Pay for Performance Summit: Agenda: Preconference & Day One

Agenda: Pay for Performance Summit: Preconferences Monday, March 19, 2012
8:00 a.m.	Registration
9:00 a.m.	Preconference Symposia (Choose one Preconference only)
Preconference I: Measuring Resource Use, Efficiency, and Total Cost of Care Sponsored by the Integrated Healthcare Association and the National Committee for Quality Assurance
Value based performance incentives are dependent upon reliable measurement of both quality and cost, and cost measurement is rapidly progressing. In this session you will learn from experts who are actively engaged in the development, implementation, and use of a complete range of cost measures.
9:00 a.m.	Welcome and Introductions Dolores Yanagihara, MPH Director, Pay for Performance Program, Integrated Healthcare Association, Oakland, CA Presentation Material (Acrobat)
9:15 a.m.	Relative Resource Use Jennifer Lenz Assistant Vice President, Quality Solutions Group, National Committee for Quality Assurance, Oakland, CA Presentation Material (Acrobat)
10:00 a.m.	Total Cost of Care Gail Rusin Program Manager, Pay for Performance - Efficiency, Integrated Healthcare Association, Oakland, CA Presentation Material (Acrobat)
10:45 a.m.	Break
11:00 a.m.	Use of Episodes of Care Michael van Duren, MD, MBA Chief Medical Officer, Sutter Physician Services, Sacramento, CA Presentation Material (Acrobat)
11:45 a.m.	Discussion and Q&A
12:00 p.m.	Preconference Adjournment and Lunch on Your Own
Preconference II: Defining the Efficiency Component in Value Based P4P Sponsored by the Health Care Incentives Improvement Institute
In this session, participants will get a preview of the new PROMETHEUS ECR Analytic system, and its potential uses to measure provider efficiency. In addition, participants will learn how plans are using prospective budgets as a way to incentivize providers to manage patients with chronic conditions.
9:00 a.m.	Welcome and Introductions Francois de Brantes Executive Director, Health Care Incentives Improvement Institute, Newtown, CT
9:10 a.m.	Introduction to ECR Analytics Version 5 Concept and Principles Typical Care, Complications, and ECR Relationships Creating Prospective Budgets and Provider Accountability Implications for ACOs, Bundled Payments, and Medical Homes Francois de Brantes Executive Director, Health Care Incentives Improvement Institute, Newtown, CT Permission to post presentation not granted
10:10 a.m.	Questions and Answers
10:30 a.m.	Break
10:45 a.m.	Managing Chronic Illness at Cox Health Plans Jeff Bond President and Chief Executive Officer, Cox Health Plans, Springfield, MO Presentation Material (Acrobat)
11:30 a.m.	Funding Medical Home Thin Caps and Blending Chronic Care Budgets with ACO Payments Douglas W. Emery Program Implementation Leader, Western Region, Health Care Incentives Improvement Institute (HCI3), Logan, UT Christina Soerensen, MPH Implementation Leader, Health Care Incentives Improvement Institute, Newtown, CT Presentation Material (Acrobat)
12:00 p.m.	Preconference Adjournment and Lunch on Your Own
Preconference III: Ambition for Excellence: Small Physician Groups Aim High Sponsored by the California Association of Physician Groups
Preconference III has been cancelled.
Preconference IV: End of Life and Palliative Care: The Quality Improvement Opportunity Sponsored by HealthCare Partners
Quality of care in end of life treatment has been one of the biggest challenges in healthcare in the U.S. In response to this issue, HealthCare Partners implemented a program with the goal of making the transition from chronic care management to palliative care to hospice seamless, invisible, and all about meeting the needs of patients and families. In this session, different disciplines such as physicians, nurses, social workers, and operations staff will be featured to share their perspectives and show what each area brings to the table in this highly successful program.
9:00 a.m.	Welcome and Introductions Stuart Levine, MD, MHA Medical Director, HealthCare Partners, Torrance, CA
9:30 a.m.	Advanced Care Planning: The Big Picture Stuart Levine, MD, MHA Medical Director, HealthCare Partners, Asst. Professor-Internal Medicine/Psychiatry, UCLA David Geffen School of Medicine, Torrance, CA
10:15 a.m.	Break
10:30 a.m.	Case Study: Best Practices at HealthCare Partners Karol Attaway, MHA Vice President of Operations, HealthCare Partners, Los Angeles, CA Sayeed Khan, MD Lead Hospitalist and High Risk Program Director, HealthCare Partners, Torrance, CA Susan Stone, MD Clinical Associate Professor of Internal Medicine, University of California; Associate Director Palliative Care Cedars Sinai MedicalCenter, Los Angeles, CA Presentation Material (Acrobat)
11:15 a.m.	Case Studies: Sharp Rees-Stealy - Best Practices at Leading California Organizations Jerry Penso, MD, MBA Medical Director, Continuum of Care, Rees-Stealy, San Diego, CA Presentation Material (Acrobat)
12:00 p.m.	Preconference Adjournment and Lunch on Your Own
Agenda: Pay for Performance Summit: Day I Monday, March 19, 2012
PAY FOR PERFORMANCE OPENING PLENARY SESSION
1:00 p.m.	Welcome and Overview Elaine Batchlor, MD, MPH Chief Medical Officer, L.A. Care Health Plan; Chair, Integrated Healthcare Association, Los Angeles, CA
1:15 p.m.	Keynote Address: How We Get to Affordable, Quality Healthcare Margaret (Peggy) E. O'Kane President, National Committee for Quality Assurance, Washington, DC Presentation Material (Acrobat)
2:00 p.m.	Keynote Address: The Changing Landscape: Episodes of Care Version 2012 -- A New Deal Francois de Brantes Executive Director, Health Care Incentives Improvement Institute, Newtown, CT Permission to post presentation not granted
2:30 p.m.	Keynote Panel: Updates from CMS -- Value Based Purchasing, ACOs, and Other Initiatives Jean Moody-Williams, RN, MPP Director, Quality Improvement Group, Centers for Medicare and Medicaid Services (CMS), Baltimore, MD
	David Sayen Regional Administrator - Region IX, Centers for Medicare and Medicaid Services (CMS), San Francisco, CA
	Betsy L. Thompson, MD, DrPH Chief Medical Officer - Region IX, Centers for Medicare and Medicaid Services (CMS), San Francisco, CA Presentation Material (Acrobat)
3:30 p.m.	Break
4:00 p.m.	Keynote Panel: Advancing to the Next Generation of Value Based Pay for Performance Tom Leyden, MBA Director, Value Partnerships Program, Blue Cross Blue Shield of Michigan, Detroit, MI Presentation Material (Acrobat)
	Gene Lindsey, MD President and CEO, Atrius Health, Newton, MA Presentation Material (Acrobat)
	Dana Gelb Safran, ScD Senior Vice President, Performance Measurement and Improvement, Blue Cross Blue Shield of Massachusetts, Boston, MA Presentation Material (Acrobat)
	Gregg Stefanek Family Practice Physician, Alma, MI Presentation file size too large to post
	Elaine Batchlor, MD, MPH Chief Medical Officer, L.A. Care Health Plan; Chair, Integrated Healthcare Association, Los Angeles, CA (Moderator)
5:45 p.m.	Adjournment and Opening Networking Reception