As hospitals emerge from the pandemic, transitions of care are more important than ever. Come join MHA and other healthcare stakeholders to learn about what the evidence-base is telling us regarding capacity constraints and what healthcare organizations across the continuum are doing to address issues regarding readmissions, throughput, addressing health equity, case management redesign and other innovative care models. 

9:00am | Opening Remarks

• Adam Delmolino, Director, Virtual Care & Clinical Affairs, Massachusetts Health & Hospital Association
• Cynthia Page, PT, MHP, FACHE, Chief Executive Officer, Encompass Health Rehabilitation Hospital of Braintree

9:10am | Address from EOHHS

9:20am | Improving Care Transitions to Reduce Readmissions

• Rebekah Gardner, MD, FACP, Senior Medical Scientist, Healthcentric Advisors

9:40am | Panel Discussion: Best Practices to Reduce Readmissions

Moderator: Kim Stevenson, MS, Senior Manager, Clinical Affairs, MHA

Panelists:

• Christine McMichael, MA, LMHC, Executive Director, Hospice & Palliative Care Federation of MA (HPCFM)
• Deborah Dolaway, LICSW, Administrator, Cranberry Hospice, Beth Israel Deaconess Hospital – Plymouth, & HPCFM Board President
• Patricia Murphy, MSW, MHA, LICSW, Ambulatory GI/COPD Clinic Social Worker, UMass Memorial Health
• Lisa Gurgone, MS, Chief Executive Officer, Mystic Valley Elder Services
• Amy Jo, Clinical Strategy & Innovation Officer, Care Central VNA & Hospice

10:10am | Cross Continuum Partnerships for Capacity

Mass General Hospital and Hebrew SeniorLife

• Mary Moscato, FACHE, President, Healthcare Services, Hebrew SeniorLife & Hebrew Rehabilitation Center

Tufts Medical Center and Marquis Health Services/ North End Rehabilitation & Healthcare Center

• Melissa Culkins, RN, MS, Executive Dir., Care Progression & Transition, Tufts Medical Center
• Kerrilyn Murphy, MD, Tufts Medical Center & Physician Advisor, Optum
• Marlene Sheehy, Vice President, Strategic Development, Marquis Health Services/ North End Rehabilitation & Healthcare Center
• Sharon Donaghue, Division President, Marquis Health Services/North End Rehabilitation & Healthcare Center

 Baystate Medical Center and CareOne

• Christine Scibelli, RN, Sr. Director, Patient Care Services, Baystate Medical Center
• Karen Plante, Director, Case Management, Baystate Medical Center

10:50am | Redesigning Case Management to Optimize Patient Outcomes and Transitions of Care

• Stephanie Martinez, MBA, BSN, R.N., CPHQ, Senior Director, ACNO, Boston Medical Center
• Tracy Lee, DNP, RN, Associate Chief Nurse, Beth Israel Deaconess Medical Center

11:10am | Use of PointClickCare’s Post-Acute Care Management Platform to Improve Coordination of Patient Care

• Aimee Smith, MBA, PACN Program Manager, Southcoast Health

11:25am | Use of Grants to Fund Innovative Care Pilot Projects

• Amy Baughman, MD, Associate Medical Director Care Continuum, Massachusetts General Hospital

11:55am | Panel Discussion: The Future of Post-Acute Care

Moderator: LuAnn Fitzgerald, PT, JD, Sr. Director, Utilization Review & Population Health, Hebrew SeniorLife

Panelists:

• Teresa Hayes, MSW, LICSW, Business Development Director, Encompass Health Rehabilitation Hospital of New England
• Eric Alper, MD, SVP, CQO & Chief Clinical Informatics Officer, UMass Memorial Health
• Hemal Sampat, MD, FAAP, FACP, Co-Lead, Albright Orange Service, Hospital Medicine Unit, Massachusetts General Hospital
• Nancy Kelly, GNP-BC, DNP, Co-Lead, Albright Orange Service, Hospital Medicine Unit, Massachusetts General Hospital
• Mallika Mendu, MD, MBA, Associate Chief Medical Officer & Vice President, Medical Affairs, Brigham and Women’s Hospital

12:25pm | Closing Remarks and Adjourn