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Agenda: Pay for Performance Summit: Day II
Tuesday, March 20, 2012
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DAY II - MORNING PLENARY SESSION
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8:00 a.m.
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Welcome & Introductions
David S. Joyner, MBA
Senior Vice President, Blue Shield of California; Chair-Elect, Integrated Healthcare Association, San Francisco, CA
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8:15 a.m.
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Keynote Debate: Measurement, Reliability, Public Reporting, Tiering, and Motivating Behavioral Change
John L. Adams
Senior Statistician, RAND Corporation, Santa Monica, CA
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Howard Beckman, MD, FACP
Chief Medical Officer, Focused Medical Analytics, Pittsford, NY
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Arnold Milstein, MD, MPH
Professor of Medicine and Director of the Clinical Excellence Research Center, Stanford University, Stanford, CA
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Elizabeth Mitchell
Chief Executive Officer, Maine Health Management Coalition, Portland, ME
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Tom Williams, DrPH
Executive Director, Integrated Healthcare Association, Oakland, CA (Moderator)
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9:30 a.m.
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Break
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MORNING MINI SUMMITS
(Choose one Mini Summit only)
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Mini-Summit I: International P4P and Payment Reform
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10:00 a.m.
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International P4P and Payment Reform
Evaluation of National Financial Incentive Initiatives in the United Kingdom Department of Health
Ruth McDonald
Professor of Healthcare Innovation and Learning, University of Nottingham, Nottingham, UK
Performance Evaluation Program for Hospital Doctors in Brazil
Cesar Abicalaffe, MD, MSc
Executive Director, Impacto Medica, Curitiba, Brazil
Provider Pay for Performance in Global Health: Selected Country Case Studies
Brent D. Fulton, MBA, PhD
Assistant Research Economist, University of California at Berkeley, Berkeley, CA
Richard M. Scheffler, PhD
Distinguished Professor of Health Economics and Public Policy, University of California at Berkeley, Berkeley, CA
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12:00 p.m.
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Mini-Summit Adjourns and Networking Luncheon in the Exhibit Hall
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Mini-Summit II: The National Quality Forum Convened Measure Applications Partnership (MAP)
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10:00 a.m.
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The National Quality Forum Convened Measure Applications Partnership (MAP)
Launch and Accomplishments of the Measure Applications Partnership
Constance W. Hwang, MD, MPH
Vice President, Measure Applications Partnership (MAP), National Quality Forum, Washington, DC
Thomas B. Valuck, MD, MHSA, JD
Senior Vice President for Strategic Partnerships, National Quality Forum, Washington, DC
MAP's Evaluation of Measures Under Consideration for Federal Public Reporting and Performance-Based Payment Programs
Thomas B. Valuck, MD, MHSA, JD
Senior Vice President for Strategic Partnerships, National Quality Forum, Washington, DC
Development of MAP Measure Selection Criteria
Constance W. Hwang, MD, MPH
Vice President, Measure Applications Partnership (MAP), National Quality Forum, Washington, DC
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12:00 p.m.
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Mini-Summit Adjourns and Networking Luncheon in the Exhibit Hall
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Mini-Summit III: Insurance Benefit Design and Cost Sharing for Payment Reforms
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10:00 a.m.
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Insurance Benefit Design and Cost Sharing for Payment Reforms
Aldo De La Torre
Vice President, Provider Contracting, Anthem Blue Cross, Rancho Cordova, CA
Kimberly MacPherson, MBA, MPH
Program Director, Health Policy and Management, School of Public Health, University of California at Berkeley; Co-Director, Berkeley Center for Health Technology, Berkeley, CA
James C. Robinson, PhD
Leonard D. Schaeffer Professor of Health Economics, University of California at Berkeley; Director, Berkeley Center for Health Technology, Berkeley, CA
Brad Wolfsen, MBA
Chief Operating Officer, Safeway Health, Pleasanton, CA
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12:00 p.m.
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Mini-Summit Adjourns and Networking Lunch in the Exhibit Hall
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Mini-Summit IV: Updates from CMS: Value Based Purchasing, ACOs, and Other Initiatives - Interactive Session
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10:00 a.m.
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Updates from CMS: Value Based Purchasing, ACOs, and Other Initiatives - Interactive Session
Value Based Purchasing
Jean Moody-Williams, RN, MPP
Director, Quality Improvement Group, Centers for Medicare and Medicaid Services (CMS), Baltimore, MD
Accountable Care Organizations
David Sayen
Regional Administrator - Region IX, Centers for Medicare and Medicaid Services (CMS), San Francisco, CA
Other CMS Initiatives
Betsy L. Thompson, MD, DrPH
Chief Medical Officer - Region IX, Centers for Medicare and Medicaid Services (CMS), San Francisco, CA
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12:00 p.m.
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Mini-Summit Adjourns and Networking Luncheon in the Exhibit Hall
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AFTERNOON PLENARY SESSION
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1:00 p.m.
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Keynote Address: Creating Win-Win-Win Strategies for Successful Payment and Delivery Reform
Harold Miller
Executive Director, Center for Healthcare Quality and Payment Reform; President and Chief Executive Officer, Network for Regional Healthcare Improvement, Pittsburgh, PA
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1:45 p.m.
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Keynote Panel: Confronting the Realities of Implementing Payment and Delivery Reforms
Gail Amundson, MD
President and Chief Executive Officer, Quality Quest for Health of Illinois, Peoria, IL
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Samuel R. Nussbaum, MD
Executive Vice President, Clinical Health Policy and Chief Medical Officer, Wellpoint, Inc., Indianapolis, IN
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Dolores Yanagihara, MPH
Director, Pay for Performance Program, Integrated Healthcare Association. Oakland, CA
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Harold Miller
Executive Director, Center for Healthcare Quality and Payment Reform; President and Chief Executive Officer, Network for Regional Healthcare Improvement, Pittsburgh, PA (Moderator)
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2:45 p.m. |
Break
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AFTERNOON CONCURRENT SESSIONS
(Choose one Concurrent Session from each group.)
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3:15 p.m.
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CONCURRENT SESSIONS - GROUP 1
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Session 1.1: The National Quality Forum Measure Use Evaluation |
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Karen Adams, PhD
Vice President, National Quality Forum, Washington, DC
Cheryl Damberg, PhD
Senior Researcher, RAND Corporation, Santa Monica, CA
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Session 1.2: What Motivates Change? |
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Christine Cassel, MD, MACP
President and Chief Executive Officer, American Board of Internal Medicine and ABIM Foundation, Philadelphia, PA
Arnold Milstein, MD, MPH
Professor of Medicine and Director of the Clinical Excellence Research Center, Stanford University, Stanford, CA
Geoffrey Williams, MD, PhD
Professor of Medicine, Psychiatry, and Psychology, University of Rochester Medical Center, Rochester, NY
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Session 1.3: Maximizing Safety, Quality and Efficiency: Achieving an Organization-Wide Transformation |
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Terri Devereaux, MPM, MSN
Senior Quality Improvement Specialist, Pittsburgh Regional Health Initiative, Pittsburgh, PA
Tina Hahn
Director of Education and Coaching, Pittsburgh Regional Health Initiative, Pittsburgh, PA
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Session 1.4: Using Metrics and Predictive Models to Succeed in CMS Hospital Value Based Payment Programs |
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Nell Wood Buhlman, MBA
Vice President, Clinical Compliance Products, Press Ganey Associates, Inc., South Bend, IN
Nikolas Matthes, MD, PhD, MPH
Vice President, Clinical Research, Press Ganey Associates, Inc., Elkridge, MD
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Session 1.5: ACO Quality and Efficiency Metrics |
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Gail Amundson, MD
President and Chief Executive Officer, Quality Quest for Health of Illinois, Peoria, IL
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Session 1.6: How Providers Can Manage and Administer Value Based Reimbursement |
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Jay Sultan
Assistant Vice President, Product Management for Value Based Reimbursement, The TriZetto Group, Athens, GA
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Session 1.7: Translating Measurement into Tiering and Consumer Engagement |
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Elizabeth Mitchell
Chief Executive Officer, Maine Health Management Coalition, Portland, ME
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Session 1.8: Reducing Hospital Acquired Complications: The Maryland P4P Experience |
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Carol Everhart
Senior Health Informatics Analyst, Western Maryland Health System, Swanton, MD
Norbert Goldfield, MD
Medical Director, Clinical and Economic Research, 3M Health Information Systems, Inc., Wallingford, CT
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4:15 p.m.
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Transition Break
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4:30 p.m.
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CONCURRENT SESSIONS - GROUP 2
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Session 2.1: Engaging Hospitals in Quality Improvement through Pay for Performance |
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Missy Danforth
Senior Director, Communications and Membership, The Leapfrog Group, Washington, DC
Michelle Merchant
Acting Director, Network Hospital Relations, Horizon Blue Cross Blue Shield of New Jersey, Newark, NJ
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Session 2.2: The Minnesota Experience: The Role of Measurement and Collaboration in Advancing the Triple Aim |
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Jim Chase
President, Minnesota Community Measurement, Minneapolis, MN
Sanne Magnan, MD, PhD
President and Chief Executive Officer, Institute for Clinical Systems Improvement, Bloomington, MN
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Session 2.3: It Starts with Appropriateness: Successfully Reducing Overuse of Cardiac Testing |
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Howard Beckman, MD, FACP
Chief Medical Officer, Focused Medical Analytics, Pittsford, NY
Jamie Kerr, MD, FACP
Chief Medical Officer, Utilization Management, Excellus Health Plans, Rochester, NY
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Session 2.4: Integrating Behavioral Health into Primary Care to Improve Value by Leveraging Resources Across States |
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Richard L. Brown, MD, MPH
Clinical Director, Wisconsin Initiative to Promote Healthy Lifestyles; Professor of Family Medicine, School of Medicine and Public Health, University of Wisconsin, Madison, WI
Nancy Jaeckels
Vice President and Chief Consultant, Institute for Clinical Systems Improvement, Bloomington, MN
Keith T. Kanel, MD, FACP
Chief Medical Officer, Pittsburgh Regional Health Initiative, Pittsburgh, PA
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Session 2.5: Cleveland Clinic: Aligning Quality and Finance in a Hospital |
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Kevin Anderson, MBA
Program Manager, Cleveland Clinic, Cleveland, OH
Kathy Hartman, RN, MSN, CNS
Senior Director, HIM, Cleveland Clinic, Independence, OH
Shannon Phillips, MD, MPH
Quality and Patient Safety Officer, Cleveland Clinic, Cleveland, OH
Anthony Warmuth, MPH
Administrator, Cleveland Clinic, Cleveland, OH
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Session 2.6: Integrating Quality Metrics with Focused Interventions to Improve Medication Adherence |
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Maureen Bieltz
Clinical Pharmacy Specialist, Highmark, Inc., Pittsburgh, PA
Annette Boyer, RPh
Vice President, Business Development, CECity.com, Inc., Homestead, PA
Jesse McCullough
Clinical Services Manager, Rite Aid Corporation, Pittsburgh, PA
Jan Pringle
Director, Program Evaluation Research Unit, University of Pittsburgh School of Pharmacy, Pittsburgh, PA
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Session 2.7: A New Compensation Approach for Cancer Care: A Prototype for Payment Reform |
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Dan Ayala
Director, Clinical Analysis and Physician Compensation, Hill Physicians Medical Group, San Ramon, CA
Ann Woo
Director, Clinical Support, Hill Physicians Medical Group, San Ramon, CA
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Session 2.8: Improving Quality through Physician Alignment Strategies: Legal and Valuation Issues |
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Jill H. Gordon, Esq.
Partner and Vice Chair, Health Law Practice, Davis Wright Tremaine LLP, Los Angeles, CA
Jen Johnson, MBA, CFA
Partner, VMG Health, Dallas, TX
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5:30 p.m.
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Adjournment
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