March 1-3, 2015Loews New Orleans Hotel

— IntroductIon —

Healthcare is rapidly evolving from a fragmented, payment centered silo approach, to an integrated, coordinated system driven by outcome and value. Prism of Possibilities:

Shaping the Future, is a leadership summit focused on integrated post acute care. Experts from around the country will share their new models and processes. Old established ways of providing care are being disrupted. Past payment models are giving way to new approaches with pay for performance, value based approaches and bundled

care, all of which focus on measured outcomes. Integrated care models from around the country are saving money by reducing hospitalizations, and moving care to community settings and homes. Conference concurrent sessions will involve facilitated conversations with professionals and providers from across the continuum of care, payers, and consumers. Attendees will get access to the final summit’s summary document, allowing them to better envision the future of integrated care in their own organizations.

— Schedule —

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“…envision the future ofintegrated care…”

Sunday, March 1, 20151:00–2:00 Registration

2:00–2:30 Welcoming & Opening Remarks

2:30–3:30 Session I

3:30-4:15 Small Group Discussion

4:15–5:00 Large Group Follow Up

5:00–6:00 Reception

Monday, March 2, 20157:30–8:30 Breakfast

8:30–9:30 Session II

9:30–10:15 Small Group Discussion

10:15–10:30 Break

10:30–11:45 Session III

11:45–12:00 Break

12:00–1:00 Lunch

1:00–2:00 Session IV

2:00–2:45 Small Group Discussion

2:45–3:00 Break

3:00–3:30 Large Group Follow Up

3:30–4:30 Session V

4:30–5:15 Large Group Discussion

Tuesday, March 3, 20157:30–8:30 Breakfast

8:30–9:00 Morning Remarks

9:00–10:00 Session VI

10:00–10:45 Small Group Discussion

10:45–11:30 Large Group Follow Up

WHO SHOULD ATTENDThis summit for leaders will include physicians, case managers, owners, administrators,

directors of nursing, consumers, payers, and stakeholders from primary care, acute care, LTAC, SNF, IRF, CORF, hospice, home health and others across the continuum of care.

SESSION I:Shaping Healthcare’s Future:Dream & Design Janet Bull, MD, Flat Rock, North Carolina Steven Landers, MD, MPH, Red Bank, New JerseyCare at home and in the community has revolved around home health and hospice over the past 50 years. Complex care in the home setting, palliative care to manage terminal conditions, and hospice at the end of life are all critical components to our evolved system of care. Bull and Landers have led large organizations that have reengineered their relationships with health professionals, with the provider continuum, and with patients and families. Dr. Landers is formerly of Cleveland Clinic and now the VNA Health Group. Dr. Bull is a national speaker on hospice and palliative care and is Chief Medical Officer at Four Seasons Compassion. Bull and Landers will share their experiences and lead the attendees into this interactive conference by offering a vision of an evolved continuum of care and our opportunity to shape the future of integrated care.

Janet Bull, MDFlat Rock, North Carolina Janet Bull, MD FAAHPM is the Chief Medical Officer at Four Seasons Compassion and holds

a consultant assistant professorship at Duke University Medical Center. She is a Fellow of the AAHPM, board certified in hospice and palliative medicine and holds a hospice medical director certification. Currently she serves on the steering committee for the Palliative Care Research Co-Operative Group and chairs the Membership Committee. She is a current Board Member for AAHPM and serves on the finance

committee. Janet has been an Associate Editor of PC-FACS since 2008, and has authored or coauthored several papers on palliative care and quality data reporting. She helped develop the QDACT (Quality Data Assessment Collection Tool) which is now being used across multiple national sites to benchmark data and collaborate on quality reporting through the Global Palliative Care Quality Alliance. She directs the research department at Four Seasons and has served as the Principle Investigator on over 41 clinical trials in hospice and palliative medicine. She is Program Director of the Palliative Care Immersion Course and directs Four Seasons’ Center of Excellence, which offers consulting services in hospice, palliative care, and research. Janet was the recipient of the Sharon O. Dixon Award in 2007, the Cuniff-Dixon Hastings Award in 2012, and the Josephino Magno Distinguished Physician Award in 2013. In 2014, she was recognized as one of the Top 30 Visionaries in the Field award by the American Academy of Hospice and Palliative Medicine and is the Principal Investigator on a 2014 Center of Medicare Innovations Grant.

Steven Landers, MD, MPHGreater New York City AreaDr. Landers specialties include geriatrics, transitional care, hospice, remote patient

monitoring, and home health care. His work at Cleveland Clinic and the VNA Health Group has included telehealth, connected health, and health services research. He is chair of the Alliance for Home Health Quality and Innovation and recently keynoted the Institute of Medicine Summit on the Future of Home Health Care.

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CONTINUING EDUCATIONAttendees wishing to receive continuing education credit must be a duly registered attendee of the summit AND complete an evaluation form for each session attended. Certificates will be mailed to attendees requesting continuing education who sign the course attendance sheet, been in attendance throughout the course and returned an evaluation form. Persons who must leave early will receive credit proportional to their actual attendance.

Nursing Continuing Education CreditNursing Continuing Education approved through Louisiana~Mississippi Hospice and Palliative Care Organization (LMHPCO), an approved provider of nursing continuing education by the Louisiana State Board of Nursing. CE Provider number 46.

Social Worker Continuing Education CreditApplication has been submitted and approval is pending NASW – LA Chapter.

s e s s i o n sSESSION II:Redesign - Moving Teams from Hospitals to the Community and HomeIntegrated teams are moving from hospitals to the community and home. Unique, disruptive models of care are reducing hospital and nursing home admissions. The Program for All-Inclusive Care of the Elderly (PACE), an already proven model, provides a more concentrated and focused level of care for the acutely ill, in their homes and community versus institutions. Uniquely qualified in this area, Dr. Susan Nelson is board certified in Internal Medicine, Geriatrics, and Hospice & Palliative Care. Dr. Nelson heads up Franciscan Missionary of Our Lady’s (FMOL) Program for All Inclusive Care of the Elderly (PACE). Disruptive models of care at home include Independence at Home, a risk shared model involving physician and nurse practitioner led teams caring for those with multiple comorbidities that account for the top 5 % of Medicare costs. Debra Johnson Pyles, JD, CHP and Jim Pyles, JD, LLB, have been involved in health policy and operations in the Washington, DC for many years. They will speak on redesign of health teams and the payment model that makes it work.

Deborah Johnson-Pyles, JD, CHPWashington, DCDeborah J. Pyles, J.D., is founder and principal of Johnson-Pyles Healthcare Innovations, LL.

Ms. Pyles has extensive experience with regulatory interpretation and application. After working with a local hospice that cared for her mother, Pyles became a hospice volunteer, then a board member and later executive director of the Hospice and Palliative Care Network of Maryland, where she assisted in the

creation of the Maryland Palliative Care Hotline and wrote two handbooks for Hospice Care in Skilled Nursing and Assisted Living Facilities in Maryland.

Jim Pyles, JD, LLBWashington, DCJim Pyles, is co-founder of Powers, Pyles, Sutter, & Verville, and has more than forty

years of experience in litigation, counseling, and lobbying in health law and policy. Jim is nationally known for his expertise in health information technology, health information privacy, chronic care coordination, home health, hospice, and ambulatory care services. He has crafted major pieces of health care legislation in many areas covered by the Medicare Act.  Mr. Pyles was a principal designer of the Independence at Home model, enacted with bipartisan support as part of the Patient Protection and Affordable Care Act of 2010. Mr. Pyles is a member of the Board of Directors of a national physician house call association.  

Susan Nelson MD, FACP, FAAHPM serves as medical director of senior services, Franciscan Missionaries of Our Lady Health Systems, and Franciscan PACE. She is currently the chair of

LA-POST Coalition, an initiative of Louisiana Health Care Quality Forum and also serves on their board. She is a fellow of the American College of Physicians and the American Academy of Hospice and Palliative Medicine as well as an advocate for senior health. She works with the Louisiana State Medical Society Council on Public Health and is a member of the board of directors of the National Physicians Orders Life-Sustaining Treatment (POLST) Paradigm Taskforce and the National PACE Association.

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AMERICANS WITH DISABILITIES ACTIf you need special assistance or

accommodations identified in the ADA, please contact LMHPCO officein advance at 888-546-1500.

s e s s i o n sSESSION III:New Payment Models; What Can Providers Expect?Accountable Care Organizations (ACOs), Managed Care Organizations (MCOs), hospital systems, and others are adapting as they anticipate a very different healthcare system in the near future. Have you heard that some states will have as few as two or three hospital systems in the next five to ten years? Are you aware that ACOs are likely to give way soon to bundled payments? How are new payment models enticing those other than home health agencies to get into care at home and in the community? This panel, facilitated by Peter Egan of Egan Healthcare, will include CEO of Ochsner Health systems’ ACO, Phillip Oravetz, MD; Humana’s Regional President of Senior Products, Gulf Coast Region, Jeffrey Fernandez, JD; Duane Blackwell, MBA, of Lagniappe Home Care; Bill Davis; MBA, Administrator & member of Gulf South Quality Network. This energetic conversation will provide attendees with an inside look at the payors, hospitals, physician providers, and the ACOs.

Bill Davis, MBASlidell MemorialBill Davis is CEO of Slidell Memorial Hospital and an active leader in the Gulf South Quality Network. Davis boasts more than 25 years of

experience in healthcare financial management. Davis was director of network development and provider relations for SMA Health Plan, Inc., the third-largest HMO and second-largest PPO in Louisiana.

Phillip Oravetz, MD, MPH, MBAOchsner Accountable CareNew Orleans, LADr. Philp M Oravetz is Medical Director of Accountable Care and clinical integration for

Ochsner Health System in New Orleans, Louisiana.

He attended, the University of Connecticut School of Medicine and Brown University for his residency. Dr. Oravetz is credentialed in Family Medicine, Geriatric Medicine and is a Fellow of the American Academy of Family Physicians. He earned his MPH at UCLA and MBA from UC-Irvine. Dr. Oravetz has extensive health plan administration, the application of information technology to population health management and physician decision support systems. Oravetz was Chief Medical Officer at the Mills-Peninsula Division of the Palo Alto Medical Foundation.

Jeff Fernandez, JD, MBANew Orleans, LAJeff Fernandez, JD, MBA, is Humana’s Regional President of Senior Products. Fernandez is

recognized by colleagues for his expertise in managed care, health insurance and Medicare. He serves on the board of the Louisiana Association of Health Plans.

Duane Blackwell, MBAAlexandria, LADuane Blackwell has over 30 years of expe-rience in leadership positions with a variety

of organizations across several industries including healthcare, banking and finance, and manufacturing. He served as CEO of Thompson Home Health for ten years and is currently CEO of Lagniappe Home Health. Blackwell has consulted for numerous health care enti-ties across the U.S.

The session facilitator is Peter Egan, of Covington, LA, the CEO of Egan Healthcare Services. Egan has served as a member of the Joint Commission for Accreditation of

Healthcare Organizations Pharmacy Advisory Board, and serves on numerous government boards and commissions. Egan has been engaged in healthcare endeavors across the continuum of care.

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PHOTOGRAPHY:Photos will be taken throughout the entire conference. Registration implies consent to be photographed

and permission to use the photos in printed materials.

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SESSION IV:How Health Systems Are Transforming Their Old ModelsCentura Health in Denver and Dignity Health, former-ly Catholic Healthcare West, are transforming care to adapt to new payment models. Home and commu-nity based services have always been part of these two very large healthcare systems, but now they are taking on a much bigger role in a reformed approach to healthcare. Erin Denholm, MSN, RN is the Senior Vice President of Clinical Transformation with Centu-ra. Kathleen Sullivan is Vice President of Post Acute Services for Dignity Health. Together they will discuss their systems evolution from fee for service organiza-tions to fee for value providers. Denholm and Sullivan will address their transition to clinical integration from past silo models. Dr. Sullivan and Ms. Denholm will also engage attendees related to aspects of market driven healthcare in an ACO and bundled care of the future. The Veteran Administration’s (VA) Home Based Primary Care (HBPC) program has improved outcomes and reduced cost for over twenty years. VA’s hospi-tal at home program is a progressive model of care that increases the frequency of physician and Nurse Practitioner visits in lieu of hospitalization for Veter-ans who are more acutely ill. Dr. Lumi Kawasaki, MD, MBA, drives this visionary program as Service Chief of Geriatrics and Extended Care at Southeast Louisiana Veterans Health Care System (SLVHCS) and Associate Professor of Medicine at Tulane University School of Medicine. She will share how this team oriented ap-proach improves outcomes and reduces cost.

Erin Denholm, MSN, RN, is Senior Vice Pres-ident of Clinical Transformation for Centura Health’s twelve hospital system in Denver, Col-orado. Denholm’s passions are to transcend

healthcare beyond hospital walls, increase healthcare literacy among consumers, empowering consumers to direct their care and their wishes at the end-of-life. She is responsible for a wide range of home health services, senior living and skilled nursing facilities, palliative care, hospice programs, durable medical equipment and other non-acute care offerings that

complement the health care delivered inside Centura Health’s twelve Colorado hospitals. She pioneered the use of telehealth technology in reducing emergency room visits and adverse outcomes among heart failure patients in Colorado, and she led the successful legisla-tive effort to make Colorado the first state in the coun-try to provide Medicaid funding for telehealth services. She is a Robert Wood Johnson Executive Nurse Fellow.

Lumie Kawasaki, BA, MBA, MD is the Ser-vice Chief of Geriatrics and Extended Care at Southeast Louisiana Veterans Health Care System (SLVHCS) and an Associate Professor of Medicine in the Department of Medicine

at Tulane University School of Medicine. She received her Bachelor of Arts Degree from Brown University in Providence, Rhode Island where she studied Applied Mathematics. Dr. Kawasaki worked several years in the fields of architecture, engineering, and business, receiving a Masters of Business Administration at the Wharton School of Business, University of Penn-sylvania. She then matriculated to the University of Pittsburgh School of Medicine where she obtained her Medical Doctorate. Dr. Kawasaki completed her residency training at Tulane University Health Sciences Center and subsequently returned to the University of Pittsburgh Medical Center to complete her clinical fellowship in Geriatrics. She joined the faculty of the Tulane Department of Medicine in 2003. Dr. Kawasaki serves as the Medical Director of SLVHCS’s Home and Community Programs and is the Medical Director at St. Margaret’s Daughters’ Nursing Home.

Kathleen Sullivan, PhD, RN is Vice President of Post Acute Services for Dignity Health, formerly Catholic Healthcare West. She has over thirty years of experience leading home

and community-based services and currently is in charge of operational oversight and implementation of strategic initiatives for post acute care and cancer care services for Dignity. She recently completed the University of California, San Francisco’s Hartford Center for Geriatric Nursing Excellence PhD program. She is a Robert Wood Johnson Executive Nurse Fellow.

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SESSION V:Technological Innovation and Population Health ManagementTechnological innovation is accelerating across acute care, post acute care, managing chronic illness, end of life care, and the integration across the continuum. Astute providers and professionals are gleaning information across many aspects of innovation, seeking the right blend of technologies to enhance care outcomes and reduce costs. Dr. Pramod Gaur has a wealth of experience across telehealth, informatics, health data, and predictive modeling. He has presented as an expert to Congress, was a speaker at the White House Conference on Aging, and was an International Delegate to the United Nations. Dr. Gaur’s presentation will give forward thinking providers a picture

of today’s effective technologies, a look at innovation on the horizon, and a better understanding of the business challenge facing telehealth in payment models.

Pramod Gaur, PhDPace UniversityPramod Gaur, PhD was Vice President of Telehealth for United Health Group (UHG) and responsible

for coordination of telehealth solutions from wellness and prevention, to chronic disease management, to end of life care. He was founding President and CEO of two telehealth companies, is a subject matter expert and adjunct professor at Pace University, and a recognized international leader in telemedicine.

SESSION VI:Beyond Consent:Ethical Considerations for the Delivery and Marketing of Care

Rev. José I. Lavastida, S.T.D.Archdiocese of New OrleansHow might America’s healthcare system be more just and fair to consumers and

society? Where does morality enter the conversation on issues of access to care, cost, and quality? As healthcare evolves and innovation abounds have we justified the ends by the means? Which situations require providers to be more vigilant to avoid taking advantage of patients and their families in their most vulnerable, fragile moments of their lives? What steps can providers, policy makers, and consumers take to grow towards a fair, just healthcare system? Are our marketing tactics misleading and if so does this impact the trust consumers place in providers? This session explores ethical responsibilities of providers, professionals, and payers to patients and their families.

Jose Lavastida’s doctoral dissertation, Healthcare and the Common Good, explores these questions. How does a profit driven healthcare system address

its moral responsibility to those in need? How can hospital administrators, CEOs of publically traded companies, drug manufacturers and policy makers address the common good, while being vigilant to prevent unethical healthcare business practices? What would it look like if shareholders found a way to drive not only innovation and profit, but also moral responsibilities to consumers? Lavastida will facilitate a dialogue with participants, challenging their ethical principles and decision making processes within their healthcare organizations, both large and small.

Father Jose Lavastida holds a Licentiate and Doctorate in Sacred Theology from the Accademia Alfonsiana in Rome with a specialization in Bioethics. He is Executive Director of Christian Formation of the Archdiocese of New Orleans and a member of the Ad-ministrative Staff and Ministerial Council for the Arch-diocese of New Orleans. He has served on Ethics Com-mittees of the VA and Mercy Hospitals in New Orleans, and consultant for East Jefferson General Hospital in Metairie. He is currently the pastor of Blessed Francis Xavier Seelos Parish in the Bywater, New Orleans, Lou-isiana and a Reserve Chaplain of the Navy serving the 4th Marine Division.”

COMFORT:Bring a jacket/light sweater for your comfort as

the temperature of the rooms can vary.

CONFERENCE HOTEL

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The Conference Rate of $179.00 per night (single / double) is available through January 30, 2015.

Loews New Orleans Hotel

“Serving Mississippi’s home health industry since 1975”

registration9

REGISTRATION/CANCELLATION POLICY INFORMATION: All cancellations must be submitted in writing. A $50 processing fee will apply to all cancellations. Cancellations made on or before February 1, 2015 will receive a full refund, less processing fee.

Cancellations between February 2, 2015 and February 15, 2015 will receive a 50% refund, less processing fee. No refunds will be made in registration cancellations postmarked after Febraury 15, 2015. Substitutions are welcomed. Please submit your request in writing. Substitutions apply to this seminar

only and not to future educational events. All refunds will be processed within 30 days after the Prism of Possibilities: Shaping the Future conference.

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