Education event

Creating Care Partnerships: Beyond the Continuum Resource Page
Hosted by CHA's Center for Post-Acute Care

Agenda

Monday, March 2

12:00 – 1:00 p.m. | Registration, Check-in

1:00 – 1:15 p.m. | Opening Remarks

1:15 – 2:15 p.m. | Keynote
Harnessing the Power of the Patient
Rowena “Ricki” Stajer, Consultant for Center for Care Management​
A leader in case management, Ricki Stajer’s professional career was spent trying to ensure her patients got the best results possible. Circumstances changed a year ago when she experienced a stroke while teaching a Case Management Fundamentals class. She became a patient in an inpatient rehabilitation facility for the next month. Another 2 months of outpatient therapy truly taught Ricki the importance of patient engagement in achieving desired outcomes. Listen to her unique outlook as she advocates tuning into who the patient is as a person, identifying individual needs instead of creating a generalized recovery schedule. 

2:15 – 3:15 p.m. | General Session
Intersection Between Homelessness and Health Care
Margot Kushel, MD, Professor of Medicine, Director of UCSF Center for Vulnerable Populations, Director UCSF Benioff Homelessness and Housing Initiative

Dr. Kushel will discuss why understanding this population is important, how homelessness impairs access to services, and how this impacts the use of health care. She will focus on new innovative partnerships and concepts we need to take into consideration when we are caring for persons experiencing homelessness.

3:15 – 3:45 p.m. | Break

3:45 – 5:00 p.m. | General Session
Psychiatry and Case Management Without the Medication
Scott Zeller, Vice President, Acute Psychiatric Medicine, Vituity
This session explores how a psychiatrist and psychiatric services can support case management and care transitions, potentially creating new opportunities. Dr. Zeller will discuss the role of the psychiatrist in case management for individual patients, supporting partnerships with SNFs and other community providers, along with operational implications.

5:00 – 6:00 p.m. | Welcome and Networking Reception

Tuesday, March 3

7:30 – 8:30 a.m. | Registration, Breakfast and Exhibit Viewing

8:30 – 9:00 a.m. | Welcome and Opening Remarks
Carmela Coyle, President & CEO, California Hospital Association

CHA’s President and CEO will share her perspectives on the challenges and opportunities facing California’s hospitals. Don’t miss this important opportunity to hear her vision for the future and how CHA is working to represent hospitals and influence health care policy at both the state and federal level.

9:00 – 10:15 a.m. | General Session
Federal Policy Shaping Post-Acute Care

Alyssa Keefe, Vice President, Federal Regulatory Affairs, California Hospital Association

CHA’s Washington-based representative will provide a behind-the-scenes update on policy and regulation at the federal level.

10:15 – 10:45 a.m. | Break and Exhibitor Viewing

10:45 – 11:45 a.m. | General Session – Panel
Value-Based Care Strategies: How Multi-Organizational Partnerships Generate Speed to Success

Rodrigo Giacinti, MHA, Operations Director West, SignifyHealth

Nina Cornell Plata, RN, BSN, MS, Vice President of Population Health, Adventist Health
Bobbie Kumar, MD, MBA, FAAFP, Director of Complex Care Management, Vituity
Has your organization discovered how to implement strategies to deliver value-based care? Join this panel as they discuss pooling resources and aligning partnerships to help increase patient success across different value-based care models. Learn, through specific examples, how a multi-organization approach is creating alignment based on geographic location and need. Can patient outcomes be improved through care-redesign in the acute and post-acute space, engaging technology (such as telehealth) or overcoming specific social determinants of health? Speakers will discuss innovative ideas to improve outcomes in a cost-effective environment.

11:45 a.m. – 1:00 p.m. | Lunch and Exhibitor Raffle Drawing

1:00 – 2:00 p.m. | Split Session
Case Studies in Hospital’s Community Partnerships
June Simmons, President and CEO, Partners in Care Foundation
Sally Ramirez, RN, MLTCA, IQCI, Regional Director, Utilization, Denial and Clinical Training, Providence St. Joseph Health
Norma Diaz-Phan, MSN, MSHCA, RN, Clinical Director, Acute Rehabilitation Center and Transitional Care Unit, PIH Health, Whittier
Pippin Ashton, BSN, RN, Clinical Director, Post Surgical Unit, PIH Health, Whittier

As we move toward value-based care, we must think about implementation of bold new approaches for post-acute care, patient transitions and how social determinants play into improved outcomes. One session will feature speakers sharing their pilot program focusing on reducing re-admissions, increasing patient safety and improving quality ratings. The other session will discuss hospitalized adult patients who are at-risk for adverse health outcomes due to immobility and a nurse-led mobility program that was effective in increasing safe, early patient mobilization, creating a culture of mobility.

2:00 – 3:00 p.m. | General Session 
Leveraging Community Resources

Richard Espinoza, NHA, Chief Administrative Officer, Alameda Health System
Whole person care is a long-held vision that can become reality through partnerships between acute, post-acute and home and community-based services. How does an acute care facility develop successful community relationships? Richard Espinoza shares insight about provider partnerships between his health system and various community-based organizations including skilled nursing facilities.  He will discuss the pilot program his organization participated to facilitate successful patient transitions throughout the continuum of care.

3:00 – 3:15 p.m. | Closing Remarks
Patricia Blaisdell, FACHE, Vice President, Continuum of Care, California Hospital Association

Presentations – Print

Monday, March 2

Harnessing the Power of the Patient
Rowena “Ricki” Stajer

Intersection Between Homelessness and Health Care
Margot Kushel, MD

Psychiatry and Case Management Without the Medication​
Scott Zeller, MD

Tuesday, March 3

Welcome and Opening Remarks​
Carmela Coyle

Federal Policy Shaping Post-Acute Care
Alyssa Keefe

Value-Based Care Strategies: How Multi-Organizational Partnerships Generate Speed to Success
Rodrigo Giancinti, MHA; Nina Cornell Plata, RN, BSN, MS; Bobbie Kumar, MD, MBA, FAAFP

Case Studies in Hospital’s Community Partnerships Split Session
June Simmons, Founder, President & CEO; Sally Ramirez, RN MLTCA, IQCI

Case Studies in Hospital’s Community Partnerships Split Session
Ashton Pippin, RN, BSN; Norma Diaz-Phan, RN, MSN, MSHCA

Leveraging Community Resources
Richard Espinoza, NHA

Presentations – Mobile

Important: To ensure access to the presentations during the Conference, we recommend that you download the presentations to your device in advance.

You must have Adobe Reader installed on your device to view and print the presentations.You can download this free software from the Adobe website at http://get.adobe.com/reader/

Monday, March 2

Harnessing the Power of the Patient
Rowena “Ricki” Stajer

Intersection Between Homelessness and Health Care
Margot Kushel, MD

Psychiatry and Case Management Without the Medication​
Scott Zeller, MD

Tuesday, March 3

Welcome and Opening Remarks​
Carmela Coyle, President & CEO

Federal Policy Shaping Post-Acute Care
Alyssa Keefe, Vice President, Federal Regulatory Affairs

Value-Based Care Strategies: How Multi-Organizational Partnerships Generate Speed to Success
Rodrigo Giancinti, MHA; Nina Cornell Plata, RN, BSN, MS; Bobbie Kumar, MD, MBA, FAAFP

Case Studies in Hospital’s Community Partnerships Split Session
June Simmons, Founder, President & CEO; Sally Ramirez, RN MLTCA, IQCI

Case Studies in Hospital’s Community Partnerships Split Session
Ashton Pippin, RN, BSN; Norma Diaz-Phan, RN, MSN, MSHCA

Leveraging Community Resources
Richard Espinoza, NHA

Faculty

Pippin Ashton, BSN, RN
Clinical Director, Post-Surgical Unit
PIH Health, Whittier

Pippin Ashton, BSN, RN is the Clinical Director of the post-surgical unit at PIH Health, in Whittier, California. Ms. Ashton began her nursing career at PIH Health in 2006. She expanded her leadership role within the unit, becoming a preceptor for newly hired nursing staff, charge nurse, Assistant Clinical Director and Clinical Director promoting the ‘Patients First’ vision of PIH Health.

Carmela Coyle
President & CEO
California Hospital Association

Carmela Coyle began her tenure as President & CEO of the California Hospital Association, the statewide leader representing the interests of more than 400 hospitals and health systems in California, in October 2017. Previously, Ms. Coyle led the Maryland Hospital Association for nine years, where she played a leading role in reframing the hospital payment system in Maryland and moving to a value-based methodology. Maryland is now considered a national leader in health care policy and innovation. Prior to 2008, Ms. Coyle spent 20 years in senior policy positions with the American Hospital Association (AHA), including 11 years as the senior vice president of policy, where she served as a national media spokesperson and led AHA’s policy development and strategy planning activities. She currently is a member of AHA’s Board of Trustees.

Norma Diaz-Phan, MSN, MSHCA, RN
Clinical Director, Acute Rehabilitation Center & Transitional Care Unit
PIH Health Hospital-Whittier

Norma Diaz-Phan, MSN, MSHCA, RN is the clinical director for the Acute Rehabilitation Center and Transitional Care Unit, a distinct-part skilled nursing facility at PIH Health Hospital-Whittier.  Ms. Diaz-Phan works closely with nurses and an interdisciplinary team directing daily operations.  Her research experience includes depression following stroke, hospital readmissions, and nursing workflow.

Richard Espinoza, NHA
Chief Administrative Officer
Alameda Health System

Richard Espinoza, Chief Administrative Officer with Alameda Health System, has more than 24 years of experience in Post-Acute Services and is a California Licensed Nursing Home Administrator. Mr. Espinoza has operational oversight of Skilled Nursing Facilities, Sub-Acute Care Units, an Acute Rehabilitation Unit and Inpatient/Outpatient Rehabilitation services. He has participated in the development of community relationships and partnerships to assist with successful patient transitions throughout the continuum of care.

Rodrigo Giacinti
Director of Operations, West Coast
Remedy Partners

As the Director of Operations for the West Coast for Remedy Partners, Mr. Giacinti is responsible for implementing strategic initiatives across 15 health care organizations (128 Hospitals). He has over 15 years of experience in strategic initiatives, acute and post-acute operations, selecting and managing PAC networks, as well as defining and measuring quality initiatives for Value Base Care Programs.

Alyssa Keefe
Vice President, Federal Regulatory Affairs
California Hospital Association

Alyssa Keefe joined CHA in 2011 as vice president of federal regulatory affairs. She is responsible for policy development and analysis of federal regulation impacting California hospitals and health systems and serves as a liaison between CHA and federal agencies including the Centers for Medicare & Medicaid Services. Prior to joining CHA, Ms. Keefe was the managing director of the Hospital Quality Alliance and senior associate director for policy at the American Hospital Association. Ms. Keefe has also held senior policy positions at Catholic Health Association of the United States and the National Coalition on Health Care.

Margot Kushel, MD
Professor of Medicine
University of California, San Francisco

Margot Kushel, MD is a Professor of Medicine at the University of California San Francisco in the Division of General Internal Medicine at Zuckerberg San Francisco General Hospital, the Director the UCSF Center for Vulnerable Populations and the Director of the UCSF Benioff Homelessness and Housing Initiative. Dr. Kushel’s research focuses on the causes and consequences of homelessness and housing instability, with the goal of preventing and ending homelessness, and ameliorating the effects of homelessness on health.  She speaks at a local, state and national levels about issues of homelessness, and frequently provides testimony to legislative bodies, in addition to maintaining an active clinical practice. 

Nina Plata, RN, BSN, MS
Vice President, Population Health
Adventist Health

Nina Plata, RN, BSN, MS is Adventist Health’s Vice President of Population Health. Throughout her 28 years with Adventist, Ms. Plata has worked as a nurse mostly in an acute-care setting. She has been involved in education, leadership and project management, being a senior leader for the past 5 years. Her team is working on creating better process for all of Adventists’ patients throughout the continuum of care and moving health care they provide toward value-based care from fee for service.

Sally Ramirez, RM MLTCA, IQCI,
Regional Director, Utilization, Denials and Clinical Training Care Management
Providence St. Joseph Health

Ms. Ramirez has been in care management for more than 30 years. Prior to working with Providence, she spent 10 years with Kaiser Permanente Los Angeles.

June Simmons
Founder, President & CEO
Partners in Care Foundation

Nationally recognized for her leadership in the administration of health care organizations, June Simmons is a visionary in developing innovative approaches to health care delivery in the 21st century. Since founding Partners in Care Foundation in 1997, Ms. Simmons has pioneered the development and scaling of evidenced-based innovative interventions for the management of medications at home, self-management of chronic conditions, coordinated care to improve health outcomes and care transitions.

Rowene “Ricki” Stajer
Consulting Associate
Center for Case Management

Rowene “Ricki” Stajer, currently a consulting associate for Center for Case Management, has held leadership positions in community based non-profit integrated delivery systems over quality management, performance improvement, and care management programs, as well as Transitional Care and Inpatient Rehabilitation units. Ms. Stajer is a registered nurse and holds a bachelor’s degree in Health Sciences, a master’s degree in Organizational Leadership.

Scott Zeller, MD
Vice President of Acute Psychiatry
Vituity

In addition to his responsibilities with Vituity, Dr. Zeller is also the current Chair of the multidisciplinary National Coalition on Psychiatric Emergencies. He was formerly Chief of Psychiatric Emergency Services of the Alameda Health System, of Oakland, CA; during this time Dr. Zeller developed the innovative approach to eliminate emergency department psychiatric patient boarding that became known as the “Alameda Model.” 

Evaluation

Thank you for attending CHA’s Creating Care Partnerships: Beyond the Continuum Conference. We truly value your feedback and request that you complete our online program evaluation. 

Click here to complete the online evaluation.

If you have questions, please contact CHA Education at (916) 552-7637 or education@calhospital.org.

Sponsors

Silver Sponsors

For over 35 years Accredited Home Care Services has been providing a full spectrum of home care services including skilled nursing and rehabilitation services, companion/personal care services and personal emergency response systems. We ensure that proper care continues to be delivered after a hospitalization and/or acute illness. Our Medicare scores and clinical outcomes are among the top on a state and national level. Accredited strives to improve the quality of life and level of independence for every client and family member receiving our services. We are accessible 24 hours a day, 365 days a year. We remain family owned and operated since 1980. Call our toll free number at 800-974-1234 or visit our website at www.accreditednursing.com

Michelle Hofhine, RN 
Vice President of Marketing
(818) 939-3741 
mhofhine@accreditednursing.com

 

Latina Green 
Home Care Specialist
(800) 974-1234 
lgreen@accreditednursing.com

 

CarePort Health provides care coordination software solutions to manage patient transitions across the continuum. The end-to-end platform bridges acute and post-acute EHRs, providing visibility for providers, payers and ACOs into the care that patients receive across care settings so that all providers can efficiently and effectively coordinate patient care.

Jonathan Martin
Assistant Vice President of Sales
(919) 454-4347 
jonathan.martin@careporthealth.com

 

Golden State Recuperative Care is a 20-bed residential care home located in South Los Angeles. Our home consists of the most dedicated and skilled staff to provide the highest level of services while providing hope, dignity, and equity of care to each client. Through our experienced care and services, we empower our clients every step of the way, from hospital discharge to full recovery. For more information visit www.goldenstaterecup.com.

Michael Gonzalez
Director of Operations
(323) 475-1127
michael@goldenstaterecup.com

 

Violeta Crow, LVN
Intake/Case Manager
(323) 475-1139
vcrow@goldenstaterecup.com

 

Intalete helps over 100,000 health care providers improve financial viability through new revenue systems and vendor savings. For more information visit www.HRS-Intalere.com.

Mark Creed
Senior Director 
mark.creed@intalere.com

 

Jeff Lewitz
Regional Manager
jeff.lewitz@intalere.com

 

As California’s nonprofit health data network, Manifest MedEx (MX) delivers real-time information for 19 million patients every day. MX data helps quality teams, care managers, discharge planners and clinicians execute confidently on managing risk and improving care—particularly for the State’s most vulnerable patients. Together, we are transforming the healthcare landscape across the state, supporting California as a leader in affordable, proactive, and compassionate medical care. For more information visit www.manifestmedex.org

Claudia Williams
Chief Executive Officer
claudia.williams@manifestmedex.org

 

Brittany Weppler
Director, Sales
brittany.weppler@manifestmedex.org

 

Organizational Intelligence (OI) offers a comprehensive, robust, and easy-to-use cost accounting & decision support software. OI effectively analyzes your financial and clinical data into a single database, single source, and a “single level of truth.” OI’s daily monitoring of key performance indicators (KPIs), benchmark tracking, and dynamic visual analytics will guarantee an efficient financial management process, clinical engagement, and accurate data for your hospital. For more information visit www.oihealth.com.

Akeel Joseph
West Regional Manager
(402) 934-1361
ajoseph@oihealth.com

 

 

 

California’s Office of Statewide Health Planning and Development (OSHPD) collects data and disseminates information about California’s healthcare infrastructure. OSHPD promotes an equitably distributed healthcare workforce and provides the state with an enhanced understanding of the structure and function of its healthcare delivery systems and healthcare outcomes. OSHPD also monitors the construction, renovation, and seismic safety of hospitals and skilled nursing facilities and provides loan insurance to assist the capital needs of California’s not-for-profit healthcare facilities. For more information visit oshpd.ca.gov.

Bianca Openiano
Health Program Specialist II
(916) 326-3822
bianca.openiano@oshpd.ca.gov

 

Caily Langston
Staff Services Manager I
(916) 326-3822
caily.langston@oshpd.ca.gov

 

Signify Health delivers software and services that enable payers, employers and at-risk providers to organize and finance healthcare delivery around a patient’s episode of care. With an innovative logistics and clinical workflow technology platform, exhaustive data set, and an unparalleled national clinical network, the company provides tech-enabled care services to vulnerable populations within the routine of their daily lives to improve health and quality of life. Signify Health delivers its services to partners at more than 1,000 healthcare locations nationwide and serves well over one million health plan members each year, providing health risk evaluations, complex care management, outcomes-based pharma services, and specialized medical services in the home and other convenient locations. For more information visit www.signifyhealth.com.

Rodrigo Giacinti, MHA
Director of Operations
(573) 310-1485
rgiacinti@remedypartners.com

 

 

 

True Match Recovery Index provides medical professionals with a comprehensive database of available substance abuse rehabilitation facilities that match patient’s treatment criteria accurately, fast. 



 

Amee Gray
Chief Executive Officer
818) 552-3654
amee@recoverwell.net

 

 

Supporter

 

Exhibitors

The Center for Case Management is an International Health Care Consulting company providing custom-built solutions for organizations around patient care, case management needs, patient flow and capacity.  We also provide educational training, conferences and seminars, since 1986. Clients include health systems, community hospitals, physician groups, health plans, information system, and professional associations. We strive to leave our clients with positive energy for the work ahead, and a trusted relationship with us. For more information visit www.cfcm.com.

Ricki Stajer
Consulting Associate
rickistajer@me.com

   

 

The CSU Shiley Institute for Palliative Care offers online and customized education to expand access to and awareness of palliative care. Housed within America’s largest university system, we are extremely proud to be the country’s leading educational and workforce development initiative dedicated to improving palliative and end-of-life care.

Brandon McDonald
Client Relations Manager
bmcdonald@csusm.edu

 

Jim Shaw
Business Development Lead
jshaw@csusm.edu

 

The Hospital Quality Institute (HQI) provides coordination and support for improvement and harmonizes measures for patient safety and quality improvement activities for CHA, Hospital Council, HASC and HASD&IC.  The organization builds reliable and sustainable measures to gauge California’s performance and identifies opportunities for focus and innovation.

Julia Slininger, RN, BS, CPHQ
Vice President, Regional Quality Network
(213) 538-0766
jslininger@hqinstitute.org

 

Partners in Care Foundation are specialists in the social determinants of health (SDOH). We manage gaps in non-medical care that affect a person’s recovery and overall health. These include food insecurity, medication confusion, transportation difficulties, and home safety.  We do this work through a network of community-based organizations, and our own staff, either coordinating or providing evidence-based services.  The result is happier, healthier people cared for at lower expense in their own homes and communities.

June Simmons
President & CEO
jsimmons@picf.org

 

Ester Sefilyan
Vice President, Network Services
esefilyan@picf.org

Commands