      |
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Presentations
are available in PowerPoint 
and PDF 
formats.
8:30
a.m. – 10:00 a.m.
Concurrent
Sessions
Paying
for Quality: Emerging Concepts, Experiments & Evidence
Pacific Two
Chair:
Douglas Conrad, University of Washington
Panelists:
Arnold
Milstein, William M. Mercer, Inc.
PowerPoint Slides
|
PDF Handout
Barry
Saver, University of Washington
PowerPoint Slides
|
PDF Handout
Peter
Smith, University of York
PowerPoint Slides
|
PDF Handout
Gary
Young, Boston University and Department of Veterans Affairs
PowerPoint Slides
|
PDF Handout
Roundtable:
Across the United States, health plans, purchasers, and provider
organizations are implementing quality-based financial incentives
for hospitals and physicians. At the same time, the United Kingdom
has embarked on a new General Medical Services (GMS) contract in which
a significant share of physician practice payment is based on explicit
quality metrics. This session will address the concepts behind financial
incentives for clinical quality and will present emerging insights
from three important quality incentive initiatives: The Rewarding
Results Demonstration Program, the Leapfrog Group Standards for quality
in hospitals, and the GMS Contract. The panelists and audience will
explore the implications of this incentive innovation for management,
policy, and practice.
The Science of Quality Measurement: Are We Getting It Right?
California
Chair:
Elizabeth McGlynn, RAND
Panelists:
Cheryl
Damberg, Pacific Business Group on Health
PowerPoint Slides
|
PDF Handout
Timothy
Hofer, University of Michigan
PowerPoint Slides
|
PDF Handout
Dana
Gelb Safran, Tufts-New England Medical Center
PowerPoint Slides
|
PDF Handout
Joe Selby,
Kaiser Permanente
PowerPoint Slides
|
PDF Handout
Roundtable:
Although relatively little information is currently available
about the quality of care being delivered, is the information we do
have sound enough to be used by decision-makers? This session will
address issues related to improving the validity of measures for motivating
and evaluating quality improvement, the use of measurement theory
to design better measures and use them to make attributions to different
levels of care, the use of patient surveys for assessing the quality
of care provided by individual physicians, and challenges in the use
of risk-adjusted outcomes to evaluate hospital quality. Panelists
will discuss areas where measures are ready for use and areas where
more work needs to be done.
Impact
of SCHIP on Vulnerable Children: Findings from the Child Health Insurance
Research Initiative
Pacific Four/Five
Chair:
Cindy
Brach, Agency for Healthcare Research and Quality
PowerPoint Slides
|
PDF Handout
Panelists:
Andrew
Dick, University of Rochester
PowerPoint Slides
|
PDF Handout
Elizabeth
Shenkman, University of Florida
PowerPoint Slides
|
PDF Handout
Peter
Szilagyi, University of Rochester Medical Center
PowerPoint Slides
|
PDF Handout
Invited
Papers: Focusing on minority children and children with special
health care needs, this session will describe SCHIP’s impact
on health care and health outcomes, what delivery features are associated
with better care, and insurance continuity of SCHIP enrollees. Specifically,
panelists will answer the questions: Did SCHIP improve asthma care
and reduce asthma symptoms? Are certain practice settings or characteristics
associated with better access and quality for vulnerable children?
Are vulnerable children more likely to disenroll from SCHIP and/or
become uninsured after SCHIP, and are health care experiences during
SCHIP related to disenrollment?
New Capitated Alternatives in Medicare
Royal Palm One
Chair:
Melvin Ingber, Centers for Medicare and Medicaid Services
Panelists:
John
Kautter and Gregory Pope, both from RTI International
John
Robst, Centers for Medicare and Medicaid Services
PowerPoint Slides
|
PDF Handout
Invited
Papers: Medicare has been moving toward incorporating more private
sector options for beneficiaries. These private plans are usually
paid a monthly capitated amount for each enrollee. Capitated plans
are becoming more diverse in the degree to which they manage care
and in the degree of specialization. With this growth, and with the
processes of competition and bidding being added to defining capitated
payments, risk adjustment is becoming an important part of the payment
system. This panel will present information from an evaluation of
the new Preferred Provider Organizations (PPO) in Medicare, a report
on how functional status is integrated into the payment of capitated
plans specializing in the care of the frail elderly, and a report
on the new risk adjustment system for plans specializing in end stage
renal disease and for these enrollees in the regular Medicare+Choice
plans.
Disparities in Treatment for & Impact of
Mental Illness
Pacific Six/Seven
Chair:
Greer Sullivan, University of Arkansas
Call
for Papers:
Jim Banta, University of California, Los Angeles
“Severe Mental Illness and Congestive Heart Failure Outcomes
among Veterans”
PowerPoint Slides
|
PDF Handout
Pinka
Chatterji, Harvard Medical School
“The Effect of Mental Disorders on Labor Market Outcomes among
Latino Americans”
PowerPoint Slides
|
PDF Handout
Jeffrey
Harman, University of Florida
“Disparities in the Adequacy of Depression Treatment in the
United States”
PowerPoint Slides
|
PDF Handout
Amy Kilbourne,
VA Pittsburgh Healthcare System
“Racial Differences in Quality of Care for Bipolar Disorder”
PowerPoint Slides
|
PDF Handout
Leigh
Ann White, Johns Hopkins University
“Mental Health and Employment Transitions among Low-Income Women”
PowerPoint Slides
|
PDF Handout
Organizational
Factors Associated with Successful Chronic Care Delivery
Pacific Three
Chair:
Douglas Roblin, Kaiser Permanente Georgia
Call
for Papers:
Stephen Davidson, Boston University
“Measuring Gradations of Quality in Chronic Disease Care”
PowerPoint Slides
|
PDF Handout
Marjorie
Pearson, RAND
“Chronic Care Model (CCM) Implementation Emphases”
PowerPoint Slides
|
PDF Handout
Julie
Schmittdiel, University of California, Berkeley
“The Effect of Primary Health Care Orientation on Chronic Illness
Care Management”
PowerPoint Slides
|
PDF Handout
Alexander
Tsai, Case Western Reserve University
“A Meta-Analysis of Interventions to Improve Chronic Illness
Care”
PowerPoint Slides
|
PDF Handout
Shin-Yi
Wu, RAND
“Sustainability and Spread of Chronic Illness Care Improvement”
PowerPoint Slides
|
PDF Handout
Effects of Cost-Sharing & Reimbursement
Sunrise
Chair:
Willard Manning, University of Chicago
Call
for Papers:
Robin Clark, University of Massachusetts Medical School
“A Medicaid Buy-in Program’s Effects on Costs and Earnings”
PowerPoint Slides
|
PDF Handout
Peter
Cunningham, Center for Studying Health System Change
“The Effects of Medicaid Reimbursement on Access to Care of
Medicaid Enrollees: A Community Perspective”
PowerPoint Slides
|
PDF Handout
John
Hsu, Kaiser Permanente
“Cost-Sharing for Emergency Care—Is It Safe? Findings
on Health Outcomes from the Safety and Financial Ramifications of
ED Copayments (SAFE) Study”
PowerPoint Slides
|
PDF Handout
Mary
Reed, Kaiser Permanente
“Self-Reported Effects of Prescription Drug Cost-Sharing: Decreased
Adherence and Increased Financial Burden”
PowerPoint Slides
|
PDF Handout
Nathan
West, RTI International
“The Impact of Premiums on Wisconsin’s BadgerCare Program”
PowerPoint Slides
|
PDF Handout
Disparities & the Care of Children
Pacific One
Chair:
Anne Beal, The Commonwealth Fund
Call
for Papers:
David Brousseau, Medical College of Wisconsin
“Disparities for Latino Children in Receipt of Timely Medical
Care”
PowerPoint Slides
|
PDF Handout
Alex
Chen, Children’s Hospital, Los Angeles
“Children at Risk of Receiving Sub-Standard Asthma Care—Findings
from a Nationally Representative Sample”
PowerPoint Slides
|
PDF Handout
Glenn
Flores, Medical College of Wisconsin
“Unequal Treatment for Young Children? Racial and Ethnic Disparities
in Early Childhood Health and Healthcare” and “Does Disadvantage
Start at Home? Racial and Ethnic Disparities in Early Childhood Home
Routines, Safety, and Educational Practices/”
PowerPoint Slides
|
PDF Handout
PowerPoint Slides
|
PDF Handout
Leo Morales,
University of California, Los Angeles
“Mortality among Very Low Birth Weight Infants in Hospitals
Serving Minority Populations”
PowerPoint Slides
|
PDF Handout
Technology Assessment: Identifying Value in Innovation
Sunset
Chair:
Kathryn McDonald, Stanford University
Call
for Papers:
Melinda Henne, Stanford University
“Health Insurance Coverage and Access to Technologies: The Case
of Insurance Mandates for the Treatment of Infertility"
PowerPoint Slides
|
PDF Handout
David
Samson, Blue Cross Blue Shield Association
“A Cost-Effectiveness Analysis of Left Ventricular Assist Devices
as Destination Therapy for End-Stage Heart Failure”
PowerPoint Slides
|
PDF Handout
Melony
Sorbero, RAND
“The Cost-Effectiveness of RSV Prophylaxis: Using Decision Analysis
to Build a Better Guideline”
PowerPoint Slides
|
PDF Handout
Claudia
Steiner, Agency for Healthcare Research and Quality
“Increasing Health Care Costs: the Price of Innovation?”
PowerPoint Slides
|
PDF Handout
Xinhua
Yu, University of Minnesota
“Unequal Utilization of New Technologies by Race: Adjusting
for Geography in the Use of TUNA and TUMT among Medicare Beneficiaries”
PowerPoint Slides
|
PDF Handout
The Health Care Financing & Organization (HCFO) Program: Grants
for Policy Relevant Research (& More!)
Royal Palm Two
Chair:
Anne Gauthier, AcademyHealth
Panelists:
Bonnie
Austin, AcademyHealth
PowerPoint Slides
|
PDF Handout
Stephen
Parente, University of Minnesota
PowerPoint Slides
|
PDF Handout
Skill
and Career Development: AcademyHealth serves as the national
program office for The Robert Wood Johnson Foundations HCFO program,
a multifaceted initiative seeking to bridge the policy and research
communities. The program funds grants on significant health care policy
and market developments, convenes meetings, and disseminates results
to public and private stakeholders in a number of ways. Learn the
ins and outs of getting a HCFO grant and working with program staff
from the idea stage to the grant phase to getting your findings in
the right hands. The panel features program staff and a current grantee.
Research
Agenda of CDC
Royal Palm Three
Chair:
Linda McKibben, Centers for Disease Control and Prevention
Panelists:
Maureen
Lichtveld, Centers for Disease Control and Prevention
Tanya
Popovic, Centers for Disease Control and Prevention
PowerPoint Slides
|
PDF Handout
Dixie
Snider, Centers for Disease Control and Prevention
PowerPoint Slides
|
PDF Handout
Research
Agenda: Dr. Julie Gerberding is leading CDC in a new direction.
The “Future’s Initiative” is her plan to ready the
nation’s prevention agency for the 21st Century to better serve
its customers. An essential part of this plan is redesigning how CDC
does business with its health systems research partners. This panel
will inform attendees of the new Office of Public Health Research
and other exciting developments at the CDC.
A Quiet Revolution: Role of the Courts in Health Systems Change
Royal Palm Four
Chair:
M. Gregg
Bloche, Georgetown University Law Center
PowerPoint Slides
|
PDF Handout
Panelists:
David
Hyman, University of Maryland
PowerPoint Slides
|
PDF Handout
George
Young, George Parker Young Law Firm
Special
Session: By default, federal courts have become key health
policymakers. Interest group gridlock has paralyzed Congress, but
over the past few years federal judges have remade the rules of the
medical marketplace. States now have the authority to require independent
review of coverage denials, forbid selective contracting with providers,
and do other things that federal law once barred them from doing.
This spring, in Aetna v. Davila, the U.S. Supreme Court will decide
whether patients can sue health insurers for negligent withholding
of coverage and care. Why have the courts stepped so assertively into
the health policy fray, and what has been the impact of the revolution
they have brought about?
Does Hospital Financial Condition Affect Patient Care & Safety?
Royal Palm Five/Six
Chair:
Gloria Bazzoli, Virginia Commonwealth University
Call
for Panels:
Sema Aydede, University of Florida
“A Profile of Inpatient Care and Safety in Hospitals with Differing
Case-Mix and Financial Condition”
PowerPoint Slides
|
PDF Handout
Jan Clement,
Virginia Commonwealth University
“Disparities in Quality and Safety Outcomes, 1995 – 2000”
Richard
Lindrooth, Medical University of South Carolina
“How Much of the Variation in Hospital Financial Performance
Is Explained by Service Mix?”
PowerPoint Slides
|
PDF Handout
Mei Zhao,
Virginia Commonwealth University
“Hospital Financial Distress and Patient Outcomes: A Panel Study”
PowerPoint Slides
|
PDF Handout
10:30
a.m. – 12:00 p.m.
Concurrent
Sessions
Translating
Disparities Research into Policy & Practice
California
Chair:
Edward Guadagnoli, Harvard Medical School
Panelists:
Joseph
Betancourt, Massachusetts General Hospital
PowerPoint Slides
|
PDF Handout
E. Richard
Brown, University of California, Los Angeles
PowerPoint Slides
|
PDF Handout
Kaytura
Felix-Aaron, Agency for Healthcare Research and Quality
PowerPoint Slides
|
PDF Handout
Kevin
Fiscella, University of Rochester
PowerPoint Slides
|
PDF Handout
Roundtable:
Although many studies have demonstrated that racial, ethnic,
and socioeconomic disparities in health care exist, less attention
has been devoted to identifying strategies to reduce these disparities.
This panel will discuss challenges and approaches to identifying,
designing, and implementing policies and practices to reduce disparities
in health care.
Emerging
Health Threats & Emerging Health Information Systems: Getting Public
Health & Clinical Medicine to Real Time Response
Pacific Four/Five
Chair:
John
Loonsk, Centers for Disease Control and Prevention
PowerPoint Slides
|
PDF Handout
Panelists:
John
Lumpkin, The Robert Wood Johnson Foundation
PowerPoint Slides
|
PDF Handout
Richard
Platt, Harvard Pilgrim Health Care/Harvard Medical School
Roundtable:
To rapidly detect an emerging disease like SARS or a bioterrorist
event, public health must obtain real time information across multiple
health care data sources; public health has thus been at the forefront
of efforts to use current electronic data and to encourage broader
use of standards based interoperable electronic health records (EHR).
The panel will show current use of electronic clinical data for disease
surveillance, as well as specific implementations of national standards
used for health data exchange. The urgent need for enhanced preparedness
can help accelerate the national EHR effort through focused collaboration
between clinical and public health partners.
Where Are We in IT? An International Perspective
Pacific Two
Chair:
Uwe Reinhardt, Princeton University
Panelists:
Nick
Beard, IDX
"UK NHS"
PowerPoint Slides
|
PDF Handout
Hong-Jen
Chang, Bureau of National Health Insurance, Taiwan
PowerPoint Slides
|
PDF Handout
Kieke
G.H. Okma, The Hague
PowerPoint Slides
|
PDF Handout
Peter
C. Smith, Centre for Health Economics, University of York, UK
"Paying for Quality in the UK: New Models"
PowerPoint Slides
|
PDF Handout
Humphrey
Taylor, Harris Interactive
Roundtable:
Information technology has long been viewed as the “white
knight” who can rescue the labor intensive and globally inefficient
health systems of the world from a growing shortage of health workers.
In this session, the panel will explore how far down that path different
nations have gone.
Innovative Statistical Approaches in Health Services Research: Bayesian
Approaches to Missing Data, Multiple Informant Analyses & Propensity
Scores
Pacific Three
Chair:
Sharon-Lise
Normand, Harvard Medical School
PowerPoint Slides
|
PDF Handout
Panelists:
Thomas
Belin, University of California, Los Angeles
PowerPoint Slides
|
PDF Handout
Nicholas
Horton, Smith College
PowerPoint Slides
|
PDF Handout
Methods
Workshop: This session will consist of three related tutorials
describing and illustrating innovative analytic approaches for missing
data, multiple outcomes, and causal inference. First, new methods
for handling missing continuously scaled items in multivariate data
will be discussed. The idea is to extract common factors to reduce
the number of covariance parameters to be estimated in a multivariate
normal model. The methods will be illustrated in a study of an emergency
room intervention for adolescents who attempted suicide and in a clinical
trial of oral-surgery patient to examine quality of life outcomes.
Second, regression-based methods for analyzing multiple source outcomes
(e.g., self-reports, family members, health care providers, administrators)
will be presented. The idea is to embed the correlated multiple outcomes
within a general linear model framework that can be extended to handle
stratification, clustering, and sampling weights. Methods will be
illustrated using the Eastern Connecticut Child Survey. Third, methods
for estimating treatment or policy effects in the absence of randomization
using regression and stratification techniques via propensity scores
will be reviewed. The key ideas involve mimicking the randomized setting
where all participants have a positive probability of participating.
Methods will be illustrated using observational data to examine the
effect of introducing a behavioral carve-out in a population of adult
schizophrenics.
Improving Quality of Care in the VA: Wins, Losses, Errors & Ties
Sunrise
Chair:
Lisa Rubenstein, VA Greater Los Angeles Healthcare System
PowerPoint Slides
|
PDF Handout
Panelists:
Steven
Asch, VA Greater Los Angeles Healthcare System
PowerPoint Slides
|
PDF Handout
Robert
Brook, RAND
Bradley
Doebbeling, Indiana University-Purdue University Indianapolis
PowerPoint Slides
|
PDF Handout
Laura
Petersen, Houston VA Medical Center
PowerPoint Slides
|
PDF Handout
Elizabeth
Yano, VA Greater Los Angeles Healthcare System
PowerPoint Slides
|
PDF Handout
Invited
Papers: The VA has invested significant in improving
the quality of care delivered to eligible veterans over the past decade.
This session focuses on the VA as a national demonstration project.
The session explores key practice and policy lessons learned from
the VA experience and their applicability to other health care systems
and settings.
Innovative Strategies to Integrate Patients into Chronic Care Delivery
Royal Palm One
Chair:
Michael Von Korff, Group Health Cooperative
Call
for Papers:
Suzanne Austin Boren, University of Missouri, Columbia
“Evidence-Based Checkup for Patient Education Web Sites”
PowerPoint Slides
|
PDF Handout
Dawn
Clancy, Medical University of South Carolina
“Evaluating Concordance to American Diabetes Association Standards
of Care for Type 2 Diabetes Through Group Visits in an Uninsured or
Inadequately Insured Patient Population”
PowerPoint Slides
|
PDF Handout
Kun Gao,
University of Washington
“Managing Old-Age Diabetes: The Effect of Health Club Enrollment
and Use on Medical Costs and Outcomes among Older Adults”
PowerPoint Slides
|
PDF Handout
Polly
Noel, Veterans Evidence-Based Research, Dissemination and Implementation
Center
“Collaborative Care Needs and Preferences of Primary Care Patients
with Multimorbidity”
PowerPoint Slides
|
PDF Handout
Angela
Thrasher, University of North Carolina, Chapel Hill
“Motivational Interviewing to Support Antiretroviral Treatment
Adherence”
PowerPoint Slides
|
PDF Handout
Access to Health Care & Insurance
Pacific One
Chair:
Joel Cantor, Rutgers, The State University of New Jersey
Call
for Papers:
Teresa Coughlin, The Urban Institute
“The Disabled and Access to Care in Managed Care”
PowerPoint Slides
|
PDF Handout
Genevieve
Kenney, The Urban Institute
“Effects of the SCHIP on Access to Care, Use of Services and
Health Status”
PowerPoint Slides
|
PDF Handout
Sarah
Laditka, University of South Carolina
“Physician Supply and Effectiveness of the Primary Health Care
System”
PowerPoint Slides
|
PDF Handout
Sharon
Long, The Urban Institute
“How Well Does Medicaid Work in Improving Access to Care?”
PowerPoint Slides
|
PDF Handout
Marlene
Niefeld, Johns Hopkins University
“Ambulatory Care Sensitive Condition Hospitalizations among
Elderly Medicare and Medicaid (Dual) Enrollees”
PowerPoint Slides
|
PDF Handout
Plan & Beneficiary Decisions in the Medicare+Choice Program
Pacific Six/Seven
Chair:
Adam Atherly, Emory University
Call
for Papers:
Curtis Florence, Emory University
“Transitions in Health Plan Choice: Changes in FEHBP Plan Selection
When Beneficiaries Begin Medicare Coverage”
PowerPoint Slides
|
PDF Handout
Rachel
Halpern, University of Minnesota
“Medicare+Choice Plan Decisions, 1999 – 2001”
PowerPoint Slides
|
PDF Handout
Mary
Laschober, BearingPoint
“Impact of Medicare+Choice Lock-In Provisions: Who Would Be
Affected?”
PowerPoint Slides
|
PDF Handout
Matthew
Maciejewski, University of Washington
“Medicare Drug Benefits and Selection Bias in HMO Enrollment
and Mortality in Diabetes”
PowerPoint Slides
|
PDF Handout
Peter
Neumann, Harvard University
“Quality of Evidence and CMS Review Times for Medicare National
Coverage Decisions, 1998 –2003”
PowerPoint Slides
|
PDF Handout
Go
Behind the AHRQ/NIH Study Section Door: A Mock Review
Sunset
Chair:
Ming
Tai-Seale, Texas A&M University Health Sciences Center
PowerPoint Slides
|
PDF Handout
Panelists:
Scott Andre, Agency for Healthcare Research and Quality; Willard Manning,
University of Chicago; Barbara Yawn, Olmsted Medical Center
Skill
and Career Development: The federal grant review process
could appear mysterious or rather daunting to fledgling grant applicants.
This panel brings together a scientific review administrator at AHRQ
and three study section members of AHRQ and NIH—representing
health services research, economics, and medicine—to give participants
an opportunity to understand the process of federal grant proposal
review through a mock review. The variation in roles played by panelists
in the review process and reviewers’ own grant-making experience
will provide participants a wide range of perspectives and rich grounds
for interaction. Discussion topics include, but are not limited to:
1) communicating a research plan to reviewers unfamiliar with technical
language, 2) using the Summary Statement to revise and resubmit a
proposal, and 3) working with federal project officers.
CSAT: Using Data to Foster Quality Improvement
Royal Palm Three
Chair:
Joan Doty Dilonardo, Center for Substance Abuse Treatment/SAMHSA
Panelists:
Craig
Anne Heflinger, Vanderbilt University
PowerPoint Slides
|
PDF Handout
Toni
Krupski, Washington State Division of Alcohol and Substance Abuse
PowerPoint Slides
|
PDF Handout
Kevin
Mulvey, Center for Substance Abuse Treatment/SAMHSA
PowerPoint Slides
|
PDF Handout
Research
Agenda: This session will provide new information about how several
different types of data can be used to foster quality improvement.
Examples will be drawn from plan-based performance measurement, state
data systems, and federal performance improvement systems.
The Medical Malpractice Crisis as a Health Policy Problem
Royal Palm Two
Chair:
William Sage, Columbia Law School
Panelists:
David
Becker, University of California, Berkeley
PowerPoint Slides
|
PDF Handout
Chris
Hyman, Columbia Law School
PowerPoint Slides
|
PDF Handout
Michelle
Mello, Harvard University
David
Studdert, Harvard University
PowerPoint Slides
|
PDF Handout
Special
Session: Although the medical malpractice system influences
access to health care, its cost, and its quality, malpractice reform
has generally been perceived as a legal and political rather than
health policy problem. Recurrent, severe crises in availability and
affordability of malpractice insurance are now forcing the issue onto
the health policy agenda. This session presents state and national
research findings from the Project on Medical Liability in Pennsylvania,
supported by The Pew Charitable Trusts, assessing the impact of malpractice
liability on physician and hospital supply, patient safety, and the
physician-patient relationship.
Medical Debt: Causes, Consequences & Policy Implications
Royal Palm Four
Chair:
Robert Seifert, The Access Project
PowerPoint Slides
|
PDF Handout
Call
for Panels:
Jennifer Edwards, The Commonwealth Fund
“How Medical Debt Threatens Economic Security and Access to
Care: Findings from the Commonwealth Fund’s 2003 Survey of Health
Insurance and Access”
Melissa
Jacoby, Temple University
“Medical Bankruptcy Incidence and its Legal and Practical Limits”
Becky
Miles-Polka, Within Reach Consulting
“Medical Debt: Causes and Responses in Des Moines, Iowa”
PowerPoint Slides
|
PDF Handout
Jeffrey
Prottas, Brandeis University
“Hospital Practices and Medical Debt”
PowerPoint Slides
|
PDF Handout
Informing Medicare Policy on Post-Acute Care
Royal Palm Five/Six
Chair:
Joseph Newhouse, Harvard Medical School
Call
for Panels:
Sharon Cheng, Medicare Payment Advisory Commission
“Informing Medicare Policy on Post-Acute Care”
PowerPoint Slides
|
PDF Handout
Sally
Kaplan, Medicare Payment Advisory Commission
“Long-Term Care Hospitals’ Role in Medicare Post-Acute
Care”
PowerPoint Slides
|
PDF Handout
Chapin
White, National Bureau of Economic Research
“Medicare’s New Prospective Payment System for Skilled
Nursing Facilities: Effects on Staffing and
Quality of Care”
PowerPoint Slides
|
PDF Handout
2:00
p.m. – 3:30 p.m.
Concurrent
Sessions
Understanding
& Improving the Quality of Chronic Care
Pacific Two
Chair:
Kevin
Grumbach, University of California, San Francisco
PowerPoint Slides
|
PDF Handout
Panelists:
Brian
Austin, Center for Health Studies, Group Health Cooperative
PowerPoint Slides
|
PDF Handout
Jane
Czech, Project Dulce
Bruce
Fireman, Kaiser Permanente
PowerPoint Slides
|
PDF Handout
Roundtable:
The Chronic Care Model as conceptualized by Ed Wagner and colleagues
has been widely embraced as a method for structuring more effective
care for patients with chronic illness. What is the evidence that
this model can be implemented in real world practices, be financially
viable, and yield improvements in patient-oriented outcomes? To address
these questions, this rountable will offer perspectives from: 1) an
innovator in promoting dissemination of the chronic care model, 2)
a leader in implementing and sustaining a Latino-focused chronic care
model in community health centers, and 3) an expert in researching
the effectiveness of a chronic care program in a large HMO.
Modeling Options for Health Care Reform: Key Assumptions & Their
Implications
Pacific Three
Chair:
Linda Bilheimer, The Robert Wood Johnson Foundation
Panelists:
Gestur Davidson, University of Minnesota; A. Bowen Garrett, The Urban
Institute; Sherry Glied, Columbia University
Roundtable:
Economists use complex microsimulation models to estimate the
impacts of health care reform proposals on coverage and health care
costs. Such estimates are highly sensitive to the many assumptions
that modelers must make about the behavioral responses of different
groups and the performance of health care markets. At this roundtable,
researchers will discuss research in three areas in which assumptions
critically affect cost and coverage estimates: the extent to which
expansions of public coverage displace private coverage; how premiums
are determined in the nongroup market; and the extent to which employers
pass health insurance costs on to their workers in the form of lower
wages.
Supported
in part by The Kaiser Commission on Medicaid and the Uninsured.
Caring for the Elderly Near the End-of-Life: Studies
of Hospice Care & Informal Care
Pacific Six/Seven
Chair:
David Grabowski, University of Alabama at Birmingham
Call
for Panels:
Richard
Lindrooth, Medical University of South Carolina
"Do Non-profit and For-profit hospices behave differently?"
PowerPoint Slides
|
PDF Handout
Anthony
Lo Sasso, Northwestern University
"How Do Families Allocate Elder Care Responsibilities Among Siblings?"
PowerPoint Slides
|
PDF Handout
Edward
Norton, University of North Carolina at Chapel Hill
"Informal Care and Health Care Use of Older Adults"
PowerPoint Slides
|
PDF Handout
Donald
Taylor, Duke University
"Do Selection or Treatment Effects Explain Differences in Medicare
End-of-Life Among Hospice and Usual Care Decedents?"
PowerPoint Slides
|
PDF Handout
Measuring
Aspects of Organizations
California
PowerPoint Slides
|
PDF Handout
Chair:
Stephen
Shortell, University of California, Berkeley
PowerPoint Slides
|
PDF Handout
Panelists:
Jeffrey
Alexander, University of Michigan
PowerPoint Slides
|
PDF Handout
G. Ross
Baker, University of Toronto
PowerPoint Slides
|
PDF Handout
Paul
Cleary, Harvard Medical School
PowerPoint Slides
|
PDF Handout
Kelly
Devers, Virginia Commonwealth University
PowerPoint Slides
|
PDF Handout
Shoshanna
Sofaer, Baruch College
PowerPoint Slides
|
PDF Handout
Methods
Workshop: Panelists will discuss existing and new instruments
for measuring organizational dimensions that influence health care
organizational performance. These include leadership, readiness for
change, a culture of patient safety, and teamwork effectiveness, among
others.
Public
Reporting of Data on Quality: Why & How?
Pacific Four/Five
Chair:
Judith Hibbard, University of Oregon
PowerPoint Slides
|
PDF Handout
Panelists:
Kristin
Carman, American Institutes for Research
Gregory
Pawlson, National Committee for Quality Assurance
Meredith
Rosenthal, Harvard University
PowerPoint Slides
|
PDF Handout
Dana
Gelb Safran, Tufts-New England Medical Center
Invited
Papers: Public reporting on health care quality is used to inform
consumer choice, ensure accountability, and stimulate quality improvement.
Recently, reporting efforts have moved to a focus on physician- or
physician group-level performance. The panelists will present research
that examines physician group-level public performance reports from
a number of angles: their efficacy in influencing consumer choice
of physicians; the cultural and psychological barriers to consumer
use of this type of comparative information; and the strategies, including
advances in the measurement methods and quality improvement approaches,
used by providers to prepare for the public release of performance
information.
Supported
in part by Battelle Memorial Institute and the Institute for Health
Policy & Health Services Research, University of California, San
Francisco
Medicare Beneficiaries & Prescription Drugs
Pacific One
Chair:
Brigid Goody, Centers for Medicare and Medicaid Services
Panelists:
Daniel
Gilden, JEN Associates
Melvin
Ingber, Centers for Medicare and Medicaid Services
PowerPoint Slides
|
PDF Handout
Cindy
Thomas, Brandeis University
PowerPoint Slides
|
PDF Handout
Marian
Wrobel, Abt Associates, Inc.
PowerPoint Slides
|
PDF Handout
Invited
Papers: With the passage of the Medicare Prescription Drug, Improvement
and Modernization Act of 2003, the Centers for Medicare and Medicaid
Services is planning for the implementation and evaluation of the
Part D Medicare prescription drug benefit. One of the most challenging
aspects of this effort is to piece together information on Medicare
beneficiaries and their prescription drug utilization and expenditures
from a variety of public and private data sources. The research findings
presented at this session represent exploratory work on a range of
issues including the enrollment and drug utilization and spending
patterns of low-income populations in voluntary drug benefit programs
using data from state pharmacy assistance programs, the development
of risk adjustment methodologies for paying private plans using data
from the Federal Employees Health Benefits Program, and the selection
of comparison groups for program evaluation using data from the Medicare
Current Beneficiary Survey.
Challenges in Using Evidence-Based Practices in Substance Abuse Treatment
Royal Palm One
Chair:
Mady Chalk, Center for Substance Abuse Treatment/SAMHSA
Panelists:
Kevin
Hennessy, Substance Abuse and Mental Health Services Administration
Todd
Molfenter, University of Wisconsin, Madison
PowerPoint Slides
|
PDF Handout
Elke
Rechberger, STAR Project
PowerPoint Slides
|
PDF Handout
Paul
J. Toriello, LSU Health Sciences Center, STAR of New Orleans
PowerPoint Slides
|
PDF Handout
Invited
Papers: This session will provide new information about issues
involved in implementation of evidence-based practice. The papers
will discuss creating an organizational climate for clinical and administrative
change, and case examples of successes and failures in implementation.
Disparities
in Primary Care
Sunset
Chair:
Kevin Fiscella, University of Rochester
Call
for Papers:
Peter Bach, Memorial Sloan-Kettering Cancer Center
“Characteristics of Primary Care Physicians Who Treat Whites
and Blacks in the United States”
Jessica
Greene, University of Oregon
“The Role of Race in Physician Participation in Medicaid: What
Happens When Poverty and Race Are Conflated?”
PowerPoint Slides
|
PDF Handout
Verna
Lamar-Welch, Emory University
“The Effects of Survey Methodology on Race, Ethnicity, and Health
Status Reporting”
PowerPoint Slides
|
PDF Handout
Deborah
Taira, Hawaii Medical Service Association
“Ethnic Disparities in the Impact of Copayment on Adherence
to Anti-Hypertensive Medications among Asian Pacific Americans”
PowerPoint Slides
|
PDF Handout
Courtney
Harold Van Houtven, VA and Duke Medical Centers
“Perceived Racism and Delay of Pharmacy Prescriptions”
PowerPoint Slides
|
PDF Handout
Key Challenges in the Management of Health Care Organizations
Sunrise
Chair:
Thomas Rundall, University of California, Berkeley
Call
for Papers:
James Bramble, Creighton University
“PDA Prescribing in Outpatient Settings: Barriers and Solutions”
PowerPoint Slides
|
PDF Handout
John
Fortney, University of Arkansas for Medical Sciences
“Are Community-Based Primary Care Services a Substitute or Complement
for Specialty and Inpatient Services?”
PowerPoint Slides
|
PDF Handout
Shannon
Mitchell, Yale University
“Gender Disparities in Healthcare Experiences: The Impact of
Managed Care Practices”
PowerPoint Slides
|
PDF Handout
Nicole
Quon, Yale University
“Trustbusters: The Prevalence and Predictors of Trust Violations
in American Medicine”
PowerPoint Slides
|
PDF Handout
Diane
Rittenhouse, University of California, San Francisco
“Medicaid Managed Care: Determining Predictors of Provider Organizations’
Use of Organized Processes to Improve Care”
PowerPoint Slides
|
PDF Handout
VA: Research That Makes a Difference
Royal Palm Three
Chair:
Philip
Crewson, Department of Veterans Affairs
Panelists:
Brian
Mittman, VA Greater Los Angeles Healthcare System
Robert
Morgan, VA Medical Center, Houston
Min-Woong
Sohn, VA Hines Hospital
PowerPoint Slides
|
PDF Handout
Donna
Washington, VA Greater Los Angeles Healthcare System
Research
Agenda: The Veterans Health Administration, one of the largest
integrated health care systems in the United States, is committed
to improving health care quality and efficiency. Serving 4.9 million
patients a year, VA offers interesting challenges and opportunities
for gathering comparative data and measuring impact. Recent findings
on Medicare use by veterans, perceptions of gender disparities in
VA health care, access to pharmacy benefits, and lessons learned from
the VA Quality Enhancement Research Initiative will be highlighted.
Research Agenda of the Foundations
Royal Palm Two
Chair:
Lauren LeRoy, Grantmakers In Health
Panelists:
Marguerite
Johnson, W.K. Kellogg Foundation
James
Knickman, The Robert Wood Johnson Foundation
PowerPoint Slides
|
PDF Handout
Marsha
Lillie-Blanton, The Henry J. Kaiser Family Foundation
PowerPoint Slides
|
PDF Handout
Stephen
Schoenbaum, The Commonwealth Fund
PowerPoint Slides
|
PDF Handout
Research
Agenda: Foundations support health services research, policy analysis,
and evaluation in a wide range of issue areas. Panelists in this session
will describe the funding priorities of four national foundations
that are major funders of research and evaluation. They will also
share an insider’s view of what factors foundations consider
when making decisions about what and how to fund in this area.
How
Can Health Services Research Make a Stronger Contribution?
Royal Palm Five/Six
Chair:
W. David Helms, AcademyHealth
Panelists:
Charles
Baker, Harvard Pilgrim Health Care
PowerPoint Slides
|
PDF Handout
Arnold
Milstein, William M. Mercer, Inc.
PowerPoint Slides
|
PDF Handout
Robert
D. Reischauer, The Urban Institute
PowerPoint Slides
|
PDF Handout
Special
Session: In light of increasing pressures to improve health
care quality, address pressing patient safety issues, and control
rising health care costs, health services research needs to play a
stronger role in informing public and private health coverage decisions.
This means a heightened focus on what works and what doesn’t
work. Leaders from the health care purchasing and health plan worlds
will review the challenges they face in making informed, cost-effective
decisions. They will also share their views on how the field can help
this country build a more efficient and effective health care system.
New
Research on Health Literacy
Royal Palm Four
Chair:
David Howard, Emory University
Call
for Panels:
Darren DeWalt, University o |
