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Program-Edited Bios-Symposium The Dartmouth Symposium on Health Care Delivery Science March 26-27, 2018 Grand Ballroom, Hanover Inn, Hanover, NH Health Care Transformation Playbook: How to Implement Organizational Change in an Uncertain Environment Welcome to our Symposium at Dartmouth College It is my great pleasure to welcome you to the 5th Annual Dartmouth Symposium on Health Care Delivery Science. Reflecting on the origins of this event, I’m struck by the boldness of the Class of 2013, who not only took a chance on a new program in a new field but, upon completing it, recognized the need for an annual event to bring alumni together to continue to learn from one another and generously contributed seed funding to launch the symposium. More than just a forum for disseminating knowledge in our field, the symposium functions as a mini-reunion, helping to maintain class bonds and knit new relationships across classes. It’s tempting to speculate that the Class of 2013 couldn’t have imagined the pivotal role this event would come to play in our alumni programming but, this group has a vision. Over the next two days, you will hear from over twenty presenters representing a cross-section of MHCDS alumni and their colleagues. Behind the scenes, members of every class have been working to plan this content for nearly a year. And, as audience members, your participation is critical to our success. As our alumni family grows and registration increases, we want to maintain the intimacy and sense of community that characterize the symposium. You’ll notice some new session formats this year; we hope they will facilitate lively dialog. We tried hard to make the programming varied, dynamic, and interactive all of which should lead to insightful discussions and initiate new cross- class connections. Welcome to Hanover and enjoy the Health Care Transformation Playbook! Molly Castaldo Assistant Director of Alumni Engagement MHCDS Program 1 The 2018 Dartmouth Symposium on Health Care Delivery Science is supported by: Peter Curran’13 and anonymous donors from the Class of 2017 in memory of Bonni Curran’13 2 SYMPOSIUM AGENDA Monday, March 26 7:15 AM Breakfast & Registration 8:15 AM Welcome Remarks Peter Curran’13 8:30 AM Policy Update Overview of recent policy changes at the federal level relating to value-based payment. Hope Plavin’16 8:45 AM Session 1: Where Are We Now? Panelists will discuss unique opportunities as well as challenges facing OneCare Vermont, a state-wide ACO, as it relates to a Next Generation ACO model. Presenters look forward to input from the audience about strategies for use of NGACO waivers, alignment of incentives and quality improvement. Linda Cohen’16 Norman Ward’15 Stephen Leffler’16 ♦ ♦ Facilitator: Ellen Meara 9:45 AM Break 10:15 AM Session 2: Leading Change – How to Evaluate Change Opportunities and Differentiate Good Ideas from Bad Ones Panel of Executive Officers will participate in a discussion exploring decision- making around areas of transformation; including evaluating change opportunities, deciding which ideas to pursue, and determining when to abandon initiatives. Joanne Conroy Janice Nevin Austin Pittman’13 ♦ ♦ Facilitator: Robert Greene’14 11:30 AM MHCDS Curriculum and Faculty Update Ellen Meara Robert Shumsky ♦ 11:45 AM Lunch/Break 3 1:15 PM Session 3: Innovation Workshop Workshop utilizing participants’ diverse perspectives and experiences to generate and refine innovative ideas on health system transformation. Facilitator - Sharang Biswas, MediciGroup 4:45 PM Affinity Group Meetings (MHCDS ONLY) 5:30 PM Reception followed by Dinner and Keynote speech May You Live in Interesting Times: Leading Change in a Time of Disruption in Healthcare Rushika Fernandopulle Introduction: Steven Utts’17 Tuesday, March 27 7:15 AM Breakfast & Registration 8:00 AM Welcome & Announcements Kendra Tinsley’18 8:15 AM Session 4: Elements of Change Management Discussion among Mt. Sinai Beth Israel’s CMO, COO and VP-HR about the operational, human resources, and managerial strategies involved in the transformation of Mt. Sinai Beth Israel and its subsequent reduction in total bed capacity from 799 licensed beds to 220, of which 70 are medical/surgical. Barbara Barnett’13 Christopher Berner Elizabeth Sellman ♦ ♦ Facilitator: Robert Shumsky 9:45 AM Break 10:15 AM Session 5: Transformative Partnerships Presentation will explore four tactics for creation of transformative partnerships will be followed by an interactive discussion. Robert Eubanks’19 Facilitators: Benjamin Anderson’17, Helen Rhodes’17 11:30 AM Lunch/Break 4 12:30 PM Session 6: Transformers - Transformation Learning Stations Presentations from five diverse healthcare leaders about their transformative work. Participants will choose four (of five available) stations to visit. Whichever stations you choose, you’ll learn how an innovative goal was achieved, have opportunities for active discussion, and (spoiler alert) earn prizes. Facilitator - Kirsten Meisinger’18 • Transforming Care Delivery with a Perioperative Surgical Home o David Robson’16 • Provider Recruitment and Retention: How a Frontier Hospital Leverages Equity and Diversity o Benjamin Anderson’16 • Improving Health and Care by Listening – Individually and at Scale o Gregory Makoul’13 • Supply Chain Management: Lessons from Rural Nepal o Surya Bhatta’18 and Kathryn Becker Van Haste’18 • EMERGEnt Properties of a Pilot to Reduce Harm in the SICU o Kevin Bader’18 and John Benson 2:00 PM Break 2:15 PM Session 7: Dimensions of Implementing Change Panelists will share strategies for implementing change and creating value at the physician, departmental and organizational levels. Suellen Griffin’15 Alok Sharan’15 Andrew Sorenson’16 ♦ ♦ Closing remarks: Carol Ash’17 3:15 PM Wrap-up Remarks Timothy Fisher’13 5 YOUR PLAYBOOK NOTES: 6 2018 SYMPOSIUM KEYNOTE SPEAKER RUSHIKA FERNANDOPULLE CO-FOUNDER AND CEO IORA HEALTH Rushika is the co-founder and CEO of Iora Health, an innovative primary care clinical organization. He is a physician who has spent more than ten years involved in efforts to improve the quality of healthcare delivered to patients. He was the first Executive Director of the Harvard Interfaculty Program for Health Systems Improvement, and served as a Managing Director of the Advisory Board Company. He serves on the faculty and earned his AB, MD, and MPP from Harvard University. He completed his clinical training at the Massachusetts General Hospital. 7 BIOGRAPHIES Benjamin Anderson, MHCDS’16 has made it his priority and his mission to improve the health status of residents in rural Kansas, work that reflects his passion for helping the underserved. Since June 2013, Anderson has led Kearny County Hospital, a critical access facility in the small town of Lakin, Kansas, where he is committed to helping underserved and struggling populations. His work in health promotion, health equity among refugees, and physician recruitment and retention have all received national acclaim. In 2014, Anderson was recognized as one of Modern Healthcare’s Up & Comers recognizing young executives who have made significant contributions in the areas of healthcare administration, management or policy. Carol Ash, DO, MHCDS’17 is a board-certified general internist, fellowship-trained pulmonary, and critical care and sleep medicine specialist with more than 20 years of experience in clinical medicine. She is a graduate of Seton Hall University, and the University of Medicine and Dentistry of New Jersey (UMDNJ). She obtained an MBA at University of Massachusetts Amherst, and fellowship status with the American College of Healthcare Executives. She is a recent graduate of Dartmouth's Master of Health Care Delivery Science program, which offers advanced training in healthcare leadership, teamwork, finance, and operations. In her current role with Rutgers Robert Wood Johnson Medical School she is medical director of the Critical Care Unit at Robert Wood Johnson Barnabas Health Hamilton. With her clinical leadership expertise, she is helping both organizations to align and launch a new healthcare delivery model that will address resource utilization in the ICU, improve health outcomes, and reduce health costs. This initiative presents a unique opportunity to launch a transformation journey from microsystem, to High Reliability Organization, to a “Culture of Health.” Dr. Ash has been featured on television and radio, including The Today Show, Good Morning America, CNN, The Weather Channel, MSNBC, Fox's Fox and Friends, CBS Early Show and more. She has been a featured speaker at national business sponsored events including engagements for the National Business Aviation Association (NBAA), the International Operators Convention (IOC), and Corporate Aviation Safety Stand- down (CASS). 8 Kevin D. Bader, MHCDS’18 is currently the Project Manager for the Bureau of Navy Medicine & Surgery’s (BUMED) “Advancement of Patient Safety for High Reliability Change Management Plan” focusing on the creation and optimization of an enterprise- wide comprehensive patient safety system. He started at the Johns Hopkins University Applied Physics Laboratory (JHU/APL) in 2013 and in his time with this organization has worked as a health systems engineer in several healthcare delivery applications. He has worked on projects ranging from optimization of outpatient clinics to MOR and ED utilization at various military hospitals throughout the country. He spent considerable time supporting the implementation of Patient- Centered Medical Home in several branch health clinics in Portsmouth, Virginia.
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