FLAACOs 2014 Conference Panel Discussion: A Closer Look at Improving Patient Care Coordination moderated by Krista Sultan

1. Panel Discussion: A Closer Look at
Improving Patient Care Coordination
Krista K Sultan RN, BSN, MS
Clinical Programs
Citra Health Solutions

2. Care Coordination
• “The goal of coordinated care is to make sure that patients,
especially the chronically ill, get the right care at the right time,
while avoiding unnecessary duplication of services and
preventing medical errors”
-Centers for Medicare & Medicaid Services

3. Sandeep Bajaj, MD - Founder / CEO -
Florida Accountable Care Services
• Board Certified Internist, Cardiologist, and Interventional Cardiologist.
• Recognized for his work as a Previous Director of Cardiac-Catheterization
Lab at Florida Hospital,
• Practicing Interventional Cardiologist for over 25 years and as a former
Chairman of a Medicare Advantage plan of roughly 50,000 lives.
• Serves as the American College of Cardiology Delegate to the Florida
Medical Association
• His vision for better integrated delivery of care resulted in Guardian, a
Health Information Exchange currently being used by two ACO’s in Florida
and serves as a model for other accountable integrated care systems.
• His leadership also helped Central Florida Physician Trust, an ACO with
approximately 10,000 lives based along the I-4 corridor successfully
achieve shared savings in the amount of 4.5 Million Dollars in its first year.

4. Joe Taylor, VP ACO Practice
• Joe is an accountable care, health care management and health information
technology strategist with over 25 years’ experience in developing, leading,
implementing, delivering and measuring the results of innovative, cost-efficient health
care management solutions.
• Joe has in-depth knowledge and successful implementation experience in population,
preventive, chronic, and intensive care management approaches. He has successfully
implemented care management programs for millions of patients across the country
and internationally.
• Prior to coming aboard with FluidEdge, Joe was the President and CEO of the
Oklahoma Health Insurance COOP. Joe developed and implemented the network,
care management, pharmacy, claims and client service strategy, including vendor
selection, and the integration plan between the vendors.
• Joe was also a senior leader at the nation’s largest non-investor owned health plan
where he developed and implemented the future healthcare management vision and
strategy. Joe lead HIT, Pharmacy, HIE’s, the “Virtual Medical Community” and the
Integrated Total Health Care Management (ITHM) programs. Joe directed and
managed $175M annually in administrative budgets, excluding cost of care.
• Joe, a frequent speaker on National Healthcare issues including ACO’s, HIT and
population Analytics. Joe has written many health care related articles and is former
instructor at Southern Methodist University.

5. Ron Ritchey, MD, MBA
CMO eQHealth Solutions
• Dr. Ritchey serves as the chief medical officer (CMO) for eQHealth
Solutions. He is active in the design and application of innovative
models of care focused on quality improvement and cost containment.
These models of care are designed to be forward-looking and to
embrace new opportunities created by American health care reform,
forging functional alliances between physicians, hospitals and
payors. Dr. Ritchey is board-certified in Internal Medicine and
practiced that specialty for over twenty-five years. He is certified by
the American College of Healthcare Executives and the American
College of Physician
• Executives and has extensive experience as a physician executive in
physician-hospital organizations, independent practice associations,
and professional service organizations.

6. Larry Jones
Chief Executive Officer of Physicians Collaborative Trust
ACO
FLAACOs Founding Board Member
• For over 25 years he has been advocating for
physicians through their efforts to organize, negotiate
with health plans, and other challenges
• Larry owns and manages 8 multi-specialty IPAs and
one statewide single specialty IPA in Florida
• He also manages an MSO with 4 private Medicare
Advantage contracts in Florida.
• He is a member of the Seminole County School Board
Business Advisory Board, and sits on the Insurance
Committee.
• In addition, Larry developed “HPFConnect”, a Health
Information Exchange, to fully integrate his physicians
with both IT and Clinical Integration.

7. Can you each give us a brief description the ACO(s)
or organization that you work with?
Where are you located?
What is your general mission?
How do you see your organization evolving to meet the needs
of care coordination?

8. What do you see as the greatest challenge facing
care coordination?

9. What would you define as the area most in need of
care coordination?

10. What kinds of care coordination programs have you
seen that work well in the ACO space?

11. What kinds of care coordination programs have you
seen that are not working well?

12. What would you like to see care coordination
become in the next 3 years?

13. What role do you see technology playing in care
coordination?

14. Reach Us
Enter Company Name
First and Last Name
Organization
Phone
Email
Website
Questions for the Panel?