Plenary 4

  • June 30, 2017
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Nancy Howell Agee
Chief Executive Officer, Carilion Clinic
Chair-elect, American Hospital Association Board of Trustees
Leading and Designing a Patient Centered Health System
Carilion Clinic in is a $1.8 billion nonprofit integrated healthcare organization including 7 hospitals, a multi-specialty physician group and a joint ventured medical school with Blacksburg-based Virginia Tech. Carilion Clinic is a not–for–profit health care organization headquartered in Roanoke, Va. and providing services to a third of Virginia. Through a comprehensive network of hospitals, primary and specialty physician practices, and other complementary services, Carilion provides quality care close to home for nearly 1 million Virginians.
In this keynote address – “Leading and Designing a Patient Centered Health System” the speaker will provide examples of how to design governance that supports patient-centered health system, quality initiatives and innovation programs. In this session, the speaker will articulate the impact of a patient-centered care on health outcomes for their community. Carilion has spent considerable effort in identifying key measures to track to improve care and instill a culture of safety. Carilion is intimately involved in medical education and research. The investment and development of this area of mission has led to growth and development for the health system and its trainees.
Affordability is a key issue for healthcare delivery in the United States. A February 2016 Health Affairs article described “affordability as the most serious health care problem faced by most Americans.” Of the top ten leadership challenges facing hospitals, recent data suggests financial
pressures/affordability as number 2 on that list. Spending on health care for families has increased 25 percent since 2007 crowding out other basic needs such as clothing and food. Health care spending continues to grow, increasing 5.8 percent in 2015 – and is expected to rise to $5.6 trillion, one fifth of the U.S. economy, by 2025. One of the ways Carilion Clinic is addressing this issue is by improving quality/safety and value by delivering on a Next Generation Accountable Care Organization (ACO) in their system. ACOs can provide better quality of care while producing savings.
Leading a complex and integrated health system in a time when the American Healthcare system is going through significant change is a rewarding yet difficult endeavor. In this talk, the speaker will share leadership lessons in the road towards building a high performing health system. This requires leadership and innovation. Ms. Agee and Carilion are certainly on the forefront of healthcare delivery.

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Nancy H. Agee
Leading and Designing a Patient Centered Health System