      
|
Friday Agenda
Friday, September 28, 2007
Registration 7:00 A.M. – 3:00 P.M. Continental Breakfast 7:00 A.M. – 8:00 A.M. Innovation Café 8:00 A.M. – 3:00 P.M. Joint Plenary Session Hon. Michael O. Leavitt (invited) Secretary, U.S. Department of Health and Human Services Carolyn M. Clancy, M.D. Director, Agency for Healthcare Research and Quality 8:30 A.M. – 10:00 A.M. Driving Improvement through Value-Driven Health Care Salon E, F, G, and H Break 10:00 A.M. – 10:30 A.M. • AHRQ Quality Indicator Users Meeting 10:30 A.M. – 3:00 P.M. Salon E • Moderator: Mamatha Pancholi, Agency for Healthcare Research and Quality • Presenters: Laura Puzniak, Battelle Memorial Institute; Amy Rosen, Boston University/Bedford VA; Patricia Zrelak, Division Center for Health Services Research in Primary Care, University of California, Davis; Beverlee Hall, Cost Reporting and Discharge Data Section Bureau of Public Health Statistics; Joanne Cuny, University Health System Consortium • Overview: The AHRQ Quality Indicator (QI) User meeting is intended both for active users of the AHRQ Quality Indicators and for those interested in how the AHRQ QI might be used in their organizations. The sessions will focus on lessons learned from validation studies and the implications for comparative reporting and quality improvement: • Validation studies in the literature and current research activities • Results from the AHRQ QI Validation Collaborative Pilot for selected Patient Safety Indicators • Guidance on use of the AHRQ QI medical record data collection tools to improve data quality and processes of care • Future directions for collaborative validation studies of the AHRQ Quality Indicators
Concurrent Sessions I
10:30 A.M. – 12:00 P.M.
HHS' Value-Driven Health Care Initiative: Strategies and Tools for Success • Consumers' Use of Health Care Quality Information Salon H • Moderator: Farah Englert, Agency for Healthcare Research and Quality • Presenters: R. Adams Dudley, University of California, San Francisco; Farah Englert, Office of Communications, Agency for Healthcare Research and Quality; Debra L. Nixon, Your Partners in Quality, LLC • Overview : This panel will explore a variety of perspectives on when and how consumers use information on the quality and cost of the health care services they receive, including examples of Federal, State, and local efforts to help consumers be more active in all aspects of the decisions made about their care. • AHRQ Data Resources: Using MEPS to Study Value in the U.S. Health Care System Salon C • Moderators: Jessica Banthin and Joel Cohen, Agency for Healthcare Research and Quality • Presenters: John Nyman, University of Minnesota; Allison Rosen, University of Michigan Health System; Michael O'Grady, O'Grady Health Policy • Overview : Health care expenditures now represent 16% of the United States gross domestic product, exhibit a rate of growth that exceeds other sectors of the economy, and constitute one of the largest components of the Federal and States' budgets. Although the rate of growth in health care costs slowed in the mid 1990s, since then costs have increased rapidly, fueled primarily by rising expenditures for hospital care and prescription medications. With health care absorbing increasing amounts of the nation's resources, the question of how to design a system that encourages the provision of high-quality care as efficiently as possible remains an issue of continuing concern to both private and public payers. This session will focus on examining the issue of how to promote value in health care—that is, encouraging consumers, providers, and insurers to obtain, deliver, and finance care in a manner that maximizes the often competing objectives of access, quality and the cost of care, with particular emphasis on how the Medical Expenditure Panel Survey can contribute to that examination. • Community Leadership and Building Multi-Stakeholder Coalitions Forest Glen • Moderator: Nancy Wilson, Agency for Healthcare Research and Quality • Presenters: Michael W. Painter, Robert Wood Johnson Foundation; Patricia E. Powers, Center for Health Improvement; Christopher Queram, Wisconsin Collaborative for Healthcare Quality; Margaret Stanley, Pacific Sound Health Alliance • Overview : This panel will focus on the dynamics and success factors in leading communities and building stakeholder coalitions comprised of health care providers, employers, consumers, health plans, and others.
Track 3: Strategies and Tools for Patient Safety/Quality Improvement G – Improving Teamwork in Healthcare Salon F and G • Moderator: Amy Helwig, Medical Officer, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality
• Presenters: Karen Frush, Chief Patient Safety Officer, Duke University Health System; Division of Pediatric Hospital and Emergency Medicine; Christine Goeschel, Director, Patient Safety & Quality Initiatives, and Manager, Operations, Quality and Safety Research Group, Johns Hopkins University; Jeanne-Marie Guise, Director, State Obstetric and Pediatric Research Collaborative (STORC), and Associate Professor, Division of Maternal-Fetal Medicine Departments of Obstetrics and Gynecology, Medical Informatics, and Public Health & Preventive Medicine; Heidi King, Patient Safety Program, U.S. Department of Defense
• Overview : This session will focus on the importance of team dynamics in patient safety. The presentations will highlight different aspects of implementing team training programs. Examples will include implementation of team patient safety training in an academic setting, the Department of Defense, an intensive care unit and a hospital obstetrics unit.L – NHQR-NHDR: National Performance Measurement and Reporting Session White Flint Amphitheater • Moderator: Edward Kelley, Director, U.S. National Healthcare Reports, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality • Presenters: James Rohack, Medical Director, Scott and White Clinic and Chair, AHRQ National Advisory Council; Cathy Schoen, Senior Vice President for Research and Evaluation, The Commonwealth Fund • Overview : The U.S. National Healthcare Reports (the National Healthcare Quality Report and National Healthcare Disparities Report) are the only annual national examinations of quality, safety and disparities in the U.S. healthcare system. The 2007 editions will mark the fifth publication by AHRQ of these reports (in January 2008). The purpose of this session is (a) to review current and future directions in performance measurement and reporting, (b) to discuss the expected impact of reporting on performance, and (c) to provide initial recommendations to AHRQ on how the National Reports can contribute to the future of performance reporting. This session is the first of a two-part national “discussion” on current and future directions in performance measurement and reporting. The second discussion will take place at the release of the 2007 National Reports in January 2008. Track 4: Value and Sustainability of Health Information Technology and HIE C - Efficiency of Healthcare: RAND Efficiency Report Glen Echo • Moderator: Herbert S. Wong, Agency for Healthcare Research and Quality
• Presenters: Elizabeth McGlynn, RAND Corporation; Michael Chernew, Harvard University
• Overview : The RAND Corporation recently completed an AHRQ-commissioned report, “Identifying, Categorizing, and Evaluating Healthcare Efficiency Measures,” that identifies and describes existing measures of healthcare efficiency, organizes them into a typology, and evaluates them according to broad criteria. Dr. Elizabeth McGlynn (RAND Corporation) will present the findings from this AHRQ initiative and Dr. Michael Chernew (Harvard University) will serve as a discussant. Attendees are invited to provide comments and suggestions and to help AHRQ prioritize next steps.
Track 6: System Design and Organizational Change F – Systems Approaches to Reducing Disparities in Healthcare Quality Brookside B • Moderator: Cecilia Rivera-Casale, Agency for Healthcare Research and Quality • Presenters: Frederick P. Cerise, Louisiana Department of Health and Hospitals; Marshall Chin, University of Chicago; Rhonda M. Johnson, Highmark Inc. • Overview : This session will address the challenges unique to implementing organizational change in diverse settings to achieve reductions in racial, ethnic, and income disparities in healthcare quality. Speakers will discuss their own experiences in different settings, present successful systems change models, and share their thoughts on how to replicate and sustain systems change to promote equity and quality in healthcare services Lunch On Your Own 12:00 P.M. – 2:00 P.M. Concurrent Sessions II 2:00 P.M. – 3:30 P.M. HHS' Value Driven-Health Care Initiative: Strategies and Tools for Success • AHRQ Data Tools HCUP Salon C • Moderators: Claudia A. Steiner and Herbert S. Wong, Agency for Healthcare Research and Quality • Presenters: Richard Lindrooth, Medical University of South Carolina, Michael Pine, Michael Pine Associates, Inc., Kevin Volpp, University of Pennsylvania • Overview: This session provides a brief overview of how information from the Healthcare Cost and Utilization Project (HCUP) can be used to support the President and Secretary's Value Driven Healthcare Initiative. More specifically, three potential enhancements to HCUP will be discussed: (1) developing a “price-to-charge” ratio file, (2) adding clinical variables, and (3) linking HCUP to death certificate or birth certificate records. A panel of distinguished researchers, including Richard Lindrooth (Medical University of South Carolina), Michael Pine (Michael Pine Associates, Inc.), and Kevin Volpp (University of Pennsylvania) will provide insight to the value and challenges of these proposals. • Implementation of Pay-for-Performance Arrangements and Quality Improvement Salon H • Moderator: Peggy McNamara, Agency for Healthcare Research and Quality • Presenters: Foster C. Gesten, State of New York Department of Health; David E. Kelley, Pennsylvania Department of Public Welfare; Meredith B. Rosenthal, Harvard School of Public Health; Gary Young, Boston University School of Public Health and U.S. Department of Veterans Affairs • Overview : This panel will examine the background, development, and use of pay-for-performance arrangements and tools to improve quality and value in health care, especially in publicly financed programs.
Track 3: Strategies and Tools for Patient Safety/Quality Improvement D – Safety and Quality Design Salon F and G • Moderator: Sandi Isaacson, Director, User Liaison and Research Translation, Office of Communications and Knowledge Transfer, Agency for Healthcare Research and Quality • Presenters: Kerm Henriksen, Human Factors Advisor for Patient Safety, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality; Pascale Carayon, Professor of Industrial Engineering and Director of the Center for Quality and Productivity Improvement, University of Wisconsin–Madison; John R. Grout, Campbell School of Business, Berry College; Roger S. Ulrich, Director of the Center for Health Systems and Design, College of Architecture, Texas A&M University • Overview : If you have ever been stymied by the “universal remote” for your television, tried to put together a children's toy, or tripped at steps because you could not tell where they began or ended, you understand how important the design of a process, product, or space is to its safety and quality. Speakers at this session will discuss how improving the design of tools, tasks, and the building environment can improve the safety and quality of health care and the working conditions for those providing it. Track 6: System Design and Organizational Change G – Critical Access Hospitals and Health Care Efficiency Glen Echo • Moderator: Ryan Mutter, Agency for Healthcare Research and Quality • Presenters: Ryan Mutter, Center for Delivery, Organization, and Markets, Agency for Healthcare Research and Quality; Pengxiang (Alex) Li, Division of General Internal Medicine, University of Pennsylvania; Laura Morlock, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health • Overview: This panel will focus on the efforts of hospital conversion to Critical Access Hospital (CAH) status on efficiency, patient safety, and other measures of hospital performance Conference Concludes 3:00 P.M. – 4:30 P.M.
