Pay for Performance Summit: Agenda: Day Two

Agenda: Pay for Performance Summit: Day II Tuesday, March 10, 2009 Morning Plenary Session
8:00 a.m.	Keynote Panel: Pay for Performance and Payment Reform Robert S. Galvin, MD, MBA Director, Global Healthcare, General Electric Company; Founder, Center for Payment Reform; Founding Member, The Leapfrog Group; Vice Chair, Washington Business Group on Health, Fairfield, CT Presentation Material (Acrobat) Presentation Material (Powerpoint) Arnold Milstein, MD, MPH U.S. Healthcare Thought Leader, Mercer Health & Benefits; Medical Director, Pacific Business Group on Health, San Francisco, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
9:00 a.m.	Keynote Address: Medicare's Transformation Towards Value-Based Purchasing Jeffrey B. Rich, MD Former Director of the Center for Medicare Management (CMM), Centers for Medicare and Medicaid Services (CMS), U.S. Department of Health & Human Services, Scientific Director, Sentara Cardiovascular Research Institute, Norfolk, VA Presentation Material (Acrobat) Presentation Material (Powerpoint)
9:45 a.m.	Break

Pay for Performance Mini Summits (Choose one Mini Summit only)
Mini Summit I: The Effectiveness of Pay for Performance To-Date: Lessons Learned and Program Adaptations Mini Summit II: Health Information Exchange and P4P - Merging Administrative and Clinical Data Mini Summit III: Medicare and Medicaid P4P Programs Mini Summit IV: Payment Reform

Mini Summit I: The Effectiveness of Pay for Performance To-Date: Lessons Learned and Program Adaptations
10:30 a.m.	Introduction and Overview Tom Williams Executive Director, Integrated Healthcare Association, Oakland, CA (Mini Summit Chair)
10:40 a.m.	The Research Evidence on Pay for Performance Cheryl Damberg, PhD RAND Corporation, Santa Monica, CA Permission to post not granted
11:10 a.m.	Lessons Learned: The Massachusetts Pay for Performance Program Barbra G. Rabson, MPH Executive Director, Massachusetts Health Quality Partners, Watertown, MA Presentation Material (Acrobat) Presentation Material (Powerpoint)
11:30 a.m.	Lessons Learned: The Minnesota Pay for Performance Program Barry Bershow, MD Medical Director, Quality & Informatics, Fairview Health Services, Minneapolis, MN Presentation Material (Acrobat) Presentation Material (Powerpoint)
11:50 a.m.	Lessons Learned: The California Pay for Performance Program Dolores Yanagihara, MPH Program Director, Pay for Performance, Integrated Healthcare Association, Oakland, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
12:10 p.m.	Panel Discussion

Mini Summit II: Health Information Exchange and P4P - Merging Administrative and Clinical Data
10:30 a.m.	Introduction and Overview Irene Fraser, PhD Director, Center for Delivery, Organization and Markets, Agency for Healthcare Research and Quality, Rockville, MD (Mini Summit Chair) Presentation Material (Acrobat) Presentation Material (Powerpoint)
10:45 a.m.	A National View on Improving Health Information Exchange: State by State Janet M. Marchibroda Chief Executive Officer, eHealth Initiative and eHealth Initiative Foundation, Washington, DC Presentation Material (Acrobat) Presentation Material (Powerpoint)
11:05 a.m.	Health Information Exchange and Pay for Performance J. Marc Overhage, MD, PhD, FACP, FACMI President and Chief Executive Officer, Indiana Health Information Exchange; Professor of Medicine, Indiana University School of Medicine; Senior Investigator, Regenstrief Institute, Indianapolis, IN Presentation Material (Acrobat)
11:25 a.m.	Truths and Myths about Direct Submission of Clinical Data for Measurement, Reporting and Rewards Linda Davis Consultant, LCD Solutions, Edina, MN Presentation Material (Acrobat) Presentation Material (Powerpoint)
11:45 a.m.	Panel Discussions

Mini Summit III: Medicare and Medicaid P4P Programs
10:30 a.m.	Introduction and Overview: Report on CMS Results in P4P Related Programs David Sayen, CMS Regional Administrator, Region IX, Centers for Medicare & Medicaid Services, San Francisco, CA (Moderator)
11:00 a.m.	PQRI Success in a Level One Trauma Center Erik Barton, MD, MS, MBA Associate Vice President of Quality, University of Utah, Salt Lake City, UT Presentation Material (Acrobat)
11:20 a.m.	Hospital P4P: The CMS/Premier Hospital Quality Incentive Demonstration Project Mary B. Bergerson Regional Quality Director, Adventist Health-St. Helena Hospital, St. Helena, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
11:40 a.m.	P4P in the Safety Net Setting: Trends and Innovations in State Medicaid Programs Dianne Hasselman, MSPH Associate Vice President, Center for Health Care Strategies, Hamilton, NJ Presentation Material (Acrobat) Presentation Material (Powerpoint)
12:00 p.m.	Individual Panel Discussions

Mini Summit IV: Payment Reform
10:30 a.m.	Introduction and Overview Harold D. Miller President and Chief Executive Officer, Network for Regional Healthcare Improvement, and Executive Director, Center for Healthcare Quality and Payment Reform, Pittsburgh, PA (Mini Summit Chair)
10:35 a.m.	From Volume to Value: Addressing the Key Challenges in Transforming Health Care Payment and Delivery Systems Harold D. Miller President and Chief Executive Officer, Network for Regional Healthcare Improvement, and Executive Director, Center for Healthcare Quality and Payment Reform, Pittsburgh, PA Presentation Material (Acrobat) Presentation Material (Powerpoint)
10:55 a.m.	Creating a Competitive Marketplace for Healthcare Delivery: The Patient Choice Health Care Model and Its Impacts Ann Robinow President, Robinow Consulting, Minneapolis, MN Presentation Material (Acrobat) Presentation Material (Powerpoint)
11:20 a.m.	Designing and Implementing a Multi-Payer Payment Reform Project: The Minnesota DIAMOND Initiative Gary Oftedahl, MD Chief Knowledge Officer, Institute for Clinical Systems Improvement, Bloomington, MN Presentation Material (Acrobat) Presentation Material (Powerpoint)
11:45 a.m.	Implementing the PROMETHEUS Payment Model in Pilot Communities Francois de Brantes Chief Executive Officer, Bridges to Excellence, Newton, CT Presentation Material (Acrobat) Presentation Material (Powerpoint)
12:10 p.m.	Q&A and Panel Discussion
12:30 p.m.	Networking Luncheon in the Exhibit Hall Including Table Topic Discussions
1:45 p.m.	TRACK I: CONCURRENT SESSIONS
	1.01 Pay for Performance Case Studies: Improving Care through Aligned Incentives: A Case Study Integrating Independent Physicians Lee B. Sacks, MD President, Advocate Physician Partners, Oak Brook, IL Mark Shields, MD, MBA Vice President Medical Management and Senior Medical Director, Advocate Physician Partners, Oak Brook, IL Presentation Material (Acrobat) Presentation Material (Powerpoint)
	1.02 Aligning Hospitals and Physicians: Hospital as Mediator: Aligning Physician and Hospital Incentives Rachel George, MD, MBA, CPE Regional Medical Director/Vice President-Operations, Cogent Healthcare, South Barrington, IL Presentation Material (Acrobat) Presentation Material (Powerpoint)
	1.03 Reporting and Motivating Performance: Transparency - The Public Reporting of Physician Performance - Evaluation of the Impact of Physician Self Reporting Marc Loizeaux Manager, Provider Performance Assessment Analytics, Blue Cross Blue Shield of Tennessee, Chattanooga, TN Allen Naidoo Director, Medical Informatics, BlueCross BlueShield of Tennessee, Chattanooga, TN Presentation Material (Acrobat) Presentation Material (Powerpoint)
	1.04 Designing Incentives: Two High Performing Systems Debate the Pros and Cons and Nuances of Internal Pay for Performance Barry Bershow, MD Medical Director for Quality and Informatics, Fairview Health Service, Minneapolis, MN Linda Davis Consultant, LCD Solutions, Edina, MN Bruce McCarthy, MD Chief Medical Officer, Allina Medical Clinic, Minneapolis, MN Presentation Material (Acrobat) Presentation Material (Powerpoint)
	1.05 Information Technology: The Silicon Valley P4P Consortium (SVP4P), an Incubator for Tomorrow's Health Care Solutions Corrie Zenzola Global Benefits Thought Leader, Intel Corporation, Folsom, CA Criss Morikawa, MD Medical Director, Information Technology, Palo Alto Foundation Medical Group, Mountain View, CA Sharon Gibson Director, Health Care Practice, CISCO Systems, Lake Oswego, OR Presentation Material (Acrobat) Presentation Material (Powerpoint)
	1.06 Evaluating Performance: Effect of Physician Pay for Performance Incentives in a Large Primary Care Group Practice Hal Luft, PhD Director, Palo Alto Medical Foundation Research Institute, Palo Alto, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
	1.07 Innovations in P4P: The Impact of Patient Adherence on Physician Performance Measurement Michael B. Nichol, PhD QSAD Centurion Professor in Pharmaceutical Sciences, Clinical Pharmacy and Pharmaceutical Economics & Policy, University of Southern California School of Pharmacy, Los Angeles, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
	1.08 Efficiency in P4P: Guiding Principles for Implementing a Successful Physician Efficiency Profiling Program Jonathan M. Niloff, MD, FACS, FACOG, FACPE, MBA Chief Executive Officer and Founder, MedVentive, Inc., Waltham, MA Presentation Material (Acrobat) Presentation Material (Powerpoint)
2:45 p.m.	Transition Break
3:00 p.m.	TRACK II: CONCURRENT SESSIONS
	2.01 Pay for Performance Case Studies: International Experiences with P4P Healthcare Charity Mwende Mutegi, MBA Medical School of Hanover, Germany Volker Amelung Medical School of Hanover, Germany Presentation Material (Acrobat) Presentation Material (Acrobat) Presentation Material (Powerpoint)
	2.02 Aligning Hospitals and Physicians: Effective Analytics in P4P Programs Dogu Celebi, MD, MPH Chief Medical Officer, Commercial, Payer and Government Solutions, Ingenix, Eden Prairie, MN Presentation Material (Acrobat) Presentation Material (Powerpoint)
	2.03 Reporting and Motivating Performance: Reputational Incentives Created by Report Cards Thomas R. McLean, MD, JD, FACS Chief Executive Officer, Third Millennium Consultants, LLC, Shawnee, KS Presentation Material (Acrobat) Presentation Material (Powerpoint) Presentation Material (Acrobat) Presentation Material (Powerpoint) Presentation Material (Acrobat) Presentation Material (Powerpoint) Presentation Material (Acrobat) Presentation Material (Powerpoint) Presentation Material (Acrobat) Presentation Material (Powerpoint)
	2.04 Designing Incentives: The Impact of P4P on Smoking Interventions Marc Manley, MD, MPH Vice President & Medical Director, Population Health, BlueCross BlueShield of Minnesota, Eagan, MN Presentation Material (Acrobat) Presentation Material (Powerpoint)
	2.05 Information Technology: Creating Quality Improvement and Incentive Platforms in the Safety-Net Jonah Frohlich, MPH Senior Program Officer, California HealthCare Foundation, Oakland, CA Julie Murchinson, MBA Managing Director, Manatt Health Solutions, San Francisco, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
	2.06 Evaluating Performance: What do Employers Really Value? The Evolution of a P4P Program to Prove Real Value to Employers Deb Lange Vice President, Clinical Analytics and Performance Reporting, GRIPA, Rochester, NY Eric Nielsen, MD Chief Medical Officer, GRIPA, Rochester, NY Presentation Material (Acrobat) Presentation Material (Powerpoint)
	2.07 Innnovations in P4P: What You Do Not Know about Disease Management: A New Ally in the Pay for Performance Era Mary Jane Osmick, MD Vice President and Medical Director, LifeMasters Supported SelfCare, Inc., Irvine, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
	2.08 Efficiency in P4P: Incorporating Resource Use and Episode of Care Efficiency Measurements in P4P Dolores Yanagihara, MPH Program Director, Pay for Performance, Integrated Healthcare Association, Oakland, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
	2.09 Getting Your Physicians to Succeed in Pay for Performance Richard L. Gilbert, MD, MBA Chairman/Chief Executive Officer Southeast Anesthesiology Consultants; Chief, Department of Anesthesiology, Carolina Medical Center, Charlotte, NC Presentation Material (Acrobat) Presentation Material (Powerpoint)
4:00 p.m.	Transition Break
4:15 p.m.	TRACK III: CONCURRENT SESSIONS
	3.01 Pay for Performance Case Studies: Engaging Physicians in Pay for Performance Bob VanEck Associate Vice President, Priority Health, Grand Rapids, MI Presentation Material (Acrobat)
	3.02 Aligning Hospitals and Physicians: OIG Update on Gain-Sharing and Pay for Performance Paul Smith Partner, Davis Wright Tremaine, LLP, San Francisco, CA Allen E. Briskin Of Counsel, Davis Wright Tremaine, LLP, San Francisco, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
	3.03 Reporting and Motivating Performance: Measuring Physician Performance to Improve Value David Lansky, PhD President and Chief Executive Officer, Pacific Business Group on Health, San Francisco, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
	3.04 Designing Incentives: Reducing the Cost of Care Through a Shared Savings Program with Medical Groups Mike Belman, MD Medical Director, Anthem BlueCross of California, Woodland Hills, CA Kurt M. Tamaru, MD, MBA, FAAFP Medical Director, Anthem BlueCross of California, Woodland Hills, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
	3.05 Information Technology: Hospital Quality - Filling a Gap Brent Higgins Project Lead, BCBS of Virginia, Richmond, VA Robert Krebbs Program Manager, Blue Cross Blue Shield of Virginia, Richmond, VA Rome H. Walker, MD Medical Director, Blue Cross Blue Shield of Virginia, Richmond, VA Presentation Material (Acrobat) Presentation Material (Powerpoint)
	3.06 Evaluating Performance: Evolving Approaches to Evaluating Performance Measurement Programs Kevin C. Park, MD Principal and Medical Director, Attest Health Care Advisors LLC, Henderson, NV Joann Genovich-Richards, PhD, RN Vice President for Research and Measurement, URAC, Washington, DC Presentation Material (Acrobat) Presentation Material (Powerpoint)
	3.07 Innovations in P4P: Innovations in Measurement and Payment Francois de Brantes Chief Executive Officer, Bridges to Excellence, Newtown, CT Presentation Material (Acrobat) Presentation Material (Powerpoint)
	3.08 Efficiency in P4P: Addressing Clinical Variation to Improve Practice Efficiency: A Partnership between Physicians and a Health Plan Chris R. Cammisa, MD Medical Director, Partnership Health Plan of California, Fairfield, CA Gregory H. Partridge President, Focused Medical Analytics, LLC, Rochester, NY Presentation Material (Acrobat) Presentation Material (Powerpoint)
	3.09 Value-Based Benefit Design: Coverage, Decision Support and Provider Selection Emma Hoo Director of Value-Based Purchasing, Pacific Business Group on Health, San Francisco, CA Presentation Material (Acrobat) Presentation Material (Powerpoint) Peter V. Lee Executive Director, National Health Policy, Pacific Business Group on Health, San Francisco, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
5:15 p.m.	Adjournment