TAHP Medical + Pharmacy Directors Forum
These invitation-only events offer our health plan Medical and Pharmacy Directors the unique opportunity to interface with their peers and hear from state and national experts as they discuss common challenges and best practices. If you are interested in sponsoring and presenting at this forum email pdoner@tahp2.local for more information. This meeting is only open to our health plan MDs & PharmDs.
Hampton Inn 200 San Jacinto Blvd, Austin, TX
Oct 24, 2023
9:00 am - 3:30 pm
Sponsored by
Agenda
9:00 - 9:45am
The Healthy Equity and Cost Benefits of Immunoglobulin Infusions at Home
Immunoglobulins, derived from donated human plasma, are used in the treatment of hundreds of disease states, including immunodeficiencies and autoimmune disorders. This presentation will cover the use of immunoglobulin (Ig) therapy in these various conditions, as well as the importance of the clinician’s role in the individualization of care and Ig treatment planning. Topics will include strategies for cost containment and the health equity benefits of home infusion as a site of care.
Speakers:
- James Sheets, CEO, CSI Pharmacy
- Ed O’Bryan, CMO, CSI Pharmacy
9:50 - 10:35am
How Virtual Health Engagement drives successful P4Q and NMDOH
Pay For Quality and Non-Medical Drivers are Health are among the top 2 priorities for Texas Medicaid in 2024 and beyond. During this talk, you will learn how the right virtual health engagement strategy improves health outcomes, leading to over performing on P4Q and NMDOH.
Speaker:
- Shameet Luhar, CEO, Vheda Health
10:40 - 11:25am
Patient journey to an approved Alzheimer’s disease treatment for patients with Early Alzheimer’s Disease
Alzheimer’s disease (AD) is a growing public health crisis and represents a crucial unmet need in healthcare. New AD diagnostic tools and therapies are evolving the management of AD, changing the patient journey towards earlier identification and treatment initiation.
During this program, we will overview the patient journey to treatment with a therapy and discuss signs and diagnosis of early AD, the clinical trial data in informing selection for treatment for appropriate patients, key considerations for initiating the treatment, monitoring for safety, and economic impact of early intervention.
Speaker:
- Angelo DeLuca, PharmD, Director, HEOR at Eisai Inc
11:30 - 12:15pm
Texas HCV Elimination
AbbVie will discuss the partnership with HHSC on HCV Elimination.
Speaker:
- Speaker Name: Ruston Taylor, Pharm.D., AbbVie Medical Affairs
12:25 - 1:10pm
Lunch Presentation - Building Vaccine Confidence in Post-Pandemic Texas
The 2020 global pandemic touched almost every aspect of our society. Its damaging impacts did not spare immunization, a simple and effective health measure that protects everyone, including our children. Now we are seeing an alarming decline in childhood immunization rates post-Covid. Access issues, misinformation and disinformation campaigns, and politicization of vaccines are contributing factors. This presentation will address reasons for the decrease in coverage and explore ways to build vaccine confidence, which is imperative to restoring childhood immunization rates to pre-pandemic levels.
Speaker:
- Terri Burke, Executive Director, The Immunization Partnership
1:15 - 2:00pm
Using Technology to Scale Measurable Pharmacists’ Impact
This presentation will explore how we can utilize cutting-edge technology such as AI to magnify and quantify the impact pharmacists have on patient care. During this talk, you will learn about various technological tools and platforms that enable pharmacists to reach a broader audience, improve patient outcomes, and quantify their impact in the healthcare ecosystem. Attendees will be equipped with practical knowledge on current and emerging tech tools, covering different areas such as medication management, automatization of routine tasks and more, as well as potential barriers and strategies for effective implementation and integrations within pharmacy teams and organizations.
Speaker:
- Ariel Efergan, Vice President of Growth at MDI Health
- Stephanie Stewart, Clinical Pharmacist Lead, MDI Health
2:00 - 2:45pm
The Health Equity Collective Closed-loop Referral Demonstration Project: A “no wrong door” approach to care coordination for non-medical drivers of health.
- The Health Equity Collective was developed to serve as a long-term, durable driver for improving health and health equity through collaboratively improving non-medical drivers of health. This ecosystem approach in order to improve health equity includes more than 200 multi-sector organizations with a singular mission of establishing a sustainable, data-driven, human-centered ecosystem of care among residents of the Greater Houston area. UTHealth serves as the backbone organization, anchoring this collective impact effort.
- The Health Equity Collective’s cornerstone effort is the development and implementation of Closed Loop Referral infrastructure, which will be linked to the Health Information Exchange, for the Greater Houston area. This ecosystem comprised of multidisciplinary network partners that use a shared language, a resource database, and an integrated technology platform to deliver enhanced community care planning.
Speakers:
- Shreela S. Sharma, PhD, RDN, LD, Director, Center for Health Equity, UT Houston School of Public Health
- Heidi M. Hagen McPherson, MPH, Co-Lead, Health Equity Collective, Sr. Project Manager, UTHealth School of Public Health in Houston
2:50 - 3:30pm
The Accountable Health Communities
The Accountable Health Communities (AHC) Model was a 5-year CMS Innovation Center project that tested whether systematically identifying and addressing the health-related social needs of Medicare and Medicaid beneficiaries through screening, referral, and community navigation services has an impact on healthcare utilization. UT Health Houston served as the bridge organization in Houston and will provide an overview of the findings from their pilot and the Michael and Susan Dell Foundation will share information about their new pilot launching this year. The discussion will close with an overview of potential alternative payment models that could be used to sustain the model.
Speakers:
- Linda Highfield, Associate Professor and Distinguished Chair in Population Health, UT Health Houston, School of Public Health
- Aliya Hussanin, MD, Portfolio Director, Health, Michael & Susan Dell Foundation
Speakers
James Sheets, PharmD
CEO, CSI Pharmacy
James L. Sheets is the CEO and founder of CSI Pharmacy. He has a passion for developing clinical programs that add value to the homecare provided for infusion patients. He earned his Doctor of Pharmacy degree from the University of Arkansas for Medical Sciences, College of Pharmacy. His pharmacy experience includes practice in community, hospital, nuclear, compounding, and the home infusion settings. Dr. Sheets has over 20 years’ experience working with immunoglobulin (Ig) therapy and administration in the home. He is an active member of NASP, NHIA, and IgNS. He contributes as a member on the Immunoglobulin standards of care and leadership committees for the Immune Globulin National Society (IgNS). He serves as an advisory board member for Octapharma, Evolve Biologics & KORU Medical, as well as on the medical advisory board for the MG Hope Foundation. He is passionate that all patient’s therapies should be individualized to meet their specific needs. James enjoys sharing knowledge and helping others through presentations at local patient support groups. He frequently speaks at local Myositis KIT meetings and Myasthenia Gravis patient meetings in the various regions across the nation. He often remarks that the people he meets at these groups are truly inspirational and motivate him to grow and improve as a person.
×Edward O’Bryan, MD, MBA, CPE
CMO, CSI Pharmacy
Ed has a 15-year history of successfully integrating clinical quality initiatives, digital innovations, health information technology, cost-containment strategies and logistics into health systems, physician practices, startups, pharmacies, businesses and nonprofits to improve patient and financial outcomes and encourage positive change. He received his M.D. from the Medical University of South Carolina where he spent the majority of his clinical career in the ER, and his M.B.A. from the University of Tennessee. His passions are health equity and value creation for challenging patient populations. Ed is now Chief Medical Officer for Graham Healthcare and CSI Pharmacy, and is the co-founder of OneWorld Health and the For Others Foundation.
×Shameet Luhar
CEO, Vheda Health
Shameet Luhar brings nearly 2 decades of experience leading and growing payor-focused technology companies. As the grandson and son of two generations of physicians, enabling access to care has been a cornerstone focus of his career. Shameet currently serves as CEO of Vheda Health, a virtual health engagement company dedicated to accelerating health equity for everyone by providing simple access to care from anywhere.
Under Shameet’s leadership, Vheda Health has transformed itself into an industry leader, partnering with the nation’s largest government payors, consistently delivering a 3:1 ROI and
average 20% medical savings by inspiring action in underserved populations.
Prior to Vheda Health, Shameet held senior roles at Anthem, CareFirst BCBS, and Deloitte. Shameet was an early member of Resolution Health, a data analytics company purchased by Anthem. There Shameet was responsible for deploying member care management programsfor Anthem’s 33 million Commercial and Medicare members. Shameet’s work on the Medicare STARS Outbound Call program was recognized by URAC with a 2013 Gold Medal.
Shameet holds an MS in Medical Informatics from Northwestern University and BS inInformation Systems and Supply Chain Management from the University of Maryland – College Park.
×Angelo DeLuca, PharmD
Director, HEOR at Eisai Inc
Angelo has more than 18 years of experience in health-system pharmacy administration and the pharmaceutical industry. He graduated with as a Doctor of Pharmacy from the University of the Sciences in Philadelphia.
×Ruston Taylor
Pharm.D., AbbVie Medical Affairs
Ruston is a clinical pharmacist working as a medical science liaison for AbbVie. Ruston has more than 15 years of clinical pharmacy practice experience in a large quaternary care hospital and at a federally qualified health center in Texas. Treatment and prevention of infectious diseases, including Hepatitis C, have been his primary focus.
×Shreela Sharma, PhD, RD, LD
Director, Center for Health Equity, The University of Texas Health Science Center at Houston School of Public Health
Shreela Sharma, PhD, RDN is the founding Director of the Center for Health Equity. She is also Professor & Vice Chair of the Department of Epidemiology, Human Genetics, and Environmental Sciences at UTHealth Houston School of Public Health. As a trained dietitian and physical therapist, she realized she was treating diseases stemming from poor lifestyles: heart disease, diabetes, and hypertension. Sharma completed her PhD in epidemiology with a minor in biostatistics, health promotion, and behavioral sciences to address the systemic inequities leading to high rates of preventable disease and their devastating repercussions in the community. Her research interests are in health equity, health disparities, and behavioral epidemiology with a focus on food insecurity, diet quality, and chronic disease prevention among low-income, ethnically diverse families and communities using a policy, systems, and environment approach. Sharma is committed to the community. She co-leads the Health Equity Collective, a systems coalition in the Greater Houston region with a singular mission of care coordination for social determinants of health needs using a collective impact approach. She also co-founded Brighter Bites, a nationwide non-profit dedicated to providing fresh produce and nutrition education to low-income children and their families.
×Aliya Hussaini MD, MSC
Portfolio Director, Health, Michael and Susan Dell Foundation
Aliya is responsible for the foundation’s efforts to improve childhood health and wellness through proven strategies and partnerships with a broad range of traditional and non-traditional partners. She focuses primarily on increasing the access to and equity of healthy eating and physical activity opportunities, generating demand for healthy options, and supporting healthy behaviors and environments. Also core to her work is the management of the foundation’s investments in the Central Texas medical community.
Aliya completed undergraduate degrees in biology and economics at Swarthmore College, medical school at the University of Illinois at Chicago, pediatrics residency and chief residency at Yale New Haven Children’s Hospital, and fellowship training as a Robert Wood Johnson Clinical Scholar at the University of Pennsylvania, where she also earned a master’s degree in Health Policy Research.
In addition to her work at the foundation, Aliya is a practicing pediatrician at People’s Community Clinic in Austin.
×Heidi M. Hagen McPherson, MPH
Co-Lead, Health Equity Collective, Sr. Project Manager, UTHealth School of Public Health in Houston
Heidi Hagen McPherson has dedicated two decades to public health and community development service, in local, national, and international roles. Her focus and expertise are in catalyzing collective capacity for improved population health systems and outcomes. This focus on improving the ecosystem to provide a foundation for better health and health equity, led to her current role as Co-Lead of the Health Equity Collective with the UTHealth School of Public Health’s Center for Health Equity. The Health Equity Collective (“Collective”), now 200+ organizations strong, was developed to serve as a long-term, durable driver for improving health outcomes and health equity through collaboratively improving social determinants of health systems, with a singular mission of establishing a sustainable, data-driven, human-centered ecosystem of care that equitably addresses SDoH among residents of the Greater Houston area.
Heidi has extensive experience building collaborations with healthcare, public health, corporate, and community partners in building cultures of health. In addition to co-leading the Health Equity Collective, Heidi serves on several health coalitions, including Houston Business Coalition on Health, Texas Collaborative for Healthy Mothers and Babies (TCHMB), Be Well Acres Homes, Cities Changing Diabetes, and the Greater Houston Partnership.
On a personal note, Heidi enjoys running, tango, birdwatching, reading, and exploring the world and the backyard with her family. Originally from Hawaii, Heidi has enjoyed living in Texas for over 20 years.
×Ariel Efergan
Vice President of Growth at MDI Health
Ariel Efergan is the Vice President of Growth at MDI Health. In his role, he is responsible for all go-to-market activities, including running the sales org, marketing, strategy, partnerships, and fundraising. He has unique experience leading complex sales for early-stage startups into healthcare payors and providers. Prior to MDI, Ariel was a strategic advisor to the CEO and c-suite for a national post-acute specialty care provider, helping with go-to-market and sales. Ariel was also the CEO and founder of Pangea Medical, an SDOH-focused healthtech startup working with some of the nation’s leading health systems to manage high-risk patients. Outside of MDI Health, Ariel is a Venture Advisor at Redesign Health, working with their port-cos on designing go-to-market strategy. Outside of the office, Ariel loves traveling, skiing, and hiking. He is still trying to figure out when Generative AI will replace him.
×Terri Burke
Executive Director, The Immunization Partnership
After spending the first half of her working career as a journalist, and nearly 13 years as Executive Director of the ACLU of Texas, Terri Burke is now Executive Director of The
Immunization Partnership. Burke started out as political reporter and then rose to senior newsroom roles at the Dallas Morning News, Austin American-Statesman and Albuquerque
Tribune. She ended her career as Editor of the Abilene (TX) Reporter-News and group editor for E.W. Scripps’ four Texas newspapers.
Burke has served as president of the boards of the Texas, and later New Mexico, Associated Press Managing Editors associations. She was an adjunct professor of journalism at the
University of Texas at Austin and a lecturer at the American Press Institute. She sat on the Greater Houston Partnership Taskforce on Immigration and its Quality of Place Committee. She is a member of the Philosophical Society of Texas.
Burke majored in journalism and political science at the University of Texas at Austin and has completed executive programs in finance at the Wharton Graduate School and an Executive
Nonprofit CEOs program at Stanford Graduate School of Business. A native Houstonian where she now lives, Burke and her husband are the parents of two
daughters and have one “practically perfect” granddaughter.
Stephanie Stewart
Clinical Pharmacist Lead, MDI Health
Stephanie Stewart is the Clinical Pharmacist Lead for MDI Health. She earned her Doctor of Pharmacy degree from Wegmans School of Pharmacy at St John Fisher College. Over her 11 years as a pharmacist, she has had the opportunity to practice in a variety of settings including community pharmacy, long-term care, managed care, and population health.
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