presentation slides

MONDAY, JUNE 4

Sunday, June 3 | Monday, June 4 | Tuesday, June 5

MEETING OF ACADEMYHEALTH MEMBERS
7:45 a.m.–8:45 a.m.
AcademyHealth Board officers will report on the state of AcademyHealth, including membership and financial reports as well as announcements of upcoming programs. Preliminary results of the 2007 salary survey will also be presented.

AH Salary Survey
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Coalition Update
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Networks
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CONCURRENT SESSIONS
9:00 a.m.–10:30 a.m.

An Introduction to Social Networks in Health Services Research
Southern Hemisphere I

Chair: Douglas Wholey, University of Minnesota

Panelist:

David Krackhardt, Carnegie Mellon University

Methods Workshop: Social networks methods are a valuable tool for relationships such as information sharing, coordination, and helping within a group of individuals or organizations. They can be used to identify key actors—such as opinion leaders or brokers—in networks and used to identify subgroups within larger systems. This session provides as overview of social networks methods, illustrated by health services applications. Level: Introductory

A Use of State Level Research for State Initiatives to Expand Coverage
Southern Hemisphere II

Chair: Lynn Blewett, University of Minnesota

Panelists:

Joel Cantor, Rutgers, The State University of New Jersey
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Scott Leitz, Minnesota Department of Health

Sharon Long, The Urban Institute
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Kate Nordahl, Blue Cross Blue Shield of Massachusetts Foundation

Invited Papers: Taking a cue from Maine and Massachusetts, many states are now considering legislation to increase health insurance coverage and access to health care services. Given lack of national reform, states are developing innovative public-private collaborative solutions to address soaring health care costs, growing numbers of uninsured, and a fraying safety net. This session will explore unique approaches to the use of state and national data and research in developing and evaluating state health reform initiatives. The invited papers draw upon a range of data sources for assessing state reform efforts, including information on individual and small group insurance reforms in New Jersey; a unique application of data from the National Health Interview Survey (NHIS) to evaluate initiatives in New York; and an overview of a collaborative research strategy drawing on a variety of state and national data sources to evaluate health reform in Massachusetts. It will conclude with a commentary by a Minnesota state policy expert on the types of data and research that are most important to help states move forward on health reform.

Quality Improvement Research Methods
Southern Hemisphere III

Chair: Haya Rubin, Palo Alto Medical Foundation Research Institute
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Panelists:

Lynne Nemeth, Medical University of South Carolin
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Hoangmai Pham, Center for Studying Health System Change
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I Pragmatic Health Reform: Second-Order Strategies from Europe
Southern Hemisphere IV

Chair: Kenneth Thorpe, Rollins School of Public Health of Emory University

Panelists:

Johan Calltorp, The Vardal Research Foundation
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Rachelle Kaye, Maccabi Healthcare Services
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Helen Lester, University of Manchester
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Richard Saltman, Emory University
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Invited Papers: Health reform in Western European countries has typically focused on making changes directly to the structure and organization of service delivery. These practical, supply side measures, and the shifts in physical, human and financial resources that accompany them, can have substantial impact not only on patient care but also on the character and behavior of provider institutions. This panel will discuss recent and proposed reforms in European health systems in three complex, inter-related areas that lie at the interface between health and social care (chronic care, long-term care, and mental health programs in primary care) and consider how these or similar reforms might be introduced in the United States.

N Intersection of Clinical Care & Public Health
Southern Hemisphere V

Chair: Helen Burstin, National Quality Forum
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Panelists:

Ronald Davis, Henry Ford Health System and president-elect American Medical Association
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Paul Jarris, Association of State and Territorial Health Officials
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Roundtable: It is estimated that more than 100 million Americans now live with one or more chronic conditions. This epidemic of chronic illness has intensified the need for a healthcare system that effectively bridges the gap between clinical care and public health. Missed opportunities for both primary and secondary prevention also stress the need for a closer working relationship between health care and public health entities within communities. Interoperable electronic health records and health information exchange could enhance communication and collaboration across medicine and public health. In this roundtable, we will hear presentations and discussions led by major healthcare and public health leaders in the field about how this gap can be effectively bridged.

O VA's Quality Transformation: What's in It for the Rest of the U.S. Health Care System?
Asia 1

Chair: Lisa Rubenstein, Department of Veterans Affairs, Los Angeles
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Panelists:

Thomas Garthwaite
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Jonathan Perlin, Department of Veterans Affairs

Invited Papers: VA's transformation into a model for U.S. health care reform stunned its historical detractors. From the early 1990s onward, VA's major innovations included an electronic medical record with integrated decision support; rigorous performance measurement, built-in incentives, and widely disseminated clinical guidelines, in the content of redesigned funding mechanisms and reorganization into regional integrated networks. Panelists will review the processes underlying VA's quality transformation, evaluating the extent to which they provide relevant guideposts outside the VA. Speakers include leaders of the VA's quality transformation who are involved in ongoing quality improvement within and outside the VA in public and private sector settings.

W Access to Health Workforce
Asia 2

Chair: Thomas Ricketts, University of North Carolina, Chapel Hill

Panelists:

Douglas Conrad, University of Washington
“Access Initiative Impacts on Primary Care Provider Productivity”
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Janice Probst, University of South Carolina
“Greater Rurality Increases Barriers to Primary Health Care: Evidence of a Gradient in Access or Quality”
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Thomas Ricketts, University of North Carolina, Chapel Hill
“The Diffusion of Physicians”
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Diane Rittenhouse, University of California, San Francisco
“Impact of Title VII Training Programs on Community Health Center Staffing”
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CMS Databases
Asia 3

Chair: Daniel Waldo, Centers for Medicare and Medicaid Services
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Panelists:

Debbie L. Dean, Iowa Foundation for Medical Care
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Brian O'Donnell, Iowa Foundation for Medical Care

Kathy Schneider, Iowa Foundation for Medical Care

Research Resources: The main topic of this session will be the Chronic Condition Data Warehouse (CCW). Implemented in 2006, the CCW supports research on chronic care by providing an anonymized research database linked by beneficiary across health care settings and across types of Medicare data. The CCW contains claims and assessment data from 1999 through 2004 for 5 percent of Medicare beneficiaries. Envisioned enhancements to the CCW include the addition of Medicaid data and of Medicare Part D (drug) data. In addition, attendees will hear a brief update from CMS staff on the following recent developments in CMS' data products and processes: Medicare Current Beneficiary Survey; Health Outcomes Survey; Research Data Distribution Center ; and Research Data Assistance Center (ResDAC). Finally, panelists will provide an update on the status of a proposed rule regarding research use of Medicare Part D (prescription drug) data.

Demystifying the Federal Grant Review Process
Asia 4

Chair: Ming Tai-Seale, Texas A&M University Health Sciences Center
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Panelists:

Margarita Alegria, Cambridge Health Alliance
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Francis Chesley, Agency for Healthcare Research and Quality
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Willard Manning, University of Chicago

Skill and Career Development: The federal grant proposal review process could appear mysterious or rather daunting to fledgling grant applicants. This panel brings together AHRQ's Director for Extramural Research, Training, and Vulnerable Populations and three health services researchers with career orientations in health economics, medicine, psychology, and disparity research. This panel aims to facilitate a better understanding of the federal grant review process among participants. The panelists' service both in the federal government and on review committees (e.g., NIH and AHRQ) and their own grant-making experience will provide participants a wide range of perspectives and rich grounds for interaction. Discussion topics will include, but are not limited to: 1) communicating your research plan to reviewers, especially those who may not speak your technical language, 2) using the Summary Statement to help you revise and resubmit a proposal, 3) understanding the roles of federal program and scientific review staff, and 4) tips on developing career awards (e.g., K awards) versus research program (e.g., R series) proposals.

Q Designing, Collecting, Analyzing & Publicly Reporting Patient Assessments of the Quality of Hospital Care: The HCAHPS Survey
Asia 5

Chair: William Lehrman, Centers for Medicare and Medicaid Services

Panelists:

Marc Elliott, RAND
“Findings from the HCAHPS Mode Experiment” and “Components of Care Vary in Importance for Overall Patient-Reported Experience by Type of Hospitalization in the HCAHPS Survey”
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Laura Giordano, Health Services Advisory Group
“Lessons Learned from the ‘Dry Run' of the HCAHPS Survey”
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William Lehrman, Centers for Medicare and Medicaid Services
“Developing & Implementing HCAHPS, the First National, Standardized, Publicly-Reported Survey of Patients' Perspectives of Hospital Care”
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David Miranda, Centers for Medicare and Medicaid Services
“Public Reporting HCAHPS in Context”
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Enhancing Research Through Collaborative Community-Higher Education Partnerships: Models of Community-Based Participatory Research
Australia 3

Chair: Michelle Proser, National Association of Community Health Centers

Panelists:

Marshall Chin, University of Chicago
“Community-Based Participatory Research: Practical Tips for the Research Community”
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Michelle Proser, National Association of Community Health Centers
“Community-Based Participatory Research: Working with Community Health Centers”
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Darius Tandon, Johns Hopkins University
“A Review of Published Community-Based Participatory Research (CBPR) & Recommendations for Future Scholarly Work”
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M Medicare Part D
Oceanic 1

Chair: Robert Berenson, The Urban Institute

Panelists:

Leslie Greenwald, RTI International
“Variation in Medicare Part D Prescription Drug Plan Benefits & Premiums”
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Janet Cummings Link, University of California, Los Angeles
“Should Medicare Limit the Number of Drug Plans Offered to Seniors?”
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Steven Pizer, VA & Boston University
“Nothing for Something: Paying Twice for Drug Coverage in Medicare”
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Kosali Ilayperuma Simon, Cornell University
“How Elastic is Demand for Medicare Part D Plans”
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Bruce C. Stuart, University of Maryland at Baltimore
“Medicare Beneficiary Response to Benefit Gaps Versus Actuarially Equivalent Continuous Coverage for Prescription Drugs”
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Q Quality of Ambulatory Care
Oceanic 3

Chair: Ateev Mehrotra, RAND

Panelists:

Askar Chukmaitov, Florida State University College of Medicine
“The Impact of Volume of Outpatient Surgical Procedures on Patient Outcomes: 1997-2004”
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Mark Friedberg, Brigham and Women's Hospital
“Do Patient Sociodemographic Characteristics Affect Primary Care Practice Sites' Performance on Quality Measures?”

Ethan Halm, Mt. Sinai School of Medicine
“Does Managed Care Affect Quality? Appropriateness, Referral Patterns & Outcomes of Carotid Endarterectomy”
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Hoangmai Pham, Center for Studying Health System Change
“Aggressiveness of Imaging for Acute Low Back Pain in Elderly Patients”
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Sarah Hudson Scholle, National Committee for Quality Assurance
“Creating Metrics to Foster Enhancement of Patient Centered Care in Primary Care Office Practice”

C Clinical Care for Children
Oceanic 5

Chair: David Bergman, Stanford University

Panelists:

Patrick Conway, University of Pennsylvania
“Recurrent Urinary Tract Infections: Risk Factors & Effectiveness of Prophylaxis in a Primary Care Cohort”
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Astrid Guttmann, Sunnybrook & Women's College Health Sciences Center
“Impact of Emergency Department Asthma Management Strategies on Return Visits in Children: A Population-Based Study”
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Salomeh Keyhani, Mount Sinai School of Medicine
“Variations & Deviations in the Use of Tympanostomy Tubes for Children with Otitis Media”
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Lauren Smith, Boston Medical Center
“Assessing the Role of Physicians in Child Health Disparities”
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Sally Stearns, University of North Carolina, Chapel Hill
“Effects of Expanding Preventive Dental Care in Medical Offices for Young Children Covered by Medicaid”
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D Patient-Provider Relationships & Healthcare Disparities
Oceanic 7

Chair: Allyson Hall, University of Florida

Panelists:

Olveen Carrasquillo, Columbia University
“Availability of Multilingual Prescription Medication Information for Limited English Proficient Patients in New York Pharmacies”

Sangho Moon, Sungkyunkwan University
“Disparities in Access to Care & Health Care Utilization: Does Patient-Provider Race/Ethnicity Mix Matter?”

Thomas Sequist, Brigham and Women's Hospital
“Physician-Level Performance & Racial Disparities in Diabetes Care”
PowerPoint Slides | PDF Handout of Slides

Alexander Smith, Beth Israel Deaconess Medical Center
“Differences in the Quality of the Patient-Physician Relationship among Terminally Ill African American & White Patients: Impact on Advance Care Planning & Goals of Care”
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Angela Thrasher, University of California, San Francisco
“The Effects of Discrimination & Distrust on Racial/Ethnic Disparities in Antiretroviral Therapy Adherence by HIV+ Patients”
PowerPoint Slides Movie | PowerPoint Slides

CONCURRENT SESSIONS
11:00 am–12:30 pm

S Medicaid Coverage, Policies & Performance
Southern Hemisphere

Chair: Stephen Zuckerman, The Urban Institute

Panelists:

Andrew Bindman, University of California, San Francisco
“Interruptions in Medicaid Coverage Increases the Risk of Hospitalizations for Ambulatory Care Sensitive Conditions”

Jack Hadley, The Urban Institute
“Is Medicaid Coverage as Good as Private Insurance or No Better than Being Uninsured?”
PowerPoint Slides | PDF Handout of Slides

Kenton Johnston, Blue Cross Blue Shield of Tennessee
“An Individually-Matched Control Group Evaluation of a Program to Improve Quality of Care and Control Costs in a Diabetic Medicaid Population”
PowerPoint Slides | PDF Handout of Slides

Andrea Lee, Florida Center for Medicaid and the Uninsured
“Primary Care Continuity & Health Care Expenditures in a Sample of Florida Medicaid Recipients”
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Roberto Vargas, University of California, Los Angeles
“Impact of Restrictive State Medicaid Policies on Utilization & Expenditures in the Medicaid Program”
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M Why Have Medicare Costs Grown So Rapidly?
Southern Hemisphere II

Chair: Marilyn Moon, American Institutes for Research

Panelists:

Michael Chernew, Harvard University
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Elliott Fisher, Dartmouth Medical School
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Kenneth Thorpe, Rollins School of Public Health of Emory University
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Roundtable: What has caused the increase in Medicare costs per beneficiary, and what can we do to rein in the rising cost of medical care? The panelists will debate the degree to which insurance, technology, lifestyle, and the supply of physicians and hospitals can explain the growth in costs per Medicare beneficiary. They will be asked to suggest where the United States Congress should focus its efforts to rein in rising Medicare costs. A formal Congressional discussion of rising Medicare costs is expected to be required in 2008 due to the "45 percent trigger" that was enacted as part of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003.

H Insurance Coverage & Payment for Biotechnology & Medical Devices
Southern Hemisphere III

Chair: James Robinson, University of California, Berkeley
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Panelists:

Alexandra Clyde, Medtronic, Inc.

Scott Howell, Genentech, Inc.

Thomas Weisman, Anthem Blue Cross and Blue Shield
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Roundtable: New drugs, such as oncology biologics, and medical devices, such as cardiac defibrillators, are important contributors to increases in both the quality and the cost of health care. Health plans are seeking to assess and manage these products, using coverage policy, provider contracting and payment methods, and consumer benefit design. Biotechnology and device manufacturers are developing new approaches to valuing, distributing, and pricing their products in response to the increased scrutiny from purchasers. This panel will assess the current state of both insurer and manufacturer initiatives and their potential implications for the utilization, cost, and accessibility of these clinical innovations.

I Middle East Health: An Area of Great Dynamism, Diversity, Need, & Innovation
Southern Hemisphere IV

Co-Chairs:

C. Ross Anthony, RAND
PowerPoint Slides | PDF Handout of Slides

Ahmad Mohit, World Health Organization
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Panelists:

Naeemah Al-gasseer, World Health Organization
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Mohammad Abdi Jama, World Health Organization
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Fadi El Jardali, American University of Beirut
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Roundtable: This roundtable will be the first at AcademyHealth to review the health care situation in the Middle East. Panelists will cover the full range of issues facing an area in the process of incredible change. Presentations will review the health situation of the entire region and the challenges it faces. The challenges and opportunities created by states in transition, such as Iraq and Afghanistan, will be covered, as well as the incredible vision and changes—often at the forefront of technology and policy—that are taking place in much of the Middle East in areas such as Qatar and Dubai. Renovations in health care financing will also be covered. Finally, research opportunities in the region will also be discussed.

Sponsored by RAND, WHO, EMRO and American University of Beirut

O Beauty is in the Eye of the Beholder: Whither Organizational Theory in Policy & Practice
Southern Hemisphere V

Chair: Stephen Mick, Virginia Commonwealth University

Panelists:

Elizabeth Bradley, Yale University

Barbara Mark, University of North Carolina, Chapel Hill

Rebecca Wells, University of North Carolina at Chapel Hill School of Pharmacy

Roundtable: Although the use and development of organization theory in health care settings has a long and honorable history, going back at least to the post-WWII period in sociology, the utility of organization theory in policy and practice is less well understood. The discussants will present examples where organization theory has influenced health policy and practice as well as present their ideas of what lies behind the perceived lack of appreciation for the insights that organization theory can bring to health policy and practice or for the perceived weakness of organization theory to be useful in this arena.

A Access to Care for Uninsured Families & Children
Asia 1

Chair: Timothy McBride, Saint Louis University

Panelists:

Heidi Allen, State of Oregon
“How We Measure Matters: Conceptualizing Insurance Status when Evaluating Unmet Need among Low-Income Adults”
PowerPoint Slides | PDF Handout of Slides

Kathleen Thiede Call, University of Minnesota
“Accuracy in Self-Reported Health Insurance Coverage & Bias to Survey Estimates of Uninsurance”
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Lisa Dubay, Johns Hopkins University
“A National Assessment of the Impact of SCHIP on Access to Care” and “LA Healthy Kids Improves Access”
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Shana Lavarreda, University of California, Los Angeles
“Churning in Medi-Cal & Healthy Families & its Effects on Access to Physician Services”
PowerPoint Slides | PDF Handout of Slides

Development & Implementation of Performance Measures in the Department of Veterans Affairs Medical System: A Research Perspective
Asia 2

Chair: Seth Eisen, Department of Veterans Affairs

Panelists:

Timothy Hofer, Department of Veterans Affairs, Ann Arbor

Eve Kerr, Department of Veterans Affairs, Ann Arbor
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Laura Petersen, Department of Veterans Affairs, Houston
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Research Update: Performance measurement development and implementation have played an important role in the radical quality transformation over the last decade within the largest integrated health system in the U.S., the Department of Veterans Affairs (VA). Technical aspects related to performance measures will be examined, such as when measures are meaningful and when they are not helpful, whether they are used to evaluate or improve care, and the use of scorecards. Speakers will also focus on ways to move from crude to finely-tuned measurements and address pay-for-performance and the consequences of attaching payment incentives to performance measures. The future direction of performance measurement in VA and the potential implications for U.S. health care delivery will be explored.

P Building Collaborations to Address Population Health
Asia 3

Chair: L. Michele Issel, University of Illinois at Chicago

Panelists:

Cynthia Brown, University of Texas, Pan American
“Evaluation of Alliance For A Healthy Border : A Diabetes & Cardiovascular Disease Prevention Program”
PowerPoint Slides | PDF Handout of Slides

Margaret Hargreaves, Abt Associates, Inc.
“Innovative Planning & Evaluations Methods for Multi-Organizational Public Health Systems”
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Debra Lotstein, RAND
“PREPARE for Pandemic Influenza: A Pilot Learning Collaborative for Quality Improvement in Public Health Preparedness”
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Sergey Sotnikov, Centers for Disease Control and Prevention
“Investigating the Effects of Private-Public Partnerships on Delivery of Public Health Services”
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 Margaret Wang, University of California, Los Angeles/RAND
“The Six Degrees in Public Health Emergency Preparedness: Understanding How Local Agencies Collaborate in Rural Communities”
PowerPoint Slides | PDF Handout of Slides

Methods for Measuring Health Disparities at the National & Local Levels
Asia 4

Chair: Linda Bilheimer, National Center for Health Statistics

Panelists:

Marc Elliott, RAND
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Allen Fremont, RAND
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Richard Klein, National Center for Health Statistics

Elsie Pamuk, National Center for Health Statistics
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Methods Workshop: This workshop will provide an update on emerging methods and issues related to measurement and assessment of health disparities. Panelists will highlight how the approaches used to monitor disparities in Healthy People 2010 and other commonly used approaches in the literature can produce seemingly conflicting conclusions about health disparities among racial/ethnic and socioeconomic subgroups. They will also consider various summary measures of disparity, and discuss when and how policy analysts might want to use these rather than specific measures. In addition, speakers will explore enhancements to and improved accuracy of indirect methods to estimate race/ethnicity and related disparities. Finally, they will demonstrate use of indirect estimates and emerging GIS interactive mapping tools by plans participating in the National Health Plan Collaborative to examine disparities at the regional and local level. Level: knowledge of basic statistics

T The Electronic Health Record: From Research to Policy
Asia 5

Chair: David Blumenthal, Massachusetts General Hospital

Panelists:
Sara Rosenbaum, George Washington University
Paul Shekelle, RAND
Joel Weissman, Massachusetts General Hospital

Roundtable: This roundtable will present an example of current research on the effect of HIT on health care quality, review the general evidence on the effectiveness of HIT in improving quality and reducing costs, and discuss current policy initiatives designed to enhance the spread of HIT in the U.S. health care system. The aim of the session is to assess both the empirical case supporting efforts to disseminate HIT, and the nature of those efforts at the current time.

U Implementation Issues in Medicare's Physician Quality Reporting Initiative (PQRI)
Australia 3

Chair: Myles Maxfield, Mathematica Policy Research, Inc.
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Panelists:

Timothy Lake, Mathematica Policy Research, Inc.
“PQRI: Operational Issues & Insights from Early Physician Practice Adopters”

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Mary Laschober, Mathematica Policy Research, Inc.
“PQRI: Creating a PQRI Data Validation Strategy that Includes Opportunities for Ongoing Data Collection, Program & Measure Improvement”

Angela Merrill, Mathematica Policy Research, Inc.
“PQRI: Changes in Physician Office Workflows for Quality Reporting, a Perspective from the Trenches”

PowerPoint Slides | PDF Handout of Slides

Hoangmai Pham, Center for Studying Health System Change
“PQRI: Performance Reporting Consideration for Providers Treating Vulnerable & Underserved Patients”

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W Health Workforce Supply
Oceanic 1

Chair: Timothy Dall, The Lewin Group, Inc.

Panelists:

Onyebuchi Arah, University of Amsterdam, Academic Medical Center
“Metrics & Correlates of African Health-Worker Migration to the United States, United Kingdom & Seven Other Wealthy Destinations”
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Martey Dodoo, Robert Graham Center of the American Academy of Family Physicians
“Estimating the Marginal Costs of Financing Physician Training the in U.S. ”
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David Mohr, VA Boston Health Care System
“Workplace Factors that Increase Employee Satisfaction & Performance Over Time”
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Carol Simon, Abt Associates, Inc.
“Economic Evidence of a Primary Care Physician Shortage”
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Q Assessing Patient Experiences with Care: Measurement Issues & New Approaches
Oceanic 3

Chair: Robert Weech-Maldonado, University of Florida

Panelists:

Neeraj Arora, National Cancer Institute
“Assessment of Quality of Care from Cancer Survivors' Perspective: A Population-Based Study” 

I-Chan Huang, University of Florida
“Meaningful Comparisons Between Ratings of Adolescent's Health Outcomes by Parents & Adolescents”
PowerPoint Slides | PDF Handout of Slides

Constance Fung, RAND
“Multimorbidity & Patients” Experiences with Care: What Is the Relationship?”
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Marsha Regenstein, George Washington University
“Developing & Testing Performance Measures for Language Services”
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Samantha Sheridan, Westat
“Quantitative Relationship Between Patients' Experiences of Health Care & Clinical Performance Measures in Military Training Facilities”
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D Advancing Methods for Studying Healthcare Disparities
Oceanic 5

Chair: Paul Hebert, Mount Sinai School of Medicine

Panelists:

Benjamin Cook, Mathematica Policy Research, Inc.
“Measuring Trends in Racial/Ethnic Health Care Disparities”
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Lesley Curtis, Duke Clinical Research Institute
“Sex Differences in the Use of ICDs for Prevention of Sudden Cardiac Death, 1999-2004”
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Darrell Gaskin, University of Maryland
“Do Hospitals Provide Lower Quality Care to Minorities Compared to Whites?”
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Daniel McCaffrey, RAND
“Using the Kalman Filter to Improve Disparity Estimates for Rare Racial/Ethnic Minorities: An Application to American Indians/Alaska Natives & Chinese Americans using the National Health Interview Survey”
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Ernest Moy, Agency for Healthcare Research and Quality
“Assessing Disparities in Preventive Services among Asian-American Medicare Beneficiaries”
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N Prevention & Treatment of Chronic Illness: Complexity & Chronic Disease Management
Oceanic 7

Chair: Timothy Ferris, Massachusetts General Hospital

Panelists:

Neale Chumbler, VA HSR& D/RR&D Rehabilitation Outcomes Center
“The Effectiveness of a Patient-Centered Care Coordination/Home Telehealth Chronic Disease Management Program for Veterans with Diabetes: A Four-Year Follow-Up”
PowerPoint Slides | PDF Handout of Slides

David Dorr, Oregon Health and Science University
“Expenditure & Utilization Reductions from a Primary Care-Based, Multicondition Care Management Program”
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Ateev Mehrotra, RAND
“Congestive Heart Failure Disease Management in Medicare Managed Care”
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Joel Rosenquist, Pfizer Health Solutions, Inc.
“Prevention & Treatment of Chronic Illness in Italy : Disease Management Through Physician & Care Manager Teams Located in Physician Offices”
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Paul Shelton, Carle Foundation
“A Longitudinal Evaluation of Care Management for Elders with Co-morbidities”
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LUNCHEON PLENARY
12:45 p.m.–2:15 p.m.

Presentation of AcademyHealth Awards
Distinguished Investigator, Article-of-the-Year, Dissertation, and Student Poster

CONCURRENT SESSIONS
2:30 p.m.–4:00 p.m.

N Accountable Care Organizations: Getting There From Here
Southern Hemisphere I

Chair: Robert Berenson, The Urban Institute

Panelists:

Elliott Fisher, Dartmouth Medical School
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Alan Levine, American Health Care Association

Sarah Thomas, Medicare Payment Advisory Commission
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Thomas Rundall, University of California, Berkeley
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Roundtable: Policy makers increasingly are calling for the development of entities—whether formally integrated group practices or "virtually integrated" groups—which have the ability to improve quality and manage health care costs. Indeed, MedPAC has initiated discussions of how Medicare payment and related policies might reasonably serve to promote such Accountable Health Organizations (AHOs) with a special focus on alignment of hospitals and their medical staffs. The expert roundtable will consider AHOs from various perspectives including: results of research on the value that such organizations add: the current state of cooperation or competition between physicians and hospitals; practical approaches to promoting enhanced medical staff/hospital collaboration; and the barriers to such collaboration, with elaboration of possible policies, in Medicare and elsewhere, to address such barriers. Exchange of views on these and related topics with the audience will be emphasized.

D Disparities in Children's Health Care: Moving Beyond Incremental Solutions
Southern Hemisphere II

Chair: Marsha Lillie-Blanton, Henry J. Kaiser Family Foundation

Panelists:

Evaline Alessandrini, The Children's Hospital of Philadelphia
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Elena Fuentes-Afflick, University of California, San Francisco
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Anne Beal, The Commonwealth Fund

Lisa Simpson, Cincinnati Children's Hospital
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Invited Papers: Of the approximately 80 million children in the U.S., one-quarter live in families with income below poverty and forty-two percent are from communities of color. Socio-economic and racial/ethnic disparities in the care of children are well documented. The invited papers for this session provide evidence from interventions developed to reduce disparities and improve the quality of care for all children. The session will use these research findings to guide a discussion of the key elements of a comprehensive approach to addressing persistent access and quality gaps in the child health system.

T Computerized Patient Records & Decision Support
Southern Hemisphere III

Chair: Elizabeth Yano, Department of Veterans Affairs, Los Angeles

Panelists:

Bradley Doebbeling, Department of Veterans Affairs, Indianapolis

John Hsu, Kaiser Permanente

Jeffrey Linder, Division of General Medicine and Primary Care, Brigham and Women's Hospital

Invited Papers: Computerized patient records not only allow clinicians to access and generate clinical information about their individual patients, but also represent unique opportunities to support clinical decision-making through aggregation into practice profiles, real-time assessment of disease burden, quality monitoring and advancement of evidence-based care. Drawing on VA and Kaiser as benchmark institutions, this session will be led by researchers active in evaluating the implementation of electronic health records with diverse decision support capacities, in the context of the implications of AHRQ-funded Health Information Technology initiatives.

Geographic Regression for Health Services Research
Southern Hemisphere V

Chair: Thomas Ricketts, University of North Carolina, Chapel Hill

Panelist:

George Holmes, Sheps Center for Health Services Research

Methods Workshop: This session will cover the use of regression in analyzing geographic data and multivariate modeling that considers spatially correlated data using the DeoDa system and the use of Geographically Weighted Regression in Stata. The session will introduce these topics and is not intended to be a full workshop. Attendees should be able to determine if they wish to pursue further training in these techniques and where they may be applied. A knowledge of multivariate regression analysis is required and basic terminology in geography and geographic information systems (GIS) is recommended.

Applying Community-Based Participatory Research to Health Services Research, Policy & Practice
Southern Hemisphere V

Chair: Ellen Lopez, University of Florida
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Panelists:

Idethia Shevon Harvey, University of Illinios at Urbana-Champaign

Mondi Mason, Public Health Consultant

Siobhan Maty, Portland State University

Larkin Strong, University of Washington

Methods Workshop: Community-based Participatory Research (CBPR) is a "collaborative approach to research that equitably involves all partners in the research process..." (Source: Community Health Scholars Program). Over the past decade, the application and evaluation of community-academic research partnerships have grown. But what is the application of CBPR to Health Services Research? Who are the partners? In this interactive session, participants will learn the definition, rationale, and principles of CBPR, and will draw from real-world examples of partnerships across a variety of contexts and settings to assess the benefit, limitations, and ethical implications of CBPR for Health Services Research. Level: Introductory

M Lessons from CMS Disease Management Initiatives
Asia 1

Chair: Linda Magno, Centers for Medicare and Medicaid Services

Panelists:

Mary Kapp, Centers for Medicare & Medicaid Services
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Randall Brown, Mathematica Policy Research
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Samuel Simon, Mathematica Policy Research
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Ronnie Tan, Centers for Medicare & Medicaid Services
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Invited Papers: This session will provide an overview of lessons learned to date from Medicare's care management and disease management initiatives. Panelists will cover such topics as beneficiary identification/selection strategies, participant profiles, identification of usual sources of care, and characterisitics of chronically ill Medicare beneficiaries, as well as impact of programs on quality of care and cost and service use.

U Quality Reporting: Benefits & Challenges
Asia 2

Chair: Kevin Volpp, University of Pennsylvania

Panelists:

Barbara I. Braun, The Joint Commission
“Improving the Antimicrobial Prophylaxis Process: Does a Group Collaborative Increase the Effectiveness of Comparative Feedback?”

Mark Friedberg, Brigham and Women's Hospital
“Has the Hospital Quality Initiative Measure on Antibiotic Timing in Pneumonia Produced Unintended Consequences?”

Dana Marie Grzybicki, University of Pittsburgh Medical Center
“Laboratory Specimen Identification Error Detection: Use of Direct Observation Reveals Large Numbers of Near Miss Events”
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Lawrence Kleinman, Quality Matters, Inc.
“When Better Quality Care Increases the Treatment Specific Risk of Mortality: A Newly Described Bias in Performance Reporting”
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Patrick Romano, University of California, Davis
“A Stratified Cluster Randomized Trial of a Web-Based Decision-Making Tool to Promote Informed Decision-Making among Small Business Employees in California ”
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Foundations' Research & Policy Agendas
Asia 3

Chair: Lauren LeRoy, Grantmakers In Health

Panelists:

David Colby, Robert Wood Johnson Foundation

Diane Rowland, Henry J. Kaiser Family Foundation

Stephen Schoenbaum, The Commonwealth Fund

Jill Yegian, California HealthCare Foundation

Research Update: Join a conversation with representatives from some of the nation's major foundations that fund health services and policy research. Learn about their current priorities, key resources they hav