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presentation slides
Sunday, June 25 | Monday, June 26 | Tuesday, June 27
Sunday, June 25
8:30 a.m. – 10:00 a.m.
Concurrent Sessions  SCHIP at a Crossroads: Critical Knowledge Gaps & Emerging Issues
Room 4C-3 (level 4)
Chair: Genevieve Kenney, The Urban Institute
Panelists:
Tricia Brooks, New Hampshire Healthy Kids
 PowerPoint Slides |  PDF Handout of Slides
Lesley Cummings, Managed Risk Medical Insurance Board
PowerPoint Slides | PDF Handout of Slides
Elizabeth Shenkman, University of Florida
PowerPoint Slides | PDF Handout of Slides
Laura Shone, University of Rochester
Roundtable: As SCHIP nears its 10th anniversary and reauthorization looms, this session brings together SCHIP directors and researchers to assess key issues facing the program. Enacted in 1997, SCHIP represented the single largest expansion of public health insurance coverage since the creation of the Medicaid program in 1965. Presenters will draw on their experiences and the literature to define what they see as the most important knowledge gaps and emerging issues facing the program. Topics will include cost sharing, program financing, provider reimbursement and incentives, impacts on children's health and health care, and fragmentation of coverage.
Report from the National Commission for Quality Long-Term Care
Room 4C-4 (level 4)
Chair: Vincent Mor, Brown University
Panelists: Charles Fahey, Fordham University; Edward Miller, Brown University; William Scanlon, Health Policy Research and Development
Roundtable: The National Commission for Quality Long-Term Care (NCQLTC) is an autonomous body working to improve the quality of long-term care in America. Its charge is to evaluate the quality of long-term care, identify factors impeding and facilitating efforts to improve quality of care nationally, and make recommendations about national efforts that should lead to sustainable quality improvement. This symposium will summarize the activities of the Commission by first reviewing the scope of the long-term care problem in the U.S. and the impediments to and promoters of improvements in quality. Dr. Miller will present the results of a series of extensive interviews conducted with Commissioners and leaders in the long-term care field regarding their view of the principle problems in long-term care as well as the attributes these individuals feel are essential in a long-term care system that one would want for their own families. Dr. Scanlon and Fr. Fahey, both Commissioners and long term experts in the field, will then comment on the key policy issues and societal perspectives that influence how we think about long-term care in America.
Privacy, Confidentiality & Data Security in Health Services Research: Best Practices & Overcoming Obstacles
Room 4C-2 (level 4)
Chair: Alan Zaslavsky, Harvard Medical School
PowerPoint Slides | PDF Handout of Slides
Panelists:
Allen Fremont, RAND
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Patrick Gunn, Cooley Godward LL
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Deborah Walker, Abt Associates, Inc.
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Methods Workshop: Concerns about privacy and confidentiality have become increasingly prominent in health services research, particularly since the adoption of the HIPAA Privacy Rule. Researchers must observe their ethical and legal obligation to protect privacy while limiting the impact of privacy concerns on their research objectives. In this session, we will present an overview of privacy, confidentiality, and data security concerns and best practices that serves as a model for staff and researcher training on these issues. We then will discuss what is known about the actual privacy concerns of patients, the impact of HIPAA procedures on research, and ways of accomplishing research objectives while giving consideration to HIPAA concerns.
Gender & Heart Disease: Achieving Equity in Diverse Populations
Room 615-616 (level 6)
Chair: Sarah Hudson Scholle, National Committee for Quality Assurance
Panelists:
Arlene Bierman, University of Toronto
PowerPoint Slides | PDF Handout of Slides
Ann Chou, National Committee for Quality Assurance
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Sherrie Kaplan, University of California, Irvine
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Carol Weisman, Penn State College of Medicine
Invited Papers: Cardiovascular disease (CVD) risk in women continues to go unrecognized or inadequately treated. This session will use data from several U.S. and Canadian studies to examine patterns in CVD care for women and men as well as disparities in health and functional status among women with CVD, assessing the contribution of race/ethnicity, access, health care, and social determinants of health in explaining gender disparities. Implications for ongoing monitoring and public reporting will also be considered.
Managing Complexities in Chronic Care
Room 612 (level 6)
Chair: Patricia Coon, Deaconess Billings Clinic
Panelists:
David Dorr, Oregon Health and Science University
“Incorporating Multidisease Care Management into Primary Care Using People and Technology”
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Anne Elixhauser, Agency for Healthcare Research and Quality
“Hospital Readmissions and Multiple Chronic Conditions”
PowerPoint Slides | PDF Handout of Slides
Karin Nelson, Department of Veterans Affairs & University of Washington
“The Burden of Obesity among a National Probability Sample of Veterans”
PowerPoint Slides | PDF Handout of Slides
Michael Parchman, Department of Veterans Affairs & University of Texas Health Science Center at San Antonio
“Cardiovascular Risk Factors in Type 2 Diabetes and the Structure of Primary Care Clinics”
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Claudia Williams, AZA Consulting
“Issues and Innovations in Care Management for Medicaid Enrollees with Multiple Chronic Conditions”
PDF Handout of Slides
New Perspectives on Market Competition & Health Plan Design
Room 607 (level 6)
Chair: Dennis Scanlon, Pennsylvania State University
Panelists:
Christine Brudevold, Government Accountability Office
“Competition and Other Factors Linked to Wide Variation in Health Care Prices”
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Arpita Chattopadhyay, University of California, San Francisco
“The Contribution of Medicaid Managed Care to the Increasing Undercount of Medicaid Beneficiaries in the Current Population Survey”
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Amy Davidoff, University of Maryland, Baltimore County
“What Are The Effects of Medicaid and SCHIP Managed Care on Children with Chronic Health Conditions?”
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Ashley Dunham, University of North Carolina at Charlotte
“Primary Care Physician Response to a Mental Health Carve-Out: An Economic Analysis”
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Richard Lindrooth, Medical University of South Carolina
“Using Willingness to Pay to Evaluate Hospital Mergers: Results from 16 Mergers”
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State Health Initiatives
Room 618-620 (level 6)
Chair: Jon Christianson, University of Minnesota
Panelists:
Teresa Coughlin, The Urban Institute
“Covering the Uninsured with Medicaid HIFA Waivers”
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Bradley Herring, Rollins School of Public Health of Emory University
“Using HMOs to Serve the Medicaid Population: What are the Effects on Expenditures and Does the Type of HMO Matter?”
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Catherine Hess, National Academy for State Health Policy
“Shaping High Performance Health Systems: Innovative State Policies and Practices”
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Su Liu, Mathematica Policy Research, Inc.
“Enrollment Patterns, Service Use and Earnings Trends for Participants in the Medicaid Buy-in Program: A Descriptive Profile from Linked Multi-Agency Data”
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Cameron Schiller, University of Florida
“Patient Experiences and Utilization in Medicaid Provider-Sponsored Organizations”
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Meeting the Workforce Needs in Rural America
Room 606 (level 6)
Chair: Julie Sochalski, University of Pennsylvania
Panelists:
Frederick Chen, University of Washington
“U.S. Rural Physician Workforce and Medical Education”
PowerPoint Slides | PDF Handout of Slides
Roslyn Fraser, University of Nebraska Medical Center
“Health Care Employees' Contributions to the Economy of a Rural State: A Study Based on the Nebraska Rural Health Works Project”
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Gary Hart, University of Washington
“Uses of Rural-Urban Commuting Areas (RUCAs) Version 2.0 in Health Workforce Research”
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Lars Peterson, Case Western Reserve University
“Is Physician Supply in Rural Ohio Associated with Unmet Need for Physician Visits?”
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New Approaches to the Determinants of Disparities
Room 611 (level 6)
Chair: Marshall Chin, University of Chicago
Panelists:
Yuhua Bao, University of California, Los Angeles
“Socioeconomic and Racial/Ethnic Differences in the Discussion of Cancer Screening: Treated Differently or Treated by Different Physicians?”
PowerPoint Slides | PDF Handout of Slides
Xianglin Du, University of Texas at Houston
“Racial Disparities and Socioeconomic Status in Association with Survival in Older Men with Local/Regional Stage Prostate Cancer”
PowerPoint Slides | PDF Handout of Slides
Lisa Dubay, The Urban Institute
“Socio-Economic Position, Race, or SEP and Race: Understanding Disparities in Children's Health, Psychosocial Well-Being and Cognitive Functioning”
PowerPoint Slides | PDF Handout of Slides
Amresh Hanchate, Boston University
“Exploring the Determinants of Racial and Ethnic Disparities in Total Knee Arthroplasty: Health Insurance, Income and Assets”
PowerPoint Slides | PDF Handout of Slides
Marsha Regenstein, George Washington University
“Disparities in Cardiac Care: Are We Developing a Two-Tiered System”
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Web Resources for HSR & Public Health: NLM & Beyond!
Room 613-614 (level 6)
Chair: Catherine Selden, National Information Center on Health Services
PowerPoint Slides | PDF Handout of Slides
Panelists:
Vivian Auld, National Library of Medicine
PowerPoint Slides | PDF Handout of Slides
Debra Perez, Robert Wood Johnson Foundation
PowerPoint Slides | PDF Handout of Slides
Douglas Scutchfield, University of Kentucky
PowerPoint Slides | PDF Handout of Slides
Lynn Whitener, University of North Carolina, Chapel Hill
Research Resources: Web-based resources for health services research and public health have expanded significantly at NLM (and beyond!) this year, and a major focus area is resources for public health systems research (PHSR). Come learn about information available through HSR Info Central and PHPartners.org, HSR and public health databases and datasets, special funding opportunities in PHSR, data standards, and health information technology.
Early Results from the Cancer Care Outcomes & Research Consortium
Room 602-603 (level 6)
Chair: Nancy Keating, Harvard Medical School
Panelists:
Julie Ganther-Urmie, University of Iowa
“Fatalism and Treatment Preferences of Lung and Colorectal Cancer Patients: The Role of Demographic and Socio-Economic Variables”
PowerPoint Slides | PDF Handout of Slides
Katherine Kahn, RAND
“Physicians Involved in the Care of Patients with Recently Diagnosed Lung and Colorectal Cancer”
PowerPoint Slides | PDF Handout of Slides
Nancy Keating, Harvard Medical School
“Physician Factors Associated with Discussions about End-of-Life Care”
Michelle van Ryn, Department of Veterans Affairs & University of Minnesota
“Characteristics, Care Tasks, and Unmet Needs of Informal Caregivers of Cancer Patients”
PowerPoint Slides | PDF Handout of Slides
Robert Wallace, University of Iowa
“Complementary and Alternative Medicine Use and Correlates among Patients with Newly Diagnosed Colorectal and Lung Cancer”
Understanding Beneficiaries To Inform Education To Improve Access to Medicare Programs
Room 608 (level 6)
Chair: Christopher Koepke, Centers for Medicare and Medicaid Services
PowerPoint Slides | PDF Handout of Slides
Panelists:
Amy Heller, Centers for Medicare and Medicaid Services
“What Can Be Learned from Assessing Disenrollment Reasons from Medicare Advantage Health Plans: A Qualitative Analysis”
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Christopher Koepke, Centers for Medicare and Medicaid Services
“Medicare Prescription Drug Coverage: Tracking Beneficiary Knowledge and Attitudes and Their Relationship with Intention to Enroll and Actual Enrollment Throughout the Initial Enrollment Period”
PowerPoint Slides | PDF Handout of Slides
Noemi Rudolph, Centers for Medicare and Medicaid Services
“Medicare Beneficiary Knowledge of, Awareness of, and Experience with Prescription Drug Discount Cards”
PowerPoint Slides | PDF Handout of Slides
Beth Simon, Centers for Medicare and Medicaid Services
“Mapping Enrollment Behaviors in Medicare Prescription Drug Coverage”
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Sunyna Williams, Centers for Medicare and Medicaid Services
“Attributes Important to Medicare Beneficiaries Making Health Plan Choices and Prescription Drug Plan Choices: A Conjoint Analysis Decision-Making Experiment”
PowerPoint Slides | PDF Handout of Slides
Opening Up the Black Box of Quality Improvement Interventions: Lessons from a Formative Evaluation of Routine-Care Implementation of Depression Collaborative Care
Room 609 (level 6)
Chair: JoAnn Kirchner, Department of Veterans Affairs, Little Rock
Panelists:
Edmund Chaney, Department of Veterans Affairs, Seattle
“Improving Depression Treatment in Primary Care: Dissemination and Implementation”
PowerPoint Slides | PDF Handout of Slides
JoAnn Kirchner, Department of Veterans Affairs, Little Rock
“The QI Implementation Process: Perspectives from Providers and Managers”
PowerPoint Slides | PDF Handout of Slides
Louise Parker, Consultant
“Creating a Two-Way Intervention Dialogue: Practical Suggestions for Facilitating Quality Improvement Within Health Care Organizations”
PowerPoint Slides | PDF Handout of Slides
Elizabeth Yano, Department of Veterans Affairs, Los Angeles
“Relationship between Organizational Context and Penetration of Quality Improvement Interventions: Case Studies from Implementing Depression Collaborative Care”
PowerPoint Slides | PDF Handout of Slides
10:30 a.m. – 12:00 p.m.
Concurrent Sessions
What Are the Critical Gaps in the Health Workforce?
Room 606 (level 6)
Chair: Martin McKee, London School of Hygiene and Tropical Medicine
PowerPoint Slides | PDF Handout of Slides
Panelists:
Carl-Ardy Dubois, University of Montreal
Nigel Edwards, NHS Confederation
PowerPoint Slides | PDF Handout of Slides
Bonnie Sibbald, University of Manchester
PowerPoint Slides | PDF Handout of Slides
Julie Sochalski, University of Pennsylvania
Roundtable: Health care is changing. Aging populations, evolving technologies, and increased expectations demand new models for delivering care. The success of these models is crucially dependent on having a skilled, motivated, and well supported health workforce. Drawing on a new study of challenges to the health workforce undertaken by the European Observatory, as well as on the 2006 World Health Report, this roundtable will examine what must change if health systems are to be fit for purpose in the twenty-first century.
Methods for Analyzing Incomplete & Observational Data
Room 4C-2 (level 4)
Chair: Sharon-Lise Normand, Harvard Medical School
Panelists:
Nicholas Horton, Smith College
PDF Handout of Slides
Carolyn Rutter, Group Health Cooperative
PowerPoint Slides | PDF Handout of Slides
Methods Workshop: Outcomes research typically involves the analysis of observational data that are often accompanied by missing data. The lack of randomization also presents challenges to investigators who wish to assess the effectiveness of new treatments or technologies. Luckily over the last decade, there have been several advances in methods and software to deal with missing data and with the lack of randomization. In this session, the following will be discussed and illustrated: 1) advances in software to fit incomplete data regression models in large datasets; and 2) propensity score methods to deal with indication bias will be discussed and illustrated.
Pediatric Obesity: Community, Organizational & Policy Interventions
Room 602-603 (level 6)
Chair: Matthew Davis, University of Michigan
Panelists:
Ann Cotten, University of Baltimore
PowerPoint Slides | PDF Handout of Slides
David Levinger, Feet First
PDF Handout of Slides
Invited Papers: The obesity epidemic has affected populations old and young, and policymakers are actively seeking opportunities to intervene during childhood when obesity may be more easily addressed and prevented. This is an extremely vigorous arena of policy research, in need of opportunities to share information across disciplines and settings. To that end, this session will include perspectives from a community organization dedicated to promoting more physical activity among children, the latest findings from a group of policy researchers who have developed a "report card" for states regarding their childhood obesity policy initiatives, and additional groundbreaking research regarding the long-term costs and implications of childhood obesity.
Disparities in Children's Health Care: Getting to Solutions
Room 4C-3 (level 4)
Chair: Anne Beal, The Commonwealth Fund
Panelists:
Debbie Chang, Nemours Health and Prevention Services
PowerPoint Slides | PDF Handout of Slides
Sue Crengle, University of Auckland
PowerPoint Slides | PDF Handout of Slides
Paul Darden, Medical University of South Carolina
PDF Handout of Slides
David Nunez, California Department of Health Services
PDF Handout of Slides
Invited Papers: Disparities in child health and health care have been well described in the literature. In response, there are several efforts underway to develop an understanding of the root causes and potential solutions for child health disparities. Many of these solutions include community-based interventions that address a variety of issues that contribute to disparities. In this session, we will learn about effective interventions for addressing child health disparities, how the interventions were developed, and the impact they are having on health care quality for minority children.
Applying State & Local Data to Inform Health Policy
Room 4C-4 (level 4)
Chair: Richard Brown, University of California, Los Angeles
Panelists:
Kathleen Thiede Call, University of Minnesota
PowerPoint Slides | PDF Handout of Slides
Joseph Thompson, University of Arkansas for Medical Sciences
PDF Handout of Slides
Lorna Thorpe, NYC Department of Health and Mental Hygiene
PDF Handout of Slides
Invited Papers: State- and local-level data and research are essential to promote evidence-based policy development, but local population-based data have been lacking and, where available, inaccessible to local policy makers and advocates. Experiences with four innovative state and local surveys exemplify the power of such data to stimulate, promote, and guide policy development and advocacy for public health interventions, increased access to health care, and elimination of health disparities.
Organizing, Financing, & Delivering Public Health Services: New Evidence for Improvement
Room 607 (level 6)
Chair: Glen Mays, University of Arkansas for Medical Sciences
Panelists:
Jacqueline Merrill, Columbia University
“A Case Study Using Organizational Network Analysis to Model Public Health Agency Structure”
PowerPoint Slides | PDF Handout of Slides
Catharine Riley, University of Washington
“Financing Public Health System Improvement: Findings from the Turning Point Initiative– How Did States Leverage Funds?”
PDF Handout of Slides
William Riley, University of Minnesota
“Improving Service Delivery in a County Health Department WIC Clinic: An Application of Statistical Process Control Techniques”
PDF Handout of Slides
Sergey Sotnikov, Centers for Disease Control and Prevention
“Evaluating the Effects of Private-Public Partnerships in Public Health”
PDF Handout of Slides
Patricia Sweeney, University of Pittsburgh
“Public Health Workforce Recruitment, Retention and Promotion in the Civil Service System”
PDF Handout of Slides
Advances in Gender-Based Health Services Research
Room 604 (level 6)
Chair: Rosaly Correa-de-Araujo, Agency for Healthcare Research and Quality
Panelists:
Chloe Bird, RAND
“Gender Differences in the Relationship between Neighborhood Socioeconomic Characteristics and Allostatic Load”
PowerPoint Slides | PDF Handout of Slides
Xiangming Fang, Centers for Disease Control and Prevention
“Gender Differences in the Intergenerational Connections between Child Maltreatment and Intimate Partner Violence”
PowerPoint Slides | PDF Handout of Slides
Greta Friedemann-Sanchez, Department of Veterans Affairs, Minneapolis
“Barriers to Colorectal Cancer Screening and to Screening Decision-Making by Gender”
PowerPoint Slides | PDF Handout of Slides
Wanda Nicholson, Johns Hopkins University
“Hysterectomy and Risk of Cardiovascular Disease: The Atherosclerosis Risk in Communities (ARIC) Study”
PowerPoint Slides | PDF Handout of Slides
Haijun Tian, RAND
“Effect of Depression and Co-morbid Pain on Retirement: Gender Differences”
PowerPoint Slides | PDF Handout of Slides
Organizational & Market Structure, Patient Care Outcomes, & Financial Performance in HCOs
Room 612 (level 6)
Chair: Jacqueline Zinn, Temple University
Panelists:
John Cai, Massachusetts Division of Health Care Finance and Policy
“Variation in Resources Use on End-of-Life Patients between Teaching and Community Hospitals”
PowerPoint Slides | PDF Handout of Slides
Peter Cram, Department of Veterans Affairs & University of Iowa
“Quality of Care in Specialty Orthopedic and Competing General Hospitals”
PowerPoint Slides | PDF Handout of Slides
Joanna Jiang, Agency for Healthcare Research and Quality
“Improving Hospital Performance: The Effect of Organizational and Market Factors”
PowerPoint Slides | PDF Handout of Slides
Alyssa Pozniak, University of Michigan
“The Effect of Chain Acquisition on Dialysis Facilities' Cost, Quality, and Practice Patterns”
PowerPoint Slides | PDF Handout of Slides
Yu-Chu Shen, Naval Postgraduate School
“Systematic Review of Hospital Ownership and Quality of Care: What Explains the Different Results in the Literature?”
PowerPoint Slides | PDF Handout of Slides
Does Structure Matter? Exploring the Impact of Physician & Nursing Models of Care
Room 608 (level 6)
Chair: Barbara Mark, University of North Carolina, Chapel Hill
Panelists:
Penny Hollander Feldman, Visiting Nurse Service of New York
“Team Structure and Patient Outcomes: Predictors of Adverse Events in Home Health Care”
PowerPoint Slides | PDF Handout of Slides
Kevin Volpp, University of Pennsylvania
“Does Increasing Hospital Nurse Staffing Lead to Better Patient Outcomes?”
Michael Ong, University of California, Los Angeles
“Resident Physician Team Workload and Organization Effects on Patient Outcomes in an Academic General Internal Medicine Inpatient Service”
PDF Handout of Slides
Leadership Development in Health Services Research
Room 618-620 (level 6)
Chair: Joan Reede, Harvard Medical School
Panelists: David Asch, Department of Veterans Affairs & University of Pennsylvania; Helen Burstin, Agency for Healthcare Research and Quality
Skill and Career Development: In this session the panel will explore career trajectories and opportunities for support of career pathways related to health policy, health policy research, health services research, and minority health policy. The discussion will include perspectives from the federal to the local level, as well as careers in academe and the private sector.
Quality Improvement Programs To Improve Outcomes of Patients with Anxiety & Depression in Medical Settings
Room 609 (level 6)
Chair: Wayne Katon, University of Washington
Panelists:
Wayne Katon, University of Washington
“Cost-Effectiveness and Probability of Cost-Offset of a Stepped Care Intervention in Patients with Disabilities and Depression”
PowerPoint Slides | PDF Handout of Slides
Peter Roy-Byrne, University of Washington
“Collaborative Care For Primary Care Anxiety Disorders”
PowerPoint Slides | PDF Handout of Slides
Diane Powers, University of Washington
“Project IMPACT: Improving Primary Care For Late-Life Depression”
PowerPoint Slides | PDF Handout of Slides
Douglas Zatzick, University of Washington
“Developing and Implementing Acute Care Collaborative Interventions Targeting PTSD and High-Risk Behaviors”
PowerPoint Slides | PDF Handout of Slides
Hospice & the Challenge of Improving End-of-Life Care
Room 613-614 (level6)
Chair: Melinda Beeuwkes Buntin, RAND
Panelists:
Karl Lorenz, Department of Veterans Affairs & RAND
“A Systematic Review to Identify Measures of the Quality of Symptom and End-of-Life Cancer Care”
PowerPoint Slides | PDF Handout of Slides
Karl Lorenz, Department of Veterans Affairs & RAND
“A Systematic Review of Quality Measures for Evaluating Palliative Cancer Care”
PowerPoint Slides | PDF Handout of Slides
Nancy Nicosia, RAND
“Case Mix Adjustment and Hospice Costs”
PowerPoint Slides | PDF Handout of Slides
Sabina Ohri, University of California, Irvine
“Hospice Ownership Status and the Delivery of Care”
PowerPoint Slides | PDF Handout of Slides
Impact of Medicare Critical Access Hospital Program on Rural Hospital Financial Viability & Access to Care in Rural Communities
Room 611 (level 6)
Chair: Boyd Gilman, RTI International
PowerPoint Slides | PDF Handout of Slides
Panelists:
Kathleen Dalton, RTI International
“Participation in Skilled Nursing and Swing-Bed Care in Rural Hospitals Following Conversion to Cost-Based Reimbursement”
Boyd Gilman, RTI International
“Growth in the Number of Rural Hospitals Under Medicare Cost-Based Reimbursement”
PowerPoint Slides | PDF Handout of Slides
Mark Holmes, University of North Carolina at Chapel Hill
“Impact of Critical Access Hospital Program on Financial Performance”
PowerPoint Slides | PDF Handout of Slides
Jeffrey Stensland, Medicare Payment Advisory Commission (MedPAC)
“Impact of Critical Access Hospital Status on Hospital Revenue, Profit Margins, and Hospital Closures”
PowerPoint Slides | PDF Handout of Slides
AHRQ Update: The Next Generation of Health Services Researchers
Room 615-616 (level 6)
Chair: Carolyn Clancy, Agency for Healthcare Research and Quality
PowerPoint Slides | PDF Handout of Slides
Panelist: Francis Chesley, Agency for Healthcare Research and Quality
Research Update: Stable budgets coupled with increased expectations for health services research bring new challenges to nurturing the next generation of health services researchers. This session will provide a brief overview of an effort led by Drs. Chris Forrest and Diane Martin to articulate competencies for health services researchers in the 21st century and will discuss the importance and relevance of incorporating knowledge translation and communication as a competency for health services researchers.
12:15 p.m. – 1:45 p.m.
Opening Luncheon Plenary
Room 6 A/B/C (level 6)
Welcoming Remarks
Judith Hibbard, Conference Chair
University of Oregon
Keynote Address
Microbes, Security & U.S. Foreign Policy
Laurie Garrett
Council on Foreign Relations
Alice S. Hersh New Investigator Award Presentation
Awardee: Michelle Mello, Harvard School of Public Health
Presenter: Troy Brennan, Harvard School of Public Health
2:00 p.m. – 3:30 p.m.
Poster Session “A” & Dessert
Exhibit Hall 4A – Level 4
Features:
Sponsored in part by Robert Wood Johnson Foundation
3:45 p.m. – 5:15 p.m.
Concurrent Sessions
Medicaid Reform: What's Working & What's Not?
Room 4C-3 (level 4)
Chair: Diane Rowland, The Henry J. Kaiser Family Foundation
Panelists:
Allyson Hall, University of Florida
PowerPoint Slides | PDF Handout of Slides
Jeanne Lambrew, George Washington University
PowerPoint Slides | PDF Handout of Slides
John McDonough, Health Care for All
Charles Milligan, University of Maryland, Baltimore County
PowerPoint Slides | PDF Handout of Slides
Roundtable: Amid state fiscal pressures and a growing federal deficit, Medicaid's role and cost in providing health and long-term care coverage to 53 million low-income Americans is at the forefront of debates on health care reform. This session will examine the new directions and policy choices facing Medicaid at the federal and state level and will highlight the proposed reforms in Florida and Massachusetts.
Sponsored in part by The Henry J. Kaiser Family Foundation
Issues & Impact of Quality Indicators Used to Pay-for-Performance Across the Care Continuum
Room 4C-2 (level 4)
Chair: Lucy Savitz, RTI International
Panelists:
Elliott Fisher, Dartmouth Medical School
PowerPoint Slides | PDF Handout of Slides
Irene Fraser, Agency for Healthcare Research and Quality
PowerPoint Slides | PDF Handout of Slides
Barbara Gage, RTI International
PowerPoint Slides | PDF Handout of Slides
Brent James, IHC Institute for Healthcare Delivery Research
PDF Handout of Slides
Methods Workshop: A panel of experts will cover key issues drawn from discussion following the release of the recent Institute of Medicine report, Performance Measurement, Accelerating Improvement . Panelists will discuss: 1) the impact on health systems and their ability to use performance improvement measures to improve quality care; 2) comparison and benchmarking issues with a particular focus on scale and variability across communities/regions; 3) a model approach (CMS PAC measures) for comparing outcomes across settings of comparable populations as well as measuring patient status across care transitions and drilling down to performance both within and across different types of providers managing different types of cases; and 4) the issues of public reporting, a variety of ongoing performance activities, and the potential for/need to create an oversight organization for such activities.
Transitional Care: How to Deliver, Pay for & Measure Good Transitional Care across Settings
Room 615-616 (level 6)
Chair: Susan Hedrick, Department of Veterans Affairs, Seattle
Panelists:
Eric Coleman, University of Colorado Health Sciences Center
PowerPoint Slides | PDF Handout of Slides
Naoki Ikegami, Keio University, Japan
PowerPoint Slides | PDF Handout of Slides
Vincent Mor, Brown University
PowerPoint Slides | PDF Handout of Slides
Mary Naylor, University of Pennsylvania
PowerPoint Slides | PDF Handout of Slides
Invited Papers: Innovative approaches to coordinating care for persons with complex care needs during care transitions can result in improved quality and reduced costs. This session will present three examples of such programs: a program based at the University of Colorado designed to support the role of persons with such care needs including the importance of performance measurement in capturing this role and driving quality improvement efforts; efforts of a multidisciplinary team based at the University of Pennsylvania to advance the science related to transitional care as well as to enhance the coordination of care and outcomes of high risk chronically ill elders; and, a study performed in a sample of hospitals in Japan in which hospital unit nurses recorded the functional status of frail elder patients prior to the exacerbation, on admission, and at discharge, liaisoning with community visiting nurses.
System & Policy Approaches to Eliminating Health Care Disparities
Room 607 (level 6)
Chair: Helen Burstin, Agency for Healthcare Research and Quality
Panelists:
Joel Cantor, Rutgers, The State University of New Jersey
“Evaluation of a State Hospital Regulatory Reform Addressing Racial Disparities in Use of Cardiac Angiography”
PowerPoint Slides | PDF Handout of Slides
Bruce Landon, Harvard Medical School
“Improving Chronic Disease Management for Underserved Populations: A National Evaluation of the HRSA Health Disparities”
PowerPoint Slides | PDF Handout of Slides
Marcia Wilson, George Washington University
“Improving Institutional Readiness to Change: Addressing Disparities and Quality Improvement in U.S. Health Care Organizations”
PowerPoint Slides | PDF Handout of Slides
Dana Mukamel, University of California, Irvine
“When Racial Disparities Disappear: Is it a Good News Story?”
Suzanne Zerger, National Health Care for the Homeless Council
“National Respite Pilot Initiative: Evaluation Results”
PowerPoint Slides | PDF Handout of Slides
Toward Improved Maternal Health: Policies, Practices & Programs
Room 606 (level 6)
Chair: Kristen Kjerulff, Penn State College of Medicine
Panelists:
Heather Bradford, Center for Women's Health at Evergreen
“Variation in the Accuracy of Recorded Maternal Events in Birth Certificates and Hospital Discharge Data between Physicians and Certified Nurse-Midwives”
PowerPoint Slides | PDF Handout of Slides
Marianne Hillemeier, Pennsylvania State University
“Preconceptional Health and Health Care Use in the Central Pennsylvania Women's Health Study (CePAWHS): Implications for Preconceptional Health Care”
PowerPoint Slides | PDF Handout of Slides
Sandraluz Lara-Cinisomo, RAND Corporation
“Major Depression among Mothers: Diagnosis, Treatment and Disparities”
Richard Lindrooth, Medical University of South Carolina
“The Effect of Medicaid Family Planning Expansions on Unplanned Births”
PowerPoint Slides | PDF Handout of Slides
Patricia McGovern, University of Minnesota
“Twelve Weeks After Birth: Women, Work and Health”
PowerPoint Slides | PDF Handout of Slides
Assessing Pediatric Practice Guidelines and Quality Measures
Room 604 (level 6)
Chair: Kevin Dombkowski, University of Michigan
Panelists:
Sheryl Davies, Stanford University
“Indicators of Their Own: Pediatric Quality Indicators Based on Administrative Data”
PowerPoint Slides | PDF Handout of Slides
Daniel Eisenberg, University of Michigan
“Reassessing the Cost Effectiveness of Vaccines for Young People”
PowerPoint Slides | PDF Handout of Slides
Norma Gavin, RTI International
“Risk Factors for RSV-Related Hospitalizations among Infants Born at 32 to 35 Weeks of Gestation”
PowerPoint Slides | PDF Handout of Slides
Astrid Guttmann, Sunnybrook & Women's College Health Sciences Centre
“Development of Measures of the Quality of Emergency Department Care for Children”
PowerPoint Slides | PDF Handout of Slides
Scott Lorch, Children's Hospital of Philadelphia
“Improving Severity Adjustment Measures for the Quality of Care Provided to Premature Infants by Outpatient Pediatric Practices”
PowerPoint Slides | PDF Handout of Slides
The Impact of Premiums & Cost Sharing on Access to Care
Room 611 (level 6)
Chair: Jessica Banthin, Agency for Healthcare Research and Quality
Panelists:
Matthew Carlson, Portland State University
“The Impact of Cost-Sharing on Enrollment, Access, and Utilization among Medicaid Beneficiaries: Evidence from the OHP Cohort Study Wave 2”
PowerPoint Slides | PDF Handout of Slides
Sherry Glied, Columbia University
“Benefit Design and the Price Elasticity of Demand for Health Insurance”
PowerPoint Slides | PDF Handout of Slides
Geoffrey Joyce, RAND
“Benefit Design and the Use of Specialty Drugs”
PowerPoint Slides | PDF Handout of Slides
Joshua McFeeters, The Urban Institute
“The Impact of Premium Increases on SCHIP Enrollment in Arizona”
PowerPoint Slides | PDF Handout of Slides
Laura Shone, University of Rochester
“Annual Re-Enrollment in the State Children's Health Insurance Program (SCHIP): Factors That Influence Parents' Decisions to Continue, Change, or Terminate SCHIP Coverage”
PowerPoint Slides | PDF Handout of Slides
Organizational Culture, Climate & Mission
Room 612 (level 6)
Chair: Rebecca Wells, University of North Carolina, Chapel Hill
Panelists:
Samuel Hohmann, University Health System Consortium
“Identifying Safety Net Hospitals among Academic Health Centers”
PowerPoint Slides | PDF Handout of Slides
Dorothy Hung, Columbia University
“Productivity and Turnover in Primary Care Practices: The Role of Participative Decision
Making”
Barbara Mark, University of North Carolina, Chapel Hill
“Does Safety Climate Moderate the Impact of Staffing Adequacy and Work Environment on Nurse Injuries?”
PowerPoint Slides | PDF Handout of Slides
Mark Meterko, Department of Veterans Affairs, Boston
“Homogeneity of Organization Culture and Performance in Health Care”
PDF Handout of Slides
Douglas Roblin, Kaiser Permanente Georgia
“An Evaluation of the Influence of Primary Care Practice Climate on the Health of Medicare Beneficiaries”
PowerPoint Slides | PDF Handout of Slides
What You Need to Know to be a Health Services Researcher
Room 613-614 (level 6)
Chair: Mary Durham, Kaiser Foundation Hospitals
PowerPoint Slides | PDF Handout of Slides
Panelists: Adrianne Feldstein, Mark Hornbrook, Michelle Ponte, all from Kaiser Permanente
Skill and Career Development: The panelists will discuss the types of skills necessary to conduct science in health care delivery systems, including how to translate the results of research into practice improvement. The challenges of working with the media to convey scientific results to the public will also be discussed.
Focus on Chronic Conditions: Data from the National Center for Health Statistics
Room 618-620 (level 6)
Chair: Linda Bilheimer, National Center for Health Statistics
Panelists:
Amy Bernstein and Jane Sisk, National Center for Health Statistics
PowerPoint Slides | PDF Handout of Slides
Jane Sisk, both with National Center for Health Statistics
PDF Handout of Slides
Margaret Lethbridge-Cejku, Centers for Disease Control and Prevention
PowerPoint Slides | PDF Handout of Slides
Susan Schober, Centers for Disease Control and Prevention
PowerPoint Slides | PDF Handout of Slides
Research Resources: Measurement of the health and health care of persons with chronic conditions benefits from the use of different types of data systems including provider- and population-based surveys and vital statistics. Provider-based surveys collect information about providers, their health care encounters, and their patients. Population-based surveys collect information about individuals' characteristics, their health conditions, and their health care access and use. This session will describe health and health care measures for persons with chronic conditions that can be obtained from publicly-available data files of several data systems including the National Health Care Survey, the National Health and Nutrition Examination Survey, the National Health Interview Survey, and the National Vital Statistics System and will provide examples of how these data are used in assessing the health and health care of those with chronic conditions.
Sponsored by the National Center for Health Statistics
Can an Employer-Based Health Care System Survive in a Global Economy?
Room 602-603 (level 6)
Chair: Uwe Reinhardt, Princeton University
Panelists:
Frank McArdle, Hewitt Associates LLC
PDF Handout of Slides
Mark Pauly, University of Pennsylvania
PowerPoint Slides | PDF Handout of Slides
Special Session: Though the uniquely American employment-based health insurance system has been gradually eroding over time, and now finances less than one third of American health care, it remains an important cornerstone of America's health system. While few health policy analysts would have included this approach as a preferred health-insurance system for this country, employment-based health insurance remains the only effective risk pooling mechanism for Americans not covered by public health insurance programs. With no viable alternative yet in sight, the system is fraying at more than merely the edges as employees' gross wage base is forced to absorb all fringe benefits, including the ever rising cost of health care. The wage base for low skilled workers, subject to global competition, has become too small to shoulder rising health care costs. As is vividly illustrated by the fiscally strained auto industry, even large employers with stronger wage bases can no longer act as private social insurance systems for their growing numbers of retirees. This panel will explore whether and how long American employers can and should continue their role in U.S. health care. The panel includes both supporters of employment-based health care and its critics.
Effective Strategies for Getting Research Used
Room 608 (level 6)
Chair: David Helms, AcademyHealth
PowerPoint Slides | PDF Handout of Slides
Panelists:
Peter Buerhaus, Vanderbilt University School of Nursing
Elizabeth Fowler, Health Policy Alternatives, Inc.
Paul Ginsburg, Center for Studying Health System Change
Jack Needleman, University of California, Los Angeles
Steven Woolf, Virginia Commonwealth University
Special Session: Both producers and users of health services research recognize the frequent disconnect between the research, policy, and practice spheres. This session will draw upon the considerable experience of seasoned researchers and policymakers in a roundtable discussion that will highlight effective strategies for conducting relevant research, developing the message, and using audience-appropriate communication tools. The panelists will share their “behind the scenes” experiences in influencing policy and practice through research and offer practical tips for making an impact and communicating the value of health services research. Following short opening comments from the panel, the audience will be invited to share their experiences and ask questions of the panel.
Assessing the Value of Performance Measurement from Different Perspectives
Room 609 (level 6)
Chair: Irma Mebane-Sims, The Joint Commission
Panelists:
Ashish Jha, Harvard School of Public Health
“Choosing Low Mortality Hospitals: How Does the Hospital Quality Alliance Program Compare to Other Quality Metrics?”
PowerPoint Slides | PDF Handout of Slides
Irma Mebane-Sims, The Joint Commission
“Influence of Perceptions about Performance Measurement on Actions Taken to Improve the Quality of Patient Care”
Denise Remus, Premier, Inc.
“Financial Incentives Work! Results From the CMS Hospital Quality Incentive Demonstration Project, Year 1”
PDF Handout of Slides
How You Count is What You Get: Measuring Hospital Adverse Events Using Incident Reports, Patient Surveys, & Chart Reviews
Room 4C-4 (level 4)
Chair: Joel Weissman, Massachusetts General Hospital
PowerPoint Slides | PDF Handout of Slides
Panelists:
Dragana Bolcic-Jankovic, University of Massachusetts, Boston
“Patient Reports of Adverse Events While Hospitalized in Massachusetts”
PowerPoint Slides | PDF Handout of Slides
Eric Schneider, Harvard University
“Public Reporting on Patient Safety by Acute Care Hospitals: Assessing the New National Quality Forum (NQF) 'Never Event' Standard”
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