Cracking The Code On Population Health

Webinar: September 19, 2018, at 2:00 pm EST
Through technology, services, science and innovation you can improve lives, clinical quality and master disease management. Population Health can aggressively fulfill the under-met clinical needs that are happening with patients and improve outcomes through Chronic Care Management (CCM), Behavioral Health Integration (BHI), and Transitional Care Management (TCM) programs. Identifying issues is the first step to developing a strategy to create a successful care management program. Join us for this webinar for FQHCs to discover the essential steps to this process.

About The Webinar

To develop a sustainable population health approach, you need to think about 3 things: Quality, Access, and Affordability. What is the under-met need that you need to address? Creating meaningful interactions during and between office visits and designing treatments very specific to each patient will only impact their health outcomes and increase patient engagement.

This webinar covers the following:

  • Transitioning to a true population approach to care
  • Ways to develop a realistic and measurable strategy to reach your organization’s clinical goals
  • Optimizing your limited resources to enhance efficiency
  • Finding support for FQHCs in the areas of Population Health, Disease Management and Patient Engagement


Lisa Blue

Lisa Blue MHI, BSN, RN

Senior Director of Population Health

Lisa Blue is a healthcare consultant specialized in Population Health and Practice Transformation. With vast experience as Senior Director of Population Health at Adelante Healthcare, Lisa was responsible for the creation and development of their Patient Centered Medical Home Program, which encompassed designing and building an extended care team to address social determinants of health.

Lisa has been an RN for over 20 years, holding leadership roles, she delivered direct patient care in critical care areas. Her work in acute care settings created a desire to engage with patients in a primary care setting to prevent chronic disease, and to do so with a more consistent and meaningful approach for those patients managing chronic conditions. Lisa and her teams’ work resulted in Adelante Healthcare receiving Primary Care Medical Home certification from The Joint Commission.

Lisa has a Nursing Diploma from a hospital based program in Northeast Ohio. She received a Bachelor of Science in Nursing at Grand Canyon University, and a Master of Healthcare Innovation degree from Arizona State University, where she is currently a Faculty Associate for this program.

Scott Willis

Scott Willis

Senior Director of Business Development

Scott has over 15 years of Business Development and Sales experience in the BPO industry, working for industry leaders as Sykes and Xerox/ACS. He also worked for AT&T early in his career.

Today, Scott leads the Business Development of Centro Healthcare which primarily focuses and offers a diverse portfolio of healthcare services driven by analytics, state-of-the-art technology, and clinically certified resources. His main goal and mission is to maximize returns for providers, health plans, and Accountable Care Organizations (ACOs). Scott’s extensive experience in the BPO and Healthcare industry enabled him to craft and offer services and solutions for Patient Engagement, Care Coordination, Population Health, and Physician Practice Efficiency.

During his professional career, Scott has also worked and lived in various different places around the world, including Kazakhstan, Russia, Germany and the Netherlands. He has an International Masters of Business Administration from Vienna University of Economics and Business (Wirtschaftsuniversität Wien) in Austria, in conjunction with the University of South Carolina.

Who Should Download

  • Federally Qualified Health Centers (FQHCs) that face significant financial and competitive pressures and are intended to provide care for underserved individuals who are often uninsured or cannot afford healthcare.

  • FQHCs that are finding that they are challenged by hospitals and other care settings because their patients gain more healthcare options under Medicaid expansion programs.

  • FQHCs that are ill-equipped to operate financially sustainable businesses which require optimizing their existing resources while partnering with a healthcare service provider to extend their reach

  • FQHCs who are competing against healthcare organizations with greater economies of scale for pricing services and larger budgets for provider compensation.

  • FQHCs that want to improve quality of care and workflow using intelligent medical software, services and solutions.


  • Population Health goals and objectives of an FQHC

    • UDS (HRSA)
    • HP2020
    • Existing grant programs or new opportunities
    • Value based contracts
    • Organizational priorities
  • Challenges in meeting these goals and objectives

    • Insufficient resources to accomplish all Population Health, disease management and wellness
    • screening initiatives
    • Limited funding
  • How to overcome challenges and reach your goals

    1. Care Coordination / General Patient Outreach

    • Addressing quality/performance measures on a disease-specific basis
    • Wellness screenings and immunizations
    • Reminder calls
    • Personalized educational material
  • How to overcome challenges and reach your goals

    2. Chronic Care Management

    • Implementation and management of Medicare’s CCM program
    • Patient Enrollments
    • 20 Minute Non Face-to-Face Monthly Patient Encounters
    • Staying in touch with patients in between office visits
    • Maintain patients’ care plan and wellness goals outside the clinic

Turn your practice around and improve millions of lives