Healthcare Integration 101: Payers, Players and Opportunities
The goal of this Workshop was to explore and discuss opportunities for home and community-based services (HCBS) to be a part of integrated healthcare services. Senior nutrition programs can deliver valuable services that, when packaged correctly, can help managed care organizations (MCOs), accountable care organizations (ACOs), stand-alone hospitals, and healthcare insurance companies improve the health of their members or patients. This workshop offered an introduction to understanding the healthcare marketplace, developing mutually-beneficial partnerships and conducting an organizational capacity assessment. It provided a basis for building the skills and knowledge needed – and the terminology used to enhance – the business acumen and sustainability strategies of the nutrition and aging network, as well as hearing from peers that are venturing into this space.
Healthcare Integration 101: Payers, Players and Opportunities
Sharon Williams, CEO of Williams Jaxon, Consulting, LLC
Sharon runs a business development and training firm that focuses on support for community organizations, government agencies and health organizations serving Medicare/Medicare consumers. Sharon’s experience includes executive leadership in both the traditional health care and the community-based services arenas. She has served as COO for one of the nation’s leading Area Agencies on Aging. She was also at the helm of CareSource Michigan, a large health plan with Medicaid and Medicare product lines and has worked with Coventry, Amerigroup and OmniCare. Sharon has worked closely with numerous local/regional stakeholders to expand broader integration of healthcare and community-based services, emphasizing patient-centered planning. She has considerable experience at the state/national level with public policy development, assessment and strategic implementation. Sharon earned her BA in Organizational Communication from Michigan State University. She is a Certified Heath Care Executive, America’s Health Insurance Plans (AHIP).
Healthcare Utilization and Research to Support Your Value Proposition
Brenda Schmittenner, MPA, Program Officer, Successful Aging | Gary and Mary West Foundation
Brenda has a 30-year track record in leading, developing and implementing results-oriented programs in the field of aging, backed by more than 20 years of practice experience as a Geriatric Case Manager, Hospice and Skilled Nursing Facility Social Worker. She has extensive expertise in shaping policies to support national, statewide and local healthcare system integration and care coordination initiatives. Prior to the Foundation, Brenda worked for the County of San Diego’s Aging and Independence Services for more than 15 years, most recently as the Aging Program Administrator managing over $20 million in aging grants including the largest Community-Based Care Transitions Program (CCTP) in the country; TEAM SAN DIEGO, the Administration on Community Living Business Acumen Technical Assistance Award; and the NCQA Care Coordination Standards Pilot. Brenda earned her BA from Pennsylvania State University and a MPA from National University, San Diego.
Sharing Contracting Experience:Hospital to Home Care Transitions
Colleen Keller, RD, Community Nutrition Specialist, Senior Connections
Colleen is a registered dietitian with more than 20 years of experience in the nutrition field working with seniors at nutritional risk. She is the Community Nutrition Specialist for Senior Connections, The Capital Area Agency on Aging, and a former consultant for the Crater District Area Agency on Aging. Prior to joining Senior Connections in 2014, Colleen worked for 15 years providing nutritional expertise for FeedMore, the Richmond based merged entity of Meals on Wheels, the Foodbank and the Community Kitchen. In her role as Vice President of Programs for FeedMore, Colleen was responsible for leading programmatic strategy, development, implementation, and evaluation for the Food Bank and Meals on Wheels. Colleen holds a Bachelor’s of Science in Dietetics from James Madison University and completed her post-graduate dietetic internship at VCU Medical Center.
Five Important Points when Building Your Business Capacity in the
Health Care Arena
Lisa LaBonte, Senior Nutrition Services Director, New Opportunities, Inc.
Lisa has worked for New Opportunities, Inc. in Waterbury, CT for 31 years. Twenty-six of those years have been as the Senior Nutrition Services Director. Elderly Nutrition, particularly Meals on Wheels, has been a part of Lisa’s life since the age of 15 when she volunteered as a Meals on Wheels deliverer. Quickly transitioning at 16 years old to a Meals on Wheels driver, only a few weeks after receiving her driver’s license. Lisa’s interest has always been in gerontology, graduating with an associate degree in Human Services from Naugatuck Valley Community College then from Southern CT State University with a Bachelor’s in Social Work. Innovation, improvement and inventions has always been Lisa’s driving force to advance Senior Nutrition Services to meet the growing diverse needs and wants of seniors with a limited pool of funds. She has previously spoken on her successful Title III funded restaurant program for seniors and the Buy A Wheel Program which is a low-labor money maker for Meals on Wheels programs.
Healthcare Champions and Community Partners
Thessia Everhart, Davidson County Senior Services Director
Thessia is the Director of the Davidson County Department of Senior Services where she has been employed for 24 years. She is a 2003 graduate of Gardner-Webb University where she earned her B.S. in Human Services and a 2005 graduate of The University of North Carolina, Greensboro where she earned her Masters of Arts in Liberal Studies. At The University of North Carolina, Chapel Hill, Thessia completed studies in Municipal and County Administration in 2010 and Leading for Results as a Local Government Federal Credit Union Fellow in 2012. Thessia serves on a number of state and local boards and committees. Notable involvement includes Chair of the North Carolina Senior Center Alliance; North Carolina Association on Aging Board of Directors; The University of North Carolina at Chapel Hill School of Government, Municipal and County Administration Alumni Board of Directors; Chair of the Davidson County Nursing Home Community Advisory Committee and Vice-Chair to the Davidson County Transportation Advisory Board.