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CalAIM Six-Month Check-Up: Successes and Failures of Enhanced Care Management and Community Supports Implementation
Overview:
As we are nearly six months into the launch of the CalAIM initiative, join us to hear perspectives from health plan and CBO leaders on successes and failures of their ECM and CS implementations.

Agenda:
• Lessons learned around preparation, capacity planning, building new capabilities, and the go-live and operational impacts resulting from implementations.

• Insights on moving forward, including how CBO’s can best prepare for their roles in performing new functions such as revenue cycle management, encounter reporting, and what additional capabilities are yet to be built.

• Ideas for innovation beyond the initial implementation based on a proven framework for guiding effective implementation of evidence-based programs and other innovations in human service settings.

00:57:00

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Speakers

Chris Esguerra MD
Chief Medical Officer @Health Plan of San Mateo
An experienced healthcare leader, Chris Esguerra, MD, MBA, FAPA, CHCQM has led systems transformation, program evolution, and public/private partnerships leading to outcomes meeting the quadruple aim of improving health, cost effectiveness, enhancing patient experience, and supporting provider well-being. He has led significant efforts around integration of care and services for a variety of populations, holistically addressing social determinants of health in healthcare delivery, and helping people remain and age in the community with appropriate long term services and supports. He most recently served on a National Academy of Science, Engineering, and Medicine committee that published Integrating Social Needs Care into the Delivery of Health Care to Improve the Nation's Health. Read More Here: https://bit.ly/calaimce
Eleanor Castillo-Sumi Ph.D., BCBA-D.
SVP, Strategy Innovation & Growth @Pacific Clinics
Eleanor Castillo-Sumi, Ph.D., BCBA-D., is senior vice president of strategy, innovation and growth. In this capacity, Castillo-Sumi is responsible for developing new partnerships and programs to support the agency’s growth and commitment to communities across the state. A licensed psychologist, Castillo-Sumi has published articles in the American Journal of Orthopsychiatry, among other publications. Additionally, she has spoken at various conferences, including Open Minds and California Alliance for Children and Family Services. She is a member of the Research and Evaluation Subcommittee for California’s Mental Health Services Oversight and Accountability Commission. Castillo-Sumi is a Board Certified Behavioral Analyst-Doctoral (BCBA-D) and has a Ph.D. in Clinical Psychology from Pacific Graduate School of Psychology at Palo Alto University, where she was awarded Dissertation of the Year.
Mark Refowitz
Former Director & Former Chairman of the Board of Directors @County of Orange Health Care Agency & CalOptima
Mark retired in April 2017 as the Director of the Orange County Healthcare Agency. His career spanned more than 40 years in a variety of executive management and clinical leadership positions in public sector healthcare, state, and county government, as well as private sector managed care. Those roles included Director of Behavioral Health in Orange County, Mental Health Director for the County of San Diego, Senior Vice President of Development with For Health, Inc. in Costa Mesa, CA; Chief Clinical Officer with Community Care Behavioral Health Organization in Pittsburgh, PA; Assistant Commissioner for Managed Care with the Massachusetts Department of Mental Health in Boston, and Senior Administrator of the Department of Mental Health in the office of the Federal Receiver for the District of Columbia. Mark was a member of the CalOptima Board of Directors and The Children and Families Commission (First Five Commission) of Orange County.