Tuesday, August 23, 2022, 8:00 am-noon, Eric P. Newman Education Center, Washington University School of Medicine. This will be a hybrid event (virtual and in-person)

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Until recently, complex care often was assumed to be a complicated form of healthcare delivered in a highly controlled, time-limited setting.   Examples might include a multidisciplinary surgical team performing a transplant in the OR or care rendered to a critically ill patient in the ICU requiring consultative input from multiple medical specialties.  Attention to the spiraling costs of healthcare with focus on segments of the population that remain unwell despite clinical pathways to improve lead some to recognize that other, clinical and nonclinical factors, impact outcomes.  Mental health, substance use disorders, past life experiences, and social determinants of health substantially determine the pathway to health and well being.  While such care is inherently complex, seemingly impossible progress can occur with appropriate insight and approach.  The 2022 Larry Lewis Symposium will address complex care, with Rachel Davis, recent Director of Complex Care for the Center for Health care strategies, as keynote.

Rachel Davis, MPA, is a national expert in complex care. She began her career as a case manager for individuals living with HIV/AIDS in Colorado. After receiving her Masters in Public Administration from New York University’s Robert F. Wagner School of Public Service, she worked for New York City’s public hospital system, NYC H+H, for four years. There, she helped build and oversee the system’s Health Home program. Following this, she spent nine years at the Center for Health Care Strategies (CHCS) as the Director of Complex Care. There, she led a portfolio that included projects related to advancing complex care innovations, consumer engagement, supporting individuals experiencing homelessness, trauma informed care, “rising risk”, community collaboration, and digital health, among others. She is currently leading CHCS’ Patient-Centered Complex Care Research Agenda initiative, which seeks to provide the field with a blueprint for building the complex care evidence base in more rigorous, coordinated, and patient-centered ways . Rachel now has her own consulting business, and is based in Denver, Colorado.

Jesse Gubb is a Senior Research Manager at J-PAL North America, a research center that works to ensure that policy is informed by scientific evidence. He leads teams that implement randomized evaluations, develop research resources, and provide capacity building to the research community. With Amy Finkelstein and others, Jesse is currently conducting follow up analysis on the Health Care Hotspotting evaluation, looking at the effects of the Camden Coalition of Healthcare Provider’s care transition model on outpatient care. Jesse holds a PhD in political science from Harvard University. 

Carter Wilson joined the Camden Coalition in 2013 and serves as the Director of the National Center for Complex Health and Social Needs and Technical Assistance. Carter leverages his experience implementing programs in the City of Camden to lead national field-building efforts, including the development and activation of core competencies for complex care, and oversees the technical assistance work with programs throughout the country.

Prior to his current role, Carter served as the Associate Director for Clinical Redesign Initiatives where he oversaw operations and directed quality improvement activities for the nationally recognized Camden City Medicaid Accountable Care Organization. Carter worked with the region’s health systems, payers, and primary care community to pilot and scale interventions serving medically and socially complex patients, including launching CMS’s Accountable Health Communities pilot to systematically screen patients in the region’s emergency rooms for social determinants and provide navigation to needed services.

Before coming to the Camden Coalition of Healthcare Providers, Carter worked for the United States House of Representatives Foreign Affairs Subcommittee on Africa, Global Health, and Human Rights. Carter received a Bachelor of Economics from Old Dominion University, a Master of Commerce and Economics from the University of New South Wales, and a Graduate Certificate in Applied Statistics from the Pennsylvania State University.

Randy Jotte MD is an emergency physician at Washington University in St. Louis.  He also serves as a Physician Advisor to Barnes-Jewish Hospital and a physician consultant to BJC Behavioral Health.  During the years of his clinical care in the emergency department his awareness of the complexities of needs of particular subpopulations of patients has grown, leading to efforts to address these determinants of health though his roles with the Familiar Faces, Complex Care, and Hospital-to-Housing programs at Washington University/Barnes-Jewish Hospital.  He serves as the Medical Director for the Hospital-to-Housing program.

Calencia Mitchell is a manager in BJC Healthcare’s Community Health Improvement department. She helped led the design and implementation of the Hospital-to-Housing pilot program. Calencia holds a MBA and MHA from the University of Houston – Clear Lake. Within her role at BJC, she has worked the last 6 years to project manage various initiatives to support vulnerable populations, including but not limited to complex care patients. The mission of BJC’s Community Health Improvement department is to advance health equity for those most impacted by health disparities in the urban and rural communities that BJC serves through authentic and equitable partnerships with community stakeholders and community members. Hospital-to-Housing is one of those initiatives.

Jonathan Belcher is a Senior Director of Programs at St. Patrick Center in downtown St. Louis, where he oversees fourteen different Long-Term Transformation programs. His programs support individuals and families that come to St. Patrick Center with the highest need. Since joining St. Patrick Center in 2009 he has helped thousands of individuals and families transform their lives by finding permanent housing, behavioral health and other support services.  Jonathan has been working with Hospital to Housing and Healthy Housing since program implantation.   As a strong advocate for consumer directed care, Jonathan created St. Patrick Center’s consumer advisory board, a place where clients have a voice and also sits on the St. Louis City Continuum of Care Board. Jonathan graduated from St. Louis University with a Masters of Social Work in 2015 and received his Bachelors of Social Work from the University of Missouri St. Louis in 2009.

Madelyn Thiel is a Senior Financial Analyst in the Business Decision Support Department at Barnes-Jewish Hospital in St. Louis.  Her role with Hospital-to-Housing Program is to validate the financial sustainability of the program by analyzing the benefit of the program to hospital operating results. In her role as an analyst at BJH, she works collaboratively with Washington University School of Medicine on various strategic planning goals and special projects to continuously improve practices, utilization, and performance.  Madelyn received a Bachelor of Science in Economics and Finance from Southern Illinois University and is currently enrolled at Webster University as a Master of Business Administration candidate.