Pay for Performance Summit: Agenda: Day Two

Agenda: Pay for Performance Summit: Day II Tuesday, March 9, 2010
MOVING THE DIAL TOWARDS BREAKTHROUGH PERFORMANCE MORNING PLENARY SESSION
8:00 a.m.	Keynote Address: Applying Toyota "Lean" to Healthcare Redesign Gary S. Kaplan, MD Chairman and Chief Executive Officer, Virginia Mason Medical Center, Seattle, WA Presentation Material (Acrobat)
8:30 a.m.	Keynote Address: Catalyzing a 60 MPG Healthcare System Arnold Milstein, MD, MPH U.S. Thought Leader, Mercer Health & Benefits; Medical Director, Pacific Business Group on Health, San Francisco, CA Presentation Material (Acrobat)
9:00 a.m.	Keynote Panel: Achieving Breakthroughs in Improvement Janet Corrigan, PhD President and Chief Executive Officer, National Quality Forum, Washington, DC Gary S. Kaplan, MD Chairman and Chief Executive Officer, Virginia Mason Medical Center, Seattle, WA Arnold Milstein, MD, MPH U.S. Thought Leader, Mercer Health & Benefits; Medical Director, Pacific Business Group on Health, San Francisco, CA Margaret (Peggy) E. O'Kane President, National Committee for Quality Assurance, Washington, DC Mark D. Smith, MD, MBA President and Chief Executive Officer, California HealthCare Foundation, Oakland, CA (Moderator)
10:00 a.m.	Break

PAY FOR PERFORMANCE MINI SUMMITS (Choose one Mini Summit only)
Mini Summit I: Breakthroughs in Quality Improvement Mini Summit II: Breakthroughs in Cost Efficiency Improvement Mini Summit III: The National Quality Forum: Building a National Framework for Improvement Mini Summit IV: Tools and Strategies to Support Transformational Changes

Mini Summit I: Breakthroughs in Quality Improvement
10:30 a.m.	Introduction and Overview Jerry Penso, MD, MBA Associate Medical Director, Quality Programs, Sharp Rees-Stealy Medical Group, San Diego, CA (Mini Summit Chair)
10:45 a.m.	What Does It Take to Achieve Superior Medical Group Quality Performance? Jorge Pelayo-Garcia, MD Family Medicine Physician, Sharp Rees-Stealy Medical Group, San Diego, CA Presentation Material (Acrobat)
11:15 a.m.	Statewide Quality Improvement: The Wisconsin Healthcare Quality Collaborative Cindy Schlough Director of Strategic Partnerships, WCHQ � Wisconsin Collaborative for Healthcare Quality, Middleton, WI Presentation Material (Acrobat)
11:45 a.m.	Achieving Peak Performance in Quality: The National Perspective Julie Sanderson-Austin, RN Vice President for Quality Management and Research American Medical Group, Alexander, VA Presentation Material (Acrobat)
12:15 p.m.	Panel Discussion

Mini Summit II: Breakthroughs in Cost Efficiency Improvement
10:30 a.m.	Introduction and Overview Arnold Milstein, MD, MPH U.S. Thought Leader, Mercer Health & Benefits; Medical Director, Pacific Business Group on Health, San Francisco, CA (Mini Summit Chair) Presentation Material (Acrobat)
10:45 a.m.	The Geisinger ProvenCare™ Experience Ruth Nolan, PhD(c), RNC Vice President of Women's Health, Geisinger Health System, Danville, PA Presentation Material (Acrobat)
11:15 a.m.	Spend More to Save More Douglas Allen, MD, MMM Vice President Clinical Programs, CareMore Health Plan, Cerritos, CA Presentation Material (Acrobat)
11:45 a.m.	Safeway Health: Healthcare Solutions That Work Ken Shachmut Senior Vice President, Safeway Inc.; Executive Vice President, Safeway Health LLC, Pleasanton, CA
12:00 p.m.	Panel Discussions

Mini Summit III: The National Quality Forum: Building a National Framework for Improvement
10:30 a.m.	Introduction and Overview Janet Corrigan, PhD President and Chief Executive Officer, National Quality Forum, Washington, DC (Mini Summit Chair)
11:00 a.m.	National Quality Data Set Helen Burstin, MD, MPH Senior Vice President, Performance Measures, National Quality Forum, Washington, DC
11:30 a.m.	Efficiency and Outcome Measurement Thomas B. Valuck, MD, MHSA, JD Senior Vice President for Strategic Partnerships, National Quality Forum, Washington, DC Presentation Material (Acrobat)
12:00 p.m.	Panel Discussion

Mini Summit IV: Tools and Strategies to Support Transformational Changes
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)
10:45 a.m.	MONAHRQ: Empowering States and Communities for Tracking, Reporting and Rewarding Value Anne Elixhauser, PhD Senior Research Scientist, Agency for Healthcare Research and Quality, Rockville, MD Presentation Material (Acrobat)
11:15 a.m.	Taking Transformational Change to Scale: Reducing MRSA and Other Infections Bradley N. Doebbeling, MD, MSc, FACP Senior Research Scientist, Regenstrief Institute, Inc., Indiana University, Indianapolis, IN Presentation Material (Acrobat)
11:45 a.m.	E-HEDIS Phil Renner, MBA Senior Research Scientist, Research and Performance Measurement, National Committee for Quality Assurance, Washington, DC Presentation Material (Acrobat)
12:15 p.m.	Panel Discussion
12:30 p.m.	Networking Luncheon in the Exhibit Hall
PAY FOR PERFORMANCE CONCURRENT SESSIONS
1:45 p.m.	CONCURRENT SESSIONS I
	1.01 Government Programs: CMS and Pay for Performance: Current Issues David Sayen, MBA Regional Administrator, CMS, Region IX, San Francisco, CA Presentation Material (Acrobat)
	1.02 Hospital Programs: Maryland Hospital Quality Indicator Project Nikolas Matthes, MD, PhD, MPH, MSc Vice President, Maryland Hospital Association/Quality Indicator Project, Elkridge, MD Presentation Material (Acrobat)
	1.03 Physician P4P Programs: It Takes a Village to Raise...Your Scores Barton Wald, MD Regional Medical Director, HealthCare Partners, LLC, Arcadia, CA Stuart Levine, MD Corporate Medical Director, HealthCare Partners, LLC, Torrance, CA Presentation Material (Acrobat)
	1.04 Efficiency Measurement: P4P from the Provider Perspective: Models and Analysis from BTE and Prometheus Guy D'Andrea, MBA President, Discern Consulting, Baltimore, MD Fran�ois de Brantes Chief Executive Officer, Bridges to Excellence, Newtown, CT Presentation Material (Acrobat)
	1.05 IT-Enabled Care: Connecting the Dots - EMR Validated Data - Driving Quality & Clinical Performance Improvement Hans Wiik President and Chief Executive Officer, Centura Health Integrated Physician Network, Louisville, CO David Ehrenberger, MD Chief Medical Officer, Centura Health Integrated Physician Network, Louisville, CO Presentation Material (Acrobat)
	1.06 Performance Payment: Patient-centered Medical Home and Payment Reform: A Report from the Trenches Thomas Foels, MD, MMM Chief Medical Officer, Independent Health, Buffalo, NY James Byrne, MD Chief Medical Officer, Priority Health, Grand Rapids, MI Lynne Cuppernull Director, Clinical Learning & Innovation, Alliance of Community Health Plans, Washington, DC Presentation Material (Acrobat)
	1.07 Clinical Integration and P4P: P4P as the Driver for Clinical Integration Elizabeth Simpkin Vice President, Clinical Integration, Consulting Services, Valence Health, Chicago, IL Presentation Material (Acrobat)
	1.08 International P4P Programs: The P4P Program for the Brazilian Private Health Sector Cesar Abicalaffe, MD, MSc Project Director, NAGIS Health, Curitiba, Brazil Paulo Borem, MD Director/Physician, Unimed-Belo Horizonte (UBH), Belo Horizonte, Brazil Presentation Material (Acrobat)
2:45 p.m.	Transition Break
3:00 p.m.	CONCURRENT SESSIONS II
	2.01 Government Programs: Evaluating Regional Pay for Performance Demonstration Projects Joseph Anarella Deputy Director, Division of Quality and Evaluation, NYSDOH, Albany, NY Rohit Bhalla, MD, MPH Chief Quality Officer, Montefiore Medical Center, Bronx, NY Thomas J. Foels, MD, MMM Chief Medical Officer, Independent Health, Buffalo, NY Presentation Material (Acrobat)
	2.02 Hospital Programs: Preliminary Findings from The Leapfrog Group's Gainsharing Demonstration Project Leah Binder, MA, MGA Chief Executive Officer, The Leapfrog Group, Washington, DC Presentation Material (Acrobat) Jeremy Nobel, MD, MPH Adjunct Professor, Harvard School of Public Health, Brookline, MA Presentation Material (Acrobat) James Reynolds President, Reynolds & Company, Inc., New York, NY Presentation Material (Acrobat)
	2.03 Physician P4P Programs: Impact of Pay for Performance Program in a PPO Setting over a Decade: Quality of Care, Outcomes, and the Future Richard S. Chung, MD Senior Vice President, Hawaii Medical Services Association, Honolulu, HI Judy Y. Chen, MD, MSHS Director of Clinical Development, Health Benchmarks, IMS Health, Woodland Hills, CA Presentation Material (Acrobat)
	2.04 Efficiency Measurement: Development of Efficiency Measures: Episodes, Appropriate Use, and Total Cost of Care Dolores Yanagihara, MPH Director, Pay for Performance Program, Integrated Healthcare Association, Oakland, CA Presentation Material (Acrobat)
	2.05 IT-Enabled Care: P4P and a Web-based Portal Supporting 'Meaningful Use' of EHR, Medical Home Certification and Clinical Integration Eric Nielsen, MD Chief Medical Officer, GRIPA, Rochester, NY Deb Lange, MS Vice President, Clinical Analytics and Performance Reporting, GRIPA, Rochester, NY Presentation Material (Acrobat)
	2.06 Performance Payment: Creating the Strongest Possible Incentive with Pay for Performance: Implications for Payment Strategies R. Adams Dudley, MD, MBA Associate Professor of Medicine and Health Policy, University of California San Francisco, San Francisco, CA Presentation Material (Acrobat)
	2.07 Clinical Integration and P4P: Using Pay for Performance to Build Clinical Integration within a Physician-Hospital IPA Michael Edbauer, DO Vice President of Medical Affairs, CIPA WNY, IPA, Buffalo, NY Nancy T. Hourigan, MBA Manager, Physician Compensation and Pay for Performance, CIPA WNY, IPA, Buffalo, NY Presentation Material (Acrobat)
	2.08 Making it Real: Provider Financial Realignments - Critical Legal Issues and Structuring Options Robert Girard, Esq. Partner, Davis Wright Tremaine LLP, Los Angeles, CA Jill Gordon, Esq. Partner, Davis Wright Tremaine LLP, Los Angeles, CA Presentation Material (Acrobat)
4:00 p.m.	Transition Break
4:15 p.m.	CONCURRENT SESSIONS III
	3.01 Government Programs: Use of Performance Measures in Pay for Performance for Medicaid Gregory S. Buchert, MD, MPH Chief Operating Officer, CalOptima, Orange, CA Presentation Material (Acrobat)
	3.02 Hospital P4P Programs: Rewarding Hospitals for Improved Payment Trends Doug Darland Director, Hospital Contracting and Policy, Blue Cross Blue Shield of Michigan, Southfield, MI Ellen Ward Project Manager, Provider Contracting and Policy, Blue Cross Blue Shield of Michigan, Southfield, MI Presentation Material (Acrobat)
	3.03 Physician P4P Programs: Leveraging Data to Identify Opportunities for Cost and Quality Improvement Michael Van Duren, MD Chief Medical Officer, Sutter Physician Services, Sutter Physician Services & Sutter Medical Network, Sacramento, CA Presentation Material (Acrobat) Colleen Thilgen Vice President, Ingenix Consulting, San Francisco, CA Presentation Material (Acrobat)
	3.04 Regional Collaboration: The Right Care Initiative - A Statewide Effort to Improve Care Cindy Ehnes Director, California Department of Managed Health Care, Sacramento, CA Presentation Material (Acrobat)
	3.05 IT-Enabled Care: Quality Profiles: The Leadership Series - Focus on Supporting Quality Improvement Through the Use of Health Information Technology Margaret (Peggy) E. O'Kane President, National Committee for Quality Assurance, Washington, DC Gregory N. Larkin, MD, FAAFP Chief Medical Officer, Indiana Health Information Exchange, Indianapolis, IN Diane Turnipseed, RN, MSN, CPHQ Chief Quality Officer, Family Care Partners, Jacksonville, FL Presentation Material (Acrobat)
	3.06 Performance Payment: Never Pay for Never Events, Including Readmissions in Medicare's (non-payment for) Hospital Acquired Conditions Policy Peter McNair, MPH, MHS Clinical Epidemiologist, Palo Alto Medical Foundation Research Institute, Palo Alto, CA Presentation Material (Acrobat)
	3.07 Clinical Integration and P4P: Clinical Integration Driving P4P Measure Selection Michael Bakerman, MD, FACPE, FACC Associate Medical Director, Partners Healthcare, Needham, MA Presentation Material (Acrobat)
	3.08 P4P Measurement: Incorporating the ABMS MOC® - An Alternative to the Use of Claims-based Metrics for P4P Jason Aronovitz, DO Director of Medical Informatics, PIM Development Department, American Board of Internal Medicine, Philadelphia, PA Sarah Begor, MS, CMPE Program Manager, Office of Clinical Affairs, BlueCross BlueShield Association, Chicago, IL Deborah J. Donovan, RHIA, CPHQ, MLLS Director, Provider Quality Performance Management, Highmark Inc., Pittsburgh, PA Kathleen Janiszeski, RN, CCM Clinical Quality Coordinator, Excellus BlueCross BlueShield, Rochester, NY Barb Rosenthal, MBA Director, Product Management and Business Development, American Board of Medical Specialties, Chicago, IL Presentation Material (Acrobat)
5:15 p.m.	Adjournment