Amy Boutwell

Education:

  • Doctor of Medicine (MD) – Brown University School of Medicine, Providence, Rhode Island
  • Master in Public Policy (MPP) – Harvard University, Kennedy School of Government, Cambridge, MA
  • Science and Clinical Medical Course Work – University of Southern California, Keck School of Medicine, Los Angeles, CA
  • Bachelor of Arts (BA) Human Biology, Concentration in International Health & Development – Stanford University,  Stanford, CA

Training:

  • 2004-2007  Massachusetts General Hospital, Boston, Massachusetts: Internship and Residency, Internal Medicine-Primary Care Residency Program, Harvard University, Clinical focus on primary care, women’s health and HIV infection. 2007
  • Harvard Business School, Boston, Massachusetts: Porter and Tiesberg’s Intensive Seminar: Value-Based Health Care Delivery 1997
  • Intermountain Health Care, Advanced Training Program (ATP) Salt Lake City, Utah: Intensive 9-month course for physician leaders in improvement methods for the healthcare delivery system.

Recent Speaking Engagements:

  • Boutwell AE. Leveraging Partnerships to Deliver Value. Maine Hospital Association, Sunday River, ME. February 2016.
  • Boutwell AE. Designing a Standard Transitional Care Process Across Competing Systems. Suffolk Care Collaborative, Islandia, NY. February 2016.
  • Boutwell AE. Updating and Expanding Readmission Reduction Efforts for HEN 2.0. National Hospital Engagement Network, Vizient. February 2016.
  • Boutwell AE, et al. Measuring the Triple Aim in the Safety Net. American Institutes for Research and Blue Shield of California Foundation, National Webinar. January 2016.
  • Boutwell AE. Habits of High-Performing Teams. Case Management Society of America, Las Vegas, NV. January 2016.
  • Boutwell AE. Reducing Readmissions: Insights from 2016 to Inform Strategies for 2016. Georgia Hospital Association Patient Safety Summit, January 2016.
  • Boutwell AE. Reducing Avoidable Hospital Utilization: Best Practices and Promising Strategies for Medicaid Patients. Suffolk Care Collaborative Learning Symposium. Islandia, NY. December 2015.
  • Boutwell AE. Reducing Readmissions: The Front Door. Georgia Hospital Association Transforming Care Coordination Symposium. December 2015.
  • Boutwell AE. Updating and Expanding Readmission Efforts for HEN 2.0. National Hospital Engagement Network Pacing Webinar. National Webinar, December 2015.
  • Boutwell AE. Reducing Readmissions: Insights from 2015 to Inform Strategies for 2016. Iowa Healthcare Collaborative, Altoona, IA. November 2015.
  • Boutwell AE. Reducing Readmissions – Small and Rural Hospitals. Duke Endowment Small and Rural Hospital Annual Conference, Charlotte, NC. November 2015.
  • Boutwell AE. Strategies to Improve Care Across the Continuum. Rhode Island Medicaid Transitions Outcomes Congress, Providence, RI. November 2015.
  • Boutwell AE. Accelerating Efforts, Together. University of Maryland – Midtown. Baltimore, MD. October 2015.
  • Boutwell AE. From Data to Clinical Operations. Presentation on Super Utilizer Panel. Agency for Healthcare Research and Quality Annual Research Conference, Washington, DC. October 2015.
  • Boutwell AE. Reducing Readmissions: 5 Strategies to Effectively Collaborate Across the Continuum. Maine Quality Counts Learning Symposium. Augusta, ME. October 2015.
  • Boutwell AE. Reducing Avoidable Hospital Utilization: Best Practices and Promising Strategies for Medicaid Patients. New York Delivery System Reform Incentive Program 1st Annual Learning Symposium, Rye Brook, NY. September 2015.
  • Boutwell AE. Enabling Technologies and Tools to Reduce Avoidable Hospital Utilization. Massachusetts Health Policy Commission Learning Session, Holyoke, MA. July 2015.
  • Boutwell AE. Enabling Technologies and Tools to Reduce Avoidable Hospital Utilization. Massachusetts Health Policy Commission Learning Session, Lowell, MA. July 2015.
  • Boutwell AE. Healthcare Transformation: What Lexington Residents Should Know About Changes in How Healthcare is Being Paid for and Delivered. Lexington Senior Association, Lexington MA. June 2015.
  • Boutwell AE. Reducing Avoidable Hospital Utilization: Updated Data, Adaptations to Best Practices and New Models of Care. SUNY Upstate Annual Care Transitions Conference, Syracuse NY. June 2015.
  • Boutwell AE. Reducing Readmissions: Hospital-primary Care Collaboration and Expanding Focus to Medicaid. Wisconsin Hospital Association Hospital Engagement Network, statewide via webinar. May 2015.
  • Boutwell AE. Establishing Shared Expectations: New tool of ACOs, Bundled Payments, and Readmission Reduction. New England Home Care Annual Conference, Manchester, NH. May 2015.
  • Boutwell AE. Seizing the Opportunity: Aligning Efforts to Improve Behavioral Health with System Redesign. Massachusetts Hospital Association, Burlington MA. May 2015.
  • Boutwell AE. Accelerating Action: Lessons Learned and Next Steps. Maryland Hospital Association and LifeSpan Joint Leadership Conference, Baltimore MD. May 2015.
  • Boutwell AE. Medicaid Readmissions: What’s Similar, What’s Different and Importance of BH and Social Complexity. AHRQ Reducing Medicaid Readmissions Learning Session, Naperville IL. April 2015.
  • Boutwell AE. CHART Phase 2 Northeast and Southeast Regional Convening. Massachusetts Health Policy Commission CHART (Community Hospital Acceleration Revitalization and Transformation) Program. Lowell, MA. April 2015.
  • Boutwell AE. Investing for Impact: Action Planning. AHRQ Reducing Medicaid Readmissions Learning Session, Baltimore MD. April 2015.
  • Boutwell AE. Maryland Data: Facts, Figures, and Strategic Opportunities. AHRQ Reducing Medicaid Readmissions Learning Session, Baltimore MD. April 2015.
  • Boutwell AE. Reducing Medicaid Readmissions: Webinar 3: High Impact Medicaid-Specific Strategies. AHRQ Reducing Medicaid Readmissions Project, statewide via webinar, IL. March 2015.
  • Boutwell AE. Reducing Readmissions – 2015 and Beyond: Strategies for Success in a Quickly Evolving Market. Massachusetts Senior Care Association Annual Meeting, Westford MA. March 2015.
  • Boutwell AE. Safe and effective ED strategies for reducing unavoidable utilization. First Annual Value Based Emergency Medicine Summit, Baltimore MD. March 2015.
  • Boutwell AE. Reducing Medicaid Readmissions: Webinar 2: Identifying and Collaborating with Medicaidrelevant Partners Across the Continuum. AHRQ Reducing Medicaid Readmissions Learning Session, statewide via webinar, IL. March 2015.
  • Boutwell AE. Reducing Medicaid Readmissions: Webinar 2: Updating Your Avoidable Utilization Strategy. AHRQ Reducing Medicaid Readmissions Learning Session, statewide via webinar, MD. March 2015.
  • Boutwell AE. Reducing Medicaid Readmissions: What Plans Should Know About Hospital Readmission Reduction Efforts. Association of Community Affiliated Plans, national via webinar. March 2015.
  • Boutwell AE. Reducing Medicaid Readmissions: Webinar 1: Medicaid Readmissions 101. AHRQ Reducing Medicaid Readmissions Learning Session, statewide via webinar, IL. February 2015.
  • Boutwell AE. Reducing Readmissions: Focus on Medicaid, the Emergency Department, and Behavioral Health. Avoiding Readmissions through Collaboration (ARC) Statewide Learning Session, San Francisco, CA. February 2015.
  • Boutwell AE. Improving Cross-Setting Care: Action Planning to Strengthen Cross-Setting Partnerships. Virginia Hospital Association Statewide Care Transitions Conference, Richmond VA. January 2015.
  • Boutwell AE. Reducing Readmissions. Expanding Efforts to Drive to Hospital-Wide Results. Virginia Hospital Association Statewide Care Transitions Conference, Richmond VA. January 2015.
  • Boutwell AE. Inventory Readmissions Efforts and Develop a Portfolio of Strategies. Texas 115 Waiver Learning Collaborative, RHP6 Region, TX. January 2015.

Committees (Past/Present):

  • Society for Hospital Medicine Post Acute Care Transitions Workgroup, National: Committee Member – Expert advisor, co-developed content for the Project BOOST Post Acute Care Transitions Toolkit. 2010-2012
  • Long Term Quality Alliance Innovative Communities Initiative, Washington, DC: Co-Chair – Designed and mobilized a national learning network of communities working to improve healthcare delivery. 2010-2011
  • Ad Hoc Working Group to Coordinate a Response to 3026, Massachusetts: Founder, Chair – Statewide multi-stakeholder working group formed to explore and execute a coordinated statewide response to the CMS Community-Based Care Transitions Program. 2004-2007
  • Teaching and Training Committee (TTC), MGH, Boston, Massachusetts: Representative – Elected position to participate in monthly meetings with department leadership to evaluate and improve program. 2004-2005
  • Global Health Initiative, Department of Medicine, MGH Boston, Massachusetts: Committee Co-Founder – Spearheaded the development of an institutionalized Global Health Initiative in the Department of Medicine. Conducted site visit and needs assessment of HIV treatment sites in Kwa Zulu Natal, South Africa, October 2004.

Recent Publications/Reviews:

  • 2016 Jiang J, Boutwell AE, et al. Understanding Patient, Provider and System Factors Related to Medicaid Readmissions. Joint Commission Journal on Quality and Patient Safety. March 2016.
  • 2016 Wang G, Boutwell A, Schoen M, Downing L, Brinkley J, Lee W, Kary W. Triple Aim Measurement Toolkit. January 2016. http://www.measuretripleaim.org/
  • 2015 Boutwell AE, Johnson M, Watkins R. An Analysis of a Social Work-based Model of Transitional Care to Reduce Hospital Readmissions: Preliminary Data Journal of the American Geriatrics Society. Accepted for publication October 20 2015.
  • 2015 Boutwell AE, New York State Partnership for Patients. The Role of the Hospitalist in Reducing Healthcare Association of New York State and Greater New York Hospital Association. Albany, New York. January 2015.
  • 2015 Wang G, Boutwell AE, Kary W, Downing L. IOM’s Vital Signs Report Lays Out Steep But Doable Climb For Safety-Net Organizations. Health Affairs Blog. June 18 2015. Available at: http://healthaffairs.org/blog/2015/06/18/ioms-vital-signs-report-lays-out-steep-but-doable-climb-for-safety-net-organizations/
  • 2015 Noska A, Mohan A, Wakeman S, Rich J, Boutwell A. Managing Opioid Use Disorder During and After Acute Hospitalization: A Case-Based Review Clarifying Methadone Regulation for Acute Care Settings. Jc ddict Behav Ther Rehabil. 2015: 4(2).
  • 2014 Romm I, Senese M, Demisoy I, Boutwell AE, CHARTing a Course to the Right Care at the Right Time in the Right Place: Readying Community Hospitals for Transformation to Accountable Care in Massachusetts. Accountable Care News. December 2014 5(2):3-5.
  • 2014 Boutwell AE, Maxwell J, Bourgoin A, Genetti S. Hospital Guide to Reducing Medicaid Readmissions. Agency for Healthcare Research and Quality, Bethesda MD. August 2014.
  • 2014 Boutwell AE et al. Two Home Health Agencies Reduce Readmissions for Heart Failure Patients Using a Quality Improvement Approach. Journal of Clinical Outcomes Management. July 2014.
  • 2014 Boutwell AE. Transitions: Handle With Care Readmission Reduction Playbook. Maryland Hospital AssociationJune 2014.
  • 2014 Boutwell AE, Freedman J. Coverage Expansion and the Criminal Justice – Involved Population: Implications for Plans and Services Connectivity. Health Affairs. March 2014 33(3):482-6.
  • 2014 Patel K, Boutwell AE, Brockmann BW, Rich JD. Integrating Correctional and Community Health Care for Formerly Incarcerated People Who Are Eligible for Medicaid. Health Affairs. March 2014 33(3):468-73.
  • 2014 Boutwell AE, Silber S, Nguyen D, Ryan L, Melville L. Post-Acute Care: What Does it Have to Do With Me? Current Emergency and Hospital Medicine Reports. March 2014 2(1):9-15.

Past Work:

2011-present

COLLABORATIVE HEALTHCARE STRATEGIES
Lexington, Massachusetts: President

Design, advise, and consult on a range of health care delivery system redesign and improvement efforts, focused on cross-setting performance goals, reducing avoidable hospital use, and managing complexity.
  • Expert Advisor, New York Medicaid DSRIP “Super Utilizer” Collaborative (NY)
  • Principal Investigator, national evaluation of the BRIDGE model of transitional care (national)
  • Subcontractor, CMS ACO Learning System (national) <liFaculty, CMS Bundled Payment for Care Improvement Learning System (national)
  • Strategic Advisor, Maryland Hospital Association’s readmissions reduction initiative (MD)
  • Health Policy Advisor, Massachusetts eHealth Institute’s Connected Communities Initiative (MA)
  • Co-Principal Investigator AHRQ Reducing Medicaid Readmissions Project (national)
  • Physician Advisor, National Coordinating Center for CMS QIO “Care Transitions” Aim (national)
  • Technical Lead, ONC-funded IMPACT (Improving Post-Acute Transfers) Project (MA)
  • Advisor to over $150 million in CMMI proposals to improve care across settings (national)
  • Faculty, Healthcare Association of New York State’s DSRIP technical assistance program (NY)
  • Faculty, Blue Shield Foundation of California Reducing Readmissions in the Safety Net (CA)
  • Faculty, AHA/HRET and other Hospital Engagement Networks (national)
  • Consultant, INTERACT -3 (Interventions to Reduce Acute Care Transfers) (national)
  • Consultant, North Carolina Center for Rural Health (NC)
  • Strategic advisor to individual provider, association, technology clients (local, state, national)
  • Expert reviewer, panel member, subject matter expert to research and implementation initiatives for NASHP, Academy Health, RAND, JSI, AIR, Booz Allen Hamilton, Harvard School of Public Health, AHRQ, CMS, National Governor’s Association, National Patient Safety Fellow Program.

2007-2011

INSTITUTE FOR HEALTHCARE IMPROVEMENT (IHI)
Cambridge, Massachusetts
Director of Health Policy Strategy, 2009-2011
Co-Principal Investigator STAAR Initiative, 2008-2011, Co-Lead Ohio STAAR 2010-2011
Content Director 2007-2009
  • Designed and secured funding for a multi-year, multi-state initiative to reduce hospital readmissions. Created the “state-action” model upon which the STAAR initiative is founded; a strategy to concurrently support front-line process improvement while leveraging multi-stakeholder state level leadership assets to foster change in a region.
  • Provided thought leadership and content expertise to national stakeholders including:
    • Technical Expert Panelist, Centers for Medicare and Medicaid, Office of Survey and Certification
    • Founding Board Member, Long Term Quality Alliance
    • Faculty, State Quality Improvement Institute