The Value of Developing and Implementing Alternative Care Models

Come join us for this Local Program Council event in Willow Park!

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Developing new delivery models that embrace alternative payment models goes beyond simply supplying patients with information at time of checkout or discharge. It includes a commitment to patient-centered care, providing clear and useful information to patients, helping patients establish goals and plans to live a healthier life, creating a team of clinicians and administrative staff with clearly understood roles and responsibilities, and using office systems to support followup and tracking of patients. Managing programs aimed at chronic illness and changing behavior are challenging and take time for everyone involved— providers, patients, and caregivers. Yet, it is often patients themselves who are called on to manage the broad range of factors that contribute to their health. Common sense suggests—and health care experts agree—that people with chronic care needs should receive support to help them manage their health as effectively as possible. Helping patients to make good choices and maintain healthy behaviors requires a collaborative relationship between health system leaders, community-based programs, clinical teams and patients. Learning how to incorporate these new models into a health system or practice can support patients in building the skills and confidence they need to lead healthier lives.

This education panel event has been preapproved by ACHE national for 1.5 Face-to-Face credits.*

*Please note, this is a repeat session of this topic (originally presented during this year’s First Quarter Education Event on February 28). If you attended the previous session, you are welcome to attend this June 20 event as well – but please note you will only receive face-to-face credits for the first panel.

An optional Tour of the facility will follow the panel discussion.

A special thanks to Texas Health Neighborhood Care & Wellness Willow Park for hosting this event and to Sal Jamal for all his support!

Moderator:

Joseph DeLeon
President
Texas Health Harris Methodist Hospital Fort Worth

Panelists:

Bret Brummitt
Health Rosetta Accredited Advisor at A.G. Insurance

Alyssa Endres, MHA
Director of Government Programs
Baylor Scott & White Quality Alliance

Karim Kaissi, FACHE
General Manager
CareMore Health

Speaker Bios:

Bret Brummitt, Health Rosetta Accredited Advisor at A.G. Insurance, a Broker of the Year finalist in 2018 for BenefitsPro Magazine and 2018 Technology Advisor of the Year recipient from Employee Benefit Advisor Magazine,  Bret Brummit brings tremendous value to both his clients and the industry, helping people develop the confidence to see beyond the problem at hand and start to re-imagine their goals.  Bret crosses over various Healthcare and Benefits Industry groups in his partnership with the Health Rosetta on a National Basis as well as serving as the Spokesperson for the DFW Chapter of the Free Market Medical Association. As a contributing voice to leading industry organizations, he has many opportunities to share his deep insight into the intersection of healthcare, culture, and technology. He works tirelessly to end the erosion on middle-class wages that healthcare created in the last 20 years and reset the culture of healthcare to creating generous benefits.

Joseph DeLeon became president of Texas Health Harris Methodist Hospital Fort Worth in January 2018. He returned to Texas Health Fort Worth after almost five years as president of Texas Health Harris Methodist Hospital Southwest Fort Worth.

Texas Health Harris Methodist Hospital Fort Worth is Tarrant County’s largest hospital with 732 beds, Level 2 Trauma Center, a 100-bed Emergency Department, a dedicated Heart Center, and a 60-bed Neonatal Intensive Care Unit.  It is the 4^th busiest hospital in the State of Texas.  There are over 4,500 staff members that serve the community 24/7 and 365 days a year.

Joseph first joined Texas Health in 2005 as vice president of professional services and business development at Texas Health Fort Worth, where he was responsible for ancillary services, strategic planning and business development activities for the hospital. In January 2013, Joseph was named president of Texas Health Southwest Hospital. Under his leadership, Texas Health Southwest achieved the Truven (an IBM Company) 100 Top Hospital three years in a row (2015-2017) and the Pinnacle of Excellence Award for Patient Experience from Press Ganey. Joseph also led the opening of the Texas Health Clearfork Hospital, a 54-bed orthopedic joint replacement facility.

Joseph is an active leader in the community, serving as chairman of the boards of the Texas Rehabilitation Hospital of Fort Worth and the Tarrant County March of Dimes, and on the boards of North Texas Community Foundation and the Healthy Tarrant County Collaboration. He also serves on the Las Vegas Trail Revitalization Project team working on the Health and Wellness Focus Group. He previously served as Chairman of the Board of the Fort Worth Hispanic Chamber of Commerce from 2013-2014. Joseph has been recognized many times for his leadership, including a 2017 Minorities in Business Award from the Fort Worth Business Press.

A graduate of Leadership North Texas and Leadership Fort Worth, he was previously named to the Fort Worth Business Press 40 under 40 and holds a Certificate of Leader Development from the U.S. Army War College Commandant’s National Security Program. He is also an associate with the American College of Healthcare Executives.

He earned a bachelor’s degree in political science and a minor in business management in 1991 and a master’s in public administration in 1994 from Texas A&M University.

Joseph enlisted in the U.S. Army Reserves in 1988 as a private and in 1994 he completed Officer Candidate School and was commissioned as a Second Lieutenant. In 1995 he transferred to the U.S. Air Force and was commissioned as a First Lieutenant in the Medical Service Corps where he served three years on active duty and two years as an Active Reservist.  He achieved the Air Force Commendation and Air Force Achievement Service medals and was honorably discharged with the rank of Captain.

Most importantly Joseph is married to Monica, his life partner of 26 years.  They have four children, two that graduated from Texas A&M University last year and were both married by the end of 2017.  The two youngest boys, Jacob and Luke, are in Junior High and keep the family very active playing baseball, basketball, football and running track.  Monica and Joseph absolutely love raising their family in, and being a part of the Fort Worth community.

Alyssa Endres, MHA started with the Baylor Scott & White Quality Alliance (BSWQA) in 2013, its first operational year, and currently serves as the Director of Government Programs. She is passionate about understanding the complex, rapidly-changing health policies to drive strategic solutions and achieve the Triple Aim for an aging and underserved population. With the passing of the Medicare Access & CHIP Reauthorization Act of 2015 (MACRA), she is responsible for designing a Medicare strategy for Advanced Alternative Payment Model (APM) participation for Baylor Scott & White Health (BSWH), the largest not-for-profit health care system in Texas.

She leads BSWQA’s participation in the Medicare Shared Savings Program (MSSP), supporting the key initiatives around financial management, resourcing, clinical quality reporting, and compliance. With over 120,000 attributed Medicare beneficiaries, MSSP is BSWQA’s third largest value-based contract. More recently, Alyssa has been involved in the early implementation of CMS’s new voluntary program, Bundled Payments for Care Improvement Advanced (BPCI-A), as well as BSWQA’s post-acute care network performance and strategy development.

In addition, Alyssa has shaped the BSWQA’s Clinical Performance Compensation (CPC) program, responsible for distributing earned shared savings to thousands of eligible providers each performance year. Alyssa graduated from Texas A&M University with a bachelor’s degree in Biomedical Science and earned her master’s degree in Healthcare Administration from Trinity University.

Karim Kaissi is the General Manager for CareMore Health, a subsidiary of Anthem Inc. He has oversight of strategy, growth and operations for the Texas market, with overall budget and P&L responsibility from start-up to sustainment and expansion. He is in charge of business and clinical operations, care management functions, payer relations and community engagement. Prior to CareMore, Karim was with Texas Health Resources for 12 years and held leadership roles in strategy, operations and business development. He is also a Fellow in the American College of Healthcare Executives and an active member in our local chapter in North Texas.

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