The Value of Developing and Implementing Alternative Care Models
June 20 @ 3:00 pm - 5:30 pm
Come join us for this Local Program Council event in Willow Park!
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.
A special thanks to Texas Health Neighborhood Care & Wellness Willow Park for hosting this event and to Sal Jamal for all his support!
Texas Health Neighborhood Care & Wellness Willow Park
Alyssa Endres, MHA
Director of Government Programs
Baylor Scott & White Quality Alliance
Mary Wylie, DHA, MBA, MHA, FACHE
Vice President of Operations
Baylor Scott and White Medical Center Plano
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.
Sal Jamal has been the facility administrator for Texas Health Neighborhood Care & Wellness Willow Park since Nov. 2016. Sal oversees all services including 24/7 emergency care, laboratory and imaging services, community education, and a public fitness center.
Sal has been an employee and leader within Texas Health since 2001. Most recently he has served as director of operations at Texas Health Willow Park, overseeing the therapy services, admissions, fitness and laboratory departments.
Before joining Texas Health Willow Park, Sal served as an administrative fellow at Texas Health Burleson, where he served as interim manager for therapy services and admissions. He also served as an administrative resident at Texas Health Dallas.
Sal holds a master’s degree in Health Administration from Trinity University in San Antonio, as well as a master’s degree in Business Administration and a bachelor’s degree in Information Systems from the University of Texas at Arlington.
In his free time, he is a movie buff who enjoys traveling and spending time with his two daughters. He also serves as board president of Computers for the Blind, a nonprofit organization.
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.
Mary Wylie, DHA, MBA, MHA, FACHE, serves as Vice President of Operations for Baylor Scott and White Medical Center Plano.
Prior to this role, Dr. Wylie served as Senior Director of Professional Services for Texas Health Presbyterian Hospital Dallas. During her tenure, she was instrumental in the development of a neuroscience service line structure providing one of the largest stroke programs in the region. Her leadership helped restore both the cardiovascular and orthopedic service lines to market share dominance. Other accomplishments included opening a new 50,000 square foot cancer center, developing a formalized EMS program and leading pertinent operations for the hospital including a hugely successful emergency management service.
Dr. Wylie has nearly three decades of progressive health care management experience within the Dallas market, at three of the largest health care systems, with extensive experience in the areas of business development, operations, and fundraising, having generated over $20 million dollars from philanthropic sources to support both educational and clinical services.
Prior to her appointment at Texas Health Dallas, Dr. Wylie served as the Vice President of Oncology and Medical Surgical Services for Medical City Dallas Hospital. While at Medical City, she built one of the largest bone marrow transplant programs in the United States. Prior to Medical City, she was the Executive Director of Clinical Services and Development for Baylor Richardson Medical Center. During this time, she spearheaded the master plan for a new hospital, office building, and a cancer center affiliated with the University of Texas Southwestern Medical Center.
Dr. Wylie completed her doctorate in the area of Health Administration, from the Medical University of South Carolina. Her work in palliative care and her dissertation, Evaluating Palliative Care as a System: Consideration of General System Theory as a Potential Methodology, led her to an assignment as Texas Health Resources palliative care project director for Texas Health Resources. Dr. Wylie’s work in palliative care culminated in the adoption of a system-wide palliative care program for 29 hospitals.
Prior to her doctorate, she received two master’s degrees from Texas Woman’s University in Healthcare and Business administration and a Bachelor of Science degree from the University of Texas in Austin. Dr. Wylie is an active member of the community and has served on many community and joint venture boards. She is an active member of the American College of Healthcare Executives, the Alpha Eta Society and the Upsilon Phi Delta Society Chapters of the Medical University of South Carolina.
Achievements and awards include a Healthcare Administration Fellowship from the American College of Healthcare Executives and the Texas Hospital Association. She currently is an adjunct professor for Texas Woman’s University and the University of Texas at Dallas.
Dr. Wylie enjoys, water sports, traveling, tennis, golf and her English Cream Golden Retriever.