Panel Discussion: A Closer Look at Improving Patient Care

Coordination

Krista K Sultan RN, BSN, MS

Clinical Programs

Citra Health Solutions

Care Coordination

• “The goal of coordinated care is to make sure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors”-Centers for Medicare & Medicaid Services

Sandeep Bajaj, MD - Founder / CEO - Florida Accountable Care Services

• Board Certified Internist, Cardiologist, and Interventional Cardiologist.

• Recognized for his work as a Previous Director of Cardiac-Catheterization Lab at Florida Hospital,

• Practicing Interventional Cardiologist for over 25 years and as a former Chairman of a Medicare Advantage plan of roughly 50,000 lives.

• Serves as the American College of Cardiology Delegate to the Florida Medical Association

• His vision for better integrated delivery of care resulted in Guardian, a Health Information Exchange currently being used by two ACO’s in Florida and serves as a model for other accountable integrated care systems.

• His leadership also helped Central Florida Physician Trust, an ACO with approximately 10,000 lives based along the I-4 corridor successfully achieve shared savings in the amount of 4.5 Million Dollars in its first year.

Joe Taylor, VP ACO Practice

• Joe is an accountable care, health care management and health information technology strategist with over 25 years’ experience in developing, leading, implementing, delivering and measuring the results of innovative, cost-efficient health care management solutions.

• Joe has in-depth knowledge and successful implementation experience in population, preventive, chronic, and intensive care management approaches. He has successfully implemented care management programs for millions of patients across the country and internationally.

• Prior to coming aboard with FluidEdge, Joe was the President and CEO of the Oklahoma Health Insurance COOP.  Joe developed and implemented the network, care management, pharmacy, claims and client service strategy, including vendor selection, and the integration plan between the vendors.

• Joe was also a senior leader at the nation’s largest non-investor owned health plan where he developed and implemented the future healthcare management vision and strategy.  Joe lead HIT, Pharmacy, HIE’s, the “Virtual Medical Community” and the Integrated Total Health Care Management (ITHM) programs.  Joe directed and managed $175M annually in administrative budgets, excluding cost of care.

• Joe, a frequent speaker on National Healthcare issues including ACO’s, HIT and population Analytics.  Joe has written many health care related articles and is former instructor at Southern Methodist University.

Ron Ritchey, MD, MBACMO eQHealth Solutions

• Dr. Ritchey serves as the chief medical officer (CMO) for eQHealth Solutions. He is active in the design and application of innovative models of care focused on quality improvement and cost containment. These models of care are designed to be forward-looking and to embrace new opportunities created by American health care reform, forging functional alliances between physicians, hospitals and payors. Dr. Ritchey is board-certified in Internal Medicine and practiced that specialty for over twenty-five years. He is certified by the American College of Healthcare Executives and the American College of Physician

• Executives and has extensive experience as a physician executive in physician-hospital organizations, independent practice associations, and professional service organizations.

Larry JonesChief Executive Officer of Physicians Collaborative

Trust ACOFLAACOs Founding Board Member

• For over 25 years he has been advocating for physicians through their efforts to organize, negotiate with health plans, and other challenges

• Larry owns and manages 8 multi-specialty IPAs and one statewide single specialty IPA in Florida

• He also manages an MSO with 4 private Medicare Advantage contracts in Florida. 

• He is a member of the Seminole County School Board Business Advisory Board, and sits on the Insurance Committee. 

• In addition, Larry developed “HPFConnect”, a Health Information Exchange, to fully integrate his physicians with both IT and Clinical Integration.

Can you each give us a brief description the ACO(s) or organization that you work with?

Where are you located?What is your general mission?

How do you see your organization evolving to meet the needs of care coordination?

What do you see as the greatest challenge facing care coordination?

What would you define as the area most in need of care coordination?

What kinds of care coordination programs have you seen that work well in the ACO

space?

What kinds of care coordination programs have you seen that are not working well?

What would you like to see care coordination become in the next 3 years?

What role do you see technology playing in care coordination?

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Questions for the Panel?