ProvenCare: How to Deliver Value-Based Healthcare the Geisinger Way

By Glenn D. Steele Jr., M.D., PhD and David T. Feinberg, M.D., MBA
Publication Date: October 9, 2017
ISBN: 978-1-259-64228-9

[Columbia, MD – December 19, 2017] Two of the biggest names in healthcare, David Feinberg, M.D., MBA, and Glenn D. Steele Jr., M.D., PhD, share a tell-all inside look at Geisinger’s pioneering approach to care redesign and management, ProvenCare: How to Deliver Value-Based Healthcare the Geisinger Way. Access, quality and cost have been the fundamental challenges of healthcare for decades. Under their leadership, innovations in healthcare manifested at Geisinger and exported through xG Health Solutions, have proven to yield the success many yearn for. That way, the Geisinger way of how to deliver value-based healthcare, is ProvenCare. Using tangible learnings, vivid stories, and transformational themes, Dr. Feinberg and Dr. Steele have created a guide to demonstrate the behavioral change necessary to reduce costs and improve care.

“At Geisinger, we defined innovation as fundamentally changing how we care for patients,” said Glenn D. Steele Jr., M.D., PhD, Chairman of xG Health Solutions, former Geisinger president and CEO, and co-author of ProvenCare. “Our innovation efforts began with a focus on creating an active interaction between the patient and the provider to achieve better outcomes, without driving up costs. We achieved this through our early adoption of an electronic health record, and initiatives such as ProvenHealth Navigator® and ProvenCare®; and now, through xG, these proven, value-based solutions have been scaled and generalized for providers, insurers, employers, and are available in leading EMR’s.”

Throughout each chapter, the authors chronical Geisinger’s journey and give their key learnings providing a road map for those facing similar obstacles. ProvenCare delivers detailed insight on how to tackle the fundamental challenges of healthcare, especially during the current massive transformation in the industry.

“Our focus has never been on merely saving money, but to elevate the patient experience and provide better quality of care,” said David Feinberg, M.D., MBA, president and CEO of Geisinger and co-author of ProvenCare. “As we move forward, Geisinger is implementing new innovations to keep our communities healthy with education, better access to healthier foods, and with cutting-edge research in population health efforts and preventive care, such as our MyCode genomics initiative.”

The transformations described as critical by Dr. Feinberg and Dr. Steele include the importance of creating a truly integrated healthcare system, Geisinger’s model for the payer/provider structure, the concept of leadership to combine multiple disciplines, and how to ensure innovation creates value and distributes the benefits to the patients, to the provider, and back to the purchaser.

“Despite policy reforms, shifts in economic pressures, and the splitting junctions between payers, providers, and patients, the fundamentals of delivering high-quality care at lower costs have not changed. Unlocking value by changing how healthcare is provided and consumed is the only serious way to improve access and quality while lowering cost,” said Dr. Steele.

About xG Health Solutions

With roots in Geisinger — one of America’s most innovative and successful integrated delivery systems — xG Health Solutions® enables healthcare organizations to optimize clinical and value-based performance through proven care redesign and management, actionable analytics, and industry-leading content. Our team of clinically-led experts and our solutions accelerate and sustain value transformation.

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Rocky Edmondson RN, BSN, MBA, CCRN
Senior Director, Bundled Payments, Care Redesign and Management Advisors, xG Health Solutions

Rocky Edmondson is the Senior Director of Bundled Payments for Care Redesign and Management Advisors at xG Health Solutions. Rocky has been involved in workflow redesign, program implementation, and analytic evaluation of Bundled Payment Programs across the country, and he coaches Hospitals, Health Systems, Post-Acute Providers, and Physician Groups on how to successfully implement care redesign in the Bundled Payment for Care Improvement (BPCI) and CJR Programs.

Rocky’s passion is helping people to understand the intricacies of Bundled Payment Programs. He has a talent for teaching people how to cut through all the noise and just do the things that matter to be successful in these programs.

Rocky holds an Associate’s Degree in Nursing from the University of Hawaii Maui, and a Bachelor’s Degree in Nursing and a Master’s Degree in Business Administration (MBA) from Boise State University.

Prior to joining xG Health Solutions, Rocky was the Southeast Region Director of Clinical Operations for Remedy Partners, overseeing program design, implementation and analytic evaluations for Bundled Payment Programs. Prior to embarking on a career in Bundled Payments, Rocky was a Registered Nurse for 18 years, working in a number of positions within Critical Care. Before becoming a Nurse, Rocky was an Institutional Broker at Merrill Lynch and advised a number of healthcare systems and large corporations on cash management strategies. In addition, Rocky has started several businesses and provided consulting for small business startups. Rocky served in the U.S. Marine Corps as a Recon Marine.

Janet Comrey RN, BSN, MHSA
Director, Population Health Solutions, Geisinger Health System

Janet Comrey, RN, BSN, MHSA has over 30 years of diversified nursing and leadership experience at Geisinger Health system and currently serves as Director of a small department embedded within Population Health. One of her key roles is managing the Bundle Payment for Care Improvement (BPCI) program since January 2014 earning an overall positive net payment reconciliation to date. Janet also serves as the coordinator for Project Achieve at Geisinger which is a national PCORI funded study related to patient’s perceptions of transitions of care.

Janet received her nursing education through Geisinger’s diploma program, her BSN through Bloomsburg University, and later earned her graduate degree from Marywood University. During her tenure at Geisinger she taught quality improvement methodology and facilitated improvement teams the Geisinger Quality Institute. She is currently enrolled in the Institute for Healthcare Improvement Advisory program.

Professional memberships include Sigma Theta Tau, Phi Kappa Phi, American Society for Quality.

Andrew Blackmon, MBA, MHS
Chief Sales and Business Development Officer

Chief Sales and Business Development Officer Andrew Blackmon, MBA, MHS, has more than 18 years of experience in healthcare product sales, marketing, and strategy.

Before joining xG Health, Andrew was vice president of sales for population health and risk management solutions at McKesson. He came to McKesson through acquisition of MedVentive, an early population health vendor. Before MedVentive, he served as vice president of enterprise solutions development at MedAssets. He is a past president of the Georgia chapter of HIMSS, and he has held strategy and planning positions at PricewaterhouseCoopers and Orlando Health.

Andrew has an MBA and a Master’s of Health Science from the University of Florida Warrington, College of Business, and a Bachelor of Arts degree in Psychology from Rollins College.

Holly Barbella, RN, MBA

Risk Coordinator, Geisinger Health System

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Earl P. Steinberg, MD, MPP
Chief Executive Officer

Earl P. Steinberg, MD, MPP, is a nationally recognized expert in healthcare quality improvement and serves as xG Health’s chief executive officer. Earl also is an adjunct professor of Medicine and of Health Policy and Management at Johns Hopkins University and a member of Blue Cross/Blue Shield Association’s National Medical Advisory Panel.

Before joining xG Health, Earl was executive vice president of Innovation & Dissemination, and chief, Healthcare Solutions Enterprise at Geisinger Health System.

Before joining Geisinger, he was senior vice president for Clinical Strategy, Quality & Outcomes at WellPoint, Inc., the largest commercial health insurer by membership in the US, and president and CEO of Resolution Health Inc. (RHI), a leading healthcare data analysis company that provides innovative quality improvement and cost reduction services to health plans, employers, pharmacy benefit managers, and disease management companies.

Before joining RHI, Earl spent six years as vice president of Covance Health Economics and Outcomes Services Inc., director of its Quality Assessment and Improvement Systems Division, and co-director of its Outcomes Studies Group. He also spent 12 years on the full-time faculty at Johns Hopkins University, where he was professor of Medicine and of Health Policy and Management and director of the Johns Hopkins Program for Medical Technology and Practice Assessment, and four years on the Federal Physician Payment Review Commission. He co-chaired the Institute of Medicine’s panel on Standards for Development of Trustworthy Practice Guidelines.

Earl has received many awards, including the Henry J. Kaiser Family Foundation Faculty Scholar Award in General Internal Medicine (1984), the “Outstanding Young Investigator” Award from the Association for Health Services Research (1988), and a Special Presidential Visionary Award from the National Kidney Foundation (NFK) (2004) for his work as the scientific director of the NKF’s landmark Kidney Disease Outcomes and Quality Initiative, which produced more than 250 clinical practice guidelines for management of patients with end-stage renal disease. He also is a fellow of both the American College of Physicians and AcademyHealth, and he has published more than 125 articles in peer-reviewed journals.

Earl received his AB from Harvard College (summa cum laude), his medical degree from Harvard Medical School, and a Master of Public Policy from the Kennedy School of Government. He performed his residency training in internal medicine at Massachusetts General Hospital.