Connect. Inspire. Lead.
The nation’s only essential conference

June 22-24 | BOSTON

Track: Improving Population Health

Expand each session below to see the full descriptions.
  • Optimizing Value-Based Care for Diverse, High-Risk Patients
  • Using Mobile Units to Meet the Community’s Health and Social Needs
  • Launching and Sustaining a Food-as-Medicine Program
  • Providing COVID-19 Vaccine Access to an Underserved Community
  • Creating a Novel Center for Health Equity and Advocacy Education
Optimizing Value-Based Care for Diverse, High-Risk Patients

This session reviewed how to create and expand a comprehensive, multidisciplinary program to care for high emergency department (ED) utilizers and deliver high-quality coordinated care. Presenters explained how to choose patients for a high-intensity outpatient/home care program; set up a clinical team to care for these patients; and monitor success.

Presenter(s):
James Campbell, MD, MS
Chair, Department of Geriatrics
The MetroHealth System

Using Mobile Units to Meet the Community’s Health and Social Needs

The MetroHealth System has closed access gaps and improved health care outcomes for their patients by taking health services into the community where their patients live, work, and play. Attendees learned how this essential hospital capitalized on population health and community assessment data to identify novel ways to deploy mobile health units to meet the needs of underserved communities, as well as what successes and challenges the system faced.

Presenter(s):
Brook Watts, MD, MS
Senior Vice President, Quality
Chief Medical Officer, Community and Public Health
The MetroHealth System

Katherine Nagel, DrPH, MPH
CEO, MetroHealth Community Health Centers
The MetroHealth System

Launching and Sustaining a Food-as-Medicine Program

Attendees learned how a community partnership, led by association member Grady Health System, developed a comprehensive food prescription program to mitigate chronic disease and food insecurity. Presenters shared key lessons learned about evaluation planning, implementation, and reporting, as well as tools and recommendations for growing and sustaining meaningful partnerships and patient-centered social determinants of health interventions. Presenters also highlighted the inpatient component of the program, which provides home-delivered, medically tailored meals, and employee wellness efforts.

Presenter(s):

Katie Mooney, MPH
Senior Manager of Population Health and Community Benefit
Grady Health System

Leslie Marshburn, MBA
Executive Director, Strategy and Population Health
Grady Health System

Providing COVID-19 Vaccine Access to an Underserved Community

Essential hospital NYC Health + Hospitals/Elmhurst operates in a highly populated community, where the majority of residents are low-income, low-literacy immigrants living in multigenerational homes. In March 2020, Elmhurst was at the epicenter of the COVID-19 pandemic, with one of every six patients diagnosed with the virus. However, when vaccines became available in early 2021, the hospital realized its online COVID-19 vaccination appointment system was neither easy to navigate nor accessible to its community. In response, the hospital partnered with local community-based organizations to improve vaccination rates; these efforts led to an extraordinary vaccination rate of 99 percent for the hospital and its surrounding community.


Presenter(s):

Amy Harris, MS, MPA
Associate Executive Director
NYC Health + Hospitals/Elmhurst

Michelle Lam, MBA
Associate Director
NYC Health + Hospitals/Elmhurst

Creating a Novel Center for Health Equity and Advocacy Education

Health care professionals have a unique vantage point from which to observe and speak to the social, economic, and political factors that determine health, but they often lack the training to do so. Attendees learned how one public teaching hospital created its Center for Health Equity Education and Advocacy. Through seven educational programs, the center seeks to better equip health care professionals, including physicians and allied health professionals, to be advocates for health equity and to become leaders for health equity in safety net and other health care systems caring for marginalized patient populations.

Presenter(s):
Danny McCormick, MD, MPH
Co-Director, Center for Health Equity Education and Advocacy
Cambridge Health Alliance

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