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Agenda: Preconference
Monday, March 9, 2009

7:00 a.m. Registration
8:00 a.m.
to Noon
Preconference Symposia
(Choose one Preconference only)

Preconference I: Pay for Performance for Newcomers Sponsored by Integrated Healthcare Association (IHA) and Massachusetts Health Quality Partners (MHQP)
This preconference session will be interactive and will focus on the key decisions that need to be made when developing and implementing a pay for performance program. You will receive in-depth information on the approach and experiences of two successful collaborative programs in different parts of the country, and will have ample opportunity to ask questions. Key Topics:
  • Measure Selection
  • Administrative and Clinical Data Collection
  • Incentive Payment Methodologies
  • Public Reporting
  • Program Governance
Dolores Yanagihara, MPH
Program Director, Pay for Performance, Integrated Healthcare Association, Oakland, CA

Barbra Rabson, MPH
Executive Director, Massachusetts Health Quality Partners, Watertown, MA
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
8:00 a.m. Basic Program Building Blocks
9:00 a.m. Measure Selection and Data Collection
10:00 a.m. Break
10:15 a.m. Incentive Payment Methodologies, Scoring and Reporting Results
11:45 a.m. Questions and Answers
12:00 p.m. Preconference Adjournment

Preconference II: Success in Pay for Performance: Case Studies
Sponsored by Bridges to Excellence

This preconference session will review important lessons learned and new directions in implementing national, regional and local performance measurement and physician rewards programs. Key topics:
  • Balancing regional and national perspectives
  • Program implementation, governance, and sponsorship
8:00 a.m. BTE: Evidence to-date on Program Effectiveness

Francois de Brantes
Chief Executive Officer, Bridges to Excellence, Newtown, CT
Presentation Material (Acrobat)
8:30 a.m. Balancing the National and the Regional: Aetna and Wellpoint

Elysa P. Ferrara
Director of Provider Quality and Performance Programs, Aetna, Hartford, CT

Catherine MacLean, MD, PhD
Medical Director, WellPoint, Thousand Oaks, CA
9:15 a.m. Baking it in: CDPHP and BCBS North Carolina

Bruce Nash, MD, MBA
Senior Vice President/Chief Medical Officer, Capital District Physicians' Health Plan (CDPHP), Albany, NY
Presentation Material (Acrobat)
Presentation Material (Powerpoint)

Larry Fox
Director, Network Quality, Blue Cross and Blue Shield of NC, Durham, NC
10:00 a.m. Break
10:15 a.m. Employers Catalyzing Change: CBGH and CHT

Donna Marshall
Executive Director, Colorado Business Group on Health, Denver, CO

Laura Linn
Project Director, Center for Health Transformation (CHT), Atlanta, GA
11:00 a.m. Aligning Forces for Change: Cincinnati AF4Q and NYC TCNY

Craig Brammer
Senior Research Associate, University of Cincinnati Department of Public Health Sciences, Director, Cincinnati Aligning Forces for Quality, Cincinnati, OH
Presentation Material (Acrobat)

Sarah Shih
Director of Healthcare Quality Information, Primary Care Information Project, Health Care Access and Improvement, NYC Department of Health and Mental Hygiene, New York, NY
11:45 a.m. Questions and Answers
12:00 p.m. Preconference Adjournment

Preconference III: Hospital Pay for Performance: The Rewarding Results Program
Sponsored by The Leapfrog Group

This preconference will provide an overview of The Leapfrog Group approach to hospital pay for performance. Presentations will describe the incorporation of standardized hospital performance measures into employer and health plan sponsored incentive programs. Key topics:
  • Building transparency - measures and scoring
  • Incentives and rewards
  • Program implementation
  • Improving patient safety
8:00 a.m. Background - The Leapfrog Survey and History of the Leapfrog Hospital Rewards Program (LHRP)

Leah Binder
Chief Executive Officer, The Leapfrog Group, Washington, DC
8:30 a.m. LHRP Design - Measures, Scoring, and Incentives

Guy D'Andrea
President and Founder, Discern, LLC, Baltimore, MD
Presentation Material (Acrobat)
10:00 a.m. Break
10:15 a.m. LHRP - Implementation

Allison Doyle
Project Director, Discern, LLC, Baltimore, MD
Presentation Material (Acrobat)
11:00 a.m. Case Study - Horizon Hospital Rewards Program

William Finck
Former Director of Network Initiatives, Horizon BlueCross BlueShield of New Jersey, Cherry Hill, NJ
Presentation Material (Acrobat)
11:45 a.m. Questions and Answers
12:00 p.m. Preconference Adjournment

Preconference IV: Not Just Your Grandmother's Administrative Data Anymore: Recent Science and Practice to Merge the Best of Administrative and Clinical Data for Public Reporting and Payment
Sponsored By Agency for Healthcare Research and Quality

This preconference will bring participants up to date on new research and pilots that are making administrative data more robust and precise by combining it with clinical data. The experience from case studies in several states will be shared. Key topics:
  • Merging administrative and clinical data
  • What adding POA and lab values can achieve
  • Results from pilot studies
8:00 a.m. The Vision

Irene Fraser, PhD
Director, Center for Delivery, Organization and Markets, Agency for Healthcare Research and Quality, Rockville, MD
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
9:00 a.m. The Science: How Good Can Administrative Data Get?

Michael Pine, MD, MBA
President, Michael Pine and Associates, Inc., Chicago, IL
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
10:00 a.m. Break
10:15 a.m. Testing: Pilots in Minnesota, Virginia, Florida

Roxanne Andrews, PhD
Senior Health Services Researcher, Agency for Healthcare Research and Quality, Rockville, MD
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
11:00 a.m. Implementation: California goes State-wide

Joseph Parker, PhD
Director, Health Care Outcomes Center, California Office of Statewide Health Planning and Development, Sacramento, CA
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
11:45 a.m. General Q&A
12:00 p.m. Preconference Adjournment



AGENDA: PAY FOR PERFORMANCE SUMMIT: DAY I
Monday, March 9, 2009

1:00 p.m. Welcome and Introductions

Don Rebhun, MD
Board Chair, Integrated Healthcare Association, Regional Medical Director, HealthCare Partners, Mission Hills, CA (Co-chair)

Tom Williams
Executive Director, Integrated Healthcare Association, Oakland, CA (Co-chair)
1:10 p.m. Keynote Address: The Post-Election Health Care Landscape

Susan Dentzer
Editor-in-Chief, Health Affairs, Health Policy Analyst, The News Hour with Jim Lehrer, Washington, DC
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
2:10 p.m. Keynote Address: Performance Measurement: A National View

Janet M. Corrigan, PhD, MBA
President and Chief Executive Officer, National Quality Forum, Washington, DC
Presentation Material (Acrobat)
Handout Material (Acrobat)
Handout Material (Acrobat)
2:50 p.m. Keynote Address: The Results of England's National Pay for Performance Program

Chris Ham, CBE, PhD, MPhil, BA
Professor of Health Policy and Management, University of Birmingham, United Kingdom
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
3:30 p.m. Break
4:00 p.m. Keynote Panel: National Pay for Performance Survey Results

Leah Binder, MA, MGA
Chief Executive Officer, The Leapfrog Group, Farmington, ME

Peter D. Goldbach, MD
President and Chief Executive Officer, MedVantage, Inc., San Francisco, CA
Presentation Material (Acrobat)
Presentation Material (Powerpoint)
4:30 p.m. Keynote Panel: The Next Generation in Pay for Performance: The Use of Incentives to Improve Quality and Efficiency

Peggy E. O'Kane
President, National Committee for Quality Assurance, Washington, DC (Moderator)
Presentation Material (Acrobat)
Presentation Material (Powerpoint)

Joshua S. Benner, PharmD, ScD
Research Director, Engelberg Center for Health Care Reform, Brookings Institution, Washington, DC

Barry Bershow, MD
Medical Director, Quality & Informatics, Fairview Health Services, Minneapolis, MN

Francois de Brantes
Chief Executive Officer, Bridges to Excellence, Newtown, CT

Chris Ham, CBE, PhD, MPhil, BA
Professor of Health Policy and Management, University of Birmingham, United Kingdom

Katharina Janus, PhD, MBA
Assistant Professor, Columbia University, Department of Health Policy & Management, New York, NY

Steve McDermott
Chief Executive Officer, Hill Physicians Medical Group, San Ramon, CA
5:45 p.m. Adjournment and Opening Networking Reception





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