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Other qualified titles include: from health plans,
hospitals and health systems. Request for Summit Invitation |
Co-Chairman:
Francis J. Crosson, MD, Executive Director, The Permanente
Federation
Roberta Herman, MD, Senior Vice President and Chief Medical
Officer, Harvard Pilgrim Health Care |
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- S U N D A Y , J A N U A R Y 2 5 T H
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| 1:00 |
Dialogue A – Improved Clinical Management Strategies for
Populations to Address the Affordability of Care
- Identifying strategic goals of the organization and the role of
clinical outcomes in achieving strategic goals
- Understanding purchaser demands and impact on medical management
- Framing medical management programs as a competitive imperative
- Population-based care to demonstrate improved clinical outcomes
- Tying clinical quality improvement goals to financial metrics
Woodrow A. Myers, Jr., MD, Chief Medical Officer, WellPoint
Robert Margolis, MD, CEO, Healthcare Partners Medical Group |
| 2:00 |
Dialogue B – Impact of Consumerism on the Transformation of the
Medical Director’s Role Transforming medical operations to support
consumer-driven health care
- Adapting claims processing environment for consumers
- Determining appropriateness of care
- Connectivity between providers and patients – Creating a
relationship with patients for improved health
- Developing a direct connection to personalized healthcare and
its impact on utilization
- Consumer tools to help effectively and efficiently manage
chronic illness
- Customization challenges of the EMR and eHealth systems
Paul Tang, MD, Chief Medical Information Officer, Palo Alto
Medical Foundation; Chair, Patient Safety Data Standards
Committee, Institute of Medicine
Jonathan T. Lord, MD, Senior Vice President and Chief Innovation
Officer, Humana, Inc. |
| 3:00 |
Networking and Refreshment Break |
| 4:00 |
Dialogue C –Best Practices in Utilizing Information Technology
for Chronic Care Programs
- Clinical outcomes research comparing disease management
effectiveness from a vendor vs. an integrated delivery system
- Comparative data on disease management ROI
- Make Vs. Buy decision
- Contracting with DM vendors with performance guarantees
- Predictive modeling to manage chronic illness and to identify
high risk patients
- Integrating DM and pharmacy linked to quality measurement
including medical offset from increased pharmaceutical usage
George Isham, MD, MS, Medical Director and Chief Health Officer,
HealthPartners |
| 5:00 |
Dialogue D – Best Practices in Quality Metrics and
Pay-for-Performance
- Physician leadership – Critical role of CMOs and Medical
Directors to ensure quality improvement throughout the healthcare
enterprise
- Establishing quality metrics through collaboration to ensure
participation
- Negotiating pay-for-performance – Key issues for medical
directors from plans and provider organizations
- Public reporting – Obstacles, challenges and rewards
- Differential reimbursement – Analyzing the quality/cost payoff
Sam Ho, MD, Senior Vice President and Chief Medical Officer,
PacifiCare |
| 6:00 |
CMO/Medical Director Summit
Reception |
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