KHC Member Spotlight: Joshua Honaker, MD, MBA, FAAP

Joshua Honaker

Joshua T. Honaker, MD, MBA, FAAF
Norton Healthcare

Job Title: Chief Medical Administrative Officer, Norton Medical Group

Member of KHC since: January 2019

KHC Committee Participation: Executive Committee, KY Performance Measurement Alignment Committee (PMAC)

Dr. Honaker serves as the clinical administrative leader of the Norton Medical Group, which employs more than 1,100 providers at Norton Healthcare. In his role, he provides oversight of clinical, quality, safety, patient experience, physician leadership development, and recruitment of providers.


What are you currently working on that you are most excited about? How do you think it will drive improvements to health and healthcare in the community?

We are developing a strategic plan for our system around Behavioral Health. I believe this is the last large gap our society has to overcome to achieve greatness in healthcare delivery. Without the appropriate Mental and Behavioral Health resources, we are unable to address organic diseases adequately, nor take care of the patient as a whole. Two-thirds of patients with chronic diseases suffer from anxiety or depression, and half of patients referred to resources will not show up for the appointment. If we are going to give the very best level of care, manage costs, impact the growing chronic disease tsunami, we must tackle this challenging topic.

Improving health is one of the three main priorities of the Triple Aim. What are the best strategies for improving health in our community?

I believe the best way to improve health in our community is early intervention and by means of prevention, by empowering parents to enable children to grow up to be secure and healthy adults. Most adult chronic diseases are secondary to poor lifestyle choices, many of which stem from early childhood trauma or deficits in their early years.

What is the KHC’s biggest contribution to improving community health and healthcare?

The power of bringing all the stakeholders together in one room is key to solving the challenges in health care. Since the employers are the ultimate payer for a large portion of society’s health costs, we must partner with them to provide quality in a cost effective manner. Without such unity, we will all pay a higher price with less returns. 

What is your guilty pleasure?

Any outdoor survival television show, like “Alone.”

What are you passionate about?

Improving the ease of accessing and navigating quality health care.

KHC Member Spotlight: Jenny Goins

Jenny Goins
Kentucky State Government, Personnel Cabinet

Job Title: Commissioner, Department of Employee Insurance

Member of KHC since: 2018

KHC Committee Participation: Employer Strategic Workgroup, KY Performance Measurement Alignment Committee (PMAC)

As Commissioner of the Department of Employee Insurance, Jenny manages the Kentucky Employees’ Health Plan. With 265,000 members, it’s the largest self-insured health plan in the Commonwealth. She is also responsible for optional employer sponsored Group Life, Dental, and Vision Insurance programs.


What do you see as the biggest threat to our community’s health? How do you feel it needs to be addressed?

Lack of understanding and engagement. The healthcare industry, how it works, how to choose the best plan that works for you, how to select the right provider, all of these can be so overwhelming for the average person. How often have we heard people even in the industry say “I’m not sure what to do” related to their own coverage. We have to continue to determine how best to communicate and educate people. What tools can we provide so people want and feel enabled to use the services available to them.

Improving health is one of the three main priorities of the Triple Aim. What are the best strategies for improving health in our community?

The Kentucky Employees’ Health Plan covers 6% to 7% of the Commonwealth’s population. Kentucky’s issues, are our issues. We have to meet people where they are when we can. We partner with multiple medical, pharmacy, and wellness administrators to ensure we help people struggling with diabetes, issues, hypertension, obesity, and behavioral health issues by providing free to low-cost services in these and other areas.

Why do you think a multi-stakeholder coalition like the KHC is needed in the community?

Solving the healthcare crisis in our State requires multiple stakeholders – not any one group can solve the issues. All of us in the industry – payors, providers, members, and community organizations – all have a role to play as we all work to improve the health status of Kentuckians.

Why do you and your organization belong to the KHC? What do you find most valuable as a member?

I see a two-fold benefit to the State Personnel Cabinet belonging to KHC. First, it’s important for our health plan leadership to be involved in multi-stakeholder discussions to fully understand and take action to improve the population health of Kentuckians. Secondly, it’s critical as a large employer and self-insured plan to share our experiences, our program successes, and our challenges.

What is your favorite quote?

I really have so many, but this one always gets me through – “Optimism is a force multiplier” – General Colin Powell

What do you do in your spare time? Provide a fun fact about yourself.

Whenever I can, I head to our small cattle farm in East Tennessee. We have eight cows, one bull, and four calves (expecting eight more calves in late Fall). I’m a true city girl and I’m loving every minute of feeding the cows, running fence, mowing, and doing whatever’s needed. My new form of exercise, meditation, and stress relief.

KHC Member Spotlight: Andrew Renda, MD

Andrew Renda, MD
Humana

Job Title: Director, Population Health

Member of KHC since: 2016

KHC Committee Participation: Executive Committee, KY Performance Measurement Alignment Committee (PMAC)

As the Director of Population Health, Dr. Renda leads research, strategy, interventions, measurement, and communications for the Bold Goal strategy. Bold Goal’s purpose is to improve health by 20% by addressing the social determinants of health.


What are you currently working on that you are most excited about? How do you think it will drive improvements to health and healthcare in the community?

Through our Bold Goal population health strategy, we are looking at root cause, upstream factors that influence health. Currently, we are focused on two social determinants of health (SDOH) – food insecurity and loneliness – and are conducting research, developing interventions, creating SDOH quality measures, and integrating this work into our clinical operating models. 

Improving health is one of the three main priorities of the Triple Aim. What are the best strategies for improving health in our community?

A population health strategy for our community should focus on the three types of prevention – primary (before health effects occur), secondary (identification at earliest stages) and tertiary (slowing disease progression). We should determine metrics for each type, establish baselines, set goals, then target interventions to address clinical and SDOH care gaps in our community. 

Why do you think a multi-stakeholder coalition like the KHC is needed in the community?

Our community needs a neutral convener to gather payers, providers, and health and business leaders to strategize and solve for big, local health challenges. KHC serves this purpose by respecting all views and collaboratively addressing Triple Aim goals of Better Health, Better Care, and Better Value through initiatives, events, and quality measurement. 

How do you see the KHC evolving in the future?

KHC has made great progress in quality measurement by developing the KY Core Healthcare Measures Set. I see us getting deeper on this topic – further refining our measures and benchmarking organizations. In particular, I see us exploring measures for social determinants of health in order to elevate SDOH to recognized clinical gaps in care. 

What is your favorite quote?

“Take a course in good water and air; and in the eternal youth of Nature you may renew your own.” – John Muir

What do you do in your spare time? Provide a fun fact about yourself.

My family and I love to hike, and especially to explore national parks. I just recently returned from a father/son trip to Utah, where we visited all five national parks (Zion, Bryce, Capital Reef, Arches and Canyonlands) plus Dinosaur National Monument! The Narrows hike in Zion – hiking in the river through a slot canyon – was a highlight!

KHC Member Spotlight: Bev Beckman

Bev Beckman
Beckman Consulting LLC

Job Title: Project Manager

Member of KHC since: 2017

KHC Committee Participation: Mental Health Workgroup

As a project manager, Bev offers project management and consulting services for care transitions programs.


What are you currently working on that you are most excited about? How do you think it will drive improvements to health and healthcare in the community?

I have been working with programs across the country interested in the development of Community Health Worker programs. I believe that use of Community Health Workers in multi-disciplinary teams will serve as one tool to support improved care transitions and utilization of services.

What do you see as the biggest threat to our community’s health? How do you feel it needs to be addressed?

While much work has been completed on addressing the social determinants of health, I believe we must continue to ensure all programs understand basic community needs and its impact on health. This includes having good screening tools in place, automated referral systems, and community capacity to meet those needs. Two of the greatest known needs here in Louisville include transportation and housing. I would like to see more work on meeting these needs.

Why do you and your organization belong to the KHC? What do you find most valuable as a member?

I belong to the KHC for networking, education, and working as a member of a progressive coalition.

Why do you think a multi-stakeholder coalition like the KHC is needed in the community?

Multi-stakeholder coalitions such as the KHC bring us together and out of our silos to learn from one another and support programs that make change in the community.

What is your favorite quote?

My personal favorite quote is Stephen Covey, “Begin with the end in mind.” I always like to know where I am going so that I have a good plan and stay on track towards goals.

What do you do in your spare time? Provide a fun fact about yourself.

I love family time with my children and grand-children at the beach. I have three children and five grand-children. My best memories are our family trips to Orange Beach.

KHC Member Spotlight: Steve Barger

Steve Barger
Steve Barger Consulting and Retiree First

Job Title: Managing Member & Consultant, Business Development

Member of KHC for: 15 years (since its inception in 2003)

KHC Committee Participation: Executive Committee, Co-Chair

Steve works with plan sponsors in providing affordable health care for Medicare retirees. He focuses on providing experienced support to assist plan participants in navigating healthcare issues that sometimes arise with carriers, providers, and Medicare.


Share your personal interest in Health and Healthcare System Improvement.

My interest in health care was awakened when I became a trustee of the Kentucky Carpenters and Millwrights Benefit Funds in the early 1980s. As a result, I became involved with the International Foundation of Employee Benefit Plans, a volunteer organization that provides education for those involved in employee benefits. Through the IFEBP I became involved with the Change Agent Work Group in developing the Employer Health Asset Management Roadmap further strengthening my interest in population health. 

Improving health is one of the three main priorities of the Triple Aim. What are the best strategies for improving health in our community? 

Focus on community health care and utilizing benefit design that drives a healthy life style for the populations we are working with. In the U.S. we have excellent medical care for trauma or serious illness. However, we should strive for healthy life style so that we do not need to use this excellent and expensive medical care as often. Where individuals are covered by insurance, a benefit design that allows for preventive care is the key. An example, for diabetics, is free or low cost medicines and eye exams.

Why do you and your organization belong to the KHC? What do you find most valuable as a member?

We participate in the Collaborative for the opportunity to engage in a community conversation around the innovative and effective strategies of our fellow members. It is also valuable to know what is not working. This interaction and sharing of ideas is the true value of the Collaborative.

What is your favorite quote?

I have two:

An eye for an eye and pretty soon the whole world is blind.” – Unknown author

I like to see a man proud of the place in which he lives. I like to see a man live so that his place will be proud of him.” – Abraham Lincoln

KHC Member Spotlight: Amanda Newton

KHC Member Spotlight: Dawn FitzGerald

Dawn FitzGerald, MS
Qsource

Job Title: CEO

Member of KHC for: Four and a half years

Dawn’s responsibilities include leading corporate strategy and business plan development, maintaining positive relations between Qsource and its partners and stakeholders, and serving as the organization’s spokesperson – locally and nationally.


What do you see as the biggest threat to our community’s health? How do you feel it needs to be addressed?

The opioid crisis crosses all socioeconomic lines and has also affected me personally. My mother became chronically addicted to opioids after back surgery more than 15 years ago and recently passed away, in part, because of years of opioid misuse and addiction. Kentucky is not immune to the crisis. Because Qsource primarily deals with elderly populations as the Medicare QIO, we are focusing on three primary areas to address the opioid crisis:

  1. Advancing better patient education about medications – specifically opioids, and the need to get rid of old prescriptions. This patient education, combined with improving safe disposal sites, is critical to keeping opioids out of the wrong hands, such as children and grandchildren.
  2. Advancing best practices for pain management by providing data feedback and evidence-based education to primary care providers about best practices in prescribing pain medicines.
  3. Promoting alternative treatments for chronic pain in nursing homes and senior living, such as physical therapy, music, and massage, as ways to encourage a reduction in opioid use in these facilities.

Lowering cost is one of the three main priorities of the Triple Aim. What are the best strategies for addressing cost in our community?

I think the advancement of accountable care organization models, and the associated links to reimbursement associated with reduced healthcare spending, show some very optimistic signs of bending the cost curve. As we move away from paying for instances of care, and start looking at the entire patient experience of care, we can also see where the lack of an integrated approach leads to a lot of unnecessary expense. Community involvement and alignment is also starting to contribute to the value of treating healthcare as a community issue rather than a facility issue. Together, these can significantly reduce costs and improve healthcare quality.

Why do you and your organization belong to the KHC? What do you find most valuable as a member?

I believe that KHC shares many of the same values and ideals that Qsource embraces for improving healthcare quality through collaboration. KHC has introduced me to a number of stakeholders that have helped Qsource become more visible. KHC also creates networking opportunities that are dynamic and informative to Qsource staff.

Why do you think a multi-stakeholder coalition like the KHC is needed in the community?

KHC and similar multi-stakeholder collaboratives provide a neutral venue where all parties in the healthcare sector can come together to address local healthcare quality concerns as co-equal partners. Through KHC’s lens healthcare quality is seen as a community, rather than a provider’s responsibility.

What is your favorite quote?

My answer usually depends on the moment, as I’m known to use quotes a lot. But the quote I have kept on my desk for the past several years is this simple one, “The sun shines not on us but in us.”  – John Muir

What is your dream vacation spot?

The most beautiful place I have ever been is Maui, Hawaii. I got married there on the beach three years ago. It was amazing!

KHC Member Spotlight: Lori Caloia, MD

Lori Caloia, MD
Louisville Metro Department of Public Health and Wellness

Job Title: Medical Director

Member of KHC for: Eight months

KHC Committee Participation: Performance Measures Alignment Committee (PMAC)

Dr. Caloia is responsible for overseeing clinical operations at the health department and also building community partnerships to better provide care to our community members.


Share your personal interest in Health and Healthcare System Improvement.

After years of frustration with our healthcare system, where we often unable to effectively address essential needs that are required to have good health, I am now working in public health where my main focus every day is to help improve health equity by impacting systemic causes of poor health.

Lowering cost is one of the three main priorities of the Triple Aim. What are the best strategies for addressing cost in our community?  

U.S. healthcare is increasingly expensive and with poorer outcomes compared to other developed nations. We need to focus our efforts and funding on supporting providing essential human needs and evidence-based and cost-saving public health measures in order to improve health. It just makes sense—if members of our community have someplace to live, healthy food to eat and a way to get to a decently-paying job, health will improve.

Why do you and your organization belong to the KHC? What do you find most valuable as a member?

I believe that collaboration with other members is the most valuable part of KHC. It is a great way to understand how all of the pieces of our healthcare system fit together in our community and how we can come together to have the biggest impact for the health of our citizens.

Why do you think a multi-stakeholder coalition like the KHC is needed in the community?

Several people working together usually accomplish more than several people working on their own! This is quite evident in the KHC where many members come together to accomplish big things!  The recent PMAC committee is a great example of this.

What is your favorite quote?

“I never lose. I either win or I learn.”  Nelson Mandela

Fun picture of Dr. Caloia with her son, Jacob!

This quote embodies my eternal optimism and my thirst to improve things around me!

What do you do in your spare time? Provide a fun fact about yourself.

Square foot gardening is one of my favorite hobbies! I enjoy being in nature and cultivating healthy treats for my family!

 

KHC Member Spotlight: Stephanie Woods

Stephanie Woods
Greater Louisville Medical Society

Job Title: Practice Resource and Provider Enrollment Specialist

Member of KHC for: Three years

KHC Committee Participation: Performance Measures Alignment Committee (PMAC) Pediatric Care Subcommittee

Stephanie provides assistance to practices with insurance hassles, provider enrollment with insurance payers, HIPAA and compliance issues and answers questions on various issues and topics facing small practices.


Lowering cost is one of the three main priorities of the Triple Aim. What are the best strategies for addressing cost in our community?

Lowering cost must be addressed at the patient, physician, insurer, and facility level simultaneously. Transparency is key among all the players to have informed parties helping patients making informed decisions. By making cost information transparent, easily digestible, and accessible, everyone can become an informed participant in lowering costs as part of the Triple Aim.

Why do you think a multi-stakeholder coalition like the KHC is needed in the community?

KHC is uniquely positioned as a neutral third party to connect providers, payers, employers, and others with vested interest in healthcare in Kentuckiana. Quite often we find ourselves on information overload so it is crucial to have an organization that is working to keep all parties moving together to achieve better outcomes.

How do you see the KHC evolving in the future?

I think KHC will continue to be trusted resource for all stakeholders to adapt in the changing landscape of healthcare delivery with performance based payment models and the integration of mental health and substance use resources into all areas of healthcare.

What are you passionate about?

My passion is in helping people in any way that I can. No surprise that I have spent my entire adult life working for non-profits!

What is your dream vacation spot?

Turks and Caicos Islands. Our family visited Grand Turk Island on a cruise last year and it was absolutely breathtaking!

KHC Member Spotlight: Kayla Rose

Kayla D. Rose, MA, RRT, PMP®
Kentucky Primary Care Association

Job Title: Director of Practice Improvement Programs

Member of KHC for: Three + years

KHC Committee Participation: Measurement Strategy Team, Performance Measures Alignment Committee (PMAC) Oversight Committee, and Chair of the PMAC Preventive Care Subcommittee

Kayla leads a Quality Improvement Program to support practice transformation that controls costs, improves health outcomes and enhances revenue. She promotes the expansion of comprehensive integrated and high quality primary care serves through policy advocacy, collaborative partnerships, and systems change.


Share you personal in health and healthcare system improvement.

My personal interest in healthcare stems from a passion for “leveling the playing field” for rural providers and patients.  Growing up, living and working in rural areas has influenced my thinking on the unique challenges faced by providers in delivering care as well as patients in receiving care in the rural setting.  Often, initiatives are directed by organizations and individuals who do not understand nor want to acknowledge that there are REAL barriers to providing care in the rural setting.

What are you currently working on that you are most excited about? How do you think it will drive improvements to health and healthcare in the community?

Currently, one of my main projects is to facilitate the implementation of a data system for the KPCA members to provide more real time data on patient care. The goal of the project is to provide more real time, actionable data to drive positive change to impact quality, cost and care.

Why do you and your organization belong to the KHC? What do you find most valuable as a member?

KHC provides a voice to members in an impactful way.  The networking, committees, educational events, etc. are all high quality and are a tremendous asset.

What is the KHC’s biggest contribution to improving community health and healthcare?

KHC’s ability to bring all diverse stakeholders (payers, providers, employers) into the healthcare conversation.

What do you do in your spare time? Provide a fun fact about yourself.

I am a huge lover of podcasts and do not listen to just one genre.  A few of my favorites include: No Sleep Podcast, Every Little Thing, This Podcast Will Kill You, Lore, LeVar Burton Reads and Sasquatch Chronicles.

If you could spend the day with one celebrity, who would it be and why?

Stephen King as I would like a glimpse into his daily life and see how that influences/impacts his writing.