      
|
Agenda
Wednesday, September 26, 2007
Registration
7:00 A.M. – 5:00 P.M.
Continental Breakfast
7:00 A.M. – 8:00 A.M.
Concurrent Sessions I
8:00 A.M. – 9:30 A.M.
Track 1: Data Sharing, Health Care Reporting, and the Public Trust E – Bridging the Gap: Empowering Caregivers with Real-Time Access to Aggregate Patient Safety Data Brookside B • Moderator: Nate Robinson, Agency for Healthcare Research and Quality • Presenters: Jeffrey Ferranti, Duke University Health System; Peter Kilbridge, Washington University School of Medicine; Emily Welebob, Regenstrief Institute; Harold Kaplan, Columbia University Medical Center • Overview: Health information technology plays a pivotal role in preventing medication errors and promoting patient safety. While many health systems have been able to improve the quality of their care delivery systems, few have been able to effectively translate their burgeoning data stores into meaningful safety improvement initiatives. This session will discuss systems and tools developed to store critical patient safety data and future directions for capturing this type of data. Track 2: Medication Management and Safety A – Highlighting Recent Studies on e-Prescribing: Implications for Performance Measurement and Quality White Flint Amphitheater • Moderator: Jon White, Agency for Healthcare Research and Quality • Presenters: Doug Bell, RAND Corporation and University of California Los Angeles Medical Center; Jeffrey Rothschild, Brigham and Women's Hospital; Joy Grossman, Center for Studying Health System Change • Overview : This session will highlight recent studies on e-Prescribing and discuss how this health information technology tool is being used to enhance performance, quality, and patient safety. Track 3: Strategies and Tools for Patient Safety/Quality Improvement H – Implementation Research Methodology: Current State, Future Directions 8:00 A.M. – 3:00 P.M. Salon E • Moderators: Denise Dougherty, David Atkins, Michael Harrison, Mary Nix, Kishena Wadhwani, Francis Chesley, Agency for Healthcare Research and Quality • Presenters: Jeffrey Alexander, University of Michigan; James Battles, Agency for Healthcare Research and Quality; Donna O. Farley, RAND Corporation; Rainu Kaushal, Weill Medical College of Cornell University; Stephen Mick, Virginia Commonwealth University; Brian Mittman, VA Greater Los Angeles, and Implementation Science; Mary Patterson, Cincinnati Children's Medical Center; Meredith Rosenthal, Ph.D., Harvard School of Public Health; Stephen B. Soumerai, Harvard Medical School and Harvard Pilgrim Health Care • Overview : This session will be a highly participatory discussion of innovative and rigorous methods for enhancing the internal and external validity of evaluations of quality and safety improvement interventions in healthcare. Participants will be asked to suggest next steps that AHRQ and others could take to improve the science base for improvement in quality and safety. J – Improving Quality of Care for Children Through Health Information Technology
Forest Glen
• Moderator: Johanna Barraza-Cannon, Health Resources and Services Administration
• Presenters: Carmen Lozzio, University of Tennessee Graduate School of Medicine; Kenneth McConnochie, Health-e-Access Telemedicine Network; Paula Edwards, Children's Hospital of Atlanta; Richard Shiffman, Yale Center for Medical Informatics
• Overview : The session will focus on the implementation of health information technology developed to improve the safety and quality of health care for children. Speakers will discuss results and processes proposed for measuring outcomes from the implementation of the health care technologies discussed .
Track 4: Value and Sustainability of Health Information Technology and Health Information Exchange
B – Developing the Business Case for Health Information Exchange Salon G • Moderator: Erin Grace, Agency for Healthcare Research and Quality
• Presenters: Micky Tripathi, Massachusetts eHealth Collaborative; Doug Emery, eHealth Initiative; Marc Overhage, Regenstrief Institute and Indiana University School of Medicine; Nancy Shank, University of Nebraska Public Policy Center
• Overview : This session will focus on the business case for health information exchange, including approaches for defining and evaluating value for stakeholders individually and collectively; building sustainable health information exchange business models; and gaining buy-in for your business case for health information exchange .
G – Implementing Health Information Technology in the Long-Term Care Setting
Salon H
• Moderator: Teresa Zayas Cabán, Agency for Healthcare Research and Quality
• Presenters: Shelley Grace, Achieve Healthcare Technologies; Jerry Gurwitz, University of Massachusetts Medical School and Meyers Primary Care Institute; Debbie McQuay, Citizens Memorial Healthcare; Jennie Harvell, Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services
• Overview : This session will discuss the challenges unique to implementing health information technology in the long-term care setting. Speakers will discuss their individual long-term care health information technology projects including bar-coding of medications, e-Prescribing and other health information technologies.
Track 5: Improving Health Care Decision Making
H – Value of Clinical Decision Support Glen Echo • Moderator: Robert Mayes, Agency for Healthcare Research and Quality
• Presenters: Matthew Samore, Veterans Affairs Salt Lake City Health Care Systems and University of Utah; Tejal Gandhi, Brigham and Women's Hospital; John Hsu, Kaiser Permanente Northern California; David Lobach, Duke University School of Medicine
• Overview : This session will provide a comprehensive overview of clinical decision support, with a special emphasis on the newest advancement in clinical decision support technology .
Track 6: System Design and Organizational Change
B – Patient Safety Culture Assessment and Improvement Salon D
• Moderator: James B. Battles, Senior Service Fellow for Patient Safety, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality
• Presenters: Katherine Jones, Assistant Professor, Preventive and Societal Medicine, University of Nebraska Medical Center; Veronica Nieva , Westat; Jeff Norton, Director, Clinical Services, Catholic Health Initiatives; Joann Sorra, Westat; Donna O. Farley, RAND Corporation
• Overview : This session will provide an opportunity to discuss how the results from a cultural assessment can be used for organizational improvement. Lessons learned from organizations who have used cultural assessments will be provided and examples of successful improvement projects will be discussed.
Break
9:30 A.M. – 10:00 A.M.
Concurrent Sessions II
10:00 A.M. – 11:30 A.M.
Track 2: Medication Management and Safety F – e-Prescribing Standards White Flint Amphitheater
• Moderator: Jon White, Agency for Healthcare Research and Quality
• Presenters: Tony Schueth, Point-of-Care Partners; Gail Fournier, Computer Sciences Corporation Consulting, Inc.; Chelle Woolley, Woolley and Associates; Kate Lapane, Brown University
• Overview: This session will focus on the latest standards necessary to communicate electronically using e-prescribing to improve medication safety and quality of care .
Track 4: Value and Sustainability of Health Information Technology and Health Information Exchange H – Physician Adoption of Health Information Technology Forest Glen • Moderator: Erin Grace, Agency for Healthcare Research and Quality
• Presenters: John Blair, Taconic Independent Practice Association; Kim Horowitz, Sierra Family Care; Melissa Goldstein, The George Washington University Medical Center; Fred Rachman, Alliance of Chicago Community Health Services
• Overview : Physicians across the United States are adopting health information technology to provide higher-quality patient care and improved efficiency. However, barriers to the adoption of health information technology exist. This session will explore the challenges and barriers to physician adoption of health information technology, with a specific focus on electronic prescribing and electronic health records technology. This session will also discuss strategies for improving health information technology adoption in different kinds of physician practices and across different specialties.
I – Patient Centered Health Information Technology
Brookside B
• Moderator: Teresa Zayas Cabán, Agency for Healthcare Research and Quality
• Presenters: Steven Porter, Children's Hospital Boston; Stuart Speedie, University of Minnesota Medical School; Elizabeth Hahn, Northwestern University and Evanston Northwestern Healthcare Corporation; Elizabeth Chrischilles, University of Iowa College of Public Health
• Overview : This session will focus on health information technology systems that include patients in the information exchange. Topics of discussion include patient medication management, the development of patient portals, and other health information technology systems that are developed specifically for patient use.
Track 5: Improving Health Care Decision-Making
I – Using Clinical Decision Support to Measure Quality for Special Populations
Glen Echo
• Moderator: Robert Mayes, Agency for Healthcare Research and Quality
• Presenters: Susan Horn, Institute for Clinical Outcomes Research; T. Bruce Ferguson, East Carolina Heart Institute; Jeanne Van Cleave, Massachusetts General Hospital; Jerry Gurwitz, University of Massachusetts Medical School and Meyers Primary Care Institute
• Overview : This session will provide the audience with a framework for using health information technology to measure quality of care for special populations, e.g., children and the elderly. Presenters would discuss how clinical decision support systems can be used to track patient outcomes for vulnerable populations, and the implications for quality of care and safety.
Track 6: System Design and Organizational Change
I – Beyond Implementation: Achieving Success with Integration of
Health Information Technology in Ambulatory Care
Brookside A
• Moderator: Nate Robinson, Agency for Healthcare Research and Quality
• Presenters: Peggy Esch, Citizens Memorial Healthcare; Daniel Meyer, Dartmouth Medical School; Donald Crandall, Trinity Health; Steve Simon, Harvard Medical School and Harvard Pilgrim Health Care
• Overview : This session will address the challenges associated with implementing health information technology in an integrated manner involving different care settings and solutions in the following areas: connecting orders, referrals, results, signatures and medication reconciliation across the continuum. Also included will be the use of EMRs for health maintenance and reporting to public health departments.
K – Operationalizing High-Reliability Organizations Concepts in Healthcare Systems: Insights from the Field
Salon D
• Moderator: Marjorie Shofer, Strategic Planner, Office of Communications and Knowledge Transfer, Agency for Healthcare Research and Quality
• Presenters: Michelle Campbell, Corporate Director for Accreditation and Performance Improvement, Christiana Care Health System; Jennifer Martin, Patient Safety Consultant, Sentara Healthcare; Steven Meisel, Director of Medication Safety, Fairview Health Services; Stephen Muething, Assistant VP, Patient Safety; Associate Professor of Pediatrics, Division of General and Community Pediatrics; Cincinnati Children's Medical Center; Robert J. Panzer, Chief Quality Officer, Professor of Medicine and of Community & Preventive Medicine, Strong Memorial Hospital, University of Rochester Medical Center
• Overview: This session will explain what it means to be a high-reliability health care organization and how some health systems are using high-reliability concepts to improve patient safety and quality. Speakers will share examples of high-reliability concepts and applications in their hospitals.
Accelerating Change and Transformation in Organizations and Networks (ACTION) Annual Meeting (By Invitation Only)
11:30 A.M. – 5:00 P.M.
Salon G & H
Healthcare Cost and Utilization Project Expert Meeting (By Invitation Only)
11:30 A.M. – 5:00 P.M.
Linden Oak
Medical Expenditure Panel Survey (MEPS) Medical Provider Component (MPC) Expert Meeting (By Invitation Only)
1:00 P.M. – 5:00 P.M. Glen Echo
Lunch On Your Own
11:30 A.M. – 1:30 P.M.
Concurrent Sessions III
1:30 P.M. – 3:00 P.M.
Track 1: Data Sharing Health Care Reporting D – Measuring and Reporting Performance Data through Health Information Technology: Best Practices Across Different Health Care Settings
Forest Glen
• Moderator: Teresa Zayas Cabán, Agency for Healthcare Research and Quality
• Presenters: John Blair, M.D., Taconic Independent Practice Association; Kathy Mechler, The Rural and Community Health Institute; Gail Bellamy, West Virginia Institute for Health Policy Research; Blackford Middleton, Partners Healthcare System/Brigham and Women's Hospital
• Overview : This session will focus on best practices in measuring and reporting performance data through health information technology in different health care settings. Best practices will be presented with regard to using health information technology to measure and report performance data in community health centers, rural critical access hospitals, and other health care settings .
Track 3: Strategies and Tools for Patient Safety/Quality Improvement F – Update on Patient Safety Organizations and Implementation of the Patient Safety and Quality Improvement Act
1:30 P.M.-2:30 P.M.
Salon D
• Moderator: William Munier, Acting Director, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality
• Presenters: William Munier, Acting Director, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality; Ernest Moy, Medical Officer, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality; Amy Helwig, Medical Officer, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality
• Overview : The Patient Safety and Quality Improvement Act (Public Law 109-41), signed into law on July 29, 2005, was enacted to improve patient safety by encouraging voluntary and confidential reporting and analysis of events that adversely affect patients. This session will provide an update on AHRQ's activities surrounding the Act. Topics covered will include 1) the anticipated flow of information from providers to Patient Safety Organizations (PSO) to the newly funded PSO Privacy Protection Center and Network of Patient Safety Databases and 2) support of this information flow through technical assistance and the development of common formats for patient safety event reporting .
K – Transformation of Healthcare Quality Through Health Information Technology
White Flint Amphitheater
• Moderator: Jon White, Agency for Healthcare Research and Quality
• Presenters: Randall Cebul, Case Western Reserve University/MetroHealth Medical Center; Eric Schneider, Harvard School of Public Health and Brigham and Women's Hospital; Donald Crandall, Trinity Health; James Walker, Geisinger Health System
• Overview : This session will focus on the use of health information technology systems to collect quality metrics. Topics of discussion will include the process used to select metrics, challenges encountered through implementation, and lessons learned.
Break
3:00 P.M. – 3:30 P.M.
Concurrent Sessions IV
3:30 P.M. – 5:00 P.M.
Track 3: Strategies and Tools for Patient Safety/Quality Improvement
I – Factors Influencing Patient Safety in Medical Group Practices
Forest Glen
• Moderator: Teresa Zayas Cabán, Agency for Healthcare Research and Quality
• Presenters: John Kralewski, University of Minnesota; Randall Cebul, Case Western Reserve University/ MetroHealth Medical Center; Larry Garber, Fallon Clinic; Matthew Samore, Veterans Affairs Salt Lake City Health Care Systems and University of Utah
• Overview : This session will focus on the factors that influence patient safety in medical group practices. Speakers will specifically discuss their research findings and suggest areas where future research needs to be conducted.
Track 6: System Design and Organizational Change
J – Fostering a Culture that Embraces Technology
White Flint Amphitheater
• Moderator: Erin Grace, Agency for Healthcare Research and Quality
• Presenters: Kiki Nocella, University of California-Riverside; Ben-Tzion Karsh, University of Wisconsin–Madison; Patricia Abbott, John Hopkins University School of Nursing; Gail Keenan, University of Illinois Chicago, College of Nursing
• Overview : This session will take basic principles of organizational and culture change theory and tie these theories to organizational change initiatives. Speakers will share phases and solutions that were used to address fear and concern of culture change around implementation of health information technology.
Welcome Plenary Address:
Carolyn M. Clancy, M.D., Director
Agency for Healthcare Research and Quality5:00 P.M. – 5:30 P.M.
Salon E
