pay for performance healthcare conference
pay for performance healthcare conference
pay for performance healthcare conference
pay for performance healthcare conference
pay for performance healthcare conference
pay for performance healthcare conference



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Agenda: Pay for Performance Summit: Day II
Tuesday, March 25, 2014
7:00 a.m. Registration and Continental Breakfast in the Exhibit Hall

DAY II - MORNING PLENARY SESSION

8:00 a.m.


Keynote Address: The Future of Performance Measurement

Peggy O'Kane
President, National Committee for Quality Assurance, Washington, DC

    Speaker Bio

    Margaret E. O'Kane is the founder and current President of the National Committee for Quality Assurance (NCQA), an independent, nonprofit organization that improves health care quality through measurement, transparency and accountability. O'Kane has served as co-chair of the National Priorities Partnership and is a board member of the Foundation for Informed Decision Making and the American Board of Medical Specialties. She was elected a member of the Institute of Medicine in 1999 and received the 2009 Picker Institute Individual Award for Excellence in the Advancement of Patient-Centered Care. She received the Gail L. Warden Leadership Excellence Award from the National Center for Healthcare Leadership in 2012. Modern Healthcare has named O'Kane one of the Top 25 Women in Healthcare three times, most recently in 2013. A master's degree holder in health administration and planning from Johns Hopkins University, O'Kane is a recipient of that university's Distinguished Alumnus Award.
    Presentation Material (Acrobat)
8:45 a.m.

Keynote Panel: Case Studies: Rewarding Excellence and Provider Engagement

Robert Cambray, MD
Medical Director, Wildwood Family Clinic, Madison, WI

    Speaker Bio

    Robert Cambray, MD is a family practice physician in an independent private practice group of 13 family practice doctors and 3 PAs in Madison Wisconsin. His practice provides care for all ages from birth to end of life, including inpatient care and obstetrics. He also serves as Medical Director for his practice, as a member of the Grievance and Appeals Committee at Dean Health Plan and was a past member of a physician contact group advising on the implementation of an incentive program for independent clinics contracting with Dean Health Plan.

    Dr. Cambray went to undergraduate and medical school at Michigan State University. He is married with 2 daughters.
Tom Leyden, MBA
Director II, Value Partnerships Program, Blue Cross Blue Shield of Michigan, Detroit, MI

    Speaker Bio

    Tom Leyden has twenty years of experience in a variety of areas including pay-for-performance, clinical program development, performance improvement consulting, market research, planning, business development, marketing and communications.

    In his role leading Value Partnerships, he oversees a portfolio of 50+ statewide partnerships with physicians, physician groups and hospitals. Tom also oversee's the organization's NCQA accreditation program, among others.

    Prior to joining BlueCross in 2007, Tom served as Vice President at MPRO, Michigan's Medicare quality improvement organization. Prior experiences include a variety of consulting roles including Ernst & Young's Health Care Consulting Division.

    Mr. Leyden received his BA from Michigan State University and his MBA from Wayne State University.
    Presentation Material (Acrobat)
J.C. McWilliams, MBA, MHP
System Vice President of Strategy & Network Management, Dean Health Plan, Madison, WI

    Speaker Bio

    J.C. McWilliams is the System Vice President of Strategy & Network Management for Dean Health Insurance, Inc. (DHI), a provider-sponsored health plan in Madison, Wisconsin. Mr. McWilliams has served on the senior management team at DHI since 2006 and has been with DHI over ten years. His core responsibilities include health plan strategy development and planning, provider network management and development, provider reimbursement strategy and design, and related operations management.

    Prior to his current role, Mr. McWilliams held the positions of Corporate Strategy & Contracting Officer and Director of Network Services for DHI, Administrator of Decision Support & Financial Planning for Dean Health System, Director of Contract Administration for University of Wisconsin Medical Foundation, and he has held other consulting and analytical positions in health care administration.

    Mr. McWilliams previously served on the advisory board for Global Medical Alliance and the board of directors for the Wisconsin Forum for Healthcare Strategy.
    Presentation Material (Acrobat)
Gregg Stefanek, MD
Family Practice Physician, Alma, MI

    Speaker Bio

    Passionate in his belief that there is a better way, Dr. Stefanek is a full-time family physician that speaks about empowered, engaged, proactive patients, supported and encouraged by providers who have recognized the need and improved their systems.

    Dr. Stefanek graduated from the University of Notre Dame with an accounting degree and worked for two years as a public accountant until medicine called him to Michigan State University's College of Osteopathic Medicine, Dr. Stefanek was in private practice until 2001 and now is employed by Covenant Healthcare. He is in is 23rd year of practice, all in Alma, Michigan.
    Presentation Material (Acrobat)
Tom Williams, DrPH
President and Chief Executive Officer, Integrated Healthcare Association, Oakland, CA (Moderator)

    Speaker Bio

    Since 2004, Tom Williams has led the Integrated Healthcare Association (IHA), a California leadership group with balanced representation from major health plans, hospital systems, physician organizations and other healthcare stakeholders. IHA is dedicated to promoting quality improvement, accountability and affordability of health care by engaging its membership in a collaborative process to measure performance and align financial incentives. Mr. Williams is responsible for management of all IHA programs and initiatives, including its nationally recognized pay-for-performance program, medical technology value-based purchasing initiative, AHRQ-funded episode bundled payment pilot, and efforts to enhance the adoption of health information technology and improve healthcare affordability.

    Prior to joining IHA, Mr. Williams' professional career included extensive executive-level experience in medical group management, managed healthcare, and health insurance, including 15 years as a senior executive at Aetna. He has served on numerous private company and non-profit boards involved in healthcare and the environment. Mr. Williams received a B.S. in environmental biology from the University of California at Santa Barbara, earned Masters degrees in Business Administration and Public Health from the University of Hawaii, and a doctoral degree in Public Health at the University of California at Berkeley.
    Presentation Material (Acrobat)
10:00 a.m.
Refreshment Break

10:30 a.m.

Keynote Panel: State Payment Policies That Promote Value

Nathan Moracco
Assistant Commissioner, Health Care Administration, Minnesota Department of Human Services, St Paul, MN

    Speaker Bio

    Nathan Moracco is assistant commissioner of the Health Care Administration at the Minnesota Department of Human Services (DHS). He oversees and manages the state's Medicaid program. Nathan also is responsible for reforming the state's managed care contracting and procurement processes, directing leading-edge accountable payment and health care delivery models and implementing the Affordable Care Act.

    Nathan has 18 years' experience in health care purchasing and reform, including 10 years managing health care for state employees and local units of government and seven years with Honeywell International. A leader in health reform, Nathan has established innovative programs designed to hold down health care costs, improve the quality of care and increase access for members. His work has spanned both public and private purchasing and has focused on market incentives that bring patients and health care together in new ways. Nathan also worked on the state's health exchange (MNsure) and serves on several health care boards and health reform commissions.
    Presentation Material (Acrobat)
Jeanene Smith
Administrator, Oregon Health Authority, Oregon Office for Health Policy and Research, Salem, OR

    Speaker Bio

    Jeanene Smith, MD, MPH is the new Chief Medical Officer for the Oregon Health Authority and continues to serve as the Administrator of the Office for Oregon Health Policy and Research (OHPR) As CMO, she provides leadership and advice in developing medical policy, including medical management, clinical quality standards and evidence based guidelines. As Administrator of OHPR, she provides technical and policy support to the Oregon Health Authority, the Governor's Office and the Oregon Legislature. A graduate of the Oregon Health Sciences University School of Medicine, she completed a residency in Family Medicine at Jefferson University Hospital in Philadelphia, Pennsylvania, and a Masters in Public Health from Portland State University. She has practiced family medicine in both private practice and community clinics for over 15 years, and continues to see patients on a limited basis a federally-qualified health center in Portland.
    Presentation Material (Acrobat)
Jennifer Vermeer, MPA
Medicaid Director, Iowa Department of Human Services, Des Moines, IA

    Speaker Bio

    Jennifer Vermeer was appointed the State Medicaid Director in September 2008. Prior to being named Director, Jennifer served as the assistant Medicaid Director for 3 years, and ten years as staff for the Arizona and Iowa State Legislatures. Vermeer is currently leading a variety of new endeavors including implementing Iowa's new approach to Medicaid, the Iowa Health and Wellness plan, multipayer Accountable Care Organizations, and Health Homes, including a Health Home targeted for persons with Serious Mental Illness.
    Presentation Material (Acrobat)
Alan Weil
Executive Director, National Academy for State Health Policy, Washington, DC (Moderator)

    Speaker Bio

    Alan Weil has been the executive director of the National Academy for State Health Policy (NASHP) since September 2004. Prior to joining NASHP, Mr. Weil served as director of the Urban Institute's Assessing the New Federalism project, one of the largest privately funded social policy research projects ever undertaken in the United States. He previously held a cabinet position as executive director of the Colorado Department of Health Care Policy and Financing, was health policy advisor to Colorado Governor Roy Romer, and was assistant general counsel in the Massachusetts Department of Medical Security.

    Mr. Weil is a frequent speaker on national and state health policy, Medicaid, federalism, and implementation of the Affordable Care Act. He is the co-editor of two books, publishes regularly in peer-reviewed journals, has testified before Congress more than half-a-dozen times, and is called upon by major media outlets for his knowledge and analysis.
    Presentation Material (Acrobat)
12:00 p.m.
Lunch in the Exhibit Hall

MINI SUMMITS
(Choose one Mini Summit only)
Mini-Summit I: Resource Use and Total Cost of Care Measurement
1:00 p.m.
Standardized cost and resource use measures are critical to addressing the increased cost pressure in our nation's healthcare system. This session will examine the science of measuring cost and resource use; review the progress over the last five years, including the current state of NQF endorsed measures and examples of other measures and how they are being used; and forecast future measurement needs. Evidence shows that not all care leads to better outcomes. Cost and resource use measures represent a key component in the national endeavor to assure all patients of high-value and high-quality care.

Taroon Amin
Senior Director, National Quality Forum, Washington, DC

    Speaker Bio

    Taroon Amin, MPH, MA, is Senior Director in Performance Measurement at the National Quality Form (NQF), a nonprofit membership organization created to develop and implement a national strategy for healthcare quality measurement and reporting. Mr. Amin provides leadership support on the topics of resource use and readmissions. Prior to NQF, he was an Agency for Health Care Research and Quality (AHRQ T-32) fellow at Brandeis University.

    Taroon holds a degree in international health systems management from Case Western Reserve University. Taroon also holds a MPH from Columbia University and a MA from Brandeis University, where he is currently a PhD candidate.
Susan Knudsen
Vice President, Health Informatics, HealthPartners, Minneapolis, MN
Dolores Yanagihara, MPH
Vice President, Performance Measurement and Analytics, Integrated Healthcare Association, Oakland, CA

    Speaker Bio

    Dolores Yanagihara is Vice President of Performance Measurement & Analytics at IHA. Her work includes developing strategic direction for performance measurement initiatives; leading the transition of the California Pay for Performance (P4P) program to Value Based P4P, which incorporates performance on quality, cost, and resource use into health plan incentive payments to physician organizations; spearheading data exchange and data quality improvement efforts; and promoting quality and efficiency measurement and improvement nationally. Ms. Yanagihara earned a Masters in Public Health from the University of Hawaii and a Bachelor of Science in Biology from the University of Notre Dame.
    Presentation Material (Acrobat)
2:45 p.m.
Mini-Summit Adjourns and Transition Break

Mini-Summit II: Value Based Integrative Behavioral Health

1:00 p.m.
This session features the COMPASS (Care of Mental, Physical, And Substance use Syndromes) program, a three-year effort designed to help solidify the empirically supported collaborative care management model as a solution for improved management of mental and physical health problems. The session will also address emerging evidence on the effectiveness of computer-based psychotherapy programs in behavioral health management, and highlight opportunities to leverage such programs in P4P and value based purchasing programs.

Katharina Janus, PhD, MBA
Professor and Director, Center for Healthcare Management, Hamburg, Germany

    Speaker Bio

    Katharina Janus, PhD, MBA, is a Professor of Healthcare Management at Ulm University, Germany and the Director of the Center for Healthcare Management, an international research center. She also holds an appointment at Columbia University, New York and became one of the first female board members of Allianz Inc. private health insurance. Building on her family history of women in business she explains state-of-the art management theory and practice in her blog and talks. Katharina Janus is a frequent speaker at events, and bridges the cross-national, historical and gender-related gaps that management theory and practice often struggle with today.
    Presentation Material (Acrobat)
Claire Neely, MD
Medical Director, Institute for Clinical Systems Improvement, Bloomington, MN

    Speaker Bio

    Claire S. Neely, MD, is the Medical Director for the Institute for Clinical Systems Improvement. She is responsible for ICSI's evidence-based medicine program and is currently the operations director for COMPASS (Care of Mental, Physical and Substance-use Syndromes) a 17 million dollar innovation award from CMMI, which is focused on disseminating evidence-based practices to improve the care of people with depression, diabetes and cardiovascular disease. As a Bush Medical Fellow, she studied team structures and interactions, and is skilled in applying adult learning tools to spread teamwork knowledge, skills and attitudes to enhance team performance. She earned her MD from Washington University School of Medicine, St Louis, MO, and is a Fellow of the American Academy of Pediatrics.
    Presentation Material (Acrobat)
Mark Williams, MD
Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN

    Speaker Bio

    Mark Williams, M.D., practices adult psychiatry in the Integrated Behavioral Health (IBH) division of Psychiatry and Primary Care at Mayo in Rochester, Minnesota. He is an Assistant professor, board certified in Consultative Psychiatry (Psychosomatic Medicine). He has extensive experience in models of collaborative care and led the implementation of the DIAMOND collaborative care model at Mayo. Currently, he is co-principle investigator of a CMS grant regarding collaborative care of patients with depression, diabetes, and cardiovascular disease (COMPASS). For 2014-2017, he has been named by Mayo's Center of the Science of Healthcare Delivery as a Population Health Scholar.
    Presentation Material (Acrobat)
Tom Williams, DrPH
President and Chief Executive Officer, Integrated Healthcare Association, Oakland, CA (Moderator)

    Speaker Bio

    Since 2004, Tom Williams has led the Integrated Healthcare Association (IHA), a California leadership group with balanced representation from major health plans, hospital systems, physician organizations and other healthcare stakeholders. IHA is dedicated to promoting quality improvement, accountability and affordability of health care by engaging its membership in a collaborative process to measure performance and align financial incentives. Mr. Williams is responsible for management of all IHA programs and initiatives, including its nationally recognized pay-for-performance program, medical technology value-based purchasing initiative, AHRQ-funded episode bundled payment pilot, and efforts to enhance the adoption of health information technology and improve healthcare affordability.

    Prior to joining IHA, Mr. Williams' professional career included extensive executive-level experience in medical group management, managed healthcare, and health insurance, including 15 years as a senior executive at Aetna. He has served on numerous private company and non-profit boards involved in healthcare and the environment. Mr. Williams received a B.S. in environmental biology from the University of California at Santa Barbara, earned Masters degrees in Business Administration and Public Health from the University of Hawaii, and a doctoral degree in Public Health at the University of California at Berkeley.
2:45 p.m.
Mini-Summit Adjourns and Transition Break

Mini-Summit III: What Have We Learned from Pioneer ACOs?
1:00 p.m.
The Pioneer ACO program has completed one full year and reported mixed results. In this session, we will hear firsthand from three Pioneer ACOs about lessons learned, including issues related to patient attribution and engagement, data sharing and reporting, and medical management. The panel brings a diversity of experiences reflecting different geographic locations, organizational structures, and approaches to population management.

Emily Brower
Executive Director, Accountable Care Programs, Atrius Health, Boston, MA

    Speaker Bio

    Emily DuHamel Brower is Executive Director, Accountable Care Programs, for Atrius Health, an alliance of six medical groups and a home health care and hospice agency in Massachusetts.

    Emily has developed opportunities to support transformational work that measurably improves healthcare for Atrius Health patients, including leading Atrius Health's implementation of the Pioneer ACO model, an initiative of CMS' Center for Medicare and Medicaid Innovation. She is also leading implementation of new care models for the "dual-eligibles," patients with both Medicare and Medicaid. In her position, Brower leads cross-Atrius Health, cross-discipline teams of over 50 people involved in redesigning care, moving from a payer-based to population-based approach.
    Presentation Material (Acrobat)
Colin LeClair
Executive Director, ACO Programs, Monarch HealthCare, Irvine, CA

    Speaker Bio

    Mr. LeClair is the Executive Director of Accountable Care at OptumHealth. Mr. LeClair is responsible for Monarch's Pioneer Model ACO, Monarch's Brookings-Dartmouth ACO, PrimeCare's Medicare Shared Savings Program, and other Commercial ACO ventures.

    Mr. LeClair was previously a Senior Strategy Consultant in the U.S. Healthcare Services Practice at L.E.K. Consulting, where he provided strategic counsel and real-world insight to L.E.K.'s healthcare clients, including healthcare payers, providers and distributors.

    Prior to joining L.E.K. Consulting, Mr. LeClair spent nearly a decade in a variety of executive leadership roles at Fortune 500 Medicare Advantage health plans.

    Mr. LeClair earned his B.S. in Business Administration from the Walter A. Haas School of Business at the University of California, Berkeley. He recently received the designation of Certified Health Insurance Executive (CHIE) by the America's Health Insurance Plans (AHIP) Executive Leadership Program and the Kellogg School of Management.
    Presentation Material (Acrobat)
Marcus Zachary, DO
Medical Director, Brown & Toland Physicians, San Francisco, CA

    Speaker Bio

    Dr. Zachary is the medical director for quality and ambulatory services at Brown and Toland Medical Group. He is primarily responsible for overseeing the medical services related to their Accountable Care accounts (ACOs). BTMG is the largest IPA in Northern California with approximately 1600 network providers caring for almost 400,000 Bay Area residents. BTMG's ACO work includes participation in the Pioneer program. In their first year of participation, BTMG achieved over $10 million in savings for the program. Prior to joining BTMG in 2012, Dr. Zachary was the lead physician informaticist for a Dignity hospital in San Francisco. He oversaw the implementation of the hospital electronic records system including physician order entry and physician progress notes. Dr. Zachary is boarded in internal medicine with over a decade of clinical experience as a hospitalist which included serving as medical director for his hospital medicine program. He is a Fellow of the Society of Hospital Medicine and continues to remain active in the organization serving on one of its national committees.
    Presentation Material (Acrobat)
James Robinson, PhD
Leonard D. Schaeffer Professor of Health Economics, University of California at Berkeley, Director, Berkeley Center for Health Technology, Berkeley, CA (Moderator)

    Speaker Bio

    James Robinson is Leonard D. Schaeffer Professor of Health Economics and Director of the Berkeley Center for Health Technology (BCHT) at the University of California at Berkeley. His professional activities include his roles as Senior Director for Medical Technology at the Integrated Healthcare Association (IHA), Contributing Editor for Health Affairs journal, and as keynote speaker for conferences, policy roundtables, and board meetings. At the Integrated Healthcare Association, Dr. Robinson is a member of the Board of Directors.

    At Berkeley, Professor Robinson teaches health policy and economics, focusing on the biotechnology, medical device, insurance, physician, and hospital sectors. He has published two books and over 100 papers in scientific and policy journals such as the New England Journal of Medicine, JAMA, and Health Affairs. The BCHT supports research and professional education projects related to coverage, management, and payment methods for innovative technologies including biopharmaceuticals, medical devices, and diagnostics.
2:45 p.m.
Mini-Summit Adjourns and Transition Break

Mini-Summit IV: Promoting Transformation in the Safety Net Through Performance Measurement and Payment Reform
1:00 p.m.
With implementation of the Affordable Care Act, clinics and public hospitals are adapting to the changing policy and payment environment -- including a shift from cost-based to value based reimbursement. This session will highlight several initiatives underway to measure, report, and reward performance in the safety net to achieve the Triple Aim.

Veenu Aulakh
Executive Director, Center for Care Innovations (CCI), San Francisco, CA

    Speaker Bio

    Veenu Aulakh is the Executive Director of the Center for Care Innovations (CCI). Veenu is responsible for the organization's overall strategy, building critical partnerships, and helping to ensure CCI continues to make an impact in transforming safety net systems in California.

    Before joining CCI, Veenu worked as a Senior Program Officer at the California HealthCare Foundation where she managed investments to organizations with innovations to lower the cost of care. She also led projects to improve the quality of primary care with an emphasis on patient engagement. Veenu also held a number of positions within Kaiser Permanente related to improving quality of care, developing disease management programs, and increasing patient engagement.
    Presentation Material (Acrobat)
Mary Maddux Gonzalez, MD, MPH
Chief Medical Officer, Redwood Community Health Coalition, Petaluma, CA

    Speaker Bio

    Dr. Mary Maddux-Gonzalez is a family physician and Chief Medical Officer at Redwood Community Health, a coalition of community health centers in Sonoma, Napa, Marin and Yolo counties serving more than 230,000 patients.? Prior to joining Redwood, she was the Sonoma County Public Health Officer and Public Health Division Director. Dr. Maddux-Gonzalez received her medical degree from the National Autonomous University of Mexico and completed her residency at the UCSF Santa Rosa Family Medicine Residency. She received her Masters of Public Health from UC Berkeley and a Diploma in Human Nutrition from London School of Hygiene and Tropical Medicine.
    Presentation Material (Acrobat)
Rachel Tobey, MPA
Director, John Snow, Inc. (JSI), San Francisco, CA

    Speaker Bio

    Rachel Tobey is the Director of JSI's San Francisco office. JSI is a public health research and consulting organization with a focus on vulnerable populations. For 16 years, Ms. Tobey has worked in large integrated delivery systems and community health clinics to improve cost effectiveness, quality, access and ultimately health of populations. Since 2011, Ms. Tobey has been engaged with California Primary Care Association and California Association of Public Hospitals and Health Systems to shape and advance a comprehensive payment reform strategy for California Federally Qualified Health Centers.

    Ms. Tobey is also an investigator on an RWJF grant studying emerging safety-net accountable care organizations nationally and a Blue Shield of California Foundation grant studying advancing whole-person-centered care in the safety net in California.

    Ms. Tobey holds a Bachelor of Arts from Stanford University and a Master's in Public and International Affairs from Princeton's Woodrow Wilson School.
    Presentation Material (Acrobat)
Grace Wang, PhD, MPH
Senior Researcher, American Institutes for Research, San Mateo, CA

    Speaker Bio

    Grace Wang, PhD, MPH Grace Wang is a health services and policy researcher with primary interests in evaluation of public health programs on health and cost outcomes. Dr. Wang has conducted mixed method studies to understand the health care transitions experienced by youth with disabilities and the adoption of new technologies in health care systems. Dr. Wang also has experience conducting economic evaluations and decision modeling to examine prevention of cancer and changes in quality adjusted life years in relation to costs. She has synthesized and translated research findings into guidance for decision makers, including state and federal-level policy makers. Dr. Wang holds degrees from the University of Pennsylvania, The George Washington University, and, most recently, the University of Washington.
    Presentation Material (Acrobat)
Jill Yegian, PhD
Senior Vice President, Programs and Policy, Integrated Healthcare Association, Oakland, CA

    Speaker Bio

    Jill Yegian, Ph.D. leads policy and research at the Integrated Healthcare Association. Responsibilities include knowledge translation and dissemination to share key findings from IHA's decade of experience working on delivery system alignment and payment reform, policy analysis to guide organizational strategy, and oversight for IHA's payment reform portfolio. Prior to IHA, she co-directed the American Institutes for Research's Health Policy and Research Group; previously, she spent 13 years at the California HealthCare Foundation leading efforts to increase coverage among California's uninsured and serving as CHCF's first director of research and evaluation. She received a bachelor's degree in human biology from Stanford University and a Ph.D. in health services and policy analysis from the University of California at Berkeley.
    Presentation Material (Acrobat)
2:45 p.m.
Mini-Summit Adjourns and Transition Break

AFTERNOON CONCURRENT SESSIONS
(Choose one Concurrent Session from each group.)
3:00 p.m.
CONCURRENT SESSIONS - GROUP 1

Session 1.1: MONAHRQ -- Creating an Instant Public Reporting Website

Irene Fraser, PhD
Director, Center for Delivery, Organization, and Markets, Agency for Healthcare Research and Quality (AHRQ), Washington, DC

    Speaker Bio

    Irene Fraser, Ph.D. is a political scientist who has specialized in research on Medicaid, private health insurance, and health care delivery. Since 1995, she has been at the Agency for Healthcare Research and Quality, where she is Director of the Center for Delivery, Organization, and Markets. The focus of this Center and Dr. Fraser's current work is on improving the quality and value of health care by improving the organization, structure, and financing of health care organizations and markets. The Center develops and maintains measures of quality and efficiency (through the AHRQ Quality Indicators), and leads and supports research on financial and organizational strategies to improve quality and value. The Center also manages the Healthcare Cost and Utilization Project (HCUP), a public-private partnership with states to produce all-payer databases, tools, and research on inpatient, emergency department, and ambulatory surgery care. The partnership includes data from 97% of the community hospital stays in the country.

    Finally, the Center manages two large-scale mechanisms to facilitate implementation of evidence-based strategies: A provider-based research and implementation network (Accelerating Change and Transformation in Organizations and Networks II, or ACTION II) with 17 large partnerships across the country, and a national network of 24 multi-stakeholder community quality collaboratives, the Chartered Value Exchanges.

    Dr. Fraser's work has appeared in journals including Health Affairs, Inquiry, Health Care Financing Review, among others.
    Presentation Material (Acrobat)
Michael Lundberg
Executive Director, Virginia Health Information, Richmond, VA

    Speaker Bio

    Michael comes to you today as Executive Director for Virginia Health Information, a nonprofit health care information company serving businesses, consumers, providers and others. Health information he has produced includes consumer guides, efficiency reports, financial comparisons, health outcomes measurement, public health evaluation and contracts for pay-for-performance programs in 14 states.

    Other leadership positions with nonprofit organizations include, Centralized Credentials Verification Service, Inc.(CCVS), Virginia Chamber of Commerce Small Business Committee, Virginia Center for Health Innovation workgroup and as President of the National Association of Health Data Organizations.
    Presentation Material (Acrobat)
Jill B Miyamura, PhD
Vice President, Hawaii Health Information Corporation, Honolulu, HI

    Speaker Bio

    Dr. Miyamura is Chief Operating Officer and Senior Scientist of Hawaii Health Information Corporation (HHIC), an independent, not-for-profit health data organization. In her position, Miyamura is responsible for the strategic planning, operations, research, and improvement of HHIC's data products and services. She is active on various work groups including the Agency Healthcare Research and Quality, HCUP Program and MONAHRQ's Strategic Planning Team. Dr. Miyamura is an author of many reports on healthcare in Hawaii's spanning key topics of utilization, disease incidence, quality, and racial disparities.
    Presentation Material (Acrobat)

Session 1.2: Medical Home Network Delivery System Transformation: From Patient Engagement to Payment Reform

Cheryl Lulias
President and Executive Director, Medical Home Network, Chicago, IL

    Speaker Bio

    Cheryl Lulias has more than 20 years of experience leading and implementing strategic business processes in a broad range of complex health care systems, including managed care operations, network management and business development. As President and Executive Director of Medical Home Network, Lulias leads a Medicaid pilot with public/private entities who are partnering to restructure the way healthcare is delivered and financed, leveraging the use of innovative technology. The primary goal of the initiative is to improve the health of its target population and, ultimately, to create a delivery framework to meet the needs of all vulnerable groups.

    Lulias received her undergraduate degree from the University of Michigan and her Master of Public Administration from the University of Illinois.
Arthur Jones, MD
Chief Medical Officer, Medical Home Network, Chicago, IL

    Speaker Bio

    Art Jones, M.D. has over 25 years of experience as a founding physician and CEO at a large Community Health Center in Chicago. It has served its Medicaid, Medicare and commercial populations under a near global capitation payment system since the early 1990's. During his tenure, the organization ranked in the top 1% of FQHCs nationally for managed care financial performance as well as the top FQHC in Illinois for quality based pay-for-performance programs with several MCOs. Dr. Jones was one of the founders and currently serves part time as the Chief Medical Officer of Medical Home Network.
    Presentation Material (Acrobat)

Session 1.3: Value Based Pay for Performance

Dan Ayala
Director, Informatics, Hill Physicians Medical Group, San Ramon, CA

Lindsay Erickson, MSPH
Manager, Value Based P4P Program, Integrated Healthcare Association, Oakland, CA

    Speaker Bio

    Lindsay Erickson is a Senior Project Analyst at the IHA. Her work focuses on resource use measures and Value Based P4P incentive design. Prior to joining the Integrated Healthcare Association, she worked at the Governor's Office of Planning and Budget for the State of Georgia, where she developed and evaluated budget and policy recommendations for Medicaid and the Children's Health Insurance Program. Lindsay earned a Master of Science in Public Health with a concentration on health policy and services research from Emory University and a Bachelor of Science from the University of California, San Diego.

Brian Jeffrey
Regional President, Network Management, UnitedHealthcare, Santa Ana, CA

    Speaker Bio

    Brian Jeffrey is the Regional President, Network Management at UnitedHealthcare.

    Prior to UnitedHealthcare, Brian was Senior Vice President, Ovations Network Strategy at UnitedHealth Group; Vice President, Provider Network Strategy at PacifiCare Health Systems; Vice President, Network Management at PacifiCare of California; Vice President, Network Management at PacifiCare of Washington

    Education: Harvard University School of Public Health; Tufts University
    Presentation Material (Acrobat)

Session 1.4: Facilitating your Medical Group's Effective Use of Patient Satisfaction Assessment Data

Kristen Gregory, PhD
Director of Patient Satisfaction Assessment, The Permanente Medical Group, Oakland, CA

    Speaker Bio

    Education: Kristen holds a Bachelor's from Stanford University, a Master's from UCLA, and a Ph.D. from UC Berkeley in Industrial Organizational Psychology - which is essentially the study of relationships among "soft" metrics such as attitudes (e.g., satisfaction) as these relate to "hard metrics" such as organizational performance (e.g., phone wait times).

    Career: Kristen has worked with Kaiser Permanente since 1987, designing assessments that identify service oriented people from among job applicants, conducting program evaluations, and directing the encounter based patient satisfaction survey and feedback processes for Kaiser Permanente's Northern California and Mid Atlantic regions.
    Presentation Material (Acrobat)

Session 1.5: New Specs for Quality Improvement Organizations

Marc Bennett, MA
President and Chief Executive Officer, HealthInsight, Salt Lake City, UT

    Speaker Bio

    Marc H. Bennett is President and Chief Executive Officer at HealthInsight, a private, non-profit, community-based organization dedicated to improving health and health care, that is composed of locally governed organizations in Nevada, New Mexico and Utah.

    HealthInsight is a recognized leader in Transparency & Public Reporting, in HIT initiatives, Payment Reform efforts, Human Factors Science research and application. They also have led numerous innovation efforts in the CMS QIO Beneficiary Protection program. The company employs a staff of approximately 190 FTEs and more than 200 physician consultants.

    Nationally, Mr. Bennett serves as Vice Chair of the Board for the Network for Regional Health Improvement (NRHI), a member organization for leading regional health improvement collaboratives across the nation. He also serves on the Quality Alliance Steering Committee (QASC), a body that coordinates federal and private sector quality measurement efforts for the nation. And he is a member of the national advisory board of the Center for Healthcare Quality and Payment Reform. Mr. Bennett is also a Past President and Board Chair of the American Health Quality Association (AHQA). He is a frequent contributor to national policy forums in HIT, HIE, and improvement, and is invited regularly to serve on advisory and planning committees or task forces associated with the National Quality Forum, The Brookings Institution, CMS, ONC, NASHP, AHQA, and other national policy groups.
    Presentation Material (Acrobat)

Session 1.6: Reference Pricing for Orthopedic Surgery, Lab Tests, and Diagnostic Imaging

Kent Bradley, MD
Senior Vice President and Chief Medical Officer, Safeway, Pleasanton, CA

    Speaker Bio

    Kent is the Chief Medical Officer for Safeway, Inc., a fortune 100 company with over 135,000 employees and is responsible for supporting the company's portfolio of health care programs including its employee and consumer wellness and prevention activities. He is the President of Safeway Health, a subsidiary of Safeway Inc. that provides solutions that engage employees to become active health consumers that results in improved health and reduced cost.

    Kent is a graduate of the United States Military Academy and has a Master in Public Health from the University of Minnesota, a MBA from the University of Denver, and his Medical Degree from the Uniformed Services University of Health Sciences, Bethesda, MD.
Aldo De La Torre
Vice President, Provider Engagement and Contracting, Anthem Blue Cross, Woodland Hills, CA

    Speaker Bio

    Aldo De La Torre has more than 15 years of experience within the health care/managed care industry. He joined Anthem Blue Cross in 2002.

    In his role as Vice President of Provider Contracting, Aldo is responsible for various Provider Contracting and operational functions throughout California, Colorado and Nevada.

    Prior to joining Anthem Blue Cross, Aldo held various contract management positions with the University of California, Davis Heath System, the St. Joseph's Health System and HealthNet.
    Presentation Material (Acrobat)
James Robinson, PhD
Leonard D. Schaeffer Professor of Health Economics, University of California at Berkeley; Director, Berkeley Center for Health Technology, Berkeley, CA

    Speaker Bio

    James Robinson is Leonard D. Schaeffer Professor of Health Economics and Director of the Berkeley Center for Health Technology (BCHT) at the University of California at Berkeley. His professional activities include his roles as Senior Director for Medical Technology at the Integrated Healthcare Association (IHA), Contributing Editor for Health Affairs journal, and as keynote speaker for conferences, policy roundtables, and board meetings. At the Integrated Healthcare Association, Dr. Robinson is a member of the Board of Directors.

    At Berkeley, Professor Robinson teaches health policy and economics, focusing on the biotechnology, medical device, insurance, physician, and hospital sectors. He has published two books and over 100 papers in scientific and policy journals such as the New England Journal of Medicine, JAMA, and Health Affairs. The BCHT supports research and professional education projects related to coverage, management, and payment methods for innovative technologies including biopharmaceuticals, medical devices, and diagnostics.
    Presentation Material (Acrobat)

Session 1.7: All Payer Claims Databases

Denise Love, BSN, MBA
Executive Director, National Association of Health Data Organizations (NAHDO); Co-chair, APCD Council, Salt Lake City, UT

    Speaker Bio

    Denise Love is the Executive Director of the National Association of Health Data Organizations (NAHDO), a national nonprofit membership and educational organization, established in 1986 and dedicated to improving the collection and use of health care data for market, consumer, policy, and research purposes. Since 2000, Ms. Love has provided technical assistance to and advocacy for statewide health care data reporting programs and has most recently been involved in expanding All Payer All Claims database (APCD) legislation and implementation across states as a founding member of the APCD council. Prior to joining NAHDO, Ms. Love was the Director of the Utah Office of Health Data Analysis where she oversaw the establishment of the statewide hospital and HMO reporting programs. She serves on advisory and steering committees including Board Member of the Joint Public Health Informatics Taskforce (JPHIT), Past Vice-chair of the National Quality Forum's (NQF) Public/Community Health Agency Council, the Centers for Medicare and Medicaid Services' (CMS) Technical Advisory Panels, the Utah Department of Health's Institutional Review Board, HealthInsight of Nevada and Utah Council, and the Utah Partnership for Value Exchange Steering Committee (Utah's Chartered Value Exchange), where she chaired the Outpatient Data Task Force.
    Presentation Material (Acrobat)

Session 1.8: Configuration of Network and Financial Managements Systems to Support Multiple Value Based Reimbursement Models

Kristina Rollings
Product Director, McKesson Health Solutions, Atlanta, GA

    Speaker Bio

    Kristina Rollings has been with McKesson for 15 years in a variety of roles for various product lines. These roles have spanned implementation services, sales, and product management in the areas of clinical and financial solutions in acute care and ambulatory settings as well as financial payer solutions. Currently, Kristina is with the McKesson Health Solutions Product Management team as a Product Director for Network and Financial Management, Emerging Solutions. Her current focus is on product and related market knowledge, planning, and execution for solutions that offer capabilities needed by Payers and Providers to support emerging value based payment models.
    Presentation Material (Acrobat)

4:00 p.m.

Transition Break

4:15 p.m.
CONCURRENT SESSIONS - GROUP 2

Session 2.1: Blue Cross Blue Shield of Michigan's Hospital Collaborative Quality Initiatives

Tom Leyden, MBA
Director II, Value Partnerships Program, Blue Cross Blue Shield of Michigan, Detroit, MI

    Speaker Bio

    Tom Leyden has twenty years of experience in a variety of areas including pay-for-performance, clinical program development, performance improvement consulting, market research, planning, business development, marketing and communications.

    In his role leading Value Partnerships, he oversees a portfolio of 50+ statewide partnerships with physicians, physician groups and hospitals. Tom also oversee's the organization's NCQA accreditation program, among others.

    Prior to joining BlueCross in 2007, Tom served as Vice President at MPRO, Michigan's Medicare quality improvement organization. Prior experiences include a variety of consulting roles including Ernst & Young's Health Care Consulting Division.

    Mr. Leyden received his BA from Michigan State University and his MBA from Wayne State University.
    Presentation Material (Acrobat)

Session 2.2: Value Based Pay for Performance

Dan Ayala
Director, Informatics, Hill Physicians Medical Group, San Ramon, CA

Lindsay Erickson, MSPH
Manager, Value Based P4P Program, Integrated Healthcare Association, Oakland, CA

    Speaker Bio

    Lindsay Erickson is a Senior Project Analyst at the IHA. Her work focuses on resource use measures and Value Based P4P incentive design. Prior to joining the Integrated Healthcare Association, she worked at the Governor's Office of Planning and Budget for the State of Georgia, where she developed and evaluated budget and policy recommendations for Medicaid and the Children's Health Insurance Program. Lindsay earned a Master of Science in Public Health with a concentration on health policy and services research from Emory University and a Bachelor of Science from the University of California, San Diego.
Brian Jeffrey
Regional President, Network Management, UnitedHealthcare, Santa Ana, CA

    Speaker Bio

    Brian Jeffrey is the Regional President, Network Management at UnitedHealthcare.

    Prior to UnitedHealthcare, Brian was Senior Vice President, Ovations Network Strategy at UnitedHealth Group; Vice President, Provider Network Strategy at PacifiCare Health Systems; Vice President, Network Management at PacifiCare of California; Vice President, Network Management at PacifiCare of Washington

    Education: Harvard University School of Public Health; Tufts University
    Presentation Material (Acrobat)

Session 2.3: Rewarding Excellence -- Developing a Pay-for-Performance Program

Jennifer Winchester
Senior Director, Provider Network Innovations and Partnerships, BlueCross BlueShield of South Carolina, Columbia, SC

    Speaker Bio

    Jennifer Winchester is the Senior Director of Provider Network Innovations and Partnerships at BlueCross BlueShield of South Carolina, where she is responsible for designing and implementing alternative payment methodologies for providers in South Carolina. She has over 15 years of provider and payer experience in managed care where she most recently served as the Director of Managed Care for Lexington Medical Center in West Columbia, SC. Jennifer is a skillful negotiator and excels in directing complex projects. Jennifer's healthcare vision is to create win-win solutions for providers and payers that are effective, value-added and sustainable.
Rene Frick
Senior Director, Provider Network Innovations and Partnerships, BlueCross BlueShield of South Carolina, Columbia, SC

    Speaker Bio

    As senior director of Provider Network Innovations & Partnerships, Rene is responsible for the development and implementation of alternative and performance-based contract models for commercial and Medicaid providers. This includes several value-based provider contracting initiatives such as accountable care organizations, pay-for-performance agreements and other payment and system innovations.

    Rene has worked with BlueCross® BlueShield® of South Carolina for 18 years. Prior to 2011, she was senior director for Provider Network Services. That area was responsible for network development and education of all the physician practices for BlueChoice® HealthPlan of South Carolina, a subsidiary of BlueCross BlueShield of South Carolina. Both BlueCross and BlueChoice® are independent licensees of the Blue Cross and Blue Shield Association.

    Before joining BlueCross, Rene was marketing manager for Aiken Regional Medical Centers. Her responsibilities included market research, strategic planning and physician recruitment for the community hospital.
    Presentation Material (Acrobat)

Session 2.4: Role of Digital Health in Patient Engagement and Payment Reform

Malay Gandhi
Chief Strategy Officer, Rock Health, San Francisco, CA

    Speaker Bio

    Malay is the Chief Strategy Officer at Rock Health, where he works with Rock Health portfolio companies to design sustainable business models. In addition, he leads all research efforts at Rock Health. He was previously with Deloitte Consulting, where he worked with leading payers and global pharma companies on growth issues. Malay earned a Masters concentrated in Health Policy and Management from the University of Pittsburgh and a B.S. from West Virginia University.
Kim MacPherson, MBA, MPH
Co-Director, Berkeley Center for Health Technology; MPH Program Director, University of California at Berkeley School of Public Health and Haas School of Business, Berkeley, CA

    Speaker Bio

    Kimberly MacPherson, MBA, MPH is the Associate Director, Health Management at the Haas School of Business, Program Director/Lecturer in Health Policy & Management at the School of Public Health and Co-Director, Berkeley Center for Health Technology (BCHT). Ms. MacPherson teaches several graduate level courses including Healthcare Finance, Foundations of Health Policy & Management and Healthcare Negotiations. She has over 20 years of health industry experience in operations, management consulting and strategic/business planning and product development. She is a member of the Board of Trustees for St. Francis Memorial Hospital (Dignity Health). She earned her MBA and MPH at U.C. Berkeley.
Mike Payne
Vice President of Strategy, Omaha Health, San Francisco, CA

    Speaker Bio

    Mike is a commercial leader who has worked with companies in almost every sector of health care. He is committed to making Omada into the leader of a new generation of health providers focused on evidence-based digital health programs for specific, complex diseases. Omada's initial program, Prevent, is a clinically-proven program focused on preventing type 2 diabetes among pre-diabetics, and has enrolled over 1000 participants to date. Mike joined Omada in 2013 from biotechnology leader Gilead Sciences, where he spent 6 years as Senior Director of Commercial Strategy, with experience in new product development, M&A, and marketing. Mike was previously with the healthcare practice at McKinsey & Company where he worked with healthcare clients in biotechnology/pharma, medical devices, health systems, and global health. Mike has an MBA from Stanford Business School as well as an MSc in Health Services Research from Stanford Medical School.
Howard Willson, MD, MBA
Senior Director, Clinical Design, Castlight Health, San Francisco, CA

    Speaker Bio

    Howard Willson, MD, MBA, is a practicing emergency physician and Senior Director on the Clinical Team at Castlight Health. ?He leads the company's provider efforts, working with hospitals and other providers who are increasingly important clients as they either adopt the transparency tool or partner with Castlight in other ways. Prior to joining Castlight, he was Department Chief for emergency medicine at Swedish Medical Center in Seattle, WA. ?He also co-founded ?a company that performs facility coding for emergency department visits. He has a BA from Dartmouth College and completed his residency training at Case Western/MetroHealth and the Cleveland Clinic. He has an MBA from Wharton.

Session 2.5: Strategies for Success in Accountable Care

Lawrence Shapiro, MD
Medical Director of Managed Care, Palo Alto Medical Foundation, Mountain View, CA

    Speaker Bio

    Lawrence Shapiro obtained his MD degree from University of California, San Francisco and completed his pulmonary training at UCLA Harbor General Medical Center. He is board certified in both Internal Medicine and Pulmonary Disease. For 16 years he was a pulmonologist intensivist in solo practice before joining the Palo Alto Medical Foundation. During that time he was the Medical Director for Respiratory Medicine at El Camino Hospital as well as the chair of the Critical Care Committee for the hospital. He was the first chair of the hospital's Bioethics Committee. Upon joining the medical group in 1995 he headed the utilization review process for the hospital and in 1998 took the position as Managed Care Medical Director for the Palo Alto Medical Foundation (PAMF). In 2005 he initiated PAMF's Variation Reduction Project. VR is saving PAMF patients $10 million per year by eliminating unwarranted clinical variation. He also serves as faculty for the Institute for Healthcare Improvement, Appropriate Use of Specialty Care Services Prototyping Initiative. His book on variation reduction, "Quality Care, Affordable Care: How physicians can reduce variation and low healthcare costs" is now available from Greenbranch Publishing.
Laurel Trujillo, MD
Medical Director of Quality, Palo Alto Medical Foundation, Mountain View, CA

    Speaker Bio

    Laurel Trujillo, MD, Medical Director of Quality for the Palo Alto Medical Foundation (PAMF) has worked in quality improvement since 2001. PAMF is a multispecialty medical group in the San Francisco Bay area with 1200 physicians caring for 850,000 patients. Dr. Trujillo's work focuses on increasing transparency of quality reporting through development of provider and organizational dashboards; increasing value in medical care through Variation Reduction projects in 25 medical and surgical specialty departments; and incorporating patient preferences through shared decision making in Primary Care. Dr. Trujillo Chairs PAMF's Quality Improvement Steering Committee which oversees quality, patient safety, guideline development, and medical education. She also chairs PAMF's Pay for Performance Steering Committee, which works to improve quality measures in the California statewide IHA Pay for Performance program and Medicare PQRS. She has experience in applying the Lean Management System to healthcare and in leading Rapid Process Improvement Workshops. Dr. Trujillo obtained her Bachelor's degree in Biology-Chemistry from University of the Pacific in Stockton, California, her MD from University of California San Francisco, residency training in Primary Care Internal Medicine at UCLA Medical Center, and has completed a fellowship in the California Health Care Foundation's Health Care Leadership Program.
    Presentation Material (Acrobat)

Session 2.6: Population Health Management and Implications for P4P and ROI

Keith Cernak, MBA, MSPH
Executive Director, Health Protect International, Walnut Creek, CA

    Speaker Bio

    Keith Cernak has an extensive background in community needs assessment having created the nationally awarded and internationally recognized Partners For A Healthier Community effort. For a dozen years Keith managed the Partners effort that developed joint ventures between more than fifty: health systems, community service providers and businesses to address medically underserved populations. His expertise is in creating social and financial leverage through partnership development to address critical health issues. Keith has an MBA from UCLA as well as Master's degree in health planning and has been an Advisor to the World Health Organization on health partnership development.
    Presentation Material (Acrobat)

Session 2.7: The New Risk Bearing Providers: Addressing the Opportunities in Value Based Reimbursement Patterns

Jay Sultan
Associate Vice President and Chief Product Portfolio Architect, TriZetto Corporation, Athens, GA

    Speaker Bio

    A payment reform thought leader and expert in healthcare analytics, with more than 12 years' experience in the payer and hospital arenas, Jay Sultan is responsible for developing value-based reimbursement, ACO, and analytics solutions. Prior to joining TriZetto, Sultan was the architect and principal author of two payment-bundling programs chosen by the Centers for Medicare and Medicaid Services as Acute Care Episode demonstration project sites. As the chief operating officer of MedAlign, he developed a number of innovative payment-reform programs, including episodic provider payment, for which he is the author of a patent.
    Presentation Material (Acrobat)

Session 2.8: Defensible Scorecards: Performance Measurement and Compensation for ACOs and PCMHs

Jim Frankfort, MD
Chief Medical Officer and Vice President, Clinical Informatics, IMS Health, San Francisco, CA

    Speaker Bio

    Jim is the Chief Medical Officer & V. P. of Clinical Informatics at IMS Health, where he oversees the development of quality and cost analytics and contributes to product development and strategic planning. He has extensive experience in clinical medicine, applied medical informatics, and medical quality improvement. Jim is board certified in Internal Medicine, Pulmonary Disease, and Critical Care, with twelve years experience in a private practice setting. He came to IMS health in 2010 through the acquisition of Med-Vantage, which he joined as VP Performance Measurement in 2007. Prior to that he spent seven years as the Chief Medical Officer and Director of Medical Informatics for Resolution Health, Inc, a data analytics company that capitalized on his understanding of inference engines, medical coding systems, data mining, and management skills. Jim also worked for the consulting firm of Booz Allen Hamilton serving as the Program Manager for NASA's Patient Safety Reporting System. Jim is a graduate of Intermountain Health Care Advanced Training Program in Health Care Delivery Improvement and facilitated the development of system wide care pathways, order sets, and comparative performance reporting while working as a Physician-Information Services Liaison.

    Jim has completed his Pulmonary Fellowship and Internal Medicine Residency from the University of California-Irvine, Doctor of Medicine from SUNY Downstate Medical Center in New York and received his Bachelor's degree from Lake Forest College, Illinois.
    Presentation Material (Acrobat)

Melora Simon, MPH
Consultant, Stanford Clinical Excellence Research Center, San Francisco, CA

    Speaker Bio

    Mrs. Simon is a consultant to the Stanford Clinical Excellence Research Center and the project lead for this endeavor. Formerly, she was an Expert in McKinsey's Health Systems Institute, where she was responsible for leading product and knowledge development on value in health care. Prior to that, she was an Engagement Manager in McKinsey's health systems and services practice, working with health systems in the US, UK, Australia, Spain, Singapore, and the Middle East.

    Prior to joining McKinsey, Melora worked for the New York City Health and Hospitals Corporation, where she oversaw the introduction of pay-for-performance programs for chronic disease management in their Medicaid managed care plan. She has held fellowships at the US Department of Health and Human Services and the Urban Institute. She holds a Masters in Health Services Management from Columbia University and a B.A. in Human Biology from Stanford University.
    Presentation Material (Acrobat)

5:15 p.m.

Day 2 Adjourns

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Preconference / Day 1 | Day 3




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