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In Association with
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- M O N D A Y , J A N U A R Y 2 6 , 2 0 0 4
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| 2:45 |
The Mandate for Healthcare Quality Improvement to
Further Transparency and Accountability
Institute of Medicine: Progressive models for successful chronic care
management
- Results from the Priority Areas Summit
- Summary of action plans and implementation challenges of the
Chronic Care Model
- Strategies to improve care at the community, organization,
practice and patient levels
- Population-based care models for diabetes, frailty in the
elderly and other chronic illnesses
- Evaluation of the health and cost impacts of health
promotion/disease prevention interventions
Agency for Healthcare Research and Quality
- Progress toward standardization of quality metrics and measuring
outcomes
- Results from AHRQ’s Report on the Quality of Health Care and
initiatives to harmonize national quality measures
- Update on the allocation of $85 million for information
technology for patient safety
Janet Corrigan, Ph.D., Director, Board on Health Care Services
and Director, Quality Initiative, Institute of Medicine
Carolyn M. Clancy, Ph.D., Director, Agency for Healthcare Research and
Quality
Brent James, MD, MStat, Vice President for Medical Research and
Executive Director, Health Care Delivery Research, Intermountain
Health Care
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| 4:15 |
Strategic Management of Health Care Cost Drivers
The Employer Perspectives from Washington Business Group on Health
- Dynamic pressures facing the healthcare industry and employers
- Developing an action plan for strategic partnerships and
collaboration between employers, providers and health plans
- Fighting to keep health care affordable
The Blue Cross and Blue Shield System’s Comprehensive, Multi-Year
Healthcare Cost Campaign -- Innovative Blue Plan Initiatives to
Control Costs
- Partnerships with local key stakeholders to improve
healthcare quality and outcomes: pay-for-performance programs,
utilization and treatment pattern reports of providers
- Consumer Engagement through information and tools for
greater personal responsibility and informed healthcare
decisions including disease management health coaches, utilizing
predictive modeling to identify and assist high-risk patients
- Product Innovation and benefit designs for affordable
options for consumers and employers including programs to incent
healthy behavior and healthy lifestyles
Moderator: Mike Waldholz, News Editor and Staff Reporter, Health
and Science, The Wall Street Journal
Helen Darling, President, Washington Business Group on Health
Scott P. Serota, President and CEO, Blue Cross Blue Shield Association
Michael D. Maves, MD, CEO, American Medical Association |
| 5:00 |
Supporting the Consumer’s Role in Health Care –
Improving Quality and Reducing Costs
Neither healthcare professionals nor consumers can make decisions and
manage care alone. Collaboration is essential to make care both
patient-centered and knowledge-based. To address cost trends in health
care, we must build robust systematic solutions that engage, integrate
and unify all stakeholders. When such collaboration is well-supported,
measurable improvement in the quality of decisions, care processes and
outcomes can be achieved.
- Setting the context for consumer’s role – Convergence of
dynamic factors: Consumer and employer demand, dissemination
of new knowledge and information, new technologies, increasing
number of uninsured and direct to consumer advertising
- Within that context, what is being done, what tools and
strategies are available to address these challenges?
- Data and how do we use information?
- How do all things get integrated?
- Data demonstrating the extent to which quality of
decision making is a key determinant of health care cost and
quality
- Models to improve decision quality by providing
systems-minded support for consumers and health
professionals
- How practical measures of decision quality and its
related impact on cost and clinical outcomes significantly
re-orient management of health care
- Best practices in consumer education – product choices,
health risk assessments, chronic conditions and fiscal
responsibility
- Care coordination and disease management and how
consumers
Moderator: Mryl Weinberg, President,
National Health Council
Albert G. Mulley, M.D., Associate Professor of Medicine, Harvard
Medical School; Chief, General Medicine Division and Director, Medical
Practices Evaluation Center, Massachusetts General Hospital
Reed V. Tuckson, MD, Senior Vice President, Consumer Health and
Medical Care Advancement, UnitedHealth Group
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- T U E S D A Y , J A N U A R Y 2 7 ,
2 0 0 4 - |
| 9:15 |
State of the Industry-Forecast of Disease Management’s
Impact on Containing Health Inflation
Anthem Case Study – Optimization of Quality of Health Care and
Reducing Costs through Disease and Care Management Programs
This presentation will describe the changing landscape of medical
management at Anthem. Two controlled trials demonstrating clinical and
financial results will be reviewed and a framework for physician and
hospital collaboration will be discussed.
- Strategies to collaborate with patients and physicians
to optimize care for chronically ill
- Rigorous assessment of financial results of disease
and care management programs to address the impact of
regression to the mean
- How to refine and tightly link predictive models to
care and disease management tactics to maximize the impact
of interventions
- How disease management plays a vital role in
supporting evidence-based care and reducing medical errors
Humana Case Study – The power of prediction: getting the right
program to the right person at the right time
- Demonstrate new predictive modeling tools that can
identify people before they get sick
- Showcase employer models to predict what kinds of
programs will meet their employees future health needs
and reduce costs
- Describe methodologies to engage individuals and
change behavior
Ford Motor Company -- The Future of Disease Management
for Purchasers
- Rethinking the role of purchasers, vendors,
providers and patients
- Criterion to build an effective disease management
approach and implementation strategy
- Early Returns Diabetes Care Link developed by Ford
Motor Company, General Electric, Procter & Gamble, UPS and Verizon
Moderator: Ron Winslow, Deputy Editor, Health and Science,
The Wall Street
Journal Sam Nussbaum, MD, Executive Vice President and Chief Medical Officer,
Anthem Blue Cross
Jonathan T. Lord, MD, Senior Vice President and Chief Innovation
Officer, Humana, Inc.
Vince Kerr, MD, MBA, Director, Healthcare Management, Ford Motor
Company |
| 10:00 |
Promoting a National Agenda for Disclosure—Provider
Performance Transparency in Transforming Health Care in America
In this session, three leading consumer, labor and purchaser
representatives will share their views on the critical need for vastly
improved provider performance transparency to increase the quality and
affordability of healthcare in America.
- Pacific Business Group on Health and the National
Consumer/Purchaser Disclosure Project
- The shared perspective of the "buy side" of the
market on the importance of publicly available
provider and treatment performance measures
- A vision for how America can achieve performance
transparency by January 1, 2007
- Barriers to achieving performance transparency
- An overview of efforts already underway to advance
performance transparency through the definition and
implementation of a comprehensive national performance
measurement set
Moderator: Steve Wetzell, Strategic Director,
Consumer-Purchaser
Disclosure
Project; Strategic Advisor, The Leapfrog Group; formerly founding
Executive Director, Buyers Health Care Action Group
Peter V. Lee, JD, President and CEO, Pacific Business Group on Health Suzanne Delbanco, Executive Director, The LeapFrog Group |
| 11:15 |
Medicare Reform and Implementation
The Acting Deputy Administrator will discuss changes being made as a
result of Medicare reform, providing broader benefits and choices and
CMS initiatives to implement these changes.
- Update on Medicare Reform Plans including:
- Prescription drugs
- Disease management
- Consumer driven options
- Viable solutions to contain Medicare spending
- Standardization initiatives for quality
improvement for Medicare
- If pharmacy benefit is enacted and don’t
pursue purchasing strategies then cost
implications are enormous. Greater attention to
guidelines and approp drug use and ability to
document performance of care leading to
performance measurement to control costs
Moderator: Kenneth W. Kizer, MD, MPH, President and CEO,
National Quality Forum
Leslie V. Norwalk, Acting Deputy Administrator, Centers for Medicare &
Medicaid Services
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