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 Susan  Nedza, M.D. | MBA | FACEP Image

Susan Nedza, M.D. | MBA | FACEP

Prominent Healthcare Leader, Innovator and Educator; Chief Medical Officer, AIM Specialty Health; Former Chief Medical Officer, Centers for Medicare and Medicaid Services

Travels From:
Illinois
Fee Range:
$10,000 & Under

Dr. Susan Nedza serves as Senior Vice President of Clinical Outcomes Management for MPA, Inc.  MPA is an analytic health care consultancy that specializes in improving outcomes for patients, physicians, providers, and payers. Dr. Nedza leads the firm’s work in the areas of clinical quality assessment and improvement, bundled payments, and comparative effectiveness. 

Dr. Nedza’s broad experience as a board-certified emergency medicine specialist, a Chief Medical Officer at the Centers for Medicare and Medicaid Services (CMS), Senior Executive at the American Medical Association (AMA), and as a Health Information Technology Executive has given her a unique vantage point of the confluence of clinical care, health care delivery systems, clinical informatics and health care policy.

Prior to joining MPA, Dr. Nedza served as the  Chief Medical Officer at AIM Specialty Health, a subsidiary of Anthem, where she led the development and deployment of evidence-based clinical algorithms that were utilized to manage appropriate utilization of advanced imaging, cardiology, sleep management and oncology services for over 30 health plans.

Dr. Nedza is an Adjunct Assistant Professor at the Feinberg School of Medicine of Northwestern University. She has served as invited faculty at the J.L. Kellogg Graduate School of Management, the master's program for Healthcare Quality and Patient Safety, and in the Department of Emergency Medicine. Her research includes completed work on behalf of the Robert Wood Johnson Foundation studying the role professional organizations play in helping support physician adoption of health information technology.

Dr. Nedza has served as a member of panels at the Institute of Medicine, the Agency for Healthcare Research and Quality, The Joint Commission and participated in the S&I framework activities at the Office of the National Coordinator. She has given numerous national and international lectures on health policy and quality and has published a number of peer-reviewed articles as well as authored textbook chapters in the area of quality and patient safety.

Dr. Nedza is board-certified in emergency medicine and clinical informatics. She received her Bachelor of Science in Chemistry from Gannon University and her doctorate from Loyola-Stritch School of Medicine. She also completed the Executive Master's Program at the J.L. Kellogg Graduate School of Management at Northwestern University.

Susan presents an insider’s view into the people who have committed themselves to changing care in the US as well as sharing their insight into the work that remains to be done.  The attendee has an opportunity to find themselves looking at health care through people both famous and not famous.


Experts have been supporting and predicting the demise of the Fee for Services (FFS) model of reimbursement for years.  Are we any closer to this reality in 2015?  Dr. Nedza will discuss the accelerating trend toward episode of care payments and identify the strategic decisions that health care delivery systems should embrace to prepare themselves for the day when “revenue centers” become “cost centers.”


The 2014 interim election delivered control of the Congress to the Republicans.  2015 will prove to be interesting as the Accountable Care Act continues to be implemented.  Dr. Nedza will examine who has benefited from the law thus far, and who has the most to lose due to Congressional actions and legal challenges, and make predictions about where organizations affected by the ACA should place their efforts.


Individuals with private insurance are facing accelerating co-pays related to their choices in provider, site of service such as emergency department, urgent care, patient centered medical homes or via telemedicine.  Dr. Nedza will discuss how health systems can position themselves to compete more effectively on price while focusing on quality outcomes.


Should my child go to medical school, focus on health information technology or seek a career in the pharmaceutical industry?  Where will the best jobs in health care be in five years?  Dr. Nedza will discuss how mHealth, new care delivery models, advances in technology and precision medicine will disrupt the labor force and impact career choices for the next generation of students considering professional careers.


Proponents of the meaningful use requirements for the use of Health Information Technology (HIT) have optimistically predicted that the data flowing from EHRs and registries would transform health care. Dr. Nedza will discuss how organizations faced with increasing amounts of data can step back and focus on the appropriate questions they need to ask in order to move from meaningful use to meaningful impact.


The President has announced a goal to invest in precision medicine where treatments are customized for each patient.  At the same time, payers are adopting standardized treatments across large populations.  Dr. Nedza will leverage her experience and knowledge in a discussion of how these seemingly divergent models will be reconciled through the use of Health Information Technology.


Dr. Nedza, one of fewer than 800 Board Certified Clinical Informaticists in the US,discusses the challenges and opportunities where clinical care, health policy and payment models will converge and how data is transforming the dialogue.


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