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World Congress’ Collaborative Working Groups are multi-disciplinary and cross-sector discussion forums to brainstorm on innovations necessary for a range of current industry challenges. A group leader will guide the discussion to generate ideas, debate and develop a consensus around new innovations that deserve further investigation. Leaders from each Collaborative Working Group will report findings on Tuesday, April 24 just prior to the first keynote.
Please register to participate in two Working Groups -- Select one of five Working Groups held on Sunday, April 22 and one of five Working Groups held on Monday, April 23.
Sunday, April 22 from 11:00 am - 12:00 pm
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Resolution: Value-Based Decisions drive purchasing behaviors that result in quality and cost-efficiency for sustainable health and financial improvement.
Sub-groups/Resolutions:
- DATA: Data drives purchasing decisions, and the value of data to the employer is driven by the employer definition of value.
- DESIGN: Successful Value-Based Benefit Design links an organization's mission and goals to its health investment strategies.
- DELIVERY: Effective Value-Based Design aligns stakeholders with goals anticipatd by design, resulting in Total Health Management.
- REFINEMENT: Quality Improvement processes (CQI) enhance value-based decisions; they are improved by increasing competency and efficiency over time.
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| Co-Leaders: |
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Cyndy Nayer
Executive Director
Center for Health Value Innovation
 View Biography
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Greg Judd
Director
Center for Health Value Innovation
View Biography
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Resolution: Consumer-driven health care drives consumer engagement and affordability.
Sub-groups/Resolutions:
- CONSUMER TOOLS: Consumers need effective tools to compare cost and quality of providers in order to make appropriate health care decisions.
- CONSUMER EDUCATION: Consumer education is essential to increasing enrollment and effective utilization in CDHC products.
- PRODUCT DESIGN: CDHC product design is critical to ensure preventive care and quality providers are utilized.
- POLICY CHANGES: Legislative changes are necessary to ensure employers and consumers reap the maximum advantage of CDHC products.
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| Leader: |
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William R. Boyles
Publisher
Consumer Driven Market Report
View Biography
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Resolution: The public reporting of clinical quality data is essential to the creation of a health care system that meets the Institute of Medicine’s recommendations for safety, timeliness, effectiveness, efficiency, equity, and patient-centeredness.
Sub-groups/Resolutions:
- Any indicator considered for public reporting must meet the following criteria:
- Important
- Scientifically validated
- Feasible
- Improvable
- Usable
- Controllable
- Public reporting of a hospital’s compliance with evidence based process of care indicators is sufficient to provide the public with useful information and is adequate for the determination of accountability.
- Public reporting of quality data must be coupled with pay for performance to insure a truly safe, high quality healthcare system.
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| Leader: |
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Daniel Varga, MD
Chief Medical Officer
SSM HealthCare - St. Louis
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Resolution:
Patient-centered redesign of delivery systems and care processes
will result in improved patient care and satisfaction as well as
cost efficiencies.
Sub-groups/Resolutions:
- DESIGN: Successful patient-centered care links an organization's
mission and its culture to its patient care design strategies.
- DELIVERY: Redesign strategies for patient-centered care should
evaluate and improve a patient's interactions with and experience
within the care delivery system.
- REFINEMENT: Patient-centered care processes must be coupled with
patient surveys and satisfaction measures to ensure high quality care.
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Resolution:
Employee benefit design should provide highly-valued benefits to
employees, and improve employee productivity for the betterment of
the company’s fiscal health.
Sub-groups/Resolutions:
- DESIGN: Successful employee benefit design links an organization's
mission and goals to its human capital and health investment
strategies.
- DELIVERY: Effective employee benefit design aligns incentives with an employees' health and productivity goals.
- REFINEMENT: Quality improvement and thorough data review enhance benefit design decisions over time and yield improved employee
satisfaction and productivity.
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Resolution: Consumer-driven health care drives consumer engagement and affordability.
Sub-groups/Resolutions:
- CONSUMER TOOLS: Consumers need effective tools to compare cost and quality of providers in order to make appropriate health care decisions.
- CONSUMER EDUCATION: Consumer education is essential to increasing enrollment and effective utilization in CDHC products.
- PRODUCT DESIGN: CDHC product design is critical to ensure preventive care and quality providers are utilized.
- POLICY CHANGES: Legislative changes are necessary to ensure employers and consumers reap the maximum advantage of CDHC products.
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| Leader: |
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William R. Boyles
Publisher
Consumer Driven Market Report
View Biography
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Resolution: Pay-for-performance incentive programs that give providers incentives to meet defined quality measures; create a measurement tool to identify high quality provider performance and to improve the quality for all providers.
Sub-groups/Resolutions:
- Design: Pay-for-performance program design should include measurable quality indicators and substantial incentives to impact quality.
- Delivery: Both financial and non-financial incentives are effective to promote quality improvement.
- Refinement: Pay-for-performance programs need to continually improve, refine and/or add new quality measures to acheive the goal of continually improving the quality care delivered.
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| Leader: |
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Allan Korn, MD, FACP
Senior Vice President, Clinical Affairs & Chief Medical Officer
Blue Cross Blue Shield Association
View Biography
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Resolution: The public reporting of clinical quality data is essential to the creation of a health care system that meets the Institute of Medicine’s recommendations for safety, timeliness, effectiveness, efficiency, equity, and patient-centeredness.
Sub-groups/Resolutions:
- Any indicator considered for public reporting must meet the following criteria:
- Important
- Scientifically validated
- Feasible
- Improvable
- Usable
- Controllable
- Public reporting of a hospital’s compliance with evidence based process of care indicators is sufficient to provide the public with useful information and is adequate for the determination of accountability.
- Public reporting of quality data must be coupled with pay for performance to insure a truly safe, high quality healthcare system.
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| Leader: |
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Daniel Varga, MD
Chief Medical Officer
SSM HealthCare - St. Louis
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| Reporting Results from Collaborative Working Groups |
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