Concurrent Session A

Wednesday 3:45-5:00 pm

  1. Strategic Partnerships to Advance Community and Hospital Priorities

This session focuses on successful strategies for partnering to achieve critical population health goals: Community Partners Against Substance Abuse, led by a critical access hospital and local health department, will describe their successful efforts to reduce youth substance use, heroin deaths, and limiting access to prescription and over-the-counter drugs available for abuse. As an anchor institution in a low-income La Crosse, WI neighborhood, Gundersen Health System has used their community health improvement plan to drive strategic relationships that improve the neighborhood’s physical environment while simultaneously improving service delivery for a high-risk population. Trinity Health System’s Transforming Communities Initiative (TCI) seeks to rapidly impact policy and environmental change, as illustrated by a Chicago-area initiative using a health equity approach.

Diana Rawlings, Public Health Administrator / CEO, Bureau, Putnam and Marshall County Health Departments
Annette Schnable, CEO, Perry Memorial Hospital
Pat Schou, Executive Director, Illinois Critical Access Hospital Network
Dawn Conerton, Coordinator, Community Partners Against Substance Abuse
Sarah Havens, Director, Community and Preventive Care Services, Gundersen Health System
Brenda Rooney, PhD, Medical Director, Community and Preventive Care Services, Gundersen Health System
Jaime Dircksen, Director, Community Health Institute, Trinity Health

  1. Innovative and Inclusive: Changing Norms on Purpose

Historically, people with disabilities (PWD) are overlooked in public health and health promotion efforts. This leads to worse health outcomes for PWD when compared to people without disabilities. This presentation will focus an Ohio initiative funded by the Center for Disease Control and Prevention (CDC) and National Association of Chronic Disease Directors to implement PSE change strategies that have been effective at fostering inclusive healthy communities. The initiative paired local healthy community coalitions with state disability and health experts to accelerate change.

David Ellsworth, Health Policy Specialist, Ohio Disability and Health Program
Erin Creeden, Creating Healthy Communities Project, Marion Public Health
Karma Harris, Public Health Consultant, National Association of Chronic Disease Directors

  1. Risk Stratification and Care Coordination: Key Tools for Managing Patient Utilization and Improve Outcomes

This session showcases the efforts of three healthcare organizations to improve population health through information technology and community partnerships. Michigan Medicine uses a robust multi-disciplinary care management structure that employs data, including disease registries, utilization and cost metrics, to risk stratify and target patients for the most appropriate care management services. Medical Home Network Accountable Care Organization (ACO) will present lessons learned from launching its clinically and financially integrated multi-organization delivery system that has earned more than $28 million in savings in its initial 18 months through care management. Aurora Health Care’s Coverage to Care Program will reveal how it uses an intensive and systemic social work case management approach to reduce avoidable emergency department utilization for patients impacted by social determinants.

Leah Corneail, Senior Project Manager, Michigan Medicine Population Health Office
Nora Errickson, Senior Project Manager, Michigan Medicine Population Health Office
Art Jones, Chief Medical Officer, Medical Home Network ACO
Robert W. Marrs, Aurora Health Care
Jane Pirsig, Aurora Health Care

  1. Innovation in Children’s Health Care: Linking Community, Providers, and Payers in System Approaches

The Illinois Chapter, American Academy of Pediatrics (ICAAP) has developed a unique clinical and community integration model to improve pediatric health behaviors and patient outcomes by streamlining referral systems to and from medical providers and nonmedical community-based services that offer nutrition and physical activity programming for children.  The Indiana Rural Schools Clinic Network (IRSCN) which works to improve access to care for students through School-Based Telehealth Clinics, will discuss steps necessary to establish a school-based telehealth clinic, key players, telehealth technology, and the future of school-based telehealth clinics. The Alliance for a Healthier Generation will describe the Healthier Generation Benefit bringing together leading insurers, employers and national medical associations to offer comprehensive health benefits to children and families for prevention and treatment of childhood obesity through weight management and nutrition counseling, which has shown that when multiple payers offer this benefit and grow the overall market share, payers are able to recover upfront costs in less time.

Mary Elsner, JD, Director of Obesity Prevention Initiatives, ICAAP
Grecia Rodriguez, MPH, Care Coordinator, Obesity Prevention Initiatives, ICAAP
Anna Carvlin, MPH, Manager of Obesity Prevention Initiatives, ICAAP
Hayley Ready, Rural Community Outreach Coordinator, Indiana Rural Health Association
Elizabeth Vegas, Alliance for a Healthier Generation

  1. The Role of Community-Based Organizations in Supporting Practice Transformation and Achieving Population Health Clinical Quality Metrics

The YMCA of the USA will present how the Y’s Community Integrated Health model aims to intentionally strengthen the relationship between traditional healthcare systems and community-based organizations in order to help all community members live their healthiest lives. The Y’s potential impact in helping health care stakeholders meet clinical quality metrics in a changing landscape and as part of a population health strategy will be discussed.

Tim McNeill, RN, MPH, Director, Clinical Integration, YMCA of the USA
Lisa Behounek, Executive Director, Greater Joliet Area YMCA
Phillip Jimenez, President and CEO, West Cook YMCA
Shannon M. Jermal, MA, Regional Director of Community Health Integration, Presence Health

  1. Hospital/Community Partnerships for Collective Impact

This workshop-style session will illuminate how a multi-hospital and health department collaborative community health needs assessment (CHNA) engaged stakeholders and launched a pipeline of short-, medium-, and long-range health and community development projects in Bloomington, Illinois. Spectrum Health Gerber Memorial and TrueNorth Community Services will share a case study on an integrated service delivery model between a rural hospital and a human service agency focused on moving families to self-sufficiency and reducing future healthcare risk including theoretical and practical tools.

Sally Gambacorta, Community Health Manager, Advocate BroMenn Medical Center and Advocate Eureka Hospital
Deborah White, Executive Director, Mid Central Community Action
Shelly Johnson, RN, MPH, MBA, FACHE, Chief Operating Officer, Spectrum Health Gerber Memorial
David Wingard, MSW, Ph.D., Director of Research and Strategic Development, TrueNorth Community Services