ProvenHealth Navigator®: Sharing Geisinger’s Operational Experience in Building a Successful Medical Home

ProvenHealth Navigator®: Sharing Geisinger’s Operational Experience in Building a Successful Medical Home

Looking for new population health strategies and tools? If yes, join us at the ProvenHealth Navigator® Conference!


ProvenHealth Navigator® (PHN) Results at Geisinger Health System

ProvenHealth graph
PTMPY: Per Thousand Members Per Year
Source: Gilfillan, RJ, et al. Value and the Medical Home: Effects of Transformed Primary Care. The American Journal of Managed Care. 2010;16(8):607-614.

What: ProvenHealth Navigator®: Sharing Geisinger’s Operational Experience in Building a Successful Advanced Patient-Centered Medical Home

An intensive two-day conference that provides strategies and tools essential for strategic planning for, implementation and operational leadership of an advanced patient-centered medical home for successful management of your population’s health.


Day 1: 7:30am – 5pm – Learning Sessions, 6pm – 7:30pm – Reception & Dinner

Day 2: 7:30am – 3pm – Learning Sessions

See Detailed Agenda>


Attendees: This program is primarily designed for senior level healthcare provider and payer executives or leaders responsible for successful strategic planning for, implementation, and operational leadership of an advanced patient-centered medical home.

Featured Speakers:

    • Tom Graf CMO

      Chief Medical Officer, Population Health & Longitudinal Care Service Lines, Geisinger Health System

      Dr. Thomas Graf is the Chief Medical Officer for Population Health and Longitudinal Care Service Lines for Geisinger Health System. Dr. Graf is responsible for the Value Re-Engineering of the Care Continuum and other Population Health initiatives for Geisinger including the ACO portfolio and with CMS, the Physician Group Practice Transitions Demonstration and Bundled Payments for Care Improvement leading 16 hospitals from across the country in driving performance. He leads the Community Practice, Internal Medicine, Pediatrics, Psychiatry and Care Continuum Service Lines in coordinating and accelerating population health related activities across 22 counties in central and northeast Pennsylvania. In addition, he partners with Geisinger Health Plan leadership on system-wide population health delivery with a primary focus on facilitating improved service and value and increasing the connections between the various elements of the health care continuum.

      He is recognized nationally as a leader in medical home and post-acute care redesign, including the implementation nearly 40 NCQA Level III accredited Medical Home sites in the Geisinger ProvenHealth Navigator® model. He has extended this to include comprehensive nursing home care with dedicated providers tied to ProvenHealth Navigator clinics. Dr. Graf has established innovative care models for optimizing chronic disease with established systems of care enhanced by MyCare modules of care for individual disease parameters lead by mid-levels through the use of the Delta Innovation Incubator program he established. Dr. Graf serves as a content expert for the AHRQ’s Patient Centered Medical Homes Project, AHRQ’s I LIVEPC, international primary care improvement project, AHRQ’s Innovation Spread project, and AMGA’s Caring for Patients with Multiple Chronic Diseases Collaborative. The Value Re-engineering efforts of Geisinger were recently recognized as the AMGA 2011 Acclaim award winner.

      After graduating from University of Michigan Medical School and completing Family Medicine residency training at Henry Ford Health System in Detroit, he served on the faculty of the Henry Ford Family Practice Residency and was Director of the Southwest Georgia Family Practice Residency prior to joining Geisinger.

        • Joann Sciandra RN BSN CCM

          RN BSN CCM

          Joann Sciandra RN BSN CCM currently holds the role of Associate Vice President (AVP), Population Management and is accountable for ProvenHealth Navigator® (PHN), disease/case management, wellness, and population management consulting services departments at Geisinger Insurance Organization (GIO). She is administratively accountable for integrated population management, including the developing the overall strategy and goals for clinical operations related to disease and case management, PHN, and wellness / employee health. Joann provides innovative leadership and direction to the design, implementation, analysis, monitoring and reporting of all population management services. Additionally, she is charged with managing medical trends, designing, implementing and administering best practice disease and case management programs, collaborating with Geisinger’s Community Practice Service Line (CPSL) and other provider groups in the clinical transformation and implementation of ProvenHealth Navigator®, leveraging continuous quality improvement, driving and promoting services that are patient centric.

          Prior to her promotion to AVP, Joann held the role of Director, Case Management Strategic Development. In this role, she was an integral in providing direction to the nurse case managers with the ProvenHealth Navigator ® program at Geisinger Health Plan and the start-up and maintenance of the medical home program at select CPSL sites.

          Joann was also involved in case and care management as a case manager, preceptor, and team leader in care coordination. Additionally, her experience includes nursing practice in the intensive care unit as well as geriatric clinic coordinator.

          Joann’s professional dedication extends beyond Geisinger; she is a member of the CMSA and involved in community education programs. She has been a co-author for several publications and has presented nationally and in Singapore regarding the medical home and case management.

          Joann earned her Bachelor of Science in Nursing Degree from Wilkes University. She is also a Certified Case Manager. Currently enrolled in a Master of Health Care Administration program.

            • Richard Martin MD FAAFP

              Chief, Care Continuum Service Line

              Richard A. Martin, M.D. FAAFP is a Board certified family physician with more than 30 years’ experience in all aspects of Family medicine.

              A graduate of Jefferson Medical College and Geisinger Medical Center Family medicine residency he has spent most of his career with the Geisinger Health System in various leadership roles, including Department Director in the Community Practice Service Line, Chief of the Care Continuum Service Line, and Chief Medical Officer of the Keystone Accountable Care Organization.

              Dr. Martin also serves as a Subject Matter Expert for patient centered medical home development, practice transformation and analytical redesign strategies for xG Health Solutions.

                • Michael Suk, MD JD MPH FACS

                  Chairman of Orthopaedic Surgery, Geisinger Health System

                  Michael Suk, MD JD MPH FACS is currently Chairman of Orthopaedic Surgery for the Geisinger Health System based in Danville, PA. Selected for the position in 2012, Dr. Suk became one of the youngest persons to head an academic orthopaedic department in the United States. Previously, Dr. Suk was Associate Professor of Orthopaedic Surgery at the University of Florida – Shands Medical Center, Jacksonville, Florida, where he served as Division Chief of Orthopaedic Trauma, Associate Director of the UF&Shands Regional Trauma System and Associate Director of the Orthopaedic Residency Program. While there, Dr. Suk established a highly specialized orthopaedic trauma division designed to maximize efficiency and enhance patient outcomes. Dr. Suk is on the editorial board for several orthopaedic journals, is the author of numerous scientific articles, and is the lead author of a landmark textbook on orthopaedic outcomes measures and instruments, now in its second printing worldwide. Dr. Suk has gained international attention for his groundbreaking work on the link between patient expectations and clinical outcomes in orthopaedic trauma surgery.

                  Dr. Suk has spoken both nationally and internationally on a variety of topics relevant to orthopaedic fracture management, health care literacy, access and delivery. Stemming from his unique credentials as a fellowship trained orthopaedic traumatologist and health care attorney, Dr. Suk is frequently asked to speak on the interface between law and medicine and has received numerous awards for leadership and public service. In 2009, Dr. Suk was chosen to be a member of Leadership Florida (Class XXVII) – a statewide program to develop future community leaders in Florida. Most recently, Dr. Suk was selected as one of ten Leadership Fellows for the American Academy of Orthopaedic Surgeons (AAOS). Prior to his current position, Dr. Suk was elected one of 5 representatives to the AAOS Board of Councilors representing the State of Florida and Secretary of the Florida Orthopaedic Society (FOS). Dr. Suk currently serves as Chair of the Health Policy Committee for the Orthopaedic Trauma Association (OTA), and is a member of the AAOS Board of Specialty Societies representing the OTA.

                  In 2003, Dr. Suk was selected as a White House Fellow by President George W. Bush and served as Special Assistant to Secretary Gale A. Norton at the U.S. Department of the Interior. At Interior, Dr. Suk spearheaded an initiative to develop the link between public health and recreation by coordinating five Interior bureaus which manage 1 in 5 acres of land in the United States and that collectively receive nearly 500 million visitors each year and co-authored with Secretary Norton the widely received law review article entitled “America’s Public Lands and Waters: Gateway to Better Health?” based on his belief that simple outdoor activities such as hiking, biking and camping on public lands and waters can serve as a gateway to a healthier lifestyle.

                  During his tenure as a White House Fellow, Dr. Suk organized Get Fit with US, designed to support President Bush’s domestic initiative, HealthierUS, a federal interagency program based on the premise that increasing personal fitness and becoming healthier is critical to achieving a better and longer life. To date, Dr. Suk has spoken to over 100 organizations and has engaged over a thousand leaders in health care, recreation and public health across the nation on this important issue. Dr. Suk was featured as a speaker at the TIME/ABC Summit on Obesity, and an invited panelist for the Kellogg Foundation Thought Leaders Gathering on Obesity to share his ideas.

                  In recognition of his unique set of interests and expertise, Dr. Suk was asked to serve as Senior Advisor on Health and Recreation to the National Park Service and is currently a Member of the National Forum on Children and Nature sponsored by the Conservation Fund – an initiative designed to transform the way we look at the interaction between children and their natural environments – nurturing future environmental stewards while promoting healthy lifestyles. the In addition to his clinical duties, Dr. Suk is on the Board of Directors of America on the Move, the American Hiking Society and serves on the non-profit national coordinating body to develop a National Plan for Physical Activity. In 2011, Dr. Suk, was asked to serve on the National Parks Centennial Steering Committee to efforts celebrating the 100th Anniversary of the United States National Park System.

                  Throughout his career, Dr. Suk has been a vocal leader on public health issues and has spoken nationally on the role of organized medicine, resident work hours, obesity prevention and a variety of public health issues. Dr. Suk has been long active in organized medicine, achieving distinction as the first medical student and first Asian-American to be directly elected to the Board of Trustees of the American Medical Association. In addition, Dr. Suk has served as a member of the American Medical Political Action Committee, the AMA Council on Medical Service and Chair of the AMA’s Resident and Fellows Section. Notably, Dr. Suk was recognized by the Ministry for Foreign Affairs of the Republic of Korea as an outstanding leader of Korean heritage worldwide.


                  Henry Hood Center for Health Research
                  Geisinger Medical Center
                  100 N. Academy Avenue
                  Danville, PA 17822

                  Cost: $1,800 per person (Contact us re discounts for groups of 3 or more from the same organization.)

                  Register: Click on your preferred date below to register.