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Monday, June 27
Presentations slides are available in PDF  and PPT  formats.
9:00 a.m. - 10:30 a.m.
Concurrent Sessions
Providers Under Pressure: Effects of Competition, Payment & Ownership
Room 309- Third Level
Chair: Gary Young, Department of Veterans Affairs, Boston, MA
Panelists:
Tae-Hyun Kim, Virginia Commonwealth University
"An Evaluation of Hospital Capital Investment After BBA"
PowerPoint Slides | PDF Handout of Slides
Donald Klepser, University of Nebraska Medical Center
"Does Physician Quality Affect Bargaining Power Over Price in Third Party Contracts?"
PowerPoint Slides | PDF Handout of Slides
Yu-Chu Shen, Naval Postgraduate School
"Hospital Ownership and Performance: An Integrative Research Review"
PowerPoint Slides | PDF Handout of Slides
Julie Sochalski, University of Pennsylvania
"Does Hospital Price Competition Influence Nurse Staffing and Quality of Care?"
PowerPoint Slides | PDF Handout of Slides
David Song, University of Pennsylvania
"Differences in For-Profit and Not-for-Profit Hospital Behavior: An Examination of Failure-to-Rescue in the Aftermath of the Balanced Budget Act of 1997"
PowerPoint Slides | PDF Handout of Slides
Lessons Learned from VA Implementation Research
Room 202 - Second Level
Chair: Joseph Francis, Department of Veterans Affairs, Washington, DC
Panelists:
Brian Mittman, Department of Veterans Affairs, Los Angeles, CA
Sarah Krein, Department of Veterans Affairs, Ann Arbor, MI
Sherri LaVela, Department of Veterans Affairs, Hines, IL
Jeffrey Smith, Department of Veterans Affairs, Little Rock, AR
Research Update: The Department of Veterans Affairs (VA) offers a unique laboratory for understanding the factors that foster effective implementation of evidence into routine clinical practice. Since 1998, VAs Quality Enhancement Research Initiative has created partnerships between health services researchers and policymakers to inform and accelerate system-wide performance improvement. The objective of this session is to share specific lessons learned while overcoming barriers to spreading and sustaining evidence-based practice.
I Pay for Performance: Lessons from Health Care Systems around the Globe
Room 203 - Second Level
Chair: Andrew Bindman, University of California, San Francisco
Panelists:
R. Adams Dudley, University of California, San Francisco
PowerPoint Slides | PDF Handout of Slides
Martin Roland, University of Manchester
PowerPoint Slides | PDF Handout of Slides
Igor Sheiman, Moscow High School of Economics, Russia
PowerPoint Slides | PDF Handout of Slides
Invited Papers: Pay for performance is the emerging approach for moving the health care agenda from cost savings to value by linking financial incentives to high quality processes and outcomes of care. This session will describe the rationale for and the experience with pay for performance schemes emerging in the United States, the United Kingdom, and Russia. Presenters will describe pay for performance in hospital-based and primary care practice.
C Childhood Obesity & New Data & Findings for Children with Special Health Care Needs
Room 311 - Third Level
Chair: Jonathan Klein, University of Rochester
Panelists:
Christina Bethell, Oregon Health and Science University
"Comparing and Interpreting Findings on the Prevalence and Health and Health Care Service Need Characteristics of Children and Youth with Special Health Care Needs (CYSHCN) Across Three New National Data Sets"
PowerPoint Slides | PDF Handout of Slides
Debra Lotstein, University of California, Los Angeles
"Access to Care for Adolescents with Special Health Care Needs"
Chad Meyerhoefer, Agency for Healthcare Research and Quality
"Physical Education and the Incidence of Overweight among Adolescents"
Joseph Thompson, University of Arkansas for Medical Sciences
“Arkansas 's Response to Childhood Obesity: Year Two Assessment"
Nora Wells, Federation For Children With Special Needs
"User-Friendly Strategies to Expand the Use of New National Data Sets on Children's Health by Policymakers and Consumer and Health Care System Leaders"
PowerPoint Slides | PDF Handout of Slides
W Diversity in the Health Care Workforce: Current Issues & Controversies
Room 312 - Third Level
Chair: Joseph Betancourt, Massachusetts General Hospital
Panelists:
Peter Bach, Memorial Sloan Kettering Cancer Center; John A. Rich, Boston Public Health Commission; Somnath Saha, Department of Veterans Affairs, Portland, OR
Roundtable: The issue of diversity in the health care workforce has attracted great attention over the last few years, particularly with the release of the IOM report "In the Nation's Compelling Interest" and the Sullivan Commission report. Despite this, there remain many questions about the path needed to achieve its goals, and more importantly, will achieving the goals actually lead to improved quality of care and the elimination of disparities? Panelists in this roundtable will discuss the IOM report and the Sullivan Commission report, as well as provide some of the current controversies about the goal and process of achieving diversity in the health care workforce.
E New Approaches to Translating Research Into Policy & Practice
Room 207 - Second Level
Chair: Linda Bilheimer, The Robert Wood Johnson Foundation
Panelists:
Jacqueline Tetroe, Ottawa Health Research Institute
"A Review of Knowledge Transfer Models, Frameworks and Theories"
PowerPoint Slides | PDF Handout of Slides
Grace Warner, Dalhousie University
"Applying Knowledge Transfer and Exchange Strategies to Promote Integrated Stroke Care"
PowerPoint Slides | PDF Handout of Slides
John Lavis, McMaster University
"Towards Systematic Reviews that Inform Healthcare Management and Policymaking"
PowerPoint Slides | PDF Handout of Slides
Brian Mittman, Department of Veterans Affairs, Los Angeles, CA
"Synthesizing Quality Improvement Research: Methodological and Empirical Challenges and Solutions"
PowerPoint Slides | PDF Handout of Slides
Kieran Walshe, University of Manchester
"Realist Synthesis: An Approach to Synthesizing Research Evidence on Complex Social Interventions for Policymakers and Managers"
B How Should Evidence Inform Payment in Mental Health?
Room 208 - Second Level
Chair: Kenneth Wells, University of California, Los Angeles
PowerPoint Slides | PDF Handout of Slides
Panelists:
Francisca Azocar, United Behavioral Health
Benjamin Druss, Emory University
PowerPoint Slides | PDF Handout of Slides
Lisa Meredith, RAND
PowerPoint Slides | PDF Handout of Slides
Michael Schoenbaum, RAND
PowerPoint Slides | PDF Handout of Slides
Mark Trail, Georgia Department of Medical Assistance
Invited Papers: These papers will provide an overview of current issues in the financing of mental health services in relationship to evidence of services delivery effectiveness. The papers will combine research and policy/market perspectives on the program in three areas: Medicare funding and care management for depression and other chronic conditions; Medicaid funding and treatment of severe mental illness and co morbidity with physical illnesses, highlighting issues across specialty and primary care sectors; and private-sector, mental health carve-outs, particularly provider incentives for providing quality mental health care. The papers will highlight issues and findings of incentive appropriate care, even when evidence currently exists for effectiveness and/or cost-effectiveness. The presentation will also illustrate new approaches to determine how systems and/or providers or consumers can move forward with improved care or coverage.
A Strategies to Cover the Uninsured
Room 210 - Second Level
Chair: Nicole Lurie, RAND
Panelists:
Janice Blanchard and Carrie Hoverman, both from RAND
JoAnn Lamphere, The Lewin Group, Inc.
Erin Fries Taylor, Mathematica Policy Research, Inc.
Roundtable: Presenters will report data evaluating federal and state initiatives to expand coverage to the uninsured and present outcome data from a local initiative.
M Translating "Legislative Sausage" into Understandable Choices for Medicare Beneficiaries
Room 302 - Third Level
Chair: Marsha Gold, Mathematica Policy Research, Inc.
Panelists:
Diane Archer, Medicare Rights Center
PowerPoint Slides | PDF Handout of Slides
Linda Fishman, Hogan & Hartson, LLP
Tricia Neuman, The Henry J. Kaiser Family Foundation
PowerPoint Slides | PDF Handout of Slides
Invited Papers: Legislation is the art of compromise, but what happens when those compromises alter the choices offered 41 million Americans on Medicare in ways that affect each of them, often in very different and complex ways? In this session, analysts close to the MMA's legislative process will describe how the actual details in the structure of private plan choices emerged. We will hear what beneficiaries think of those choices or go about making any choice at all. We also will hear what consumer advocates are doing on the ground to help beneficiaries deal with them and what they are hearing. Finally, panelists will speculate on the tensions between legislative intent and operational reality-are conflicts inevitable and how can they be minimized?
Measuring Organizational Characteristics
Room 304 - Third Level
Chair: Paul Cleary, Harvard Medical School
Panelists:
Elizabeth Bradley, Yale University
PowerPoint Slides | PDF Handout of Slides
Jill Marsteller, Johns Hopkins University
PowerPoint Slides | PDF Handout of Slides
Patrick O'Connor, HealthPartners
PowerPoint Slides | PDF Handout of Slides
Elizabeth Yano, Department of Veterans Affairs, Los Angeles, CA
PowerPoint Slides | PDF Handout of Slides
Methods Workshop: Numerous studies have found that many aspects of medical care, such as costs, quality, and access vary a great deal across organizations, such as hospitals, health plans, medical groups, and even practice sites. Given such variability, it is important to understand more about what characteristics of organizations predict how they will perform with respect to the cost, quality, and equity of care provided. Presenters will discuss challenges and solutions to assessing such characteristics.
L Payors, Recipients & Providers Respond: Behind the Trends in Long-Term Care Utilization
Room 306 - Third Level
Chair: Vincent Mor, Brown University
Panelists:
Christine Bishop, Brandeis University
"Impact of LTC Insurance on Setting and Use of Formal and Informal Care"
PowerPoint Slides | PDF Handout of Slides
David Grabowski, Harvard Medical School
"Moral Hazard in Nursing Home Use"
PowerPoint Slides | PDF Handout of Slides
Wen-Chieh Lin, University of Missouri, Columbia
"The Effect of Hospitals' Post-Acute Care Ownership on Medicare Post-Acute Care Use"
PowerPoint Slides | PDF Handout of Slides
Lawrence Nitz, University of Hawaii at Manoa
"Effect of a State Social Insurance Plan on State Medicaid and Family Support Obligations"
PowerPoint Slides | PDF Handout of Slides
Louise Russell, Rutgers University
"Prevention Guidelines and the Risk of Nursing Home Admission"
PowerPoint Slides | PDF Handout of Slides
D Can Quality Improvement Programs Reduce Health Disparities?
Room 310- Third Level
Chair: Kaytura Felix-Aaron, Bureau of Primary Health Care
Panelists:
Andrew Epstein, Yale University
"Racial and Ethnic Differences in Use of High Volume Hospitals and Surgeons"
PowerPoint Slides | PDF Handout of Slides
Romana Hasnain-Wynia, Health Research and Educational Trust
"Disparities in Inpatient Quality of Care Measures by Race and Ethnicity"
PowerPoint Slides | PDF Handout of Slides
Sarah Hudson Scholle, National Committee for Quality Assurance
"Solving Racial Disparities in Quality of Medicare Managed Care: Geography Reconsidered" and "Racial Disparities Remain as Quality Improves in Medicare Managed Care"
PowerPoint Slides | PDF Handout of Slides
Thomas Sequist, Harvard Medical School
"The Effect of Quality Improvement on Racial Disparities in Diabetes Care"
PowerPoint Slides | PDF Handout of Slides
Go Behind the AHRQ/NIH Study Section Door: A Mock Review
Room 313 - Third Level
Chair: Ming Tai-Seale, Texas A&M University Health Sciences Center
PowerPoint Slides | PDF Handout of Slides
Panelists:
Francis Chesley, 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 AHRQ's Acting Director for Extramural Research, Training, and Vulnerable Populations 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 your research plan to reviewers who may not speak your technical language, 2) using the Summary Statement to help you revise and resubmit a proposal, and 3) working with federal project officers.
11:00 a.m. - 12:30 p.m.
Concurrent Sessions
R Patient Preferences & Participation in Health Care Decision Making
Room 200 - Second Level
Chair: Maureen Smith, University of Wisconsin, Madison
Panelists:
Betty Chewning, University of Wisconsin, Madison
"Patient Preferences for Shared Medial Decisions"
Elizabeth Cox, University of Wisconsin, Madison
"Factors Associated with Children's Participation in Shared Decision Making"
Kathryn Flynn, University of Wisconsin, Madison
"Older Patients' Preferences for Participation in Decision Making"
Maureen Smith, University of Wisconsin, Madison
"Continuity of Care and Trust Among Individuals with Chronic Conditions"
David Vanness, University of Wisconsin Medical School
"My Own Benevolent Dictator: Merging Rank Dependent Utility with Social Welfare Functions to Improve Health Policy and Individual Treatment Choice"
P Toward a Better Understanding of Public Health
Room 309- Third Level
Chair: Kristine Gebbie, Columbia University
PowerPoint Slides | PDF Handout of Slides
Panelists:
Roy Grant, Children's Health Fund
"How Americans Feel About Terrorism Security: Three Years After September 11"
Kristine Lykens, University of North Texas
"Evaluating Tuberculosis Surveillance and Action in an Urban and Rural Setting"
PowerPoint Slides | PDF Handout of Slides
Ying-Ying Meng, University of California, Los Angeles
"Environmental Public Health Tracking: Linking Health, Environmental Hazard and Exposure Data"
PowerPoint Slides | PDF Handout of Slides
Mitesh Patel, University of Michigan
"Increasing Influenza Vaccination and Reducing Mortality among the Elderly Through Direct-to-Consumer Advertising"
PowerPoint Slides | PDF Handout of Slides
Tina Smith, Georgia Health Policy Center
"From Theory to Practice: What Drives the Core Business of Public Health?"
PowerPoint Slides | PDF Handout of Slides
T Effects of HIT on Financial & Quality Performance
Room 202 - Second Level
Chair: John Hsu, Kaiser Permanente
Panelists:
Brendon Colaco, Pennsylvania State University
"Effects of Telehealth on the Self Management of Heart Failure"
PowerPoint Slides | PDF Handout of Slides
Nir Menachemi, Florida State University
"Effect of Hospital IT Capabilities on Financial Performance
PowerPoint Slides | PDF Handout of Slides
Robert Miller, University of California, San Francisco
"The Value of Electronic Health Records in Solo/Small Groups
Alan White, Abt Associates, Inc.
"Utilizing the Electronic Medical Record to Reduce Inappropriate Medication Use"
PowerPoint Slides | PDF Handout of Slides
Alexander Young, Department of Veterans Affairs, Los Angeles, CA
"Implementing Routine Outcome Assessment to Improve Care for Mental Illness"
PowerPoint Slides | PDF Handout of Slides
B National Standards for Culturally & Linguistically Appropriate Behavioral Health Services: Are We Kidding Ourselves?
Room 203 - Second Level
Chair: Michael Grodin, Boston University
Panelists:
Donna Bonaparte, Cambridge Health Alliance
Peter Guarnaccia, Rutgers, The State University of New Jersey
PowerPoint Slides | PDF Handout of Slides
Eric Hardt, Boston University
PowerPoint Slides | PDF Handout of Slides
Invited Papers: Cultural competence allegedly has been embraced by health care organizations as the way to effectively respond to the cultural and linguistic needs of a diverse patient population. However, the adoption and enforcement of the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in health care has presented challenges. The panelists will present their experiences and reflect on needed strategies for overcoming these challenges. Discussion will include who should pay for cultural competence, which organizational incentives might promote adoption, and whether cultural competence can be turned into a higher priority for administrators.
I Lessons from Abroad: The Value of International Comparisons
Room 311 - Third Level
Chair: Nick Black, London School of Hygiene & Tropical Medicine
Panelists:
Farasat Bokhari, Florida State University
"Government Health Expenditures and Health Outcomes"
Haejoo Chung, Johns Hopkins University Bloomberg School of Public Health
"Welfare State Matters: A Multilevel Approach"
PowerPoint Slides | PDF Handout of Slides
Sat Ananda Hayden, University of North Carolina at Charlotte
"Picking Out the Pieces: Ethics and Morality in Global Nurse Migration Policy"
PowerPoint Slides | PDF Handout of Slides
Ellen Nolte, London School of Hygiene and Tropical Medicine
"Chronic Diseases as Tracer Conditions in International Benchmarking of Health Systems: The Example of Diabetes"
PowerPoint Slides | PDF Handout of Slides
Suzanne Wait, Cambridge University
"Public Involvement in Health Care: Examples from Europe "
CMS Research Update
Room 207- Second Level
Chair: William Saunders, Centers for Medicare and Medicaid Services
PowerPoint Slides | PDF Handout of Slides
Research Update: This session will describe the analytic priorities of the Centers for Medicare & Medicaid Services (CMS) and how they fit into its mission to identify, design, develop, test, and implement improvements to the Medicare, Medicaid, and State Children's Health Insurance Programs, for which CMS is responsible at the federal level. The presentation will focus on the research and demonstration projects that are being conducted or developed under CMSs eight research themes. The session will particularly highlight activities related to the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) and other current CMS initiatives.
H The Costs & Consequences of Unstable Health Insurance Coverage
Room 312- Third Level
Chair: Jennifer Edwards, The Commonwealth Fund
PowerPoint Slides | PDF Handout of Slides
Panelists:
Gerry Fairbrother, University of Cincinnati
"Extent of Churning for Children in Medicaid Managed Care and Its Attendant Costs"
PowerPoint Slides | PDF Handout of Slides
Sherry Glied, Columbia University
"Transitions in Health Insurance Coverage 1998-2000"
PowerPoint Slides | PDF Handout of Slides
Vicki Grant, Southern Institute on Children and Families
"Eligibility Process Improvement: Change at the Operational Level"
PowerPoint Slides | PDF Handout of Slides
Laura Summer, Georgetown University
"Instability of Public Health Insurance Coverage for Children and Their Families"
PowerPoint Slides | PDF Handout of Slides
C Quality Improvements in Child Health
Room 208 - Second Level
Chair: Charles Homer, National Initiative for Children's Healthcare Quality
Panelists:
Christina Bethell, Oregon Health and Science University
PowerPoint Slides | PDF Handout of Slides
Judith Shaw, University of Vermont
PowerPoint Slides | PDF Handout of Slides
Lisa Simpson, University of South Florida
PowerPoint Slides | PDF Handout of Slides
Alan Weil, National Academy for State Health Policy
PowerPoint Slides | PDF Handout of Slides
Invited Papers: This panel will present Improvement Partnerships, an innovative regional approach to improving child health care at all levels of the health care system. This process of coordination simultaneously supports quality improvement initiatives in the clinical settings where care takes place, applies measurement to inform improvement, and promotes efforts to make policy changes to support these improvements in care. This panel will discuss innovation at the state level to improve the quality of children's health care, including practice-based improvement, child health measures, and policy implication. Real examples will be shared and the audience will be engaged in a discussion of local improvement efforts that generate new channels for collaboration and new and improved ways to meet the health needs of today's children.
Communicating Your Research to the Media
Room 210 - Second Level
Chair: Uwe Reinhardt, Princeton University
Panelists:
Timothy Johnson, ABC News
Richard Knox, National Public Radio (NPR)
Lizbeth Kowalczyk, Boston Globe
Skill and Career Development: In this session, prominent journalists focused on health care and policy will explain to health services researchers what kind of research is of interest to the media and how researchers can couch their findings in ways that make a story interesting to a journalist.
E Producing & Adapting Research Syntheses for Use by Health-System Managers & Public Policymakers
Room 302 - Third Level
Chair: Carolyn Clancy, Agency for Healthcare Research and Quality
Panelists:
Linda Bilheimer, The Robert Wood Johnson Foundation
PowerPoint Slides | PDF Handout of Slides
Diane Gagnon, Canadian Health Services Research Foundation
PowerPoint Slides | PDF Handout of Slides
Mark Helfand, Department of Veterans Affairs, Portland, OR
PowerPoint Slides | PDF Handout of Slides
Roundtable: Growing demand for evidence-based information to inform policy and management decisions has inspired new methods for synthesizing relevant information and strategies to enhance its accessibility at the point of decision-making. This session will provide a rationale for the science of synthesizing useful knowledge including leading-edge initiatives from Canada (CHSRF) and the United States (RWJF). In addition, an example of syntheses now used to inform states' efforts to enhance decisions about pharmaceutical purchasing and use will be included.
Sponsored in part by the Center for Health Research, University of California, Berkeley
Using Predictive Modeling to Manage Health Care & Health Insurance
Room 304 - Third Level
Chair: Arlene Ash, Boston University Medical Center
Panelists:
Robert Bachler, American Re HealthCare
Anju Joglekar, DxCG, Inc.
Part1: PowerPoint Slides | PDF Handout of Slides
Part2: PowerPoint Slides | PDF Handout of Slides
Part3: PowerPoint Slides | PDF Handout of Slides
Part4: PowerPoint Slides | PDF Handout of Slides
Methods Workshop: Sophisticated "risk adjustment" models that use diagnoses extracted from administrative data to construct person-level illness-burden profiles and predict future health costs, utilization, or morbidity have been available for more than a decade. Such models are now being used in combination with other electronically available data (including inpatient, outpatient, and pharmacy utilization patterns and costs) for a variety of real-world purposes. Our panelists will show how they use predictive models and other information to find patients likely to have an un-coded chronic disease, to benefit from disease management, or to exceed extremely high cost thresholds "next year."
Accessing Nationwide & State Administrative Data Through the Healthcare Cost & Utilization Project (HCUP)
Room 306 - Third Level
Chairs:
Anne Elixhauser, Agency for Healthcare Research and Quality
Chaya Merrill, Thomson Medstat
Research Update: HCUP is a unique and powerful data resource that captures information on 90 percent of all hospital stays in the U.S. It is a family of databases, software tools, and products that enable health services research and policy analysis focusing on hospital, ambulatory surgery, and emergency department encounters. This session will provide an introduction to HCUP data and will introduce participants to several HCUP software tools, including HCUPnet-the free, online query system that provides instant access to HCUP data. Course participants will receive a CD containing valuable resources that expand on topics covered in the session-data file descriptions, research examples that use HCUP data, information on how to access documentation, and instructions on how to obtain HCUP data and tools.
D Disparities in Cardiac Care-New Lessons
Room 310- Third Level
Chair: David Nerenz, Henry Ford Health System
Panelists:
Rachel Kreier, Hofstra University
"Information and Quality Sorting by Ability to Pay in the Market for Heart Surgeons"
PowerPoint Slides | PDF Handout of Slides
Dana Mukamel, University of California, Irvine
"Do Physicians Discriminate Among Patients of Different Race When Referring to High Quality Cardiac Surgeons?" and "Surgeons' Experience with a New Cardiac Surgery Technique and Patient Race"
Thomas Sequist, Harvard Medical School
"Regional Patterns of Cardiac Procedure Use Following Acute Myocardial Infarction among American Indians"
PowerPoint Slides | PDF Handout of Slides
Amal Trivedi, Harvard Medical School
"Impact of Hospital Volume on Racial Disparities in Cardiovascular Procedure Mortality"
M The Part D Benefit: Going Boldly Where Medicare Has Not Gone Before
Room 313 - Third Level
Chair: Helene Lipton, University of California, San Francisco
Panelists:
January Angeles, American Institutes for Research (AIR)
"Improving Medicare Coverage: An Evaluation of the Doughnut Hole Gap"
PowerPoint Slides | PDF Handout of Slides
Jalpa Doshi, University of Pennsylvania
"Generosity of Retiree Drug Benefits and Essential Medication Use among Aged Medicare Beneficiaries with Employer-Sponsored Health Insurance"
PowerPoint Slides | PDF Handout of Slides
Cheryl Fahlman, Health Research and Educational Trust
"Prescription Drug Expenditures for Medicare Managed Care Beneficiaries in the Last Year of Life"
Frank Porell, University of Massachusetts, Boston
"Prescription Drug Coverage and Mortality Risks among Aged Medicare Beneficiaries"
PowerPoint Slides | PDF Handout of Slides
Baoping Shang, RAND
"Prescription Drug Coverage and Elderly Medicare Spending"
PowerPoint Slides | PDF Handout of Slides
12:45 p.m. - 2:15 p.m.
Luncheon Plenary
Ballrooms A/B/C - Third Level
Presentation of AcademyHealth Awards
Distinguished Investigator Award
Awardee: Linda Aiken, University of Pennsylvania
Presenter: Donald Steinwachs, Johns Hopkins University
Article-of-the-Year Award
Awardee: Anthony Lo Sasso, University of Illinois at Chicago
Presenter: Thomas Rice, University of California, Los Angeles
Dissertation Award
Awardee: Rachel Werner, Department of Veterans Affairs, Philadelphia, PA
Presenter: David Asch, Department of Veterans Affairs, Philadelphia, PA
Student Poster Award
Awardee: TBA
Presenter: Jane Nelson Bolin, Texas A&M University
2:00 p.m. - 7:30 p.m.
Exhibits Open
Exhibit Hall C - Second Level
2:30 p.m. - 4:00 p.m.
Concurrent Sessions
Foundations' Research & Policy
Room 200 - Second Level
Chair: Lauren LeRoy, Grantmakers In Health
Panelists:
James Knickman, The Robert Wood Johnson Foundation
PowerPoint Slides | PDF Handout of Slides
Alina Salganicoff, The Henry J. Kaiser Family Foundation
PowerPoint Slides | PDF Handout of Slides
Stephen Schoenbaum, The Commonwealth Fund
PowerPoint Slides | PDF Handout of Slides
Albert Yee, W.K. Kellogg Foundation
PowerPoint Slides | PDF Handout of Slides
Research Update: Join representatives from some of the nation's major foundations that fund health services and policy research. Learn about their current priorities, key resources they have available to enhance and support your work, and how to most effectively approach them with ideas for needed research or analysis and feedback on funding possibilities.
CDC Public Health Research Update
Room 309 - Third Level
Chair: Linda McKibben, Centers for Disease Control and Prevention
Panelists:
Dennis Lenaway, all from the Centers for Disease Control and Prevention
PowerPoint Slides | PDF Handout of Slides
Robert Spengler, all from the Centers for Disease Control and Prevention
PowerPoint Slides | PDF Handout of Slides
Raymond Strikas, all from the Centers for Disease Control and Prevention
PowerPoint Slides | PDF Handout of Slides
Research Update: In last year's session, CDC announced a new public health extramural research program and the initiation of agency goals for improving the public's health. CDC's update by Drs. Robert Spengler, Dennis Lenaway, and Raymond Strikas describes: 1) the development of the first CDC-wide research agenda and integration with the new CDC goals management processes, 2) 14 priority areas for public health systems research, and 3) health services research priorities for improving vaccination of adults against influenza, one of four major health protection objectives.
H The Non-Group Health Insurance Marketplace
Room 202 - Second Level
Chair: Sherry Glied, Columbia University
Panelists:
Melinda Beeuwkes-Buntin, RAND
"How Much Risk Pooling is There in the Individual Insurance Market?"
M. Kate Bundorf, Stanford University
"Health Risk and the Purchase of Private Health Insurance"
Bradley Herring, Rollins School of Public Health of Emory University
"Risk Segmentation in the Individual Health Insurance Market"
Alan Monheit, University of Medicine and Dentistry of New Jersey
"Community Rating and Sustainable Individual Coverage in New Jersey : Assessing Policy Options for the Non-Group Insurance Market"
G Advancing Patient-Centered Care Through Gender Analysis
Room 203 - Second Level
Chair: Rosaly Correa-de-Araujo, Agency for Healthcare Research and Quality
Panelists:
Cindy Brach, Agency for Healthcare Research and Quality
Ruth Zambrana, University of Maryland
PowerPoint Slides | PDF Handout of Slides
Anne Beal, The Commonwealth Fund
PowerPoint Slides | PDF Handout of Slides
Marsha Lillie-Blanton, The Henry J. Kaiser Family Foundation
Invited Papers: Patient-centered care encompasses qualities of compassion, empathy, and responsiveness to the needs, values, and patients' preferences. Research has shown that the way in which patients and health care providers communicate with each other can have an impact on patient satisfaction, quality of care, and patient outcomes. Good communication is essential to achieving patient-centered care and is better achieved through health care providers who are culturally competent and patients with certain level of health literacy. This session will address health literacy, cultural competence, and how they affect health outcomes and the relationship between health care professionals and patients. Presentations will focus on gender differences across racial and ethnic groups and strategies to overcome barriers toward improvement of cultural competence/health literacy.
D Crossing the Cultural Chasm to Improve Quality of Care & Reduce Health Disparities
Room 311 - Third Level
Chair: Lisa Cooper, Johns Hopkins University
Panelists:
Debra Perez, The Robert Wood Johnson Foundation
"Understanding Barriers to Healthcare Among Latinos: The Effects of Ethnicity, Culture Change and Discrimination"
Ninez Ponce, University of California, Los Angeles
"Cultural Concordance Between Patient and Primary Care Provider and Cervical Cancer Screening"
PowerPoint Slides | PDF Handout of Slides
Dana Gelb Safran, Tufts-New England Medical Center
"Treatment Nihilism: Exploring Attitudinal Factors that May Contribute to Disparities in Health Care"
PowerPoint Slides | PDF Handout of Slides
Jaeun Shin, KDI School of Public Policy and Management
"Disparities in Access to Care and Health Care Utilization: Does Provider-Patient Race/Ethnicity Mix Matter? Evidence from MEPS 2002"
PowerPoint Slides | PDF Handout of Slides
Joel Weissman, Massachusetts General Hospital
"Are Resident Physicians Prepared to Deliver Quality Care to Diverse Populations?"
PowerPoint Slides | PDF Handout of Slides
A Public & Private Health Insurance
Room 312 - Third Level
Chair: Jose Escarce, University of California, Los Angeles
Panelists:
David Baker, Northwestern University
"Changes in Health for the Uninsured after Reaching Age-Eligibility for Medicare"
PowerPoint Slides | PDF Handout of Slides
Matthew Carlson, Portland State University
"The Impact of Increased Cost Sharing on Adults Enrolled in Medicaid: Early Results from a Prospective Cohort Study"
PowerPoint Slides | PDF Handout of Slides
Michael Chernew, University of Michigan
"Charity Care, Risk Pooling and the Decline in Private Health Insurance"
PowerPoint Slides | PDF Handout of Slides
Kathleen Kerwin Fuda, Boston University
"A Statewide Study of Frequent Users of Emergency Departments in Massachusetts "
PowerPoint Slides | PDF Handout of Slides
Ithai Zvi Lurie, Northwestern University
"The Effects of Welfare Reform on Health Insurance and Immigrants and their Children-Differences by Immigration Status"
PowerPoint Slides | PDF Handout of Slides
Excellence in Qualitative Health Services Research
Room 207 - Second Level
Chair: Kelly Devers, Virginia Commonwealth University
Panelists:
Charles Bosk, University of Pennsylvania
PowerPoint Slides | PDF Handout of Slides
Susan Flocke, Case Western Reserve University
PowerPoint Slides | PDF Handout of Slides
Richard Frankel, Department of Veterans Affairs, Indianapolis, IN
PowerPoint Slides | PDF Handout of Slides
Methods Workshop: Over the past five years, funders and researchers in health services research have articulated standards for good qualitative research and developed checklists that can be used to assess proposals, manuscripts, and published work. While these standards and checklists have been helpful in many ways, they alone will not help us identify outstanding qualitative research nor produce it. This panel will explore three questions: 1) What distinguishes excellent qualitative research from good qualitative research? 2) What are some of the challenges to conducting such research (e.g., theoretically, practically, and ethically)? and, 3) How can we foster more excellent qualitative health services research?
O The Business Case for Implementing Evidence-Based Practice
Room 208 - Second Level
Chairs:
Steven Asch, Department of Veterans Affairs, Los Angeles, CA
Elizabeth Yano, Department of Veterans Affairs, Los Angeles, CA
PowerPoint Slides | PDF Handout of Slides
Panelists:
Emmett Keeler, RAND
PowerPoint Slides | PDF Handout of Slides
Catarina Kiefe, Department of Veterans Affairs, Birmingham, AL
PowerPoint Slides | PDF Handout of Slides
Patricia Vandenberg, Department of Veterans Affairs
William Weeks, Department of Veterans Affairs, White River Junction, VT
PowerPoint Slides | PDF Handout of Slides
Invited Papers: Health services researchers and providers face distinct challenges in convincing health care managers of the value of investing in interventions needed to implement evidence-based practice. In the VA health care system, implementation research studies have deepened understanding of some of the fundamental factors that foster or hinder effective bridging of research into the domain of managers, whose language, expectations, and needs often differ in profound ways from those of researchers. These differences can present formidable obstacles to implementing evidence-based practice and to sustaining underlying research-clinical partnerships. Our objective for this session is to provide a forum for discussing the principles and methods for conceptualizing and applying the business case for quality improvement.
Informing the Debate: Health Services Research's Role in Federal Policymaking
Room 210 - Second Level
Chairs: Carolyn Clancy, Agency for Healthcare Research and Quality; Michael O'Grady, Office of Assistant Secretary for Planning and Evaluation
Panelists:
Elizabeth Fowler, Senate Finance Committee
Mark Miller, Medicare Payment Advisory Commission
William Scanlon, Georgetown University
Special Session: Providing high-quality, unbiased research within a complex, often partisan, policy environment poses both significant challenges and rewards. Researchers who have worked in a particular policy area for years often have strongly held views on those issues and the roles of analyst versus advocate can become disturbingly blurred. This session will explore these issues and related issues of balance, rigor, designing your research to be policy-relevant, and gaining access to the process.
S How are Medicaid & SCHIP Weathering the Fiscal Storm?
Room 302 - Third Level
Chair: Alan Weil, National Academy for State Health Policy
PowerPoint Slides | PDF Handout of Slides
Panelists:
Teresa Coughlin, The Urban Institute
PowerPoint Slides | PDF Handout of Slides
Deborah Florio, State of Rhode Island
PowerPoint Slides | PDF Handout of Slides
Jeanene Smith, State of Oregon
PowerPoint Slides | PDF Handout of Slides
Roundtable: States recently went through a period of rising Medicaid costs and declining revenue, creating pressure to cut the program that remains to this day. The panel will present a variety of perspectives on recent events, including a national overview of how Medicaid and SCHIP fared relative to other state priorities, one state's experience with significant cuts and the research questions that arise from those cuts, and another state's use of research and evidence to avert the type of cuts other states experienced.
Q Pay-for-Performance: Getting the Evidence We Need
Room 304 - Third Level
Chair: Irene Fraser, Agency for Healthcare Research and Quality
Panelists:
R. Adams Dudley, University of California, San Francisco
PowerPoint Slides | PDF Handout of Slides
Stuart Guterman, The Commonwealth Fund
PowerPoint Slides | PDF Handout of Slides
Jeffrey Hanson, Verizon Communications
Meredith Rosenthal, Harvard University
Gary Young, Department of Veterans Affairs, Boston, MA
PowerPoint Slides | PDF Handout of Slides
Roundtable: In recent years, public and private purchasers have designed a number of initiatives to improve health care quality through the explicit use of financial and non-financial incentives. This proliferation of "natural experiments" provides an opportunity for research to both learn from current pay-for-performance efforts and inform future ones. This policy roundtable provides a dialogue between large purchasers and some of the leading researchers in this field. Panelists will discuss pay-for-performance projects under way, findings from past research that can inform these efforts, compelling questions for the future, and ways to work together in the future.
Sponsored in part by Abt Associates, Inc.
M Evaluating Prospects for PPOs Under Medicare|
Room 306 - Third Level
Chair: Leslie Greenwald, RTI International
Panelists:
Shulamit Bernard, RTI International
"Beneficiary Perspectives on Medicare PPOs"
Leslie Greenwald, RTI International
"From Demonstration to the Medicare Advantage (MA) Program: Factors That Will Influence the Future of Medicare PPOs"
Gregory Pope, RTI International
"Medicare Preferred Provider Organization Demonstration: Plan Offerings and Beneficiary Enrollment"
Student Poster Panel
Room 313- Third Level
Chair: Jane Nelson Bolin, Texas A&M University
Panelists:
Melissa Morley, Brandeis University
"The Role of Drug Characteristics in the Diffusion of Prescription Drugs"
Mark Patterson, University of North Carolina, Chapel Hill
"Effect of Influenza Vaccination on Acute Myocardial Infarction or Death in Diabetic Fee-for-Service Medicare Beneficiaries"
PowerPoint Slides | PDF Handout of Slides
France Priez, University of North Carolina, Chapel Hill
"Decreasing Gap in Life Expectancy Between Males and Females: Effect on Long-Term Care Use Near Death"
Karen Schneider, Brown University
"Beyond Access: Considering the Role of Health Behaviors in Non-Adherence to Mammography Guidelines"
I International Comparisons of Primary Care: An Opportunity for Learning from Patients' Experiences & Country Approaches to Health Care Delivery
Room 310- Third Level
Chair: Robin Osborn, The Commonwealth Fund
Panelists:
Christopher Forrest, Johns Hopkins University
"Cross-National Comparison of Primary Care Practice in Australia, New Zealand & the United States "
PowerPoint Slides | PDF Handout of Slides
Richard Grol, Centre for Quality of Care Research
"Comparison of Primary Care Delivery and Patients' Experiences in Nine European Countries" and "International Comparison of Primary Care: Patients' Experiences & Health Care Delivery Models"
Robin Osborn, The Commonwealth Fund
"Primary Care and Health System Performance: Adults' Experiences in Five Countries"
4:30 p.m. - 6:00 p.m.
Concurrent Sessions
T Paying for New Health IT: How Much, Who Pays & How?
Room 200 - Second Level
Chair: David Hopkins, Pacific Business Group on Health
PowerPoint Slides | PDF Handout of Slides
Panelists:
Peter Basch, MedStar Health
PowerPoint Slides | PDF Handout of Slides
John Fallon, Blue Cross Blue Shield of Massachusetts
PowerPoint Slides | |
