Live peer panel · Wednesday, November 4th · 11:00 am PST / 2:00 pm EST · 60 minutes
From “Where do we start?” to 31.9% fewer readmissions
Three health systems on building between-visit care. Hear how St. Luke’s, Intermountain Health and MD Anderson organized the work, got the green light and proved it mattered.
Sound familiar?
The patient left.
The work didn’t.
- “Our patients get calls from five different departments after one stay, and no one owns them.”
- “We want to automate outreach, but legal keeps saying not yet.”
- “Leadership asks what we’re getting for it, and we can’t show all the value.”
Care keeps moving out of the hospital. More procedures are done outpatient, and more payment depends on what happens after the patient goes home. Most care teams haven't grown to match. These three leaders hit the same walls you have, and they'll share how they got past them.
Meet the panel
Three stages. Three health systems.

Marisa Schwartz DNP, MBA
Senior Medical Director
St. Luke’s University Health Network
“Where do we even start?”
After a single stay, some St. Luke’s patients were getting 10 to 11 follow-up calls that no one was coordinating. Before buying anything, St. Luke’s brought in CipherHealth’s consulting team. CipherHealth’s clinical consultants visited every hospital and clinic and found outreach that individual nurses were running on their own and tracking in spreadsheets. Marissa shares how that assessment became an executive plan: a centralized call center, custom guides and scripts, and more.

Jenny Simmonds, RN, BNS
Director Care Management
Intermountain Health
“How do we get this approved?”
Intermountain Health stood up a transitional care management (TCM) program and launched it with automation first. She’ll walk through the questions legal asked, the answers that got a yes, and how that first approval made the next programs easier to launch.

Janice Finder, MSN, BNS
Executive Director, Patient Experience
Clinical Services
MD Anderson
“What is the real value”
Cancer patients going home after a hospital stay are high-acuity and often anxious. Janice shares how MD Anderson helps them feel safe at home, and what happened to readmissions: patients reached by follow-up were readmitted 31.9% less often.
31.9%
fewer readmissions among MD Anderson patients reached by follow-up program
What you'll take away
- A simple way to tell where your follow-up program stands, and what to fix first
- How St. Luke’s used a system-wide consulting assessment to find hidden outreach in every hospital and clinic and turn it into one centralized plan
- The questions Intermountain’s legal team asked about automated outreach, and how they were answered
- The metrics MD Anderson tracks and reports to leadership
- Live Q&A with all three panelists
Agenda
- 0–5:
- Welcome and introductions
- 5–15:
- St. Luke’s consulting and call center approach
- 15–25:
- Intermountain Health’s partnership overview and newest TCM program build out
- 25–35:
- MD Anderson’s outreach approach and readmissions metrics
- 35–45:
- Q&A