Philadelphia Symposium Highlights Person-Centered Innovations


Quality Insights joined Livanta, the Beneficiary and Family Centered Care - Quality Improvement Organization (BFCC-QIO) for Pennsylvania and New Jersey and the Centers for Medicare & Medicaid Services (CMS) on February 28, 2018 to co-present at a symposium in Philadelphia, PA. The program highlighted the QIOs' findings and successes related to innovative person and family engagement initiatives.

Philadelphia SymposiumLivanta Chairman, Anthony Wisniewski, Esq.; Quality Insights CEO, Dr. Sven Berg; and Monique Scott, CMS External Affairs, presented about their organizations' efforts to improve person and family engagement.
Lance Coss, Livanta BFCC-QIO Program Director, shared successes in two innovative programs the organization recently implemented. The Patient Navigation Program aims to help patients avoid unnecessary emergency room visits and hospitalization. This two-tiered program focuses on those who have filed an appeal of a notice of non-coverage from a hospital and who may benefit from navigation services. Patients engaged in Tier 1 of the program receive short-term engagement designed to improve their transitions of care and discharge planning. Those engaged in Tier 2 of the program receive longer-term support in the form of additional care management. The engagement component is personalized to the individual’s needs and typically consists of phone calls with patients and families. Another facet of this innovative initiative is the Immediate Advocacy (IA) Program. IA is intended to help people who would benefit from immediate intervention to remove a barrier to quality care, without the necessity of a formal medical record review, allowing for timely and efficient resolution of concerns.
Kim CahillQuality Insights' Kim Cahill, Project Coordinator for the Care Coordination and Medication Safety project, shared the multi-dimensional methods Quality Insights has successfully employed to assure beneficiaries' voices are included in QIN-QIO projects and innovations. Quality Insights engages people and their families in self-care, community care and organizational care. Examples were shared, including successful use of the Patient Activation Measure to help engage, empower and support people attending diabetes education sessions.
Additionally, the symposium included an Expert panel discussionexpert panel discussion, which provided an opportunity for audience member participation. Panel members included: Steve Stein, MD, Medical Director at Livanta; Barbara J. Connors, DO, MPH, Chief Medical Officer, Centers for Medicare & Medicaid Services-Region 3; Jennifer Sryfi, Director, Community Programs, New Jersey Hospital Association; Mimi Schaible, RN, MSN, MBA, Director, Care Coordination and Consultation, VITALity Catholic Healthcare Services, Diocese of Camden; Kevin J. Kelly, Ed.D., Executive Director, Eastern Pennsylvania & Delaware, American Diabetes Association; Sven Berg, MD, Chief Executive Officer, Quality Insights; and moderator Anthony Wisniewski, Esq., Chairman, Livanta.
Jeneen IwugoThe day concluded with a presentation by Jeneen Iwugo, Deputy Director of the Quality Improvement and Innovations Group, Center for Clinical Standards & Quality, at CMS. Ms. Iwugo provided an overview of the functional structure, multi-pronged improvement activities and goals of the QIO programs across the nation.
Sharing of evidence-based practices and innovative approaches to person and family engagement set the foundation for ongoing collaboration between the QIOs.

Livanta and KEPRO are the two BFCC-QIOs for the nation.  

Both offer similar navigation programs for beneficiaries.

Livanta's service area includes PA & NJ
Helpline: 866-815-5440 (PA & NJ)
KEPRO's service area includes DE, WV & LA
Helpline: 844-455-8708 (DE & WV)
844-430-9504 (LA)