Spring 2019 Agenda

June 23, 2019

12:00 pm
Registration and Networking Luncheon

1:00 pm

Workshop A: Vision to Design – Designing Your SDoH Road Map

Learn the details and categories of social determinants of health and their intersection in healthcare in order to tackle your organization's SDoH goals.


  • Best practices to creating a company self-assessment to determine what programs and services are feasible with projected resources
  • What tools are needed to evaluate your target population
  • What data is available to help with decision making?
  • Identifying community based organizations and outside partners to develop collaborative agreements to serve a specific population
  • Who needs to be at the table to create the program? What tools are needed? How will it be measured?
  • Internal decision processes to identify breath and scope of services your organization can provide
  • Creating the goal of your initiative
  • Developing staff awareness of program initiatives

Cristal Gary, Principal

Jenné Johns, Director Quality Improvement and Health Equity
Blue Cross and Blue Shield of Illinois

Nicole Robinson VP of Community Impact
Greater Chicago Food Depository 


1:00 pm

Workshop B: Providing Meaningful Language Access

Limited English proficient populations experience well-documented suboptimal health outcomes. There’s often a misconception that having a certified/qualified interpreter solves the issue of communication across languages. To provide equitable access, it’s important to recognize that interpreters and providers both bear certain responsibilities that ultimately ensure equitable and meaningful language access. Frequently, interpreters and providers do not have a shared understanding of what a fully effective language access framework looks like and inadvertently, make it challenging for clients to know what to look for or expect in meaningful interpreting. This can create a disparity in the clients ability to have a true understanding and comprehension of the situation in which they are engaged. Although this is no one's intention, by being unaware of these factors, we can promote this unwittingly. This workshop will explore a framework for effectively providing meaningful language access in a healthcare or social service setting using a participatory style to present material for discovery and discussion. Through conversation and active engagement, this workshop will allow participants to:

  • Recognize the unique and essential role of an interpreter, service provider, and how together, they honor the voices that are often unheard;
  • Explore how effective interpretation impacts the power, privilege and access to communication and information
  • Share and exchange interpreting tools and techniques to reduce interpreter error and improve access.

Keshia Bigler, MPH, Population Health Portfolio Manager

Toc Soneoulay-Gillespie, MSW
Social Services Manager, Population Health Partnerships


4:00 pm

Workshop C: Community Organization Profile: DC Central Kitchen

As the nation’s first and leading community kitchen, DC Central Kitchen develops and operates social ventures targeting the cycle of hunger and poverty. They fight hunger differently by training jobless adults for culinary careers and then hiring dozens of their own graduates to prepare the 3 million meals they provide for homeless shelters, schools, and nonprofits each year. Their ventures also prevent the waste of millions of pounds of nutritious food, expand access to healthy, local options in urban food deserts, and scale their model nationally through strategic partnerships with colleges and universities. 

Hear how DC Central Kitchen continues to address systemic failures while beginning to partner with health care organizations to expand their reach during this look inside a local community organization.   

Kimberly Brown, Chief Program Officer 

5:00 pm
Opening Reception

June 24, 2019

7:30 am
Registration and Networking Breakfast
7:30 am
Exhibit Hall Opens

8:30 am

Welcome Remarks


Jamo Rubin, MD, Founder and CEO


8:40 am

Keynote: Finding Allies, Building Alliances ... The Foundation for SDOH Success

Rich McKeown
Chairman of the Leavitt Partners Board of Directors.
Co-founded Leavitt Partners and served as the firm’s first CEO from 2009 – April 2017

9:30 am

Successfully Navigating the Crossroads of Mental and Behavioral Health

In 2016, Emergency Departments in San Antonio/Bexar County saw more than 9,000 emergency detention patients, and nearly half of these emergency detention patients needed only a medical screening before transferring to a psychiatric facility. The Southwest Texas Crisis Collaborative (STCC), a division of the Southwest Texas Regional Advisory Council (STRAC), has partnered with local law enforcement, EMS, and behavioral health facilities in the San Antonio area, to develop a program to navigate medically stable psychiatric emergency detention patients to the nearest, most appropriate facility directly from the scene, safely avoiding the Emergency Department.  Mr. Epley will also discuss the Program for Intensive Care Coordination (PICC) a team composed of a Clinician/EMS/Police that work with the most difficult cases in our behavioral health system.  The STCC is a result of a cross-payer and collaborative effort amongst all major public payers, hospital providers, philanthropy, public safety, the local mental health authority, behavioral health providers, and nonprofit organizations. This in-depth case study will: 

  • Discuss challenges faced by psychiatric patients in emergency departments 
  • Recognize how data influences program development 
  • Delve into the strategies behind developing a collaborative, cross payer approach 
  • Identify any barriers to implementation and ongoing performance improvement efforts 
  • Learn how to apply concepts to create regional and state solutions 



Eric Epley, Executive Director  
Southwest Texas Regional Advisory Council for Trauma (STRAC) 


10:30 am
Networking Break

10:50 am

Real Stories Behind Social Determinants of Health 

Join a panel of experts as they take a journalistic view at the stories behind successful partnerships, programs and access to quality care in community across the country.  

During this discussion you will: 

  • Learn about the Aetna Foundation and U.S. News & World Report collaboration  
  • Discovery which factors determine the health and quality of life in a community   
  • Discuss the use of data to drive public health initiatives and preventive care  
  • Strategize on providing effective quality care at reduced costs 

Leila Nowroozi, National Partnerships Lead, Business Strategy and Consumer Experience Group

Brian Kelly, Editor and Chief Content Officer
U.S. News & World Report

Tamara Smith, System Director, Community Health Strategy and Benefit
Novant Health

Patricia MacRae
Aetna Foundation


11:50 am
Networking Lunch

12:50 pm

Concurrent Sessions

12:50 PM
Track Open Commentary & Announcements

12:55 pm

Track A: Leveraging SDoH to Innovate the Payer-Provider Relationship 

  • Describe the barriers for payers and providers deeply collaborating on SDoH  

  • What types of data we will collect.  

  • Outline an approach to generate insights together to create a value-based incentive model for Social Determinants of Health 

  • Define initial benefit design proposal based on SDoH measurement 


Creagh Milford, DO, MPH, Chief Medical Officer
Healthcare Highways 

Jim Walton, DO, MBA, FACP, President & CEO
Genesis Physicians Group

12:55 pm

Track B: Payer Perspective: Adding Member Value by Partnering with Small to Medium CBOs

  • Identifying organizations to partner with 
  • What is the value of the CBO to the community? To the payer? What is the value of the CBO to the payer? 
  • How do you broker with other organizations that are not on the same size scale?  
  • Reimagining internal processes to partner with CBOs 
  • Measuring compliance and outcomes

Linda Roman, Senior Vice President
Centauri Health Solutions

Karin Vanzant, MPA, VP Integrated Community Partnerships

Lynn Banaszak, Executive Director
Disruptive Health Technology Institute - Carnegie Mellon University

2:00 pm

Concurrent Sessions

2:00 pm

Track A: Beyond Mediating Social Needs: Addressing Social Determinants of Health Through Policy and Systems Change

    • Tools for health care-community partnerships to identify policy and systems changes strategies to improve community-level determinants of health such as access to healthy affordable housing and food 
    • Findings from the Community-Centered Health Home Demonstration Projects – the seven capacities of healthcare organizations that develop the culture, staff, and systems to partner in improving community determinants of health 
    • St. Joseph’s Health Community Partnership Intersections Initiative, a funded opportunity for formal coalitions of diverse partners to improve health and advance health equity in the communities served by the seven St. Joseph Health Legacy Hospitals in California 



    Sandra Viera, Associate Program Director
    Prevention Institute

    Jason Lacsamana, Senior Program Officer
    St. Joseph’s Health Community Partnership Fund


2:00 pm

Track B: Purpose Built Communities: Health and Revitalization Through Impactful Partnerships

  • Explore the Purpose Built Communities approach to neighborhood revitalization 
  • Though still not common, local partnerships with healthcare can be critical for success 
  • Spartanburg and Orlando provide examples of the different roles hospitals and healthcare systems can play in reinvigorating neighborhoods to improve community health and well being 


Douglas Jutte, MD, MPH, Executive Director
Build Healthy Places Network

Bill Barnet, Chair
Northside Development Group

Phil Feisal, President, Spartanburg Medical Center
Spartanburg Regional Healthcare System

Eddy Moratin, President
LIFT Orlando

Lee Johnson, VP, Clinical Support

3:00 pm
Networking Break

3:20 pm

Concurrent Sessions

3:20 pm

Track A: Creating Appropriate Evaluation Metrics for Long Term Sustainability

  • Joint accountability across various sectors and government departments to ensure long-term program impact 
  • Determining key performance indicators and methodology to track metrics 
  • How to embed impactful measurements throughout the project life cycle? 
  • Identifying metrics that constitutes a successful program, or when to pivot services 
  • What types of programs are making the most impact on health outcomes? 


Michael Knapp, PhD, CEO
Green River

Ian Kozak, Director of Strategic Development and Product Manager
Green River

Katie Zito, Senior Government Relations Director
Anthem Indiana Medicaid

3:20 pm

Track B: The New Member to Your Health Care Team: Legal Professionals

  • Evaluating how legal experts can enhance your social needs work 
  • Steps to strengthen ties with the legal community with limited resources 
  • Best practices for integrating legal support for clinicians, case managers, and social workers 



Tracy L. Goodman, Director, Healthy Together
Children's Law Center 

Holly R. Stevens, Ph.D., Director of Evaluation and Learning
Children’s Law Center


4:20 pm

Concurrent Sessions

4:25 pm

Track A: How to Build an Aligned Community Partner Network

  • Steps to understand needs in your community
  • Barriers to coordinating with community partners
  • Metrics to align on to track the success of a network
  • Intervention design with community partners
  • Emerging trends in reimbursement for community partners

Manik Bhat, CEO & Cofounder

4:25 pm

Track B: Going Beyond the Point of Care to Reduce Long-Term Patient Costs

  • Identifying barriers to health care or health access  
  • Best practices to developing provider relationships to screen and integrate social need programs 
  • Connecting the patient immediately to services  
  • Patient follow up strategies  
  • Initiating policy changes to put the community at the center of care 

Gigi Elizee, MSN, RN, Clinical Integration Lead, Population Health Service Organization
University of Maryland Medical System

Karen Marie Wilding, FHIMSS, CHCIOe, Senior Director, Quality & Value Based Care
Affiliate Compliance Officer, Population Health
University of Maryland Medical System  


5:20 pm
Networking Cocktail Reception

June 25, 2019

7:45 am
Networking Breakfast

7:45 am

Concurrent Sessions - Power Breakfast Series

7:45 AM

When State Funding Evaporates: Tennessee Case Study of Smoking Cessation Program for Pregnant Women

  • Strategically addressing an existing program 
  • Developing a partnership with three Medicaid Care Organizations to continue funding 
  • How did the program meet a local issue and show value to future funding partners? 
  • Evidence-based discussions 
  • Designing an approved, formal program referral process 
  • Data exchange and extraction agreements 
  • Reporting requirements 


Allysceaeioun Britt PhD, MPH, Director Strategic Initiatives and Quality Assurance
Family Health and Wellness
Tennessee Department of Health

7:45 AM

Beyond the Buzz: The Disciplined Roadmap for Implementing Successful, Scalable SDoH Programs

  •  How your organization can think like a startup: creating an agile, data-driven culture of innovation for SDoH programs

  • How to measure success & prioritize your investment in SDoH initiatives

  • How to turn consumer insights into actions that improve member engagement, quality, and health outcomes

  • Three examples of this approach in action:
      o    Activity programs to reduce social isolation
      o    Healthy home assessment
      o    Healthy eating program

    Kurt Waltenbaugh, CEO
    Carrot Health

7:45 AM
Exhibit Hall Opens

8:45 am

Opening Remarks


Jamo Rubin, MD, Founder and CEO 

Krista Drobac, Partner 
Sirona Strategies 
Aligning for Health  

9:00 am

Roundtable: What are States Doing to Support Local Efforts to Address SDoHs?

  • How are socioeconomic and clinical trends being addressed by each state 
  • Determinations on what services are payable 
  • What innovation looks like in your state? 
  • What challenges are states battling to achieve approval for non-clinical support? 
  • As the 2020 election nears, how are states strategizing for possible political shifts? 


Naveen Rao, Managing Partner
Patchwise Labs

Lisa Fitzpatrick, MD, MPH, MPA                                                                                                                    Grapevine Health

Alexander Shekhdar, JD, MHS, Principal
Sycamore Creek Healthcare Advisors, LLC

Jessica Khan, Senior Expert
McKinsey & Company

9:45 AM

Privacy and Collaboration: Can we really do this?

  • Collaboration is an amplifier for any organization’s results. What can community organizations really share with each other? What can health care organizations really share with each other? And most importantly, what can community and health care organizations share with each other? 
  • More important than “can share” is “should share”. What does this look like for the member/client/patient perspective? 
  • Collaboration is all about outcomes. What is privacy’s role in outcomes? 

Lisa Davis, General Counsel

Jamo Rubin, MD, Founder and CEO

10:30 AM
Networking Break

10:50 am

Policy Opportunities to Address SDoH

Krista Drobac, Partner
Sirona Strategies
Aligning for Health

11:35 PM
Creating and Securing a Sustainable Financial Model for SDoH
  • Explore types of functioning funding models and their future impact
    • Trust funds
    • CMMI pilots
  • Relieving the market failure of not having a long-term finance model to address social issues with specific innovative approaches
  • Tool kits to assist selecting and securing finance mechanisms that go beyond grants

Erica Hutchins Coe, Partner
McKinsey & Company

Melinda Abrams, MS, Vice President, Delivery System Reform
The Commonwealth Fund

Ryan Bosch, MD, FACP, Founder and President
Socially Determined

Michael Monson, Senior Vice President of Medicaid and Complex Care
Social Health Bridge Trust

12:25 PM

Closing Remarks


Jamo Rubin, MD, Founder and CEO 

Krista Drobac, Partner 
Sirona Strategies 
Aligning for Health