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Agenda: Pay for Performance Summit: Preconferences
Wednesday, March 23, 2011

7:30 a.m. Registration
8:30 a.m. Preconference Symposia
(Choose one Preconference only)

Preconference I: All-Payer Claims Databases: State-Based Initiatives
Sponsored by AcademyHealth
8:30 a.m. Welcome and APCD Background

Enrique Martinez-Vidal
Vice President, AcademyHealth, Director, State Coverage Initiatives, Washington, DC (Moderator)
Presentation Material (Acrobat)
9:00 a.m. State Examples of Current APCD Uses, Standardization, and Lessons Learned

Patrick Miller, MPH
Research Associate Professor, University of New Hampshire, Durham, NH
Presentation Material (Acrobat)
9:45 a.m. Break
10:00 a.m. Merging Case Mix and Episodes of Care through Effective Risk Adjustment

Mark Gaskill
Manager, All-Payer Database Project, Utah Department of Health, Salt Lake City, UT
Presentation Material (Acrobat)
10:45 a.m. Provider Peer Grouping and Provider Data Challenges

James I. Golden, PhD
Director, Division of Health Policy and Coordinator, State Government HIT, Minnesota Department of Health, St. Paul, MN
Presentation Material (Acrobat)
11:30 a.m. Panel Discussion and Q&A
12:00 p.m. Preconference Adjournment/Lunch on Your Own

Preconference II: Implementing Episode of Care Payment -- Lessons from the Field
Sponsored by Health Care Incentives Improvement Institute (HCI3)

8:30 a.m. Five Lessons Learned from the RWJF-funded Prometheus Payment Pilots

François de Brantes
Executive Director, Health Care Incentives Improvement Institute, Newtown, CT (Moderator)
Presentation Material (Acrobat)
8:45 a.m. Analyzing Opportunities for Episode of Care (EOC) Payment

Elizabeth Siteman, MPH
Program Implementation Leader, Central Region, Health Care Incentives Improvement Institute, Newtown, CT
Presentation Material (Acrobat)
9:15 a.m. Contracting for Episodes

Eddie Bell
Director, Risk and Reimbursement, Providence Health & Services, Portland, OR

Douglas Emery
Program Implementation Leader, Western Region, Health Care Incentives Improvement Institute, Logan, UT
Presentation Material (Acrobat)

Greger Vigen
Independent Health Actuary, Granada Hills, CA
10:15 a.m. Break
10:30 a.m. Operationalizing and Implementing EOC Payment

Chad J. Brown, MPH
Program Implementation Leader, Southeast Region, Health Care Incentives Improvement Institute, Newtown, CT
Presentation Material (Acrobat)

Joe O'Connor
Chief Executive Officer, Carefuze, Inc., Lincoln, MA

Liz Rubin, MPA
Director, Informatics, Horizon Healthcare Innovations, Newark, NJ
11:30 a.m. Q&A
12:00 p.m. Preconference Adjournment/Lunch on Your Own

Preconference III: You Won't Improve What You Don't Measure: Strategies for Successful Measurement and Public Reporting
Sponsored by Network for Regional Healthcare Improvement (NRHI)

8:30 a.m. Welcome

Harold D. Miller
Executive Director, Center for Healthcare Quality and Payment Reform, President and Chief Executive Officer, Network for Regional Healthcare Improvement, Pittsburgh, PA (Moderator)
9:00 a.m. What Should Be Measured and How? Quality, Patient Experience, and Efficiency

Barbra Rabson
Executive Director, Massachusetts Health Quality Partners, Watertown, MA
Presentation Material (Acrobat)
9:30 a.m. Beyond Claims Data -- Measuring Quality with Clinical Information

James Chase, MHA
President, Minnesota Community Measurement, Minneapolis, MN
Presentation Material (Acrobat)
10:00 a.m. Break
10:15 a.m. Not All Patients Are Alike: Measuring and Addressing Disparities

Randall Cebul
Director, Better Health Greater Cleveland, Cleveland, OH
Presentation Material (Acrobat)
10:45 a.m. Beyond Reporting: Using Quality Measures for Payment Reform

Elizabeth Mitchell
Chief Executive Officer, Maine Health Management Coalition, Portland, ME
Presentation Material (Acrobat)
11:15 a.m. Panel: Common Challenges: Participation, Support, and Sustainability

All Presenters
11:45 a.m. Q&A
12:00 p.m. Preconference Adjournment/Lunch on Your Own

Preconference IV: Improving the Patient Experience
Sponsored by Pacific Business Group on Health (PBGH)

8:30 a.m. Welcome and Improving the Patient Experience: A Statewide Approach

Diane Stewart, MBA
Senior Director, California Quality Collaborative, Pacific Business Group on Health, San Francisco, CA (Moderator)
Presentation Material (Acrobat)
8:55 a.m. Measuring the Patient Experience -- California Results and Implications for Medical Home Accountability

Ted von Glahn, MS
Director of Performance Information and Consumer Engagement, Pacific Business Group on Health, San Francisco, CA
Presentation Material (Acrobat)
9:30 a.m. Practices of High Performing Organizations in the Patient Experience

Giovanna Giuliani, MBA, MPH
Senior Manager, California Quality Collaborative, Pacific Business Group on Health, San Francisco, CA
Presentation Material (Acrobat)
10:00 a.m. Break
10:15 a.m. Improving the Patient Experience -- Physician Group Panel

Karol Attaway
Vice President of Operations, HealthCare Partners Medical Group, Los Angeles, CA
Presentation Material (Acrobat)

Betsy Fried
Director Service Excellence, Sutter Medical Foundation, Roseville, CA
Presentation Material (Acrobat)

P.T. Koenig, MD
Lead Firestarter and Family Physician, Sutter Medical Group, Dixon, CA
Presentation Material (Acrobat)


Stuart Levine, MD
Corporate Medical Director, HealthCare Partners, LLC, Torrance, CA
Presentation Material (Acrobat)

Giovanna Giuliani, MBA, MPH
Senior Manager, California Quality Collaborative, Pacific Business Group on Health, San Francisco, CA (Moderator)
11:30 a.m. Panel Discussion and Q&A
12:00 p.m. Preconference Adjournment/Lunch on Your Own

Preconference V: Analysis of the Proposed ACO Regulations
Sponsored by California Association of Physician Groups (CAPG)

8:30 a.m. Welcome and Overview

Keith Wilson, MD, FACOG
Regional Medical Director, Region 6 - Talbert Medical Group, HealthCare Partners Medical Group, Former President and Chief Executive Officer, Talbert Medical Group, Chair, California Association of Physician Groups, Costa Mesa, CA (Moderator)
Presentation Material (Acrobat)
9:00 a.m. Legal Analysis of the Proposed ACO Regulations

Bruce Merlin Fried, JD
Partner, SNR Denton US LLP, Former Vice President of Federal Affairs, FHP International Corp., Former Director, Center for Health Plans and Providers, Health Care Financing Administration (now CMS), Washington, DC

Mara McDermott, JD/MPH
Associate, Akin Gump Strauss Hauer & Feld LLP, Washington, DC
10:30 a.m. Break
10:45 a.m. ACO's California Style

John E. Jenrette, MD
Chief Executive Officer and Chief Medical Officer, Sharp Community Medical Group, San Diego, CA
Presentation Material (Acrobat)

11:30 a.m. Faculty Q&A
12:00 p.m. Preconference Adjournment/Lunch on Your Own



Agenda: Pay for Performance Summit: Day I
Wednesday, March 23, 2011

PAY FOR PERFORMANCE AND HEALTH CARE REFORM OPENING PLENARY SESSION
1:00 p.m. Welcome

Tom Williams, DrPH, MBA
Executive Director, Integrated Healthcare Association, Oakland, CA (Co chair)
1:10 p.m. Keynote Address: Affordable Care Act: Implications for Quality and Payment Reform

Susan Dentzer
Editor-in-Chief, Health Affairs, Bethesda, MD; Health Policy Analyst, The News Hour with Jim Lehrer, Washington, DC
Presentation Material (Acrobat)
2:00 p.m. Keynote Address: The Role of Pay for Performance in Accountable Care

Mark McClellan, MD, PhD
Director, Engelberg Center for Health Care Reform, Brookings Institution, Former CMS Administrator and FDA Commissioner, Washington, DC
Presentation Material (Acrobat)
2:30 p.m. Keynote Panel: Health Reform: Catalyst for Innovation, Quality, and New Payment Methods

The Affordable Care Act generated new regulations involving quality improvement, accountable care organizations, new payment methods, and demonstration projects -- all relevant to this Summit's featured topics. In this session, federal government officials and policy makers will discuss the implications of the new regulations. Speakers will be announced in advance.

Richard J. Gilfillan, MD
Acting Director, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, Former President and Chief Executive Officer, Geisinger Health Plan, Executive Vice President of Insurance Operations, Geisinger Health System, Washington, DC

Susan Dentzer
Editor-in-Chief, Health Affairs, Bethesda, MD; Health Policy Analyst, The News Hour with Jim Lehrer, Washington, DC (Moderator)

Keynote: Reactor Panel

Bart S. Asner, MD
Chief Executive Officer, Monarch Healthcare, A Medical Group, Inc., Chair, Integrated Healthcare Association, Irvine, CA

Bruce Merlin Fried, JD
Partner, SNR Denton US LLP, Former Vice President of Federal Affairs, FHP International Corp., Former Director, Center for Health Plans and Providers, Health Care Financing Administration (now CMS), Washington, DC

Sarah Thomas
Vice President, Public Policy and Communications, National Committee for Quality Assurance (NCQA), Washington, DC
3:30 p.m. Break
4:00 p.m. Keynote Address: Historical Perspective on Healthcare Payment in the U.S.

Paul B. Ginsburg
President, Center for Studying Health System Change, Washington, DC
Presentation Material (Acrobat)

4:30 p.m. Keynote Address: Payment Reform: Moving from Concept to Reality

Harold D. Miller
Executive Director, Center for Healthcare Quality and Payment Reform, President and Chief Executive Officer, Network for Regional Healthcare Improvement, Pittsburgh, PA
Presentation Material (Acrobat)
5:00 p.m. Keynote Panel: Implementing New Payment Methods

François de Brantes
Executive Director, Health Care Incentives Improvement Institute, Newtown, CT

Suzanne F. Delbanco, PhD
Executive Director, Catalyst for Payment Reform, San Francisco, CA

Harold D. Miller
Executive Director, Center for Healthcare Quality and Payment Reform, President and Chief Executive Officer, Network for Regional Healthcare Improvement, Pittsburgh, PA

Paul B. Ginsburg
President, Center for Studying Health System Change, Washington, DC (Moderator)
5:45 p.m. Keynote Address

Brent James, MD, M.Stat
Chief Quality Officer, Intermountain Healthcare - Institute for Health Care Delivery Research, Salt Lake City, UT
Presentation Material (Acrobat)
6:30 p.m. Adjournment and Opening Networking Reception




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