper operational and compliance foundations to ensure success with payers and partners.

You’ll hear from Casey Osborne, Vice President, PCCN, and Ginger Hines, Senior Director of Operations, SCCN, on why they chose to pursue accreditation and their experiences in the accreditation process. Find out how the process of URAC accreditation helps create a sustainable framework for clinical integration and walks the organization through the steps for setting up a network aligned with the FTC guidelines. You’ll discover how Clinical Integration Accreditation helps to:

  • Negotiate from a stronger position with payers and partners
  • Achieve better agreements and delegated services in medical management under value-based and risk arrangements
  • Avoid the complex reviews by legal counsel and consultants (PCCN is able to budget less money for legal and consulting fees)

Plus, Osborne and Hines will provide tips on the accreditation process including:

  • How to establish a roadmap to launch CIN accreditation activities at your organization to achieve clinical integration standards
  • Tips to organize your efforts for the submission requirements
  • How to ensure your team is on board with the final documentation that is submitted to URAC
  • Resources required and the time to get accreditation
  • The proper team and approach to work through the accreditation process
  • What to expect during the desktop review and onsite audits
  • The role that care coordination programs play in Clinical Integration accreditation
  • The role of the health system or hospitals in the accreditation process
  • And much more.

Don’t miss this great opportunity to hear from two CINs – one that recently became URAC accredited for clinical integration, and one that is currently going through the process – on their experiences. Plus, you’ll get a chance to ask the speakers questions directly through the live Q/A session in the last 30 minutes of the webinar. 

ABOUT THE SPEAKERS

Casey Osborne, Vice President, Phoenix Children’s Care, has oversight and responsibility for Payer and Provider Operations, as well as the health system’s Physician Relations Department and Provider Enrollment Department.  Under his leadership, PCCN has grown to become the first pediatric, URAC Accredited, Clinically Integrated Network in the country and has grown to be recognized as one of the top pediatric clinically integrated networks in the nation.  PCCN manages over 150,000 children in various risk based shared savings and pay for performance models.  Casey is also is involved with strategy around the approach to integration and pediatric care for Medicaid lives in the state of Arizona. 

Ginger Hines, Senior Director of Operations, Seattle Children’s Care Network, is an accomplished healthcare leader with more than 25 years’ experience in healthcare administration, operations and management consulting. Her work for the past four years has focused on delivering new models of care, interventions and care transformation efforts for populations in accountable care and value based risk arrangements. Before joining Seattle Children’s, Ginger was the Senior Director of Operations and Model of Care for Providence Health and Services in the Population Health Division.

Deborah Smith, MN, RN-BC, URAC’s product development principal, has previously served URAC as a senior advisor for strategy and innovation, director of product development, consultant, and volunteer with URAC for more than 18 years. She recently oversaw the development of URAC’s Telehealth Accreditation program and the redesign of the organization’s patient centered medical home (PCMH) program.

Wednesday, October 25, 1:00pmk - 2:30pm ET

November
14
2017
The Politics of Performance Measurement
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Live
01:00 PM - 02:30 PM EDT
$0.00 Register Now
 

The terms politics and performance measurement in the same sentence seem to be in conflict. But the intersection between these two concepts is known and acknowledged by those who participate in the field of healthcare measurement.

Politics has been defined by American political scientist Harold Lasswell as “who gets what, when, and how.” How a network is created to attain certain results has substantial political overtones.

So, too, is the world of performance measurement – particularly with the selection process of measures.

Politics enters the process because of multiple competing measures – not all of which received endorsement from the National Quality Forum (NQF) – resulting in “winners and losers.” How does this occur?

In this panel discussion webinar, Jason Goldwater, National Quality Forum Senior Director, Marybeth Farquhar, URAC Vice President of Quality, Research and Measurement, and Aaron Turner-Phifer, URAC Vice President of Government Relations and Policy, will discuss:

  • How performance metrics are viewed by legislators and others in the legislative process
  • How federal agencies select measures for programs
  • NQF’s role in measure selection and whether endorsement influences the selection process
  • How measures are endorsed by NQF
  • Trends around the numbers and the focus of quality measures
  • And much more.

The panel discussion is moderated by Joshua Spofford, URAC Quality Manager. Plus, you’ll get a chance to ask the speakers questions directly through the live Q/A session in the last 30 minutes of the webinar. Register today.

ABOUT THE SPEAKERS

Jason C. Goldwater is a Senior Director at the National Quality Forum, where he oversees activities related to the evaluation of electronic clinical quality measures (eCQMs) as well as projects focused on the use of electronic health to improve the quality, safety and efficiency of health care.  Mr. Goldwater has been in the field of health information technology (health IT) for 16 years and has led a number of projects on the utilization of health IT for improved health care delivery. 

Marybeth Farquhar is Vice President of Quality, Research, & Measurement at URAC, with responsibility for conceptualizing and implementing URAC’s strategy for measurement and research. Farquhar has more than 30 years of experience in the field of nursing and healthcare administration, research, and quality measurement. Prior to her tenure at URAC, Farquhar was vice president of performance measurement at the National Quality Forum and was responsible for strategic oversight of the consensus development process.

Aaron Turner-Phifer is Vice President of Government Relations and Policy at URAC. He has nearly a decade of experience advising and crafting public policy at the federal, state, and local levels. Turner-Phifer has experience working on health care quality initiatives and public policy that impacts Medicare, Medicaid, and Health Insurance Marketplace enrollees. He is an expert political and policy analyst with a unique understanding of the intricacies associated with the development of health care policy. He achieved his Master of Health Administration degree from the George Washington University.

On Demand
3-month Unlimited Access to Recorded Event. Does Not Include Live Event.
$0.00 Register Now
 


The terms politics and performance measurement in the same sentence seem to be in conflict. But the intersection between these two concepts is known and acknowledged by those who participate in the field of healthcare measurement.

Politics has been defined by American political scientist Harold Lasswell as “who gets what, when, and how.” How a network is created to attain certain results has substantial political overtones.

So, too, is the world of performance measurement – particularly with the selection process of measures.

Politics enters the process because of multiple competing measures – not all of which received endorsement from the National Quality Forum (NQF) – resulting in “winners and losers.” How does this occur?

In this panel discussion webinar, Jason Goldwater, National Quality Forum Senior Director, Marybeth Farquhar, URAC Vice President of Quality, Research and Measurement, and Aaron Turner-Phifer, URAC Vice President of Government Relations and Policy, will discuss:

  • How performance metrics are viewed by legislators and others in the legislative process
  • How federal agencies select measures for programs
  • NQF’s role in measure selection and whether endorsement influences the selection process
  • How measures are endorsed by NQF
  • Trends around the numbers and the focus of quality measures
  • And much more.

The panel discussion is moderated by Joshua Spofford, URAC Quality Manager. Plus, you’ll get a chance to ask the speakers questions directly through the live Q/A session in the last 30 minutes of the webinar. Register today.

ABOUT THE SPEAKERS

Jason C. Goldwater is a Senior Director at the National Quality Forum, where he oversees activities related to the evaluation of electronic clinical quality measures (eCQMs) as well as projects focused on the use of electronic health to improve the quality, safety and efficiency of health care.  Mr. Goldwater has been in the field of health information technology (health IT) for 16 years and has led a number of projects on the utilization of health IT for improved health care delivery. 

Marybeth Farquhar is Vice President of Quality, Research, & Measurement at URAC, with responsibility for conceptualizing and implementing URAC’s strategy for measurement and research. Farquhar has more than 30 years of experience in the field of nursing and healthcare administration, research, and quality measurement. Prior to her tenure at URAC, Farquhar was vice president of performance measurement at the National Quality Forum and was responsible for strategic oversight of the consensus development process.

Aaron Turner-Phifer is Vice President of Government Relations and Policy at URAC. He has nearly a decade of experience advising and crafting public policy at the federal, state, and local levels. Turner-Phifer has experience working on health care quality initiatives and public policy that impacts Medicare, Medicaid, and Health Insurance Marketplace enrollees. He is an expert political and policy analyst with a unique understanding of the intricacies associated with the development of health care policy. He achieved his Master of Health Administration degree from the George Washington University. 

Tuesday, November 14, 1:00 – 2:30 p.m. Eastern Time

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