Symposium Focuses on High-Performance Health Care Delivery

Arnold Milstein, MD, MPH

In his October 20 keynote address at the 26th Annual Symposium on Health Care Services, Research, and Practice, Arnold Milstein MD, MPH, professor of medicine at Stanford University and Director of Stanford University's Clinical Excellence Research Center, discussed his center's unique approach, which organizes research teams of post-doctoral fellows and faculty from multiple Stanford schools-engineering, social sciences, medicine-to discover, design, and demonstrate new methods of health care delivery that improve patients' health and reduce health spending.  He emphasized that primary care interventions present the greatest opportunities for quality improvement and cost reduction-and discussed his center's method for identifying specific features of primary care practices across the country that are leaders in providing better care at lower costs.  He also shared examples of the ways new technologies are helping providers to understand consumer behavior more thoroughly and make corresponding changes in care delivery.

From left: Tim Johnson, Jacqueline
Delmont, MD, MBA, Dave A. Chokshi, MD,
and Walter LeStrange, MPH, RN

A panel discussion, “Aiming High:  Lessons Learned in the Pursuit of Better Quality and Lower Costs,” followed the keynote presentation.  Moderated by Tim Johnson, Executive Director of GNYHA Foundation, the three panelists shared information on their organization's initiatives to improve quality and reduce costs.  Dave C. Chokshi, MD, Assistant Vice President of Ambulatory Care Transformation at the New York City Health and Hospitals Corporation, described the way HHC is transforming ambulatory care to meet the triple aim of better health, better care, and better value.  Jacqueline Delmont, MD, MBA, Chief Medical Officer of Beacon Health Partners, discussed this Long Island-based accountable care organization's approach of redirecting resources toward prevention and wellness and emphasizing patient-centered care.  (See her presentation.)  Walter LeStrange, MPH, RN, Senior Executive Vice President and Chief Operating Officer at ProHEALTH Medical Management, described the factors that led to the successful transition from fee-for-service to accountable care at this Long Island-based multi-specialty physician group.  (See his presentation.)

The Symposium is sponsored annually by the United Hospital Fund and GNYHA Foundation in collaboration with leading health research organizations in New York.