Local Launch Session 1 March 15, 2017 1 Comprehensive Primary - PowerPoint PPT Presentation

Local Launch Session 1 March 15, 2017 1 Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation

Speakers Presenters: • Meagan Alley, MPH (RLN) • Kristen Schuster, BA (Practice Facilitator, Mountain Pacific Quality Health Foundation) • Maria Triantis, MBA, BSN, NP (CMS) 2 Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation

By the end of this session, you should be able to • Identify your Regional Learning Network (RLN) Team and primary points of contact. • Describe the support and resources the RLN can provide your team in meeting CPC+ aims • Discuss your initial questions regarding CPC+ • Prepare for next steps and RLN activities through May – Launch series sessions – Learning sessions 3 Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation

Overview of the Local Launch Purpose of Local Launch: • Get to know each other and resolve questions • Provide easy-to-use improvement tools to apply to all projects • Provide dedicated time for teams to prepare and plan for improvement • Provide opportunity to build collaboration and sharing between practices Topics for Local Launch: • Session 1 — Introductions, Questions and Answers • Session 2 — SWOT Analysis and Charter • Session 3 — Measurement and PDSA • Session 4 — Practice Sharing and Learning (This will occur as part of the in-person Learning Session or virtual Learning Session) 4 Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation

Section 1 Introductions 5 Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation

Organizational Chart

Nicole Banister — Deputy Director Nicole Banister, MHA, FACHE, is the deputy project director for the CPC+ Regional Learning Network at TMF Health Quality Institute. She manages practice transformation efforts across all 14 CPC+ regions. As part of her work, Nicole facilitates the learning and diffusion of best practices across 3,000 primary care sites and for 50+ payers, all of whom are working together to achieve care delivery transformation that supports the CPC+ aims of achieving better care, smarter spending, and healthier people. Prior to her work with TMF Health Quality Institute, Nicole held leadership positions in hospital systems and physician practices that were focused on health care operations, quality improvement, and value-based care. Fun fact: Nicole is an avid trail runner and enjoys camping with her family. 7 Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation

Sandi De Angelo — Learning System Manager Sandi DeAngelo is the learning system manager for the CPC+ Regional Learning Network at The Lewin Group. For each of the 14 CPC+ regions, Sandi oversees the development and delivery of learning events, including coaching activities, regional learning communities, and learning sessions. In addition, she works with Wendy Bradley (TMF) to coordinate activities with the National Learning Community. Prior to the CPC+ initiative, Sandi worked on several learning systems for the Center for Medicare & Medicaid Innovation, including the following models: Comprehensive Joint Replacement, Strong Start for Mothers and Newborns, Health Care Awards, and the Medicare Care Choice Model. Innovation Fun Fact: Sandi graduated with a high school class of 26, so she has an appreciation for the uniqueness of rural communities, specifically in regards to health care and education. 8 Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation

Wendy Bradley — Knowledge Management and Spread Coordinator Wendy D. Bradley, LPC, CCSAC, is the knowledge management and spread coordinator for the CPC+ Regional Learning Network. She is currently the director of behavioral health integration at TMF Health Quality Institute. Wendy has over thirteen years of experience in primary care transformation, much of which has been in the implementation and oversight of behavioral health integration, team-based care, management of high-risk patients, and community engagement approaches to addressing determinants of health. She also serves as a faculty member for the Institute of Health Care Improvement and has supported practices across the U.S. and Europe as they shift toward a whole-person/whole-team approach to health care. Fun Fact: Wendy loves to travel and has lived in seven U.S. states and abroad in one other country. 9 Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation

Holly Phipps — Assistant Learning System Manager Holly Phipps, MSW, former Eastern Region Cluster Lead is currently working to help support RCLs and CLCs across the marketplaces in CPC+. She is a consultant with The Lewin Group and has worked on various CMMI Learning Systems during her two years with the firm, developing a level of expertise through her work managing and planning learning events to developing qualitative data reports. Prior to her work at Lewin, Holly taught elementary school for several years and worked in global mental health to develop training curriculum for medical providers in Haiti as they built a behavioral healthcare system. Fun Fact: Holly grew up on a farm and has a potbelly pig named Charlotte. 10 Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation

Meagan Alley — Cluster Lead Meagan Alley, MPH, Western Region Cluster Lead is currently working to help support RCLs and CLCs across the marketplaces in CPC+. She is a consultant with The Lewin Group and has worked on various CMMI projects during her four years with the firm, such as the Health Care Innovations Awards (HICA), developing a level of expertise through her work managing rapid cycle report production. She also investigated nontraditional patterns of care for as part of a review of Medicare Advantage plan requirements. Fun Fact: Meagan hails from Louisiana and Texas and is still not used to DC-area winters. 11 Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation

Mira Friedlander — Communications and Logistics Coordinator Mira Friedlander, BA is the Communications and Logistics Coordinator for the Western cluster. She recently came to Lewin from Medica, where she specialized in Minnesota State Medicaid health plans. Prior to that, she did a year of service for Americorps, serving low income families and promoting nutritional education, cooking skills, and a healthy lifestyle through University of Minnesota Extension and Share Our Strength. Fun fact: Mira enjoys rollerblading around the many lakes in Minnesota with her puppy Ryder. 12 Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation

Kristen Schuster — Practice Facilitator Kristen has spent the last 5 years working in primary care as a practice transformation specialist. She has focused on quality improvement initiatives including Patient-Centered Medical Home(PCMH), Physician Quality Reporting System(PQRS), and Meaningful Use. In addition, she is a super utilizer for eClinicalWorks and specializes in building infrastructure within an electronic medical record in order to capture and report clinical quality data. 13 Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation

Patty Kosednar — Practice Facilitator Patty is a certified Project Management Professional (PMP) certified EHR professional and a HIMSS certified professional in Health Information Management Systems. She has assisted clinics and hospitals with implementation of EHRs, reporting for CMS Programs (MU, PQRS, IQR), electronic clinical quality improvement and workflow analysis and process improvement. 14 Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation

Sarah Leake — Practice Facilitator Sarah joined Mountain-Pacific Quality Health in 2010 and is a Health Technology and Quality Consultant. Her professional experience includes over 25 years in application and system She has provided planning, assessment and guidance to rural providers, clinics and hospitals to successfully participate in CMS Meaningful Use and Quality programs. She has worked with Indian Health Services the last five years help in navigating through these program requirements. Sarah has a B.S. in Industrial Engineering from Montana State - Bozeman, MBA from University of San Diego and Healthcare IT certification from UC San Diego. 15 Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation

Amber Rogers — Practice Facilitator Amber Rogers RN MSN has been an employee at Mountain-Pacific Quality Health since 2015. Her responsibilities include development of community coalitions to decrease gaps in care transitions, navigating the healthcare transition from volume to value and implementing strategies to improve prevention measures- specifically adult immunizations. Prior to employment at Mountain-Pacific Amber was a director at a physician hospital organization where she oversaw grant programs, physician peer review program and development of a clinical quality program. The grants that were implemented were focused towards support of the critical access hospitals in order to improve clinical education, EHR implementation and implementation of integrated behavioral health. Amber also has experience as a nursing director at a PPS with a variety of clinical departments and as the chief nursing officer at a CAH. 16 Comprehensive Primary Care Plus Center for Medicare & Medicaid Innovation