Join us at HAS 17 – September 12-14, 2017 in Salt Lake City

Robert P. Edwards, MD

Milton Lawrence McCall Professor and Chair, Department of Obstetrics, Gynecology, and Reproductive Services at Magee-Woman’s Hospital

Born and raised in Havre de Grace, Maryland Dr. Edwards completed his undergraduate at Gettysburg College, and earned his Medical degree from the University of Pittsburgh School of Medicine. Dr. Edwards completed his residency in Ob/Gyn at the University of Pittsburgh, Magee-Womens Hospital, and went on to the University of Alabaman Birmingham to complete a gynecologic oncology fellowship. In 1993 after completing his gynecologic oncology fellowship he returned to Pittsburgh to be the Director of the Gynecologic Oncology Division at Magee-Womens Hospital. In January of 2015 Dr. Edwards was named the Milton Lawrence McCall Professor and Chair Department of Obstetrics, Gynecology and Reproductive Sciences at the University of Pittsburgh Medical Center (UPMC), Magee-Womens Hospital. Dr. Edwards' research interests include cervical and ovarian malignancies. He serves as co-principle investigator of the Gynecologic Oncology Group for The University of Pittsburgh and for a number of pharmaceutical sponsored studies. He also serves on the Immunotherapy Committee which experiments with novel therapeutic approaches to gynecologic malignancies, as well as translational research. He is co-PI of the RPCI/UPCI ovarian cancer SPORE grant.

Paula Lounder

Director, UPMC Payer-Provider Programs

Paula has been with UPMC for 18 years in Finance. The majority of her UPMC career was spent in the Physician Division where her focus was on the accounting of patient receivables in the financial statements, as well as other financial analysis of revenue cycle and business operations. Paula’s current role is in the Payer Provider department, focusing on the development of an enterprise-wide financial framework for service line reporting and analytics. Additionally, Paula is the Finance Lead assigned to the Women’s Health Service Line, which is actively implementing strategies aimed to improve models of care and patient outcomes, enhance patient education and satisfaction, while achieving cost efficiencies.

5 - UPMC’s System-Wide Change to Service Lines— Supported by Activity-Based Costing: The Blueprint to Healthcare Improvement Efforts (Case Study)

Robert P. Edwards, MD (Milton Lawrence McCall Professor and Chair, Department of Obstetrics, Gynecology, and Reproductive Services at Magee-Woman’s Hospital), Paula Lounder (Director, UPMC Payer-Provider Programs )

Session Overview

The way in which health systems are typically organized, managed, and budgeted (as departments and units within separate hospitals) can work against them when they attempt to improve population health and decrease costs. The University of Pittsburgh Medical Center (UPMC), a large health system with more than 20 hospitals and 500 clinics, was keenly aware of this challenge as it embarked on population health and value-based care initiatives that spanned the entire organization. UPMC leaders recognized that in order to improve care and compete in today’s healthcare market, they needed to change their paradigm: they needed to consider all of the services they offered from a patient perspective (rather than from a facility or departmental perspective), and they needed to solve the costing problem—devise new ways to accurately measure the cost of providing care across the continuum and to relate the true cost of care to patient outcomes.

Attend this case study session to see how UPMC is using the service line approach and activity-based accounting to identify unnecessary costs and variation, and improving women’s health outcomes. Discover the strategies that worked to improve outcomes: aligning leaders from finance and operations; creating interdisciplinary teams; using analytics and data to understand and share variation with physicians; using data to change physician behavior; engaging physicians; exploring opportunities with payers, and more.