Pay for Performance Summit: Agenda: Day Two

Agenda: Pay for Performance Summit Day II Thursday, February 28, 2008 Morning Plenary Session: Facing the Challenges in Performance Measurement
8:00 a.m.	Welcome and Introductions Francois de Brantes Chief Executive Officer, Bridges to Excellence, Fairfield, CT (Co-chair)
8:15 a.m.	Keynote Address: National Framework for Measurement Standards Janet M. Corrigan, PhD, MBA President and Chief Executive Officer, National Quality Forum, Washington, DC Presentation Material (Acrobat) Presentation Material (Powerpoint)
8:45 a.m.	Keynote Address: Provider Recognition Programs Peggy O'Kane President, National Committee for Quality Assurance, Washington, DC Presentation Material (Acrobat) Presentation Material (Powerpoint)
9:15 a.m.	Keynote Address: Challenges on the Ground in Performance Measurement Peter V. Lee, Esq. Executive Director of National Policy, Pacific Business Group on Health, San Francisco, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
9:45 a.m.	Transition Break

Pay for Performance Mini Summits (Choose one Mini Summit only)
Mini Summit I: Case Studies in Physician Engagement in Pay for Performance Mini Summit II: Medicaid Pay for Performance Programs Mini Summit III: Making Performance Measurement Work Mini Summit IV: Health Disparities and Pay for Performance Mini Summit V: Standardizing and Scoring Health Plan Based P4P Programs

Mini Summit I: Case Studies in Physician Engagement in P4P
10:00 a.m.	Introductions Steve McDermott Chief Executive Officer, Hill Physicians Medical Group, Past Chair, Integrated Healthcare Association, San Ramon, CA (Mini Summit Moderator)
10:05 a.m.	Case Study I: Minnesota - How Providers are Really Responding to P4P and Public Reporting Barry Bershow, MD Medical Director for Quality and Informatics, Fairview Health Services, Minneapolis, MN Presentation Material (Acrobat) Presentation Material (Powerpoint) Jim Chase Chief Executive Officer, Minnesota Community Measurement, St. Paul, MN Presentation Material (Acrobat) Presentation Material (Powerpoint) Linda Davis Consultant, BHCAG/MN Community Measurement, Minneapolis, MN Presentation Material (Acrobat) Presentation Material (Powerpoint)
10:30 a.m.	Case Study II: Illinois - Physician P4P Program Design Lee Sacks, MD Executive Vice President and Chief Medical Officer, Advocate Health Care, Oak Brook, IL Mark Shields, MD Senior Medical Director, Advocate Health Care, Oak Brook, IL Presentation Material (Acrobat) Presentation Material (Powerpoint)
11:00 a.m.	Case Study III: California - Hill Physicians Medical Group Michael van Duren, MD Vice President of Clinical Services, Hill Physicians Medical Group, San Ramon, CA Ann Woo, PharmD Director of Clinical Support, Hill Physicians Medical Group, San Ramon, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
11:30 a.m.	Individual Panel Discussions

Mini Summit II: Medicaid Pay for Performance Programs
10:00 a.m.	Introductions Robert A. Berenson, MD Senior Fellow, The Urban Institute, Washington, DC (Mini Summit Moderator)
10:05 a.m.	New York Perspective: Pay for Performance in Medicaid Managed Care Joseph P. Anarella, MPH Director, Quality Measurement and Improvement, Office of Health Insurance Programs/NYSDOH, Albany, NY Thomas J. Foels, MD Medical Director, Independent Health Association, Buffalo, NY Robert A. Berenson, MD Senior Fellow, The Urban Institute, Washington, DC (Mini Summit Moderator) Presentation Material (Acrobat) Presentation Material (Powerpoint)
10:40 a.m.	California Perspective Elaine Batchlor, MD, MPH Chief Medical Officer, LA Care Health Plan, Integrated Healthcare Association Board Member, Los Angeles, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
11:00 a.m.	Arizona Perspective: Medicaid Value-Based Purchasing: Trends in 2008 Marc Leib, MD, JD Chief Medical Officer, Arizona Health Cost Containment System, Phoenix, AZ Presentation Material (Acrobat) Presentation Material (Powerpoint)
11:15 a.m.	Medicaid Pay for Performance Trends in 2008 Dianne Hasselman, MSPH Associate Vice President, Center for Health Care Strategies, Hamilton, NJ Presentation Material (Acrobat) Presentation Material (Powerpoint)
11:30 a.m.	Individual Panel Discussions

Mini Summit III: Making Performance Measurement Work
10:00 a.m.	Introductions Janet M. Corrigan, PhD, MBA President and Chief Executive Officer, National Quality Forum, Washington, DC (Mini Summit Moderator)
10:05 a.m.	Measuring Specialty Care: AMA Physician Consortium for Measurement Development Janet M. Corrigan, PhD, MBA President and Chief Executive Officer, National Quality Forum, Washington, DC (Mini Summit Moderator) No Presentation Provided Nancy H. Nielsen, MD, PhD President-Elect, American Medical Association, Chicago, IL No Presentation Provided
10:30 a.m.	Measurement Attribution: Individual Physician and Group Level Measurement David S.P. Hopkins, PhD Director of Quality Measurement and Improvement, Pacific Business Group on Health, San Francisco, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
10:50 a.m.	Resolving Challenges in Data Collection and Aggregation Dolores Yanagihara, MPH Program Development Manager - Pay for Performance, Integrated Healthcare Association, Oakland, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
11:10 a.m.	Aligning Program Needs with the Use of Standardized Measures Dolores Yanagihara Program Development Manager - Pay for Performance, Integrated Healthcare Association, Oakland, CA
11:30 a.m.	Individual Panel Discussions All Mini Summit Presenters and additional panelist: Michael Edbauer, MD Medical Director, Catholic IPA of Western New York. Buffalo, NY

Mini Summit IV: Health Disparities and Pay for Performance
10:00 a.m.	Introductions Peggy O'Kane President, National Committee for Quality Assurance, Washington, DC (Mini Summit Moderator)
10:05 a.m.	A Research Perspective: P4P and Health Disparities Lawrence Casalino, MD, PhD Associate Professor, Department of Health Studies, University of Chicago, Chicago, IL Presentation Material (Acrobat) Presentation Material (Powerpoint) Peggy O'Kane President, National Committee for Quality Assurance, Washington, DC (Mini Summit Moderator) Presentation Material (Acrobat) Presentation Material (Powerpoint)
10:30 a.m.	P4P and Regional Variation: Do the Rich get Richer and the Poor stay Poor? Michael Belman, MD, MPH, FACP Medical Director, Clinical Quality and Innovations, Blue Cross of California, Woodland Hills, CA Tracy Wang, MPH Clinical Research Manager, Blue Cross of California, Woodland Hills, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
11:00 a.m.	P4P Financial Disparities and Impact on Healthcare Disparities Rodney G. Hood, MD President, Multicultural IPA, San Diego, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
11:30 a.m.	Individual Panel Discussions

Mini Summit V: Standardizing and Scoring Health Plan-based P4P Programs
10:00 a.m.	Introductions Francois de Brantes Chief Executive Officer, Bridges to Excellence, Fairfield, CT (Mini Summit Moderator)
10:05 a.m.	e-Value8: Setting Expectations for Health Plans in Pay for Performance Emma Hoo Director of Value-Based Purchasing, Pacific Business Group on Health, San Francisco, CA Dennis White Senior Vice President, National Business Coalition on Health, Washington, DC
10:35 a.m.	NCQA PHQ Certification Phyllis Torda Vice President for Product Development, National Committee for Quality Assurance (NCQA), Washington, DC
11:05 a.m.	Scoring Health Plan-based P4P Programs Edison Machado, MD Program Leader, Health Plan Integration, Bridges to Excellence, New York, NY
11:20 a.m.	Panel Discussion - Encouraging P4P Innovation in a Regulated Environment Emma Hoo Director of Value-Based Purchasing, Pacific Business Group on Health, San Francisco, CA Edison Machado, MD Program Leader, Health Plan Integration, Bridges to Excellence, New York, NY Phyllis Torda Vice President for Product Development, National Committee for Quality Assurance (NCQA), Washington, DC Dennis White Senior Vice President, National Business Coalition on Health, Washington, DC Francois de Brantes Chief Executive Officer, Bridges to Excellence, Fairfield, CT (Mini Summit Moderator) Presentation Material (Acrobat) Presentation Material (Powerpoint)
12:00 p.m.	Networking Luncheon in the Exhibit Hall
1:00 p.m.	PFP Summit Concurrent Sessions I
	1.01 Government Programs: CMS/ Premier Demonstration - Innovations in Hospital Quality Performance and Outcomes Research Stephanie Alexander Senior Vice President, Premier, Inc., Charlotte, NC
	1.02 Case Studies: Physicians: P4P Success Story - Minnesota Bridges to Excellence Program Barry Bershow, MD Medical Director, Quality and Informatics, Fairview Health Services, Minneapolis, MN Presentation Material (Acrobat) Presentation Material (Powerpoint)
	1.03 The Effect of Health Care System Administrator Pay-for-Performance on Quality of Care Julie K. Gunderson, RN, BSN, MM, CPHQ Corporate Director, Quality Measurement, Improvement, and Consulting Service, Baylor Health Care System, Dallas, TX Presentation Material (Acrobat) Presentation Material (Powerpoint)
	1.04 Physician/Hospital Collaboration: Reducing Harm and Improving Care Delivery through Unprecedented Collaboration and Quality-Based Incentives Karen Boudreau, MD Medical Director for Healthcare Quality Improvement, Blue Cross Blue Shield of Massachusetts, Boston, MA Catherine H. MacLean, MD, PhD Medical Director, Programs in Clinical Excellence, Enterprise Quality, WellPoint, Inc., Thousand Oaks, CA Carey Vinson, MD, MPM Vice President, Quality and Medical Performance Management, Highmark, Inc., Pittsburgh, PA Rome H. Walker, M.D. Medical Director, Anthem Blue Cross and Blue Shield, Virginia, Roanoke, VA Carol Wilhoit, MD, MS Medical Director, Quality Improvement, Blue Cross Blue Shield of Illinois, Chicago, IL Matthew D. Schuller, MS, RHIA Project Manager, IHR, Office of Clinical Affairs, Blue Cross Blue Shield Association, Chicago, IL Presentation Material (Acrobat) Presentation Material (Powerpoint)
	1.05 Innovations: Paying for the Advanced Medical Home Hymin Zucker, MD Chief Medical Officer, Metcare, West Palm Beach, FL Presentation Material (Acrobat) Presentation Material (Powerpoint)
	1.06 Specialties: Proving Value in Oncology: the Visible and Invisible Issues Dawn Holcombe Executive Director, Connecticut Oncology Association, South Windsor, CT Presentation Material (Acrobat) Presentation Material (Powerpoint)
	1.07 Information Technology and Data Collection: Optimizing Lab Results and Pharmacy Data Collection under P4P Horace Clark President and Chief Executive Officer, Diversified Data Design, Culver City, CA Cherise Funakoshi Director, Payer Accounts, Diversified Data Design, Culver City, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
	1.08 Return on Investment (ROI): The Return of Investment on P4P Kathleen Curtin Senior Consultant, MedVentive, Cambridge, MA Presentation Material (Acrobat) Presentation Material (Powerpoint)
2:00 p.m.	Transition Break
2:15 p.m.	PFP Summit Concurrent Sessions II
	2.01 Government Programs: Lessons from the CMS PGP Demo - Emphasis on Heart Failure F. Douglas Carr, MD, MMM Medical Director, Education and System Initiative, Billings Clinic, Billings, MT Presentation Material (Acrobat) Presentation Material (Powerpoint)
	2.02 Case Studies: Physicians: Designing and Implementing P4P within a Physician-Hospital IPA Michael Edbauer, MD Medical Director, Catholic IPA of Western New York. Buffalo, NY Nancy Treger Hourigan, MBA Manager, Physician Compensation & Pay-For-Performance, CIPA Western New York IPA, Inc., Buffalo, NY Presentation Material (Acrobat) Presentation Material (Powerpoint)
	2.03 Case Studies: Hospitals and Health Systems: Health System's Experience Implementing Internal P4P Barry Bershow, MD Medical Director, Quality & Informatics, Fairview Health Services, Minneapolis, MN Presentation Material (Acrobat) Presentation Material (Powerpoint)
	2.04 SESSION CANCELED
	2.05 Innovations: Using a Clinical Pharmacist as a Vehicle for Successful P4P Outcomes Lisa Meland, RPh, Pharm D Clinical Pharmacist, WellPoint, North Haven, CT Helen Pervanas, RPh Clinical Pharmacist, WellPoint, Manchester, NH Presentation Material (Acrobat) Presentation Material (Powerpoint)
	2.06 Specialties: Engaging Specialty Physicians in P4P Karen Murphy, RN, PhD Chief Executive Officer, Physicians Health Alliance, Clarks Summit, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
	2.07 Information Technology and Data Collection: Using Automated EMR-Based Reporting for P4P Participation Jennifer Benjamin Assistant Vice President, Product Development, National Committee for Quality Assurance, Oakland, CA Edward Pullen, MD Medical Director, Sound Family Medicine, Puyallup, WA Mark J. Segal, PhD Senior Director, Global Product Strategy, GE Healthcare, Barrington, IL Michael Lieberman, MD, MS Informatics Director, GE Healthcare, Clinical Business Solutions, Hillsboro, OR (Moderator) Presentation Material (Acrobat) Presentation Material (Powerpoint)
	2.08 Case Studies: Physicians: the IHA California P4P Program - Developing Efficiency Measurement Tom Williams Executive Director, Integrated Healthcare Association (IHA), Oakland, CA Dolores Yanagihara, MPH Manager, Pay for Performance, Integrated Healthcare Association (IHA), Oakland, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
	2.09 Advancing Health Information Technology: The Role of State Government Cindy Ehnes, JD Director, Department of Managed Health Care, Sacramento, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
3:15 p.m.	Break
3:45 p.m.	PFP Summit Concurrent Sessions III
	3.01 Government Programs: Medicare Value Based Purchasing from Bench to Clinical Practice Peter Boumenot Healthcare IT Consultant, Lumetra, San Francisco, CA Maninder Khalsa, MD, MBA Medical Director of Managed Care and Utilization Management, Mercy Medical Group, Rancho Cordova, CA Leonard F. Smith, MD, MS Associate Medical Director for IT, Woodland Healthcare - Blevins Medical Group, Woodland, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
	3.02 Case Studies: Physicians: Using Past Experience to Define a New Framework for Physician P4P Michael Belman, MD, MPH Medical Director, Clinical Quality and Innovations, WellPoint, Woodland Hills, CA Presentation Material (Acrobat) Presentation Material (Powerpoint) Michael Jaeger, MD Medical Director, WellPoint, Pewaukee, WI Catherine MacLean, MD, PhD Medical Director, WellPoint, Thousand Oaks, CA Randy Solomon Director, Regional Network Performance, WellPoint, North Haven, CT Presentation Material (Acrobat) Presentation Material (Powerpoint)
	3.03 Case Studies: Hospitals and Health Systems - Methodological Considerations in the Development and Application of Hospital Composite Performance Measures Sean O'Brien, PhD Assistant Professor of Biostatistics, Duke University Medical Center, Durham, NC Presentation Material (Acrobat) Presentation Material (Powerpoint)
	3.04 Health Disparities: Measuring and Reporting Health Disparities Cori Reifman, MPH Research Analyst, State of California Office of the Patient Advocate, Sacramento, CA Presentation Material (Acrobat) Presentation Material (Powerpoint) Neil A. Solomon, MD NAS Consulting Services, San Francisco, CA Presentation Material (Acrobat) Presentation Material (Powerpoint) John Zweifler, MD, MPH Medical Consultant, State of California Office of the Patient Advocate, Sacramento, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
	3.05 Innovations: Building a Community Coalition for Marketwise Alignment of P4P Carolyn Pare Chief Executive Officer, Buyers Health Care Auction Group, Bloomington, MN Presentation Material (Acrobat) Presentation Material (Powerpoint)
	3.06 Specialties: Quality Improvement in Neurosurgery - A Pay for Participation Model Robert E. Harbaugh, MD, FACS, FAHA Chair, Quality Improvement Workgroup, American Association of Neurological Surgeons, Hershey, PA Presentation Material (Acrobat) Presentation Material (Powerpoint)
	3.07 Bridges to Excellence Performance Assessment: Leveraging HIT Francois de Brantes Chief Executive Officer, Bridges to Excellence, Fairfield, CT Jessica DiLorenzo Operations Director, Bridges to Excellence, Schenectady, NY Chuck Parker Vice President, Chief Technology Officer/DOQ-IT, Masspro, Waltham, MA Presentation Material (Acrobat) Presentation Material (Powerpoint)
	3.08 Return on Investment (ROI): Clinical Integration - Strengthening Quality and Promoting Cost Savings through P4P Deb Lange, MS Director, Analysis, Greater Rochester IPA, Rochester, NY Eric Nielsen, MD Chief Medical Officer, Greater Rochester IPA, Rochester, NY Presentation Material (Acrobat) Presentation Material (Powerpoint)
4:45 p.m.	Transition Break
5:00 p.m.	PFP Summit Concurrent Sessions IV
	4.01 Government Programs: Metrics to Inform Medicaid and State P4P Strategies: An E-prescribing Case Study Jonah Frohlich, MPH Senior Program Officer, California HealthCare Foundation, Oakland, CA Timathie Leslie Managing Director, Manatt Health Solutions, San Francisco, CA Presentation Material (Acrobat) Presentation Material (Powerpoint)
	4.02 Modern Leadership and Pay for Performance Katharina Janus, PhD Assistant Professor, Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, NY Presentation Material (Acrobat) Presentation Material (Powerpoint)
	4.03 Case Studies: Hospitals and Health Systems - Aligning Hospital and Physician Payment for P4P Rome Walker, MD Medical Director, Anthem Blue Cross and Blue Shield in Virginia, Roanoke, VA Presentation Material (Acrobat) Presentation Material (Powerpoint)
	4.04 Healthcare Disparities: What P4P Means for Medically Underserved Populations and Safety Net Provider Rich Bettini, MPH Chief Executive Officer, Waianae Coast Comprehensive Health Center, Waianae, HI Presentation Material (Acrobat) Presentation Material (Powerpoint) Merle Cunningham, MD Medical Director, Sunset Park Family Health Center, Brooklyn, NY Presentation Material (Acrobat) Presentation Material (Powerpoint) Darnell Dent, MPA Chief Executive Officer, Community Health Plan and Community Health Network of Washington, Chair, Association for Community Affiliated Health Plans, Seattle, WA Presentation Material (Acrobat) Presentation Material (Powerpoint)
	4.05 Innovations: The Value of On-Site Support in the Adoption of P4P Programs William J. Anderson, MD Physician Director of Quality, HealthSpring, Inc., Nashville, TN Presentation Material (Acrobat) Presentation Material (Powerpoint) Sid King, MD Managing Partner and Chief Executive Officer, Sumner Medical Group, Gallatin, TN
	4.06 Specialties: Real-Time Quality Measurement and Anesthesiology and P4P Richard L. Gilbert, MD, MBA Chief Executive Officer, Southeast Anesthesiology Consultants, Charlotte, NC Presentation Material (Acrobat) Presentation Material (Powerpoint)
	4.07 Information Technology and Data Collection: Evaluation of Provider Submitted Clinical Data for P4P and Public Reporting Sarah Burstein Operations Leader, Bridges to Excellence, Newton, CT Presentation Material (Acrobat) Presentation Material (Powerpoint) Jim Chase Chief Executive Officer, Minnesota Community Measurement, St. Paul, MN (Moderator) Presentation Material (Acrobat) Presentation Material (Powerpoint)
	4.08 Return on Investment (ROI): Measuring the Return on Investment in Patient Safety Reporting Donna Scott, RN, MBA, CHPHQ, LHRM Director of Project Management, ACE, Quantros, Inc., Valrico, FL Presentation Material (Acrobat) Presentation Material (Powerpoint)
6:00 p.m.	Adjournment