Fixing Healthcare Quality Fixes Costs (The Big Black Box of Quality)


April 22, 2021 - April 22, 2021
10:30 AM CDT - 12:30 PM CDT
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Our keynote speaker will be Dr. Brent James, considered the modern day father of U.S. healthcare quality.   This short video provides an overview of Dr. James’ career.  The Edwards Deming trained physician achieved national acclaim from his work as the Executive Director of the Institute of Healthcare Delivery at Intermountain Healthcare, now renowned for its ability to provide high quality affordable healthcare.  Addressing quality and efficiency is critical to Intermountain as they run their own health plan.  Dr. James is recognized internationally for his work in clinical quality improvement, patient safety, and the infrastructure that underlies successful improvement efforts, such as culture change, data systems, payment methods, and management roles.  He is now a Professor of  Clinical Excellence Research Center, Department of Medicine, Stanford University School of Medicine. 

Attendees will learn than 30-50% of all healthcare spending is waste due to lack of a quality focus.  FIXING QUALITY FIXES COSTS!   These buckets of waste are due to inappropriate care, avoidable hospitalizations, wide variation in care processes and procedures, and administrative inefficiencies.  The good news is that all can be corrected by hospitals and health plans.   The proven key is a delivery system built with the primary care physician as the focal point of delivery.  This is often referred to as the Third Generation of the Patient Centered Medical Home.  This is most important to best manage chronic conditions to prevent escalation to more serious consequences.  It includes collaborative care for depression and anxiety mental health proven to benefit most those with chronic conditions.  It also includes patient navigation through a very complex maze of medical options.   This approach has demonstrated improvement in quality and costs time after time.  Those employers who take this approach can expect significant reductions in ER visits, and radiology, but the biggest impact is on hospital admissions.   One of our Board members whose company has a large presence in Salt Lake City said, “We now use Intermountain as our petri dish for what we want to do in Houston and beyond, they are that good”

Leah Binder, CEO of the Leapfrog Group, will provide an overview of how quality is directly related hospital safety and its relationship to deaths, compilations, readmissions.   For 20 years The Leapfrog Group has collected, analyzed, and published data on safety and quality in order to push the health care industry forward.  Started by employers, Leapfrog’s bold transparency has promoted high-value care and informed health care decisions — and helped trigger giant leaps forward in the safety, quality, and affordability of U.S. health care.  As the Regional Leader for the Houston, we will be sending the annual Leapfrog Survey opportunity to all 55 hospitals in the Houston market on March 30.    HOUSTON FALL 2020 HOSPITAL SAFETY GRADES   

Our third speaker will be Cheryl DeMars, CEO of The Alliance in Wisconsin.  The Alliance has worked with 275+ employers to help them create custom Smarter Networks and health benefit plans that satisfy their unique needs, and we’ve been doing it for over 30 years. The Alliance helps employers significantly reduce their plan spend while also improving their employees’ access to High-Value Health Care, which rewards providers for value of care – not volume.  Quality is the key component to value.  Cheryl will share how The Alliance approaches quality as they negotiate networks for their employers. 

The webinar will conclude with a panel discussion.  The panel besides our speakers will include Dr. Pat Carter, Medical Director for Care Coordination and Quality Improvement and Chair of the Department of Family Medicine at Kelsey-Seybold Clinic.  The panel will also include an employer, a consultant and a health plan TBA. 


$0.00 Member Employer or Associate

$0.00 Non-Member Employer or Associate