8:00 – 9:00am
Quantifying the IMPACT of Clinical Interventions with the CARE Item Set
The goals of the Improving Medicare Post-Acute Care Transitions (IMPACT) Act of 2014 were to improve care, promote health, and support smarter spending. It is important for clinicians and service provider to be able to articulate the value of their care in these terms. The CARE Item Set is a standardized patient assessment of functional status developed for use at acute hospital discharge and at post-acute care admission and discharge. This session will overview a company-wide initiative to implement the CARE Item Set for all patients receiving services in the post-acute care setting. The speakers will share the results of a study that assessed the value of rehabilitation services in general and the value of biophysical agent use, specifically.
Tracy Fritts, PT, MSPT
Vice President Quality and Outcomes
Tracy Fritts came to Consonus in 1995 as Rehab Director at Marquis Vermont Hills. She’s since served in Area Director positions for Oregon and Washington, and as Director of Staffing. She’s was Regional Vice President of Operations for 5 years, overseeing 51 rehab programs in Oregon, Washington, and Idaho. She has now moved into her latest position as Vice President of Quality and Outcomes. Strategic initiatives, financial objectives and clinical outcomes are just some of her responsibilities.
After falling in love with physical therapy while working as a rehab aide, Tracy earned a Master of Science in Physical Therapy from Pacific University. She recently completed a fellowship with the Aging Services of Washington Leadership Institute, where in turn she now mentors other candidates.
Amy Hobbs, PT, GCS, CEEAA
Director of Clinical Education
Accelerated Care Plus
Amy Hobbs has worked in a variety of clinical settings over her 20-year career as a physical therapist. Her professional passion for older adult rehabilitation led her to become a Certified Expert of Exercise for Aging Adults 2010 and an American Board of Physical Therapy Specialties Certified Geriatric Clinical Specialist in 2013. Amy has a extensive experience as a clinical mentor and lecturer. She is currently the Director of Clinical Services for Accelerated Care Plus (ACP). In her role, she works to ensure excellence in ACP's clinical education, training, and patient outcomes. Amy is a member of the APTA and a member of both the Academy of Geriatric Physical Therapy and the Academy of Clinical Electrophysiology and Wound Management.
Ellen Strunk, PT, MS, GCS, CEEAA, CHC
Owner and Principal
Rehab Resources & Consulting
Ellen Strunk received her master’s degree in physical therapy from the University of Alabama at Birmingham, and earned her APTA Board Certification in Geriatric Physical Therapy in 1999. Since that time, she has worked in various roles & settings as both clinician & manager/director: hospital; transitional care; Director of rehab for a hospital home health agency; Clinical Consultant, Director of a HH staffing division, and Director of Governmental Affairs for a company providing rehab services in long term care, home health & outpatient settings.
Presently, Ellen is owner of Rehab Resources & Consulting, Inc., a company providing continuing education and consulting services for post-acute care settings. She specializes in helping customers understand the CMS prospective payment systems in skilled nursing facilities and home health settings, and especially how to deliver medically necessary therapy services in these settings. Her experience includes utilizing medical record reviews and data systems to help both inpatient and outpatient therapy providers meet regulatory guidelines. She lectures nationally on the topics of pharmacology for rehabilitation professionals, exercise & wellness for older adults, and coding/billing/documentation for therapy.
9:00 – 10:30am
The Managed Care Payor’s Perspective
Recent former Deputy Executive Commissioner for Medical and Social Services in Texas, Gary Jessee, facilitates a panel of managed care executives and nursing facility providers. This panel will delve into the value proposition that nursing facilities can bring to managed care plans and what they value in their partnerships with nursing facilities and home health. Gary will facilitate a panel featuring Francis Kirley, President and CEO of Nexion Health, Anne Rote, President of Molina Healthcare of Texas, Inc. and Tisch Scott, President, Texas Medicaid Plan at Amerigroup.
Managing Director, Sellers Dorsey
Former Deputy Executive Commissioner for Medical and Social Services in Texas
Gary Jessee leads Sellers Dorsey’s efforts to build a sustainable and growing practice in the State of Texas by overseeing the firms’ service delivery and outreach, particularly in the area of managed long term services and supports.
Gary is the recent former Deputy Executive Commissioner for Medical and Social Services in Texas, the largest division in the Health and Human Services System. In that position Gary oversaw four departments and a $50 billion budget, bringing together client services, including eligibility services, Medicaid/CHIP services and functions, and community programs under one coordinated division. Prior to this, Gary served as the State Medicaid Director where he was responsible for overseeing services and supports for more than four million Texans across the state. He also previously served as the Chief Deputy Director for Program Operations in the Medicaid/CHIP Division.
Francis P. Kirley
President and Chief Executive Officer, Nexion Health
Fran Kirley has more than 32 years of acute and long-term healthcare management experience and is actively involved in all levels of the profession. He oversees skilled nursing facilities in Louisiana, Texas and Colorado. Currently, he serves as the AHCA-PAC Chairman and is a board member of the Louisiana Nursing Home Association, Elms College and the Warfield Development Center in Sykesville, Maryland. Mr. Kirley is a former AHCA board and Executive Committee member and former board member of the Texas Health Care Association.
President, Molina Healthcare of Texas, Inc.
Anne Rote is a senior managed care executive with over 25 years of experience in the development and ongoing operation of health care programs to support individuals covered by Medicaid and Medicare. In her current role as Plan President of Molina Healthcare of Texas, Ms. Rote is responsible for the daily operations of Molina’s Texas business, serving over 480,000 members enrolled in government programs including Medicaid, Medicare, MMP, and Marketplace. Anne earned an undergraduate degree in economics, political science and policy studies from Rice University and an MBA from Southern Methodist University. Anne resides in Dallas, Texas where she is a sustaining member of the Junior League and an active volunteer for the North Texas Food Bank. Anne’s passion is serving the underserved.
President Medicaid Health Plan
Amerigroup – Texas, an Anthem Company
With more than 20 years of health plan leadership experience, Tisch Scott currently holds the position of President, Medicaid health plan for Amerigroup TX, serving approximately 800,000 members (Medicaid, CHIP, ABD/LTSS/IDD populations) in 11 of the 13 service delivery areas across Texas. Tisch transferred to the Texas market in 2014 as the regional vice president and chief operating officer for the Austin and San Antonio markets, responsible for provider relations, operations, marketing and finance activities. She also has served in several leadership positions for organizations such as Blue Cross Blue Shield Association and UnitedHealth Group.