POP HEALTH FORUM: A HIMSS EVENT

Chicago, IL
Renaissance Chicago Downtown Hotel
Oct. 2-3, 2017

Naveen Raja

Medical Director for Accountable Care
UCLA

Naveen Raja, DO, is board certified in Rheumatology and Clinical Informatics and has over 17 years of clinical practice experience in rheumatology and internal medicine in academic, non-profit, managed care and private practice environments. He currently serves as the Medical Director for Accountable Care at the University of California, Los Angeles. His focus is on driving and supporting strategies and programs related to population health, including improvement activities and relationships with our ACO contract partners. Prior to UCLA, he was at City of Hope where he served as the Chief Medical Informatics Officer. In that role, he had significant impact on practice standardization, integration, and physician engagement. He has experience in managing organizational change through setting of a shared vision, clinician and leadership engagement, clear governance structures, communication and team development.

October 2, 2017
2:10pm - 2:40pm
Lyric

The University of California, Los Angeles (UCLA), one of the nations’ top-ranked hospitals, has developed an innovative model of comprehensive care coordination to achieve the triple aim. This strategy embeds unlicensed health navigators in physician offices and supports them with a team of licensed professionals that include the physicians, pharmacists, nurses and social workers.

A key element of the model is physician identification and referral of high-risk patients for care coordination. The unlicensed care coordinators are at the center of managing the organization’s accountable populations.

The results have been impressive. The model has decreased ED visits by 20 percent and reduced utilization and total cost per member in the accountable population.

Key takeaways:

  • Understand the infrastructure and systems needed to support a successful care coordination program.
  • Describe the roles and responsibilities of the unlicensed care coordinator in managing high-risk, high-utilizer patients.
  • Learn how UCLA uses data analytics to identify high-risk populations and measure outcomes of care coordination activities.

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