“Episode 137: Rethinking Hospital Discharge Planning in a Value-Based Model with Josh Luke, FACHE- The Voice of American Healthcare, Healthcare Futurist”
by Stacey Richter

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Dr. Josh Luke, FACHE

Adjunct Faculty, University of Southern California, Sol Price School of Public Policy

Founder, National Readmission Prevention Collaborative & National Bundled Payment Collaborative

Author: Ex-Acute: A former hospital CEO tells all about what’s wrong with American healthcare

Author: Readmission Prevention: Solutions Across the Provider Continuum

Chief Strategy Officer, Compliagent/Nelson Hardiman Healthcare Law

Dr. Josh Luke, The Voice of American Healthcare, is a best-selling author, hospital CEO, healthcare futurist, thought-leader and international motivational speaker. He is an experienced hospital CEO, health system Vice President and nursing home administrator. He is regarded as a “futurist” on value based care and how it will shape the continuum of care and has been described as an as an innovator, forward-thinking and a strategist on teaching ACO’s, Bundles, acute hospitals and post-acute leaders how to position themselves for revenue growth in a post-ACA model. In October 2016 Luke founded the National Association of Residential Care Facilities (NARCF).

He currently serves as Chief Strategy Officer for Nelson Hardiman Healthcare Law and its subsidiary consulting firm, Compliagent. Having uniquely held executive positions in both acute and post-acute settings, Dr. Luke was selected to author the book Readmission Prevention: Solutions Across the Provider Continuum published by the American College of Healthcare Executives, the best-selling book from Health Administration Press in 2015. In 2016, Xlibris publishing released Luke’s first book written for the mainstream public, Ex-Acute: A former hospital CEO tells all on what’s wrong with American healthcare, What every American needs to know. In 2016 Luke is conducting an international book promotion tour.
In 2013, Luke was named Vice President of Post Acute Services for Torrance Memorial Health System. In that role he designed a population management strategy (Total Wellness Torrance), working with the ACO, Bundled Payment & IPA teams. TWT and its Post Acute Network received the 2013 Excellence in Programming award from CAHF.

His broad range of prior experience with some of the leading companies in healthcare, positioned him well to be an expert on readmission prevention and care coordination. He served as the CEO of multiple acute hospitals in California, as CEO of HealthSouth Las Vegas (acute rehab hospital), Administrator in the Skilled Nursing Division of Kindred, and had direct oversight of home health and hospice services in his health system Vice president role.

Dr. Luke founded the National Readmission Prevention Collaborative in October 2013 (nationalreadmissionprevention.com) to showcase Best Practice integration models and the National Bundled Payment Collaborative in 2015.

Dr. Luke serves as adjunct faculty at the University of Southern California, Sol Price School of Public Policy and formerly at California State University, Long Beach in the Healthcare Administration Department. He previously instructed at California State University, Fullerton. Dr. Luke has a Ph.D. in Educational Leadership, is a Lean Six Sigma Black Belt, served as a Lean Mentor and Project Chair, is a Fellow with ACHE and is past Chair for the Cal Optima Provider Advisory Committee.

Recent and past board appointments include The California Hospital Association Center for Post Acute Board of Directors, Alzheimer’s Orange County, the Hospital Association of Southern California, Healthcare Executives of Southern California, CSULB Healthcare Administration Advisory Board and Hospice Care of California.   He is also a licensed SNF & RCFE Administrator and preceptor.


00:00 What Josh is up to right now.
01:00 The National Readmission Prevention Collaborative.
01:45 Defining the challenge to readmission penalties.
02:20 Where the use of LTC fits into this issue.
05:10 “The benefits are there for those who need them.”
05:20 “Medicare is not about reducing liability, it’s about care for patients and providing them services that are needed for rehabilitation.”
07:00 The fee-for-services “merry go round.”
07:30 Josh’s book, “X-Acute.”
08:20 Discharge with Dignity guide found on joshluke.org
10:15 “If a patient needs to be discharged to home health services after being in a nursing home for a couple of weeks, did the nursing home fail?”
12:00 What’s happening in MACRA and the ACA that’s making this a hot topic.
13:00 “Value-Based Care is not synonymous with the ACA.”
14:25 “When you really follow the dollar in Healthcare, the right reasons are nowhere to be found.”
18:40 “I do not want to have to undo behaviors that are contradictory to the new model.”
19:20 Josh’s advice for making the transition to a new healthcare model.
21:00 The distinct advantage that millennials have in hospital leadership.
22:50 The changing role of hospitals in the healthcare system.
26:00 Advocate Health’s partnership with Abbott Nutrition.
27:00 You can find out more information at nationalreadmissionprevention.com, joshluke.org, and by connecting with Josh on LinkedIn.

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