Agenda & Presentation Slides

Tuesday, June 10

Sunday, June 8 | Monday, June 9 | Tuesday, June 10

NEW! Kaiser Web casts

8:00 a.m. – 9:30 a.m.

CONCURRENT SESSIONS

B What's Behind the Explosion & Use of Psychotropic Medication?
Thurgood Marshall North (Mezzanine Level)

Chair: Haiden Huskamp, Harvard Medical School
Panelists: Alyce Adams, Harvard Medical School; Alisa Busch, McLean Hospital; Julie Donohue, University of Pittsburgh; Dominick Frosch, University of California, Los Angeles; Samuel Zuvekas, Agency for Healthcare Research and Quality

Invited Paper: The 1980s and 1990s were a period of rapid development of new drug treatments for mental illness. For many patients, the new classes of medications represent advances over existing treatments with respect to efficacy, side effects or both, but the diffusion of these medications has been accompanied by explosive increases in psychotropic expenditures. This session presents new research on several factors that influence the rapid increases in psychotropic drug spending, including direct-to-consumer advertisements, use of pharmacy management tools like prior authorization, expansion of drug coverage under Medicare Part D, and introduction of new product formulations of psychotropic drugs.

Methods for Measuring Health Disparities
Thurgood Marshall East (Mezzanine Level)

Chair: Linda Bilheimer, National Center for Health Statistics
Panelists: Marc Elliott & Allen Fremont, both of RAND Corporation; Richard Klein & Elsie Pamuk, both of the National Center for Health Statistics

Methods Workshop: This workshop will build on the ideas presented at the ARM 2006 and 2007 workshops on disparities measurement. Following a short overview of basic issues and concepts, presenters will explore issues in defining disparities elimination and real world applications of summary measures of disparity when dealing with ordered categories (such as income or education). We will also discuss continued advances in indirect methods for estimating race/ethnicity and disparities and use of GIS mapping tools to examine disparities at regional and local levels. Examples of use of these tools by selected plans participating in the National Health Plan Collaborative will be presented. Previous participation in either the 2006 or 2007 workshop would be beneficial but is not required.

Hierarchical Linear Modeling
Washington 1 (Exhibit Level)

Chair: Maureen Smith, University of Wisconsin, Madison
PowerPoint Presentation | PDF Handout of Slides

Methods Workshop: This is an introductory session on hierarchical linear models, also called multi-level models and random effects models. The goal of this session is to understand the nature of clustering in data, why simple linear regression is inappropriate when clustering exists, and how to model clustering within data using fixed and random effects. Attendees should be familiar with simple linear regression.

O Redesigning Hospitals & Medical Groups to Improve Quality & Efficiency
Washington 2 (Exhibit Level)

Chair: Martin Charns, Department of Veterans Affairs, Boston and Boston University

Panelists:

Jeffrey Alexander, University of Michigan
PowerPoint Presentation | PDF Handout of Slides

Elizabeth Bradley, Yale University
PowerPoint Presentation | PDF Handout of Slides

Carol VanDeusen Lukas, Department of Veterans Affairs, Boston and Boston University
PowerPoint Presentation | PDF Handout of Slides

Eric Newman, Geisinger Medical Center

Roundtable: Implementing and sustaining clinical process improvements often requires interventions not only with individual clinical microsystems that are the focal point for redesign but also with the larger organization of which the microsystem is part. This panel will discuss redesign from the project, organizational and inter-organizational perspectives. It will discuss evidence in the literature on effectiveness of redesign, and whether factors affecting effectiveness are contingent on the organizational context. It will also draw on the panelists' experience with redesign in both inpatient and ambulatory care settings.

V Geriatrics & Women's Health Among Active Duty Military & Veterans
Washington 3 (Exhibit Level)

Chair: Ron Gimbel, Uniformed Services University of the Health Sciences

Panelists:
James Burgess, Boston University School of Public Health
"Integrating Clinical Data Warehouses: How Can Multi-System Care for Older Veterans Be Measured Consistently?"
PowerPoint Presentation | PDF Handout of Slides

Robert Campbell, Department of Veterans Affairs, Tampa
"Drug Acquisition Costs & Use in VHA Long Stay Nursing Home Residents for Medicare Part D Excluded Drugs"

Rachel Kimerling, Department of Veterans Affairs, Palo Alto
"Developing Gender-Specific Indicators of Care of Military-Related Sexual Trauma in VHA"

Mary Jo Pugh, Department of Veterans Affairs, San Antonio and The University of Texas Health Science Center
"Epilepsy in the Elderly: Risk factors as Targets for Prevention?"
PowerPoint Presentation | PDF Handout of Slides

Elizabeth Yano, VA Greater Los Angeles Healthcare System
"What Does Women's Health Care Look Like in the Veterans Health Administration? Results of a National Organizational Survey"
PowerPoint Presentation | PDF Handout of Slides

E The"What" & the"How" of Comparative Effectiveness: Studies of Devices, Medications & Management Strategies using Claims Enhancement, Population Databases, Subgroup Analysis & Modeling
Washington 4 (Exhibit Level)

Chair: Jean Slutsky, Agency for Healthcare Research and Quality

Panelists:
Dominick Esposito, Mathematica Policy Research, Inc.
"Using Medical Records to Interpret Claims-Based Approaches to Comparative Effectiveness Studies of Antidepressants"
PowerPoint Presentation | PDF Handout of Slides

Erik Fernandez y Garcia, University of California, Davis School of Medicine
"Subgroup Reporting in the General Medical Literature: Do Investigators Misinterpret Their Own Findings?"
PowerPoint Presentation | PDF Handout of Slides

Peter Groeneveld, Department of Veterans Affairs, Philadelphia and University of Pennsylvania
"Comparing the Effectiveness of Carotid Stent Systems Versus Endarterectomy"
PowerPoint Presentation | PDF Handout of Slides

Rahul Khare, Northwestern University
"Sixty-Four-Slice Computed Tomography of the Coronary Arteries: Cost-Effective Analysis of Patients Presenting to the Emergency Department with Low Risk Chest Pain"
PowerPoint Presentation | PDF Handout of Slides

Bruce Vogel, Department of Veterans Affairs, Gainesville and University of Florida
"Is Acute Rehabilitation more Cost-Effective than Sub-Acute Rehabilitation?"
PowerPoint Presentation | PDF Handout of Slides

J Costs & Consequences of Adult Obesity
Washington 5 (Exhibit Level)

Chair: William Dietz, Centers for Disease Control and Prevention

Panelists:
Suzanne Goodwin, Johns Hopkins University
"Comparison of Comorbidities, Health Care Utilization & Costs Among Obese & Non-Obese Individuals"
PowerPoint Presentation | PDF Handout of Slides

Sarah Sampsel, National Committee for Quality Assurance
"Assessing Weight Through Documentation of Body Mass Index (BMI) in Health Plan Populations"
PowerPoint Presentation | PDF Handout of Slides

Bruce Stuart, University of Maryland at Baltimore
"How Big a Problem is Obesity for the Medicare Program?"
PowerPoint Presentation | PDF Handout of Slides

Joseph Thompson, University of Arkansas for Medical Sciences
"Health Care Plan Cost Variation by Obesity Classification & Age Group"
PowerPoint Presentation | PDF Handout of Slides

Jonathan Weiner, Johns Hopkins Bloomberg School of Public Health
"Impact of Bariatric Surgery on Health Care Costs: A 5-Year Case-Control Cohort Analysis of Obese Health Plan Enrollees in 8 States"

H Competition & Regulation: Emerging Issues in Hospital & Insurance Markets
Washington 6 (Exhibit Level)

Chair: Richard Lindrooth, Medical University of South Carolina

Panelists:
Likwang Chen, National Health Research Institutes, Taiwan
"Exploration of Health Care Providers' Behavior to Keep Their Revenues after Reduction of Payment Gen"
PsowerPoint Presentation | PDF Handout of Slides

Kyoungrae Jung, The Pennsylvania State University
"Incentives for Voluntary Disclosure of Quality Information in HMO Markets"
PowerPoint Presentation | PDF Handout of Slides

Yu-Chu Shen, Naval Postgraduate School
"The Changing Effect of HMO Market Structure: An Analysis of Penetration, Concentration & Ownership Between 1994-2005"
PowerPoint Presentation | PDF Handout of Slides

Marah Short, James A. Baker III Institute for Public Policy
"Is Regionalization or Competition Better for Patient Welfare?"
PowerPoint Presentation | PDF Handout of Slides

Lei Zhang, Georgia State University
"Competitioin, Subsidy & Requirement Regulations: Effects of State Policies & Their Interactions on Hospital Uncompensated Care Provision"
PowerPoint Presentation | PDF Handout of Slides

Q Current Evidence on the State of Quality
Maryland A/B (Lobby Level)

Chair: Eric Schneider, Harvard University

Panelists:

Jeffrey Brady, Agency for Healthcare Research and Quality
"The 2007 National Healthcare Quality Report: Overview of Findings"
PowerPoint Presentation | PDF Handout of Slides

Mark Friedberg, Brigham and Women's Hospital
"Identifying the Quality Improvement Strategies used by High-Performing Primary Care Practice Sites"

Dima Qato, University of Chicago
"Prevalence & Patterns of Medications & Medication Use Among Older Adults in the US: Findings from a National Population-based Study"
PowerPoint Presentation | PDF Handout of Slides

Danielle Rose Ash, University of California, Los Angeles
"Physician Practice Style, Barriers to Referrals & Physician Satisfaction"
PowerPoint Presentation | PDF Handout of Slides

Christine Vogeli, Massachusetts General Hospital
" Quality of Care Provided to Individual Patients in U.S. Hospitals-Results from an Analysis of National Quality Alliance Data"
PowerPoint Presentation | PDF Handout of Slides

D Improving the Quality of Reporting on Race & Ethnicity in Health & Vital Statistics Data
Virginia A/B (Lobby Level)

Chair: Julia Holmes, National Center for Health Statistics

Panelists:
Roxanne Andrews, Agency for Healthcare Research and Quality
"The Quality of Reporting on Race & Ethnicity in U.S. Hospital Discharge Abstract Data"
PowerPoint Presentation | PDF Handout of Slides

Elizabeth Arias, National Center for Health Statistics
"The Quality of Race & Hispanic Origin Reporting on Death Certificates in the United States"
PowerPoint Presentation | PDF Handout of Slides

Ernest Moy, Agency for Healthcare Research and Quality
"The Quality of Reporting on Race & Ethnicity in Medicare Data: Assessing the Impact of Improved Coding"
PowerPoint Presentation | PDF Handout of Slides

Jennifer Parker, National Center for Health Statistics
"The Correspondence Between Interracial Births in the Natality Vital Statistics Data Files & Multiple Race Reporting in the National Health Interview Survey"
PowerPoint Presentation | PDF Handout of Slides

A Topics in Healthcare Expenditures & Affordability of Care
Delaware A (Lobby Level)

Chair: Jessica Banthin, Agency for Healthcare Research and Quality

Panelists:
Bisundrv Mahato, Columbia University
"Consequences of Inefficient Medical Practice: Uninsurance & Practice Variations"

Steven Morgan, University of British Columbia
"Chronic Catastrophes: Persistence Prescription Drug Expenditure for Residents of British Columbia"
PowerPoint Presentation | PDF Handout of Slides

Dylan Roby, University of California, Los Angeles
"Using an Affordability Model to Evaluate Policy Proposals During California 's Health Insurance Reform Effort"
PowerPoint Presentation | PDF Handout of Slides

Donald Shepard, Brandeis University
"Reduction of Medicaid Expenditures from State Prescription Programs in Illinois & Wisconsin"
PowerPoint Presentation | PDF Handout of Slides

Huihui Wang, Kaiser Permanente
"The Effects of Differential Co-payments on Oral Antidiabetic Drug Use & Expenditures: A Natural Experiment (2001-2005)"

S Protecting the Health & Financial Wellbeing of Low-Income Families & Children: The Role of Medicaid & SCHIP
Delaware B (Lobby Level)

Chair: Genevieve Kenney, Urban Institute

Panelists:

Sandra Decker, National Center for Health Statistics
"Has Public Health Insurance for Older Children Reduced Disparities in Access to Care & Health Outcomes?"
PowerPoint Presentation | PDF Handout of Slides

Lisa Dubay, Johns Hopkins University
"Variation in Children's Health Status by Insurance Coverage: New Evidence from the National Survey of Child Health (NSCH)"
PowerPoint Presentation | PDF Handout of Slides

Jamie Rubenstein, Cornell University
"How Well is SCHIP Meeting Children's Primary Health Care Needs? Findings from a Congressionally Mandated Study"
PowerPoint Presentation | PDF Handout of Slides

Thomas Selden, Agency for Healthcare Research and Quality
"Cost Sharing Arrangements in Medicaid & SCHIP: Implications for Out-of-Pocket Spending Burdens"
PowerPoint Presentation | PDF Handout of Slides

Kosali Ilayperuma Simon, Cornell University
"How Much Do Expansions of Public Health Insurance Improve Financial Wellbeing?"

L Trends in Long-Term Care Utilization: Implications for Payors, Recipients & Providers
Maryland C (Lobby Level)

Chair: Brenda Spillman, Urban Institute

Panelists:
R. Tamara Konetzka, University of Chicago
"The Dynamics of Health & Long-Term Care Insurance"
PowerPoint Presentation | PDF Handout of Slides

Yong Li, Indiana University Purdue University Indianapolis
"Private Long-Term Care Insurance & Patterns of Care Use Among Older Adults"
PowerPoint Presentation | PDF Handout of Slides

Sabina Ohri, Public Policy Institute of California
"The Effect of State Medicaid Policies on Long-Term Care Use & Spending by the Elderly"

David Stevenson, Harvard Medical School
"Private Equity Investment & Nursing Home Care"
PowerPoint Presentation | PDF Handout of Slides

Carolyn Zhu, Department of Veterans Affairs, Bronx and Mount Sinai Hospital
"Patient Dependence & Longitudinal Changes in Costs of Care in Alzheimer's Disease"
PowerPoint Presentation | PDF Handout of Slides

Student Poster Panel
Virginia C (Lobby Level)

Chair: Dennis Shea, The Pennsylvania State University

Panelists:

Rebecca Anhang Price, Harvard University
“Uptake of a New Cervical Cancer Prevention Technology in a Medicaid Population”
PowerPoint Presentation | PDF Handout of Slides

Simon Tang, Tulane University School of Public Health & Tropical Medicine
“Disparities in Utilization of Lipid-Lowering Therapies in High-Risk Hypertensives in the United States ” 
PowerPoint Presentation | PDF Handout of Slides

Grace Wang, University of Washington
“Risk of Losing Insurance During the Transition into Adulthood Among Young Adults with Disabilities” 

Arica White, University of Texas School of Public Health
“Racial Disparities and Trends in the Receipt of Standard Therapy for Colorectal Cancer in a Large Cohort of African Americans and Caucasians Aged 65 years and Older”

9:45 a.m. – 11:15 a.m.

CONCURRENT SESSIONS

Health Care Reform & the Presidential Candidates: How Can Health Services Research Inform the Debate?
Thurgood Marshall North (Mezzanine Level)

Chair: Susan Dentzer, The NewsHour with Jim Lehrer and Health Affairs

Panelist: Joe Antos, American Enterprise Institute; Jeanne Lambrew, University of Texas at Austin; David Kendall, Progressive Policy Institute; David Blumenthal, Massachusetts General Hospital

Special Session: This panel will discuss the need for data, research and evidence to inform the health care policy proposals of the Presidential candidates. What research is needed to address policy tradeoffs on cost, quality and access?

Q Can Seven Blind Men Find Apples & Oranges? Using Multiple Data Sources to Understand Variable Interventions QI Research
Thurgood Marshall East (Mezzanine Level)

Chair: Bruce Landon, Harvard Medical School

Panelists:

Bruce Landon, Harvard Medical School
PowerPoint Presentation | PDF Handout of Slides

Lynne Nemeth, Medical University of South Carolina
PowerPoint Presentation | PDF Handout of Slides

Elizabeth Yano, VA Greater Los Angeles Healthcare System
PowerPoint Presentation | PDF Handout of Slides

Methods Workshops: When you read (or write!) an article concluding that quality improvement collaboratives or practice partnerships “worked”, or “didn't work” to improve quality of care, do you wonder what was done that worked or didn't work? If so, come discuss with our distinguished panelists how to understand which QI interventions were implemented, and how, in studies where interventions can be variable across sites. Our panelists are leading quality improvement researchers who have published about multi-site studies evaluating QI collaboratives and partnerships. Dr. Bruce Landon will discuss the challenge of measuring which QI strategies were implemented by sites in the Health Disparities Quality Improvement Collaboratives, so that we may understand better the how they influenced care process and outcomes. Dr. Elizabeth Yano will describe how multiple data sources produce a better picture of which care interventions were accomplished in VA depression collaborative studies. Finally, Dr. Lynne Nemeth will present a classification of QI strategies used to survey practices participating in the PPRNet A-TRIP study, a primary care quality improvement study, and that will be used in MS-TRIP, a study of medication safety in ambulatory care, to understand which QI strategies were adopted.

D Health/Hospital System-Level Approaches to Eliminating Health Disparities
Washington 1 (Exhibit Level)

Chair: Marshall Chin, University of Chicago

Panelists:
Kevin Fiscella, University of Rochester
PowerPoint Presentation | PDF Handout of Slides

Rachel Gonzales-Hanson, Texas Association of Community Health Centers
PowerPoint Presentation | PDF Handout of Slides

Sarita Mohanty, University of Southern California

Lewis Sandy, United Health Care

Bruce Siegel, George Washington University

Roundtable: Health systems and hospitals face several economic, organizational, and cultural barriers to reducing disparities, but a number of promising models exist. This panel of health care business leaders and disparity researchers will: 1) Discuss re-allocation of resources to reduce disparities based upon the needs of the community and individuals; 2) Identify barriers and potential solutions to aligning policies, business cases, organizational structures, and culture to reduce disparities; 3) Identify critical areas of future research for how health systems can reduce disparities.

B Interventions & Incentives for Addressing Addiction
Washington 2 (Exhibit Level)

Chair: Susan Busch, Yale University

Panelists:

Susan Eisen, Department of Veterans Affairs, Bedford and Boston University
"Do Self-Report Measures Add to Global Assessment of Functioning (GAF) Ratings in Pedicting Functional Outcomes of Veterans in Mental Health or Substance Abuse Treatment?"

John McConnell, Oregon Health and Science University
"Measuring & Explaining Management Practices in Addiction Treatment Programs"
PowerPoint Presentation | PDF Handout of Slides

Ellen Meara, Harvard Medical School
"The Impact of Maternal Depression & Substance Abuse on Cognitive, Behavioral & Educational Outcomes of Children"

Harold Pollack, University of Chicago
"Dosage Patterns in Methadone Treatment: Results from a National Survey, 1988-2005"

Kevin Volpp, Department of Veterans Affairs, Philadelphia and University of Pennsylvania
"Financial Incentives for Smoking Cessation"

T Health Information Technology: Current Status & Trends
Washington 3 (Exhibit Level)

Chair: Daniel Gaylin, National Opinion Research Center

Panelists:
Julia Adler-Milstein, Harvard University
"Regional Health Information Organizations: Current Activities & Future Implications"
PowerPoint Presentation | PDF Handout of Slides

Ruben Amarasingham, Parkland Health and Hospital System
"Relation Between Clinical Information Technologies & Inpatient Outcomes: A Multiple Hospital Study"
PowerPoint Presentation | PDF Handout of Slides

Joy Grossman, Center for Studying Health System Change
"Use of Commercial EMRs for Quality Reporting & Improvement: The Experience of Physician Practices"
PowerPoint Presentation | PDF Handout of Slides

Esther Hing, National Center for Health Statistics
"Progress in Use of Electronic Medical Records by Office-Based Physicians in 2006"
PowerPoint Presentation | PDF Handout of Slides

Jonathan Weiner, Johns Hopkins Bloomberg School of Public Health
""e-Indicators" of Ambulatory Care Quality: New Paradigms for Measuring Clinical Performance using Electronic Health Records"
PowerPoint Presentation | PDF Handout of Slides

R Research Translation
Washington 4 (Exhibit Level)

Chair: Cynthia Palmer, Agency for Healthcare Research and Quality
PowerPoint Presentation | PDF Handout of Slides

Panelists:

David Baker, American Institutes for Research
"Spreading the Adoption of TeamSTEPPS Nationwide"
PowerPoint Presentation | PDF Handout of Slides

Benjamin Brooke, Johns Hopkins School of Public Health
"Implementing the Leapfrog Standard for Beta-Blocker Use During Abdominal Aneurysm Repair in CA Hospitals: Translation of Evidence-Based Measures to Improve Surgical Outcomes"
PowerPoint Presentation | PDF Handout of Slides

Bradley Doebbeling, Department of Veterans Affairs, Indianapolis and Indiana University
"Implementing a Novel Approach to Reducing MRSA in a Hospital Collaborative"
PowerPoint Presentation | PDF Handout of Slides

HCUP Data for Research on Inpatient, Emergency Department & Ambulatory Surgery Care
Washington 5 (Exhibit Level)

Chair: Anne Elixhauser, Agency for Healthcare Research and Quality
Panelist: Chaya Merrill, Thomson Healthcare

Research Resources: This introductory session will provide an overview of the Healthcare Cost and Utilization Project (HCUP). HCUP provides all-payer, multi-year claims-based data, analytic tools, free on-line statistics, and research reports to examine hospitalizations, emergency department visits, and ambulatory surgeries in the U.S. Attendees will receive information needed to access and use these resources.

Best Abstracts & Article-of-the-Year
Washington 6 (Exhibit Level)

Chair: Timothy Carey, University of North Carolina, Chapel Hill

Panelists:

Lisa Angus, Oregon Public Health Division
“Effect of Citizenship Documentation Requirements on a Family Planning Medicaid Waiver: First Year Observations”
PowerPoint Presentation | PDF Handout of Slides

Christine Bishop, Brandeis University
“Medicare Savings due to Prescription Drug Coverage for Near-poor Elders”
PowerPoint Presentation | PDF Handout of Slides

Mary Reed, Kaiser Permanente
“Deductible-based Health Insurance Plans: Are Complex Deductible Exemptions Confusing Patients?”
PowerPoint Presentation | PDF Handout of Slides

Ming Tai-Seale, Texas A&M University
“Time Allocation in Primary Care Office Visits” & “Two-Minute Mental Health Care for Elderly Patients: Inside Primary Care Visits”
PowerPoint Presentation | PDF Handout of Slides
PowerPoint Presentation | PDF Handout of Slides

I U.K., Canadian & U.S. Experiences in Research Governance
Maryland A/B (Lobby Level)

Chair:
Patricia Pittman, AcademyHealth
PowerPoint Presentation | PDF Handout of Slides

Panelists: Sharon Arnold, AcademyHealth; Carolyn Clancy, Agency for Healthcare Research and Quality; Susan Law, Canadian Health Services Research Foundation; Kieran Walshe, University of Manchester

Special Session: Leaders from four HSR funding agencies that span three countries and include both public and foundation-based programs will compare and contrast their experiences in research governance. Following a brief description of the role of each funding organization in their respective countries, panelists will be asked to describe their approach to priority setting; how and when they use different funding mechanism such as investigator initiated proposals, topic-specific calls for proposal, contracts, etc.; whether they have established boundaries between research, program evaluation and quality improvement initiatives; how they promote the uptake of the research they fund and, lastly, whether and, if so, how they assess the impact of their own funding portfolios. Panelists and the audience will be invited to discuss the challenges and trade-offs implicit in each of these policy choices.

Q Quality Report Cards: New Evidence on their Effects
Virginia A/B (Lobby Level)

Chair: Laurence Baker, Stanford University

Panelists:
M. Kate Bundorf, Stanford University
"Do Consumers Respond to Quality Information? The Case of Fertility Clinics"
PowerPoint Presentation | PDF Handout of Slides

David Grabowski, Harvard Medical School
"Does Information Matter? The Case of Nursing Home Report Cards"
PowerPoint Presentation | PDF Handout of Slides

Patrick Romano, University of California, Davis
"Impact of Public Reporting of Coronary Artery Bypass Graft Surgery Performance Data on Market Share, Mortality & Patient Selection"
PowerPoint Presentation | PDF Handout of Slides

Rachel Werner, Department of Veterans Affairs, Philadelphia and University of Pennsylvania
"The Impact of Public Reporting on Unreported Quality of Care"
PowerPoint Presentation | PDF Handout of Slides

J Restricting Food Marketing to Children: The Prospects for Obesity Prevention
Delaware A (Lobby Level)

Chair: Michelle Mello, Harvard University

Panelists:

Marice Ashe, Public Health Institute
"The Role of Food Marketing Regulation in Childhood Obesity Prevention"
PowerPoint Presentation | PDF Handout of Slides
PowerPoint Presentation | PDF Handout of Slides

Michelle Mello, Harvard University
"Possibilities for Administrative Regulation of Food Marketing"
PowerPoint Presentation | PDF Handout of Slides

Debora Pinkas, Public Health Institute
"Controlling Food Marketing in the School Environment"

Jennifer Pomeranz, Yale University/The Rudd Center
"First Amendment Barriers to Restricting Food Marketing to Children"
PowerPoint Presentation | PDF Handout of Slides

M Medicare Coverage, Providers & Services
Delaware B (Lobby Level)

Chair: James Mathews, Medicare Payment Advisory Commission

Panelists:

Lesley Curtis, Duke Clinical Research Institute
"Impact of the MMA on Patient Wait Times & Travel Distance for Chemotherapy"
PowerPoint Presentation | PDF Handout of Slides

Kathleen Dalton, RTI International
"Does the Supply of Long-term Care Hospitals Matter? Post-Acute Referral & Outcomes of Care for Medicare Ventilator Cases"
PowerPoint Presentation | PDF Handout of Slides

Mary Forte, University of Minnesota
"Surgeon & Hospital Factors Associated with the Use of Differentially-Reimbursed Hip Fracture Procedures"
PowerPoint Presentation | PDF Handout of Slides

Peter Neumann, Tufts-New England Medical Center
"Medicare Coverage of New Technology, 1999-2007: How Evidence-Based & Timely?"
PowerPoint Presentation | PDF Handout of Slides

Hoangmai Pham, Center for Studying Health System Change
"Can Physicians Coordinate Care Across Over-Extended Peer Networks?"
PowerPoint Presentation | PDF Handout of Slides

V Rehabilitation & Quality of Life for Active Duty Military & Veterans
Maryland C (Lobby Level)

Chair: Bradley Doebbeling, Department of Veterans Affairs, Indianapolis and Indiana University

Panelists:

Ranjana Banerjea, Department of Veterans Affairs, East Orange, NJ and Rutgers University
"Mental Illness & Substance Use Disorders Among Veteran Clinic Users with Spinal Cord Injury"
PowerPoint Presentation | PDF Handout of Slides

Robert Campbell, Department of Veterans Affairs, Tampa
"National Healthcare Costs for Spinal Cord Injury in the Veterans"

Lisa Shugarman, Department of Veterans Affairs, Los Angeles and RAND Corporation
"How Can We Improve the Accuracy of Routine Pain Screening?"
PowerPoint Presentation | PDF Handout of Slides

Robyn Walker, Department of Veterans Affairs, Tampa and University of Florida
"Pain & Emotional Problems in OIF/OEF Soldiers with Polytrauma"
PowerPoint Presentation | PDF Handout of Slides

Allison Williams, VA Eastern Colorado Health Care System
"Posttraumatic Stress Disorder (PTSD) & Depression Following Hand Injury: Impact on Functional Status"
PowerPoint Presentation | PDF Handout of Slides

11:30 a.m. – 1:00 p.m.

CONCURRENT SESSIONS

Q Advances in Assessing Hospital Quality: Findings from the First National Implementation of the CAHPS Hospital Survey (HCAHPS)
Thurgood Marshall North (Mezzanine Level)

Chair: Marc Elliott, RAND Corporation

Panelists:
Marc Elliott, RAND Corporation
"Variation in Patient-Reported Hospital Quality by Patient Characteristics"

Laura Giordano, Health Services Advisory Group
"HCAHPS: Development Through Initial Public Reporting"

Elizabeth Goldstein, Centers for Medicare and Medicaid Services
"How Hospitals Rate Using HCAHPS, the First National, Standardized Survey of Patients' Perspectives of Hospital Care"

William Lehrman, Centers for Medicare and Medicaid Services
"Determinants of Superior Hospital Performance in Patient Experience & Clinical Process Measures"

Issues in Cost-Effectiveness Analysis
Thurgood Marshall East (Mezzanine Level)

Chair: Daniel Polsky, Department of Veterans Affairs, Philadelphia and University of Pennsylvania

Panelists:

R. Scott Braithwaite, Yale University
PowerPoint Presentation | PDF Handout of Slides

Henry Glick, University of Pennsylvania
PowerPoint Presentation | PDF Handout of Slides

David Vanness, University of Wisconsin Medical School
PowerPoint Presentation | PDF Handout of Slides

Methods Workshop: This session will present research examining new and controversial methodological issues related to cost-effectiveness analysis (CEA) as well as a novel application. The methodological issues covered will be cost estimation for CEA and subgroup analysis in CEA. Estimation of costs has long been a vexing issue because costs typically are very high for a small proportion of individuals. The most recent methods of cost estimation will be discussed in the context of how they best apply to CEA analysis. Because treatments that work for some individuals may not work for others, subgroup analysis for CEA is essential, yet the methods are still in their infancy. Research on a promising Bayesian approach will be presented. Application of cost-effectiveness analysis within health care has the potential to create a health care system that adopts interventions of higher value. The workshop will present how CEA can also be used to evaluate whether health care system reforms themselves promote higher value care. (Intermediate)

D Health Disparities & Health Care Quality
Washington 1 (Exhibit Level)

Chair: Ninez Ponce, University of California, Los Angeles

Panelists:

Melanie Arthur, University of Alaska Fairbanks
"Racial Segregation & Disparity in Mortality After Injury"
PowerPoint Presentation | PDF Handout of Slides

Steven Culler, Rollins School of Public Health at Emory University
"Quality of In-Hospital Cardiac Care & Sociodemographic Composition of Patient Base"
PowerPoint Presentation | PDF Handout of Slides

Alexandre Laberge, University of Florida
"Racial/Ethnic Differences in Nursing Home Rehabilitation"
PowerPoint Presentation | PDF Handout of Slides

Jeffrey Silber, University of Pennsylvania/Childrens' Hospital of Philadelphia
"Teaching Intensity, Race & Surgical Outcomes"
PowerPoint Presentation | PDF Handout of Slides

Shelley White-Means, University of Tennessee, Memphis
"Cultural Competency, Race & Skin Tone Bias among Pharmacy, Nursing & Medical Students: Implications for Addressing Health Disparities"
PowerPoint Presentation | PDF Handout of Slides

Q In Search of Quality & Safety in Ambulatory Care
Washington 2 (Exhibit Level)

Chair: Kevin Volpp, Department of Veterans Affairs, Philadelphia and University of Pennsylvania

Panelists:
David Baker, Northwestern University
"Improving Hypertension Quality Measurement Using Electronic Health Records"
PowerPoint Presentation | PDF Handout of Slides

Lawrence Casalino, University of Chicago
"How Often Do Physicians Fail to Inform Patients of Abnormal Test Results? What Processes Are Associated with Lower Failure to Inform Rates?"

Lena Chen, Department of Veterans Affairs, Boston
"The Relationship Between Duration of U.S. Office Visits & Quality of Care"

Michelle Mello, Harvard University
"Who Pays for Medical Errors? An Analysis of Adverse Event Costs, the Medical Liability System & Incentives for Patient Safety Improvement"
PowerPoint Presentation | PDF Handout of Slides

Michael Parchman, Department of Veterans Affairs, San Antonio and University of Texas Health Science Center
"Are Efforts to Improve Technical Quality of Care Competing with Improving Clinical Outcomes? The Case of the Elevated A1c"
PowerPoint Presentation | PDF Handout of Slides

A The Health Insurance Market: Employer & Employee Costs
Washington 3 (Exhibit Level)

Chair: Kosali Ilayperuma Simon, Cornell University

Panelists:
Jean Abraham, University of Minnesota
"Evaluating the Health Care Financial Burden of U.S. Households"

Cynthia Perry, Urban Institute
"Onset of Parental Disability: The Effects of Health Insurance on Labor Supply & Family Income for Working Families with Children"
PowerPoint Presentation | PDF Handout of Slides

Eric Seiber, Ohio State University
"Does Declining Family Health Insurance Coverage Increase Pressure on Plans Sponsored by Small Businesses? Evidence from 1995 - 2005"

Jessica Vistnes, Agency for Healthcare Research and Quality
"Premium Growth & Its Effect on Employer-Sponsored Insurance"

Alice Zawacki, U.S. Census Bureau
"Small Employers, Taxes & Employer Contributions to Health Insurance Premiums"
PowerPoint Presentation | PDF Handout of Slides

R Getting It Right: Evidence Used to Drive Practice & Policy
Washington 4 (Exhibit Level)

Chair: Lucy Savitz, Intermountain Healthcare

Panelists:

Carolyn Clancy, Agency for Healthcare Research and Quality
PowerPoint Presentation | PDF Handout of Slides

J. Michael McGinnis, Institute of Medicine/National Academy of Sciences
PowerPoint Presentation | PDF Handout of Slides

Alan Morris, Intermountain Medical Center
PowerPoint Presentation | PDF Handout of Slides

Roundtable: This session will highlight current thinking on gaps in evidence and indicated future directions for research translation. The most recent report from the Institute of Medicine, Roundtable on Learning Healthcare System will be featured together with the AHRQ vision for how research can meet evidence needs and a challenge-driven solution developed by a leading health care investigator at Intermountain Healthcare.

V Evaluation of the Department of Defense's Post-Deployment Psychological Screening Program for Returning Soldiers from Iraq & Afghanistan
Washington 5 (Exhibit Level)

Chair: James Maxwell, JSI Research and Training Institute, Inc.

Panelists:
Eugenie Coakley, JSI Research and Training Institute, Inc.
"The Department of Defense Mental Health Referral Process for Returning Soldiers from Iraq & Afghanistan"
PowerPoint Presentation | PDF Handout of Slides

James Maxwell, JSI Research and Training Institute, Inc.
"Satisfaction with Mental Health Assessment & Perceived Mental Health Stigma as Reported by Soldiers Returning from Iraq & Afghanistan"
PowerPoint Presentation | PDF Handout of Slides

A Expanding & Sustaining Coverage: Lessons from the National Covering Kids & Families Program
Washington 6 (Exhibit Level)

Chair: Judith Wooldridge, Mathematica Policy Research, Inc.

Panelists:
Eileen Ellis, Health Management Associates
"CKF Influenced SCHIP & Medicaid Policies & Procedures"
PowerPoint Presentation | PDF Handout of Slides

Ian Hill, Urban Institute
"Coverage is not Enough: Lessons from the CKF Access Initiative"
PowerPoint Presentation | PDF Handout of Slides

Beth Stevens, Mathematica Policy Research, Inc.
"Coverage Advocacy Can be Sustained After the Funding Ends"
PowerPoint Presentation | PDF Handout of Slides

Christopher Trenholm, Mathematica Policy Research, Inc.
"CKF Influences on Children's Enrollment & Retention in Public Coverage"
PowerPoint Presentation | PDF Handout of Slides

Judith Wooldridge, Mathematica Policy Research, Inc.
"Lessons from Covering Kids & Families for State Comprehensive Coverage Initiatives"
PowerPoint Presentation | PDF Handout of Slides

N Chronic Care Infrastructure
Maryland A/B (Lobby Level)

Chair: Dana Goldman, RAND Corporation

Panelists:
Laura Eaton, University of California, San Francisco
"An Alternative Payment Method for Chronic Illness using Episodes-of-Care"
PowerPoint Presentation | PDF Handout of Slides

Dorothy Hung, Columbia University
"Implementation of the Chronic Care Model in Primary Care Practices: Relationships to Patient Health Status & Quality of Life"
PowerPoint Presentation | PDF Handout of Slides

Pamela Peele, UPMC Health Plan
"Predicting Diabetes Onset Within 18 Months Using Only a Health Risk Assessment"
PowerPoint Presentation | PDF Handout of Slides

Qayyim Said, University of Arkansas for Medical Sciences
"Non-Adherence to Asthma Treatment Guidelines Among a Low-Income Cohort: Implications for Cost of Medical Care"
PowerPoint Presentation | PDF Handout of Slides

Ann Zauber, Memorial Sloan-Kettering Cancer Center
"Modeling the Impact of Cancer Control Efforts on US Colorectal Cancer Mortality: An Interactive Website"
PowerPoint Presentation | PDF Handout of Slides

T Integrating Health Information Technology into Health Care Systems
Virginia A/B (Lobby Level)

Chair: Susan Lumsden, HRSA, Office of Health Information Technology

Panelists:

Elizabeth Ciemins, Sutter Health
"Health Information Technology: Vehicle for Effective Diabetes Disease Management"
PowerPoint Presentation | PDF Handout of Slides

Joy Grossman, Center for Studying Health System Change
"Stakeholder Buy-In & Local Health Information Exchange Activities: Implications for Quality Reporting & Pay-for-Performance"
PowerPoint Presentation | PDF Handout of Slides

Erin Kaleba, American Medical Association
"Information Technology & the Safety Net: A Prospective Model of Performance Measure Integration into an EHRS"
PowerPoint Presentation | PDF Handout of Slides

Douglas Roblin, Kaiser Permanente Georgia
"Disparities in Use of a Personal Health Record in a Managed Care Organization"
PowerPoint Presentation | PDF Handout of Slides

Mona Shah, Uniprise
"The Effect on Healthcare Costs & Utilization of a Pilot Web-Based Rewards Program for Adults with Chronic Illnesses Enrolled in a Consumer-Driven Health Plan (CDHP)"
PowerPoint Presentation | PDF Handout of Slides

W Physician Education, Diversity & Employment
Delaware A (Lobby Level)

Chair: Martey Dodoo, Robert Graham Center of the American Academy of Family Physicians

Panelists:
Onyebuchi Arah, University of Amsterdam, Academic Medical Center
"Impact of Physician Migration to the United States, United Kingdom, Canada & Australia on the Population Health of Source Countries"
PowerPoint Presentation | PDF Handout of Slides

Gaetano Forte, University at Albany, The State University of New York
"The Effect of Educational Debt on Career Decisions Among USMGs Completing Graduate Medical Training in New York, 2000-2007"
PowerPoint Presentation | PDF Handout of Slides

Susan Lin, National Center for Health Statistics
"Characteristics of Patient Visits to International Medical Graduates (IMGs) in Office Based Practice in the United States"

Mai Pham, Center for Studying Health System Change
“Hospital-Physician Relations: Two Tracks the Decline of the Medical Staff Model”
PowerPoint Presentation | PDF Handout of Slides

Somnath Saha, Department of Veterans Affairs, Portland and Oregon Health Sciences University
"Medical School Diversity & Educational Outcomes in the United States"

S Critical Issues in Medicaid & SCHIP
Delaware B (Lobby Level)

Chair: Scott Leitz, Minnesota Department of Health

Panelists:
Lisa Angus, Oregon Public Health Division
"Effect of Citizenship Documentation Requirements on a Family Planning Medicaid Waiver: First Year Observations"
PowerPoint Presentation | PDF Handout of Slides

Randall Bovbjerg, Urban Institute
"Lessons from North Carolina Medicaid on Care Management"
PowerPoint Presentation | PDF Handout of Slides

Marguerite Burns, University of Wisconsin Medical School
"Health Care Access for Adult Medicaid Beneficiaries with Disabilities"
PowerPoint Presentation | PDF Handout of Slides

Dorothy Gaboda, Rutgers Center for State Health Policy
"The Effect of Parental Enrollment on Retention of Children in NJ FamilyCare"
PowerPoint Presentation | PDF Handout of Slides

James Marton, Georgia State University
"SCHIP Premiums, Enrollment & Expenditures: A Two State, Competing Hazards Analysis"
PowerPoint Presentation | PDF Handout of Slides

1:15 p.m.–2:30 p.m.

Networking Lunch
Marriott Ballroom (Lobby Level)
(organized by AcademyHealth Interest Groups)

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Sunday, June 8 | Monday, June 9 | Tuesday, June 10

Complete Program Agenda