ACHE District 5 Stacked Virtual Interactive Education Event (6 VIE)

As reimbursements shift from volume based to value based, healthcare organizations are becoming more responsible for providing the resources necessary to meet the needs of a given population. Aligning quality of care with the appropriate level of care and services becomes pertinent to healthcare organizations’ bottom line. It is imperative for healthcare leaders to develop programs that offer underserved communities an opportunity for a healthier tomorrow.

Several pioneer organizations have developed population health improvement models such as Accountable Care Organizations that force them to take responsibility for the beneficiaries they are serving. As the acuity of care increases, healthcare leaders must coordinate equitable care and properly address social determinants of health. The focus is no longer treating patients, but proactively keeping patients out of the acute healthcare setting and providing care in the community.

Developing population health management into a tangible measure continues to be a challenge for all healthcare organizations across the country. How to properly reduce costs while improving the quality and access of care in communities that lack the resources and education to care for themselves and prevent acute health issues and substantive chronic disease continues to be a major hurdle in population health adoption.

The pandemic has only accelerated what was already a fast- moving train toward more of healthcare becoming digital. Whether it is the increasing need for telehealth services, the rapidly growing field of artificial intelligence, or advances toward more personalized medicine, the intersection of healthcare and digital technology is here to stay. In addition, digital health has become a healthcare access imperative. Its innovative benefits are of vital interest amid the implementation of most healthcare regulations.

This program surveys some of the current uses and organizational deployment of digital health strategies. The discussion includes adoption and innovation across the clinical and patient perspectives. The technical, operational, regulatory, and financial/reimbursement aspects of the development of these programs will also be investigated. The expanding role that digital health holds in daily life and its direction into the future of the healthcare delivery system will be explored.

Healthcare compliance affects every type of healthcare provider from the solo practitioner to the largest global healthcare conglomerate. It is an important area of the healthcare industry given the focus on different areas of compliance and compliance professionals’ need to be aware of standards set forth by accrediting bodies and regulators. To understand where the area of compliance is heading, healthcare professionals stay current on topics of False Claims, Cybersecurity and Privacy Risks, Third-Party Risk, Regulatory Changes, and Ethics. This program will present strategies for successfully navigating these important areas of compliance, leadership challenges and insight into trend and best practices of managing risk.

To truly transform the delivery of healthcare, the alignment and integration of executive and physician goals should be developed to create economic incentives to achieve clinical care transformations, which require behavioral and cultural changes in the delivery systems. Future success for health systems will likely depend on physicians not only successfully adapting to evolving healthcare regulatory and practice requirements, but also learning how to succeed in a world of new reimbursement models. To address these changes, physician alignment has become a common term used by healthcare leaders to describe the activities used to motivate behavior change. Developing a case for change that articulates why transformation must occur to achieve desired clinical and business outcomes and associated implementation plans may seem easy to tackle in theory. However, anyone who has ever tried to change a habit— whether on an individual or team/organizational level—knows that there is nothing easy about changing the way in which people behave and operate. This session will provide strategies and tactics on how to create meaningful physician and healthcare organizational goals, increase return on investment, and improve quality and efficiencies in the organization.