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Aligning for change: Driving quality performance and risk management with AI

People & Blogs


Introduction

Welcome to today’s webinar titled “Aligning for Change: Driving Quality Performance and Risk Management with AI.” Hosted by Becker's Healthcare, we thank all the participants for joining us.

Housekeeping Notes

Before we get started, here are a few housekeeping notes:

  • Questions can be submitted via the Q&A box on your screen throughout the session.
  • Today’s discussion is being recorded, and the recording will be accessible using the same link used for login.
  • If you encounter any audio or video issues, refreshing your browser is recommended. Technical questions can also be submitted in the Q&A box.

Webinar Overview

We are thrilled to introduce our esteemed speakers today:

  • Christa Hogland, CEO of Security Health Plan of Wisconsin.
  • Dave Henriksson, COO of Trinsic and Vice President of Clinic Operations at Castell, an Intermountain Healthcare company.
  • Dr. Aaron Neinstein, Chief Medical Officer of Notable and a practicing endocrinologist at UCSF, who will moderate the discussion.

Keynote Speakers

Christa Hogland is a proponent of stewarding financial and human resources. With a decade of experience with Security Health Plan and as a former Chief Actuary and Financial Officer at Marshfield Clinic Health System, Christa has led critical initiatives to reduce healthcare costs.

Dave Henriksson brings experience as the Chief Operations Officer of Trinsic and focuses on operationalizing value-based care models at Castell. His educational background includes a Master's in Healthcare Administration from the University of Minnesota.

The Need for AI in Value-Based Care

Dr. Neinstein emphasizes the unique operational and financial challenges faced in transitioning from fee-for-service to value-based care. Christa comments that the foundation for success includes finding the right partners, building trust, and sharing crucial data with providers to aid decision-making.

Dave discusses the emerging urgency for organizations like Castell to adopt artificial intelligence (AI) for efficiency. He cites that existing systems often favor fee-for-service structures and are not well-suited for value-based care, leading to manual processes and inefficiencies.

Partnership Considerations

The conversation shifts toward finding suitable technology vendors. Christa advocates for knowing the specific challenges before engaging with partners and avoiding traditional RFP processes, which often fail to yield effective partnerships. Instead, emphasis is placed on trust, collaboration, and the willingness to iterate solutions.

Dave echoes these sentiments and highlights the need for flexibility due to the diverse landscapes of healthcare technologies. Partnership is about solving unique problems rather than finding a one-size-fits-all solution.

Expected Outcomes and Future Collaborations

Both speakers share insights on their partnerships with notable companies, with Dave highlighting achievements around care gap management, automation efficiencies, and workforce optimization. Although Christa's journey with notable is newer, she expresses excitement for future collaborations, especially around transforming unstructured data into actionable insights for physicians.

Change Management Strategies

Change management emerges as a critical theme in the discussion. Christa emphasizes the importance of early engagement with provider organizations and ongoing education to ensure successful technology adoption. She underscores the need to help providers transition smoothly by focusing on what they already know and do, ultimately resulting in a more seamless workflow.

Dave provides insight into how change management can be effective when implementation feels effortless for clinicians. Highlighting the automation of care gap management, he shares that relieving clinicians of manual tasks can lead to improved patient experiences.

The Future of AI in Healthcare

Looking toward the future, both speakers highlight promising opportunities for AI in healthcare. Dave describes a vision where AI can automate pre-visit planning and patient outreach, improving efficiency across the board. Christa is optimistic about AI’s potential to facilitate seamless prior authorization processes, alleviating burdens on both providers and members.

Conclusion

As the discussion rounds off, both Christa and Dave emphasize the transformative power of AI in healthcare, underscoring its capacity to address long-standing challenges through effective partnerships and technology.


Keywords

  • AI
  • Value-Based Care
  • Healthcare Technology
  • Change Management
  • Care Coordination
  • Provider Engagement
  • Partnership
  • Performance Optimization

FAQ

Q1: What are the main challenges in shifting from fee-for-service to value-based care?
A1: Key challenges include the need for strong partnerships with providers, building trust through transparent data sharing, and addressing operational inefficiencies inherent in legacy systems.

Q2: How can organizations prepare for implementing AI effectively?
A2: Organizations should evaluate existing processes to ensure they are effective before automating. Establishing a strong governance framework for AI deployment is also crucial.

Q3: What role does change management play in adopting new technologies in healthcare?
A3: Change management is vital in ensuring that providers understand and trust new technologies, allowing for smoother transitions, and fostering positive engagement with the changes.

Q4: What exciting developments in AI are expected in the coming years?
A4: Future AI developments may include automated pre-visit planning, enhanced patient outreach, and streamlined prior authorization processes to make healthcare more efficient and user-friendly.