Clinical Executives & Quality Leaders – Sharing of Best Practices: How Do You Know Who to Target for Closure of Those Final Gaps in Care? 

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About This Session

 
 

Anthony Davis

Senior Director for Quality Strategy

 

Company/Employment: UPMC Health Plan

Bio: Anthony Davis is a Quality Improvement professional with 15+ years of experience building quality improvement initiatives across multiple regions of the United States. His work has pushed forward state, regional, and national initiatives across the QI industry. Anthony began his career at a small rural based health plan in Salem, Oregon building QI infrastructure support in the form of Performance Improvement Projects (PIPs), Quality Improvement Projects (QIPs), and State/Federal regulatory reporting requirements. He then spent several years leading working at the National Committee for Quality Assurance (NCQA) around HEDIS and health plan accreditation programs specifically aimed and Medicare and SNP plans. His work then crossed over to United Health Group and Optum where he directed national initiatives aimed at improving quality and risk adjustment scores for nearly 8.5 Million covered lives. Most recently, Anthony serves as the current Senior Director for Quality Strategy at UPMC Health Plan in Pittsburgh, Pennsylvania. Anthony leads a staff of 80+ that are responsible for all State and Federal quality improvement initiatives and data submissions for 3.5 Million covered lives across; Medicare, Medicaid, CHIP, Commercial and Exchange product lines. In addition the above key career highlights, Anthony is also an assistant professor and George Washington University where he teaches a Master’s of Science Course in Quality Improvement, and a current consultant for NCQA.

Melissa deGoede

Chief Clinical Officer 

Company/Employment: Security Health Plan

Bio: Melissa deGoede, Security Health Plan’s Chief Clinical Officer, is a clinician who is passionate about transforming health care through the design and delivery of innovative programs focused on quality of care, population health, through efficient, cost-effective care delivery. As a seasoned and dedicated health care leader with more than 30 years’ experience in a variety of clinical and payer settings, deGoede has a deep commitment to transforming care.    deGoede is an experienced clinical leader with a background that encompasses product and operations oversight of population health organizations delivering programs in the commercial and government space, as well as, emergency and urgent care departments in the provider space.     As Chief Clinical Officer for Security Health Plan, she is responsible for operational and product oversight, strategic planning and execution of clinical, quality and pharmacy programs supporting Security Health Plan members. deGoede completed her bachelor of science degree in nursing at the University of Wisconsin – Oshkosh, and earned her masters of business administration with a healthcare emphasis from Lakeland College.