Transcript Funds Flow Presentation

Town Hall
WELCOME!
March 11, 2016
Agenda
Topic
Discussion
Speaker
Welcome & Breakfast
•
Introduction
•
Dennis Maquiling
General Updates
•
•
•
•
CBO Panel
DY1 Cash Position
CRM
PCMH
•
•
•
•
Dennis Maquiling
Victor DeMarco
Steve Maggio
Duane Granston
Workforce Update
•
•
Staff Impact Reporting
Workforce Survey Results
•
•
Selena Griffin-Mahon
Sig Shirodkar, KPMG
Bronx RHIO
•
Bronx RHIO Enrollment Process
•
Kathy Miller, Bronx RHIO
Partner Highlight
•
•
VIP Community Services
Sol’s Pharmacy
•
•
Debbie Witham, VIP
Andrew Silverman, Sol’s
Pharmacy
Project Highlight
•
2.biv Care Transitions
•
•
Natalie Cruz
Dr. Isaac Dapkins
Partner Engagement Commitment
•
What does it mean to be a
partner?
•
•
Roy Wallach
Joann Casado
Q&A
Networking Session
© Bronx Health Access
1
Value-based Payment Workgroup on Social Determinants
and CBOs
Definitions in VBP Workgroup context:
•Tier 1 -Non-profit, Non-Medicaid billing, community-based social
and human service organizations
e.g. housing, social services, religious organizations, food banks
•Tier 2 -Non-profit, Medicaid billing, non-clinical service providers
e.g. transportation, care coordination
•Tier 3 -Non-profit, Medicaid billing, clinical and clinical support
service providers licensed by the NYS Department of Health, NYS
Office of Mental Health, NYS Office with Persons with
Developmental Disabilities, or NYS Office of Alcoholism and
Substance Abuse Services.
• February 2016
© Bronx Health Access
2
DY1 CASH POSITION
3
DSRIP Award Letter
Budgeted Funding by Year
Net Project
Valuation
Equity
Infrastructur
e Program
Equity
Performance
Program
Total
DY1
$11,515,003
$7,927,277
$5,284,852
$24,727,132
DY2
$12,271,038
$7,927,277
$5,284,852
$25,483,167
DY3
$19,838,663
$7,927,277
$5,284,852
$33,050,792
DY4
$17,556,017
$7,927,277
$5,284,852
$30,768,146
DY5
$11,515,003
$7,927,277
$5,284,852
$24,727,132
Total
$72,695,724
$39,636,387
$26,424,258
$138,756,369
DY1 Funding Received
Payment Date
Net Project
Valuation
Equity
Infrastructure
Payment
Equity
Performance
Payment
5/28/15
$6,906,677
$0
$0
1/26/16
$2,099,309
$0
$0
$9,005,986
$0
$0
$2,304,163
$7,927,277
$5,284,852
Total
Expected Future
Payments @
100%
DY1 Amounts Spent or Committed
Project
#
-
Project Name
Administration
DY1 Cost
$5,516,515
2.a.iii
Health Home at Risk
$190,392
2.b.i
Ambulatory Intensive Care Units
$192,407
2.b.iv
Care Transitions Intervention
$74,124
3.a.i
Integration of Primary Care/Behavioral Health
$132,508
3.d.ii
Asthma Home Based Self-Management
$359,080
Maternal and Child Health
$145,604
3.f.i
4.a.iii
Mental Health & Substance Abuse Infrastructure
$34,957
4.c.ii
Early Access/Retention in HIV Care
$70,097
-
IT Committee
$481,528
-
PCMH Committee
$276,250
-
Stakeholder Committee
$134,235
-
Workforce Committee
$1,882,500
Total
$9,490,197
DY1 Cash Position
Funding Received
$9,005,986
Amounts Spent or Committed
$9,490,197
Cash Position
($484,211)
Steve Maggio, Senior Project Manager
© Bronx Health Access
9
CRM
Salesforce
Salesforce is the CRM platform which will be used by BHA
Salesforce will allow you to:
• View/Update Organization Information
• Update participating sites in the PPS
• Submit back-up documentation for PPS deliverables
• Complete necessary PPS Surveys
• Update providers in organizations
• View Project related information
• Status of projects- Actively engaged counts and
completion of milestones
• View organization specific information within a project
• # of patients submitted
• Funds distributions to date
• Performance criteria
© Bronx Health Access
10
Patient
Centered
Medical
Home
Duane Granston, Project Manager
© Bronx Health Access
11
PCMH
• Bronx Health Access is committed to helping primary care
providers achieve NCQA PCMH Level 3 (2014) certification by
March 2018
• In an effort to meet this goal, Bronx Health Access retained Insight
Management to provide technical assistance for our primary care
practices.
• Insight Management
• Over 25 years of experience in comprehensive Healthcare
management.
• Specializes in Patient-Centered Medical Home Practice
Transformation and Certification, Meaningful Use, and EMR
Solutions
• Has led PCMH transformation in over 150 NYC clinics and
practices.
© Bronx Health Access
12
Workforce Update
Selena Griffin-Mahon, Co-Lead
© Bronx Health Access
13
Workforce- Staff Impact Reporting
© Bronx Health Access
14
Workforce- Staff Impact Reporting
Bronx Health Access PPS (BHA) - DSRIP Workforce Planning & Development
DSRIP Staff Impact Form #3B (New Hire related costs)
Reporting Timeframe: 4/1/15 - 3/31/16
Item
Cost
# employees
Total Cost
Recruitment Fee
0
Advertising
0
Fingerprinting
0
Background Investigation
0
Pre-Employment Physical
0
Central Registry
0
Other:
0
0
0
0
0
0
0
0
0
0
0
© Bronx Health Access
15
Bronx Health Access PPS
Town Hall Meeting
DSRIP Workforce Survey
Results & Insights
March 11, 2016
Overview of BHA Workforce Survey
■ The BHA workforce survey
was distributed on Dec 8, 2015
to 241 partners in the PPS
network
■ The goal of the workforce
survey was to obtain
quantitative information about
the incumbent staff of the BHA
partner organizations
■ Data from the survey will be
used to assess the PPS
workforce supply. The partner
workforce counts will enable
the PPS to calculate gaps in
specific job categories when
compared to the target state
projections by project
© 2015 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (“KPMG International”), a Swiss entity. All rights reserved.
17
BHA Workforce Survey Results – Response Rate
Survey Response Rate
All Partners
Survey Response Rate
Key Partners
(89.5%)
(46.9%)
38
241
113
34
# Surveys Distributed
# Surveys Received
© 2015 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (“KPMG International”), a Swiss entity. All rights reserved.
# Surveys Distributed
# Surveys Received
18
BHA Workforce Survey Results – Job Categories
Top 10 Workforce Job Categories
Nursing:
■ The Non-Licensed Care
Coordinators, Navigators &
Community Outreach Workers
were captured in the Clinical
Support Category:
3025
Administrative Support:
2535
Clinical Support:


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745
Social Worker Case/Care Manager:
499
Physicians:
491
Other Allied Health:
461
Behavioral Health:
■ The positions noted above had the
3rd largest volume of incumbent
staff, yet there is still a need for
additional staff to meet the
demand required for the DSRIP
projects
279
Health Information Technology:
■ Nursing had the largest volume
of incumbent staff, yet the
demand across the DSRIP
projects is not as high as other
categories
112
Physicians Assistants:
93
Nurse Practitioners:
57
0
136 – Community Health Workers
128 – Care Coordinators
88 – Patient Navigators
81 – Outreach Coordinators
500
1000
1500
2000
© 2015 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (“KPMG International”), a Swiss entity. All rights reserved.
2500
3000
3500
19
BHA Workforce Survey Results - Training
Partner Training by Topic
■ Out of 113 responses, up
to 69% of partner
organizations provide
training internally in the
areas related to the DSRIP
projects
49
SUBSTANCE ABUSE:
12
78
QUALITY IMPROVEMENT:
10
60
PATIENT CENTERED CARE / ENGAGEMENT:
■ More than 60% of BHA
partner organizations have
internal training programs
in 5 critical staff
development areas
7
45
HEALTH LITERACY:
4
72
CULTURAL COMPETENCY:
7
■ Only 15% of the BHA
partners have the capacity
to develop and provide
training outside of their
organizations
30
COMMUNITY HEALTH WORKER:
7
51
CARE TRANSITIONS:
5
■ 31% of BHA partners
indicated a need for
Community Health Worker
Training
60
CARE COORDINATION:
11
63
BEHAVIORAL HEALTH/CHRONIC CONDITIONS:
17
0
Provided Internally
10
20
30
40
50
60
70
80
90
Capacity to Provide Externally
© 2015 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (“KPMG International”), a Swiss entity. All rights reserved.
20
BHA Workforce Survey Results – Cultural Competency
Strengths and Challenges
TIME CONSTRAINTS
■ Care for Non-English Speaking Patients
 93% indicated multilingual staff
 62% utilize Family members to assist
with translation
 3% utilize certified medical interpreters
37
EFFECTIVE COMMUNICATION…
25
90
CULTURAL AWARENESS
9
■ Care for People with Physical Disabilities
 69% involve family members
 66% provide staff training
 31% utilize interpreters (e.g. sign
language
87
CULTURALLY DIVERSE STAFF
84
PATIENT SATISFACTION
13
68
STAFF TRAINING/EDUCATION
25
64
ENSURING FOLLOW-UP CARE
17
■ Care for People with Emotional or
Intellectual Disabilities:
 76% involve family members
 66% have staff training
 41% provide training, education and
support to Peers
63
MAINTAINING ORGANIZATIONAL…
15
48
SCREENING AND ASSESSMENT…
47
LINGUISTIC COMPETENCY
24
INTERPRETER SERVICES
44
USE OF STAFF INTERPRETERS
44
CULTURALLY DEFINED DIETARY…
24
13
7
10
OTHER
0
Strengths
20
40
60
80
100
■ Care for the LGBT Community:
 21.6% are trained as ‘Safe Space’
provider
 64.7% provide staff training
 39.2% provide Peer training, education
and support
Challenges
© 2015 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (“KPMG International”), a Swiss entity. All rights reserved.
21
Kathy Miller, Bronx RHIO
© Bronx Health Access
22
Clinics
Nursing
Homes
Community
Based
Organizations
Health
Plans
Hospitals
BxRHIO
Data Quality & Normalization
Databases for Analytics and Portal Viewing
Provider
Portal
REPORTING
Bronx RHIO – What
We Do
 Integrate data
 Allow authorized healthcare providers to access
critical patient info
 Manage and report on populations
 Send alerts to providers
 Deliver key reports on behalf of members
 Ensure member compliance with privacy, security,
training, auditing, and use.
 Assist members in data quality management
 Serve as on-ramp to SHIN-NY
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Membership & Data
Providers
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Acacia (Promesa)
Albert Einstein College of Medicine of 
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Yeshiva University
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All Med Medical & Rehabilitation
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AmidaCare (Health Plan)
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Anil Gupta, MD
APICHA
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Argus Community, Inc.
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ASCNYC
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Bailey House
Bronx Accountable Healthcare Network 
Bronx AIDS Services, Inc. (BOOM!Health) 
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Bronx Community Health Network
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Bronx Health Home
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Bronx Gastroenterology OBS
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Bronx Lebanon Hospital Center
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Bronx Works
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Cardinal McCloskey Services
Care for the Homeless
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CenterLight (Beth Abraham)
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Children of Zion Pediatrics
Community Healthcare Network (CHN) 
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Compassionate Care Hospice
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Cure Urgent Care
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Essen Medical Associates, P.C.
GMHC
GoldenHearts Elderly Care Service
Harlem Medical Group
Harlem United
Hebrew Home for the Aged at
Riverdale
Help/PSI Services Corp.
Hemant Patel, M.D./Physicians PLLC
Housing Works
Institute for Family Health
James J. Peters VA Medical Center
Jewish Home Lifecare
Kings Harbor Multicare Center
Liberty Management - Arms Acres
Martin Luther King, Jr. Health Center
Medalliance Medical Health Services
Metropolitan Jewish Health System
(MJHS)
Montefiore Medical Center
Morris Heights Health Center
Muhammad Adam, MD
Narco Freedom
New York Associates in Gastro
New York City Department of Health
New York GI Center
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Olive Osborne, MD
Optimum Family Medicine
Perry Avenue Family Medical
PET/CT Diagnostic Medical Imaging
QuickRx
R.A.I.N. Home Health
Richmond Home Need Services
Riverdale Family Practice
Riverdale Mental Health Association
Robert Morrow, M.D.
Salud Medical, PC
Salvation Army
Sindhu Gupta, MD
St. Barnabas Hospital
Union Community Health Center
University Diagnostic Medical
Imaging
Uptown Healthcare Management
Urban Health Plan
Veena Chadda, M.D.
Village Care
VIP Community Services
Visiting Nurse Service of New York
Wakefield Pediatrics
1199SEIU
List Current as of 3/8/2016
25
Bronx Health Access
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All Med Medical & Rehabilitation
AmidaCare (Health Plan)
APICHA
Argus Community, Inc.
Bailey House
Bronx AIDS Services, Inc. (BOOM!Health)
Bronx Health Home
Bronx Lebanon Hospital Center
Bronx Works
Cardinal McCloskey Services
Care for the Homeless
CenterLight (Beth Abraham)
Community Healthcare Network (CHN)
Cure Urgent Care
GMHC
Harlem Medical Group
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Harlem United
Hebrew Home for the Aged at Riverdale
Help/PSI Services Corp.
Hemant Patel, M.D./Physicians PLLC
Kings Harbor Multicare Center
Liberty Management - Arms Acres
Martin Luther King, Jr. Health Center
Medalliance Medical Health Services
R.A.I.N. Home Health
Riverdale Mental Health Association
Salvation Army
University Diagnostic Medical Imaging
Uptown Healthcare Management
Urban Health Plan
VIP Community Services
Visiting Nurse Service of New York
26
JOINING THE
RHIO
1. Download Application and Participation Agreement (PA)
from our website at http://bronxrhio.org/forproviders/how-to-participate
2. Complete the Application and PA and contact us for
pricing (current fee schedule attached to this
presentation). If you have questions about the fee or
application, please call Kathy Miller at 718-708-6632.
3. All applications are presented to the RHIO Board of
Directors for approval, after which the site is notified
and invoiced for the fee.
27
INCENTIVE PROGRAMS FOR RHIO
CONNECTION
Incentive programs are currently available to support costs of joining and
connecting to Bronx RHIO for eligible providers. Bronx RHIO will assist with
this.
• Incentive can be up to $30,000 for a practice/facility
• Requires completion of connection with feed of at least 5 of 7 data
elements:
• Encounters, demographics, medications, labs, allergies, procedures,
diagnoses
Incentive payment process requires filing two attestations:
Attestation A - On approval of RHIO membership
$2,000
Attestation B – On “Go Live”
$8,000 PLUS
$500 per eligible provider up to 40 providers in a practice (up to $20,000)
28
EMRs Already Working with
Bronx RHIO
COMMERCIAL VENDORS*
AllScripts
HBOC
Awards (Foothold)
Centricity
eCW
CareCast
EPIC
Provation
SigmaCare
MindLinc
NextGen
McKesson
EICare
MedGen
Criterions
eCW Population
Health Adapter
NON-STANDARD SYSTEMS
Home-Grown Systems
IF No EMR System:
 Bronx RHIO accepts Flat
Files of data and
converts into messages
to load into the HIE
29
What will YOU Get From
Joining?
Staff access to Provider Portal to look up patient activity at other locations
 View all available data on consented patients through the portal
 Request data from other RHIOs in NY State on specific patients (HHC Data
Available now)
 Wherever possible, we will set up RHIO access from within your EMR via
“single sign-on”
Staff access to Spectrum Dashboard and Reporting tool to track PPS project measures
for YOUR assigned/identified patient groups
 Identify your patient group & tell us what you want to know and/or track
 We set up the group and related data for you to see at the aggregate level,
and to drill down to patient specific information within a few clicks (if you
have PHI permission)
 You can export reports for use at your facility
 Staff without a need for PHI access can view dashboards and aggregated data
Subscribe to get Alerts about your patients’ ED and IP activity
Get free DIRECT email addresses for staff
30
CONTACT
INFORMATION
KATHY MILLER, DIRECTOR OF POPULATION
HEALTH
[email protected]
718-708-6632
BRONX RHIO
2275 OLINVILLE AVENUE
BRONX, NY 10467
WWW.BRONXRHIO.ORG
31
HISTORY
•
•
•
•
Founded in 1974 by a local priest to
address the perils of poverty, addiction,
and housing in the Bronx
In the basement of his rectory, he
began training individuals in recovery
to return to work
Today VIP employs 250 people, serves
10,000 individuals per year
Full continuum of addiction, mental
health, housing, homeless and recovery
services
VIP’s Continuum
• Opioid Treatment Program
- Maintenance using addiction medications (Methadone,
Suboxone) to prevent opioid withdrawal and cravings to allow
clients to focus on recovery
- Individual and Group Counseling
- Psychiatric Services
- Medical and health services
- Medication Assisted Recovery Services (MARS)- adapted from
the nationally recognized peer model
• Outpatient Substance Use Disorder Treatment
- Individual and Group Counseling
- Psychiatric Services
- Medical and health services
• Residential Substance Use Disorder Treatment
- Individual and group counseling
- Mental Health Services
- Oversight of medical needs
- Rehabilitation of Activities of Daily Living
VIP’s Continuum (Cont)
• Outpatient Mental Health Services
- Individual and Group Therapy
- Psychiatric Evaluation
- Medication Management
- Health Monitoring
• Primary Care Clinic
- Federally Qualified Health Center
- Primary Care Services
- Gynecology
- HIV Specialty
- PrEP/PEP
- Medical Case Management
- Psychiatric Services
VIP’s Continuum (Cont)
•
Supportive Housing
- 198 units in 5 buildings
- Populations include: HIV/AIDS, Serious Mental Illness, Chronic
Substance Use Disorders, Families Exiting Shelter, Families with a
physical disability
- Case Management, Counseling, Psychiatric Services
- Access to VIP’s full continuum
- Housing First Model and Harm Reduction Models
• Shelter
- 48 women
- History of Substance Use Disorder
- Offer housing placement, psychiatric evaluations, medical services,
case management, substance use disorder counseling
• Care Coordination
- Offers care coordination through two Health Homes (Bronx Lebanon
and Mount Sinai)
- Outreach, navigation and peer services
Our Philosophies
•
•
•
Same Day/Coordinated Access to Care
- All who come to VIP will begin the screening process the same day
- Intake is centralized so clients receive an assessment for all of VIP’s programs
- Maintain a strong network of partners and all clients who seek services will
receive support in finding the place that meets their needs- there is no wrong
door
Effective Transitions/Warm Hand-Offs
- VIP provides transportation from courts, detox and other referral sources
- This is conducted by an Outreach Worker who coordinates with the referring
organization and facilitates a warm hand-off between the referent and VIP
- Peer Navigators provide services through all levels of care within VIP and
beyond
Peer Support is Essential
- Every Friday morning is a peer run celebration of Recovery for VIP clients,
alum, and the community
- Peer Academy provides work readiness, group facilitation and other skills
- MARS (Medication Assisted Recovery Services) is a peer run recovery group
supporting those using Medication Supported Recovery
Outcomes
•
Behavioral Health
- 83% of clients are retained in care for 30 Days
-34% have maintained or improved employment status
- 43% of clients are engaged in work-related activities
- 68% of clients complete one level of care and successfully transition
into the next level
- 7% reduction in ER visits
• Primary Health
- 49% have controlled asthma
- 63% are engaged in smoking cessation
- 62% have controlled hypertension
• Housing
- 95% of tenants maintain permanent housing
- 85% of tenants maintain or improve income
- Average length of stay in permanent housing is 10 years
- 50% of people exit our shelter and do not return
Bronx Lebanon and VIP DSRIP
Partnerships
•
•
•
•
•
•
•
•
•
•
VIP has taken this opportunity to have a voice and impact in
how healthcare is delivered in New York
Strengthened partnerships with other providers in the PPS
Opportunities to improve infrastructure and delivery system
Co-Lead of 3ai Behavioral Health Integration
Co-Lead of 4cii HIV Population Health
Represent Bronx Lebanon at City Wide Collaborative for 4cii
Health
Clinical and Quality Committee
Workforce Committee
PCMH Committee
Learn More About VIP
www.vipservices.org
Intake Line: 1-800-850-9900
[email protected]
Partner Highlight
Sol’s Pharmacy
Andrew Silverman, Owner, Sol’s Pharmacy
© Bronx Health Access
41
Sol’s Pharmacy
• Over 15 years of service to the Queens
and South Bronx communities
• Dedicated to provide quality care,
education, and delivery services to
improve medication adherence
• Medication Compliance Program and
Medication Therapy Management (MTM)
services
• Website: www.solspharmacy.com
© Bronx Health Access
42
Project 2.biv
Care Transitions
Dr. Isaac Dapkins, Co-Lead
Natalie Cruz, Co-Lead
© Bronx Health Access
43
Care Transitions
Review of the Task
Reduce unnecessary hospitalizations
Create a transitions record
Risk Stratify
Ensure continuity with provider and care
coordination
• Improve the patient experience
•
•
•
•
© Bronx Health Access
44
Care Transitions
Clearinghouse Functionality
- Risk Stratification
- Continuity by Provider/Care
Management Agency
- Clinical Integration of
Psychosocial Drivers of Health
Admitted Patient
Clearinghouse
Enabling Services
© Bronx Health Access
Care Coordination
Primary Care
Specialty Care
45
Care Transitions
Clearinghouse Functionality
-
Enabling Services
Care Coordination
Primary Care
RHIO Data
Outcomes Driven
7-Day appointments
HEDIS Measures
Engagement Metrics
Specialty Care
Clearinghouse
Ambulatory Patient
© Bronx Health Access
46
Care Transitions
Where are the resources?
• Transitions Care RN’s, Care Coordinators and physicians
• Participating organizations include:
•
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Brightpoint Health
Calvary Hospital
CASES
Comunilife
Dominican Sisters
Urban Health Plan
First Care of New York
God’s Love We Deliver
Arms Acre/Conifer Park
R.A.I.N
Pioneer Homecare
SelfHelp Community Services
© Bronx Health Access
•
•
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Uptown Healthcare Management
VIP Community Services
Hospice of New York
Edison Home Health Care
Archcare
Bronx Jewish Community Council
Concern for Independent Living
Grand Manor Nursing Home
Regeis Care Center
Rebekah Rehab
JASA
Methodist Home for Nursing and Rehab
EAC/TASC Mental Health Court Program
Community Healthcare Network
47
Care Transitions
What is needed?
• Collaboration needed with pharmacies, medically tailored
home food services, Home Health Agencies, Rehab
facilities, and Ambulette services
• Requires active response for engaged Heath Home
members, Health Home at risk and providers
• Requires risk stratification/ assignment
© Bronx Health Access
48
Partner Engagement Commitment
Roy Wallach & Joann Casado
Co-Leads of Stakeholder Engagement Committee
© Bronx Health Access
49
- There are many issues in patient’s lives, as well
as how our health care system is organized.
- This can lead to patient’s recurrent use of the
ER as the primary place for care.
-
No PCP appointments
No effective patient call-in system for guidance and direction
Social issues
Economic issues
Behavioral issues
Substance abuse issues
Housing issues
Transportation issues
Child care issue
Educational issues
Pharmacy issues
© Bronx Health Access
50
• Desired State
– A system where patients can be effectively
cared for in an outpatient setting by a care
giving team that know them best, providing for
better access and for addressing the issues and
barriers that currently exist to patient health.
© Bronx Health Access
51
Desired State
•Better communication with patients
•Better communication and sharing of info between
providers
•Better access to PCPs and BH/SA
•Addressing social determinants and barriers
•Designated coordinators of care for patients who
need them
•Better monitoring of outcomes to insure we are
moving in the right direction
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What is a PPS?
Team Approach
• There are 25 Performing
Provider Systems (PPSs)
across New York State that
are participating in DSRIP.
Bronx Health Access
(BHA) is a PPS and Bronx
Lebanon is the PPS lead
• BHA partners include:
Hospitals; Medicaid and
uninsured beneficiaries;
Physicians; CBOs; Social
Service entities;
Behavioral Providers; and
Community Coalitions
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What Does it Mean to be a Partner?
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o Be a voice in healthcare transformation
o Provide greater quality of care to the patient
o Encourages you to think out of the box
o New collaboration opportunities
o Learn new reimbursement modalities
o View your business differently
o Continuity in a changing healthcare world
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Q&A
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