      |
|
Presentations
are available in PowerPoint 
and PDF 
formats.
7:45
a.m. – 9:00 a.m.
International Breakfast Meeting
"Policy
Innovations in the United Kingdom, Canada, and New Zealand: Opportunities
for Cross-national Learning"
Chair: Robin Osborn, The Commonwealth Fund
Speakers:
Ronald J. Paterson, Health and Disability Commissioner, New Zealand
PowerPoint Slides |
PDF Handout
Steven G. Morgan, Centre for Health Services and Policy Research
University of British Columbia, Canada
PowerPoint Slides | PDF
Handout
Stephen Dunn, Section Head and Policy Advisor, Foundation Trust Financial
Regime, UK Department of Health
PowerPoint Slides |
PDF Handout
Special breakfast session sponsored by
The Commonwealth Fund
9:30
a.m. – 11:00 a.m.
Concurrent Sessions
The
Impact of Regulation, Markets & Information on Quality in Nursing
Homes
Pacific Three
Chair:
Mary Jane Koren, The Commonwealth Fund
Panelists:
Farida
K. Ejaz
PowerPoint Slides |
PDF Handout
David
Grabowski, University of Alabama at Birmingham
PowerPoint Slides |
PDF Handout
Ciaran
O’Neill, University of Ulster, Jordanstow
PowerPoint Slides |
PDF Handout
Shoshanna
Sofaer, Baruch College
PowerPoint Slides |
PDF Handout
Roundtable:
Market forces, publicly available information, and regulation
are three powerful drivers of nursing homes behavior. The speakers
will begin by considering the history and impact of each on nursing
home quality. However, because these forces tend to operate interdependently,
panelists will consider how they might be channeled to reinforce each
other and used synergistically to improve performance. Likewise, the
panel will reflect on what lessons might be derived from the experience
of the nursing home industry for other long-term care sectors such
as home care.
Getting
Evidence-Based Psychosocial Treatments into Practice: Evidence &
Challenges in Behavioral Health
Pacific Two
Chair:
Kenneth Wells, University of California, Los Angeles
Panelists:
Robert
Cullen, Prince George’s County Health Department
Jeanne
Miranda, University of California, Los Angeles
PowerPoint Slides |
PDF Handout
Margo
Picou, Consultant
David
Shern, University of South Florida
PowerPoint Slides |
PDF Handout
Barbara
Vickrey, University of California, Los Angeles
PowerPoint Slides |
PDF Handout
Roundtable:
This roundtable will present teams of investigators and community
agency participants to discuss efforts to improve aspects of psychosocial
services for chronic illnesses, reviewing study goals of services
and dissemination efforts, study findings (if applicable), challenges
faced, and solutions found/attempted from diverse perspectives. The
exemplar conditions are providing psychotherapy for depression in
community settings; building new directions for improving services
from schizophrenia after the PORT findings; and improving outreach
and services for dementia.
Real World Uses of Risk Adjustment (Predictive Modeling)
Pacific Six/Seven
Chair:
Arlene
Ash, Boston University Medical Center
PowerPoint Slides |
PDF Handout
Panelists:
James
Naessens, Mayo Clinic
PowerPoint Slides |
PDF Handout
Rong
Yi, DxCG, Inc.
PowerPoint Slides |
PDF Handout
Methods
Workshop: The panel will discuss a range of current uses for risk
adjustment models in managing health care workflow and costs. Topics
include: using pharmacy records versus other data to predict future
drug costs; identifying persistently high primary care users; and
profiling specialist care.
Innovations in Health Insurance
Royal Palm Two
Chair:
Richard Lindrooth, Medical University of South Carolina
Call
for Papers:
M. Kate Bundorf, Stanford University
“The Incidence of the Health Care Costs of Obesity”
PowerPoint Slides |
PDF Handout
Andrew
Coburn, University of Southern Maine
“Who Uses Individual Health Insurance and for How Long? An Analysis
of the 1996 – 2000 SIPP”
PowerPoint Slides |
PDF Handout
Dominick
Esposito, Mathematica Policy Research, Inc.
“Prescription Drug Demand for Therapeutic Substitutes: Do Copayments
and Insurer Non-Price Rationing Influence Patient Utilization?”
PowerPoint Slides |
PDF Handout
Srikanth
Kadiyala, Harvard University
“The Causal Effect of Managed Care on Quality: Evidence from
Cancer Screening Guideline Discontinuities”
PowerPoint Slides |
PDF Handout
Anthony
LoSasso, Northwestern University
“Immigrants and Employer-Provided Health Insurance”
PowerPoint Slides |
PDF Handout
The Delivery System Counts: Organizational Structure & the Quality
of Care
Sunset
Chair:
Jane Banaszak-Holl, University of Michigan
Call
for Papers:
Askar Chukmaitov, Virginia Commonwealth University
“Variations in Quality Outcomes among Hospitals in Different
Types of Health Systems, 1995 – 2000”
PowerPoint Slides |
PDF Handout
Ann Scheck
McAlearney, Ohio State University
“Adoption and Use of Handheld Computers in Clinical Practice”
PowerPoint Slides |
PDF Handout
Patricia
Parkerton, University of California, Los Angeles
“Does Primary Care Practice Autonomy Influence Colorectal Cancer
Screening Rates?”
PowerPoint Slides |
PDF Handout
Bruce
Siegel, George Washington University
“Improving the Performance of the Safety Net: Findings of the
Urgent Matters Project”
PowerPoint Slides |
PDF Handout
Carol
Simon, Boston University
“Are Practice Structure and Market Competition Related to the
Quality of Care Delivered by Office-Based Physicians?”
Medicare & Medicare Prescription Drugs: Expense or Investment?
Royal Palm Five/Six
Chair:
Len M. Nichols, Center for Studying Health System Change
Call
for Papers:
Chad Abrams, Johns Hopkins University
“Identifying High Risk Medicare Enrollees, Improved Identification
and Payment Possible?”
PowerPoint Slides |
PDF Handout
Bryan
Luce, MEDTAP International, Inc.
“Estimating the Value of Investment: Medicare and Overall U.S.
Health Care Services”
PowerPoint Slides |
PDF Handout
Steven
Morgan, University of British Columbia
“Drug Expenditures in Canada: A Population-Based Analysis of
Trends and Causes”
Bruce
C. Stuart, University of Maryland at Baltimore
“The Impact of Prescription Coverage on Drug and Non-Drug Spending
under Medicare”
PowerPoint Slides |
PDF Handout
Zhou
Yang, Michigan State University
“How Much Would a Medicare Prescription Drug Benefit Cost? Offsets
in Medicare Part A Cost by Increased Drug Use”
PowerPoint Slides |
PDF Handout
Public Health Risks, Costs & Prevention Strategies
Royal Palm Four
Chair:
Linda McKibben, Centers for Disease Control and Prevention
Call
for Papers:
Tatiana Andreyeva, RAND
“Health Care Costs of Moderate and Severe Obesity”
PowerPoint Slides |
PDF Handout
Yuhua
Bao, University of California, Los Angeles
“Is Some Physician Advice on Smoking Cessation Better than No
Advice? An Instrumental Variable Analysis of the 2001 National Health
Interview Survey”
PowerPoint Slides |
PDF Handout
Lisa
Faulkner, Public Health Institute
“The Impact of Obtaining Documented Informed Consent for Population-Based
Voluntary Supplemental Newborn Screening in California”
PowerPoint Slides |
PDF Handout
David
Howard, Emory University
“Impact of Low Health Literacy on Medical Costs”
PowerPoint Slides |
PDF Handout
Douglas
Levy, Harvard Medical School
“Maternal Smoking and the 1998 Master Settlement Agreement”
PowerPoint Slides |
PDF Handout
Web
: News from NLM & Beyond
Pacific Four/Five
Chair:
Marjorie
Cahn, National Library of Medicine
PowerPoint Slides |
PDF Handout
Panelists:
Betsy
Humphreys, National Library of Medicine
PowerPoint Slides
| PDF
Handout
Lisa
Sedlar, National Library of Medicine
Catherine
Selden, National Library of Medicine
Research
: Placing increased emphasis on to support
health services research and public health, the National Library of
Medicine (NLM) has developed a new section of its Web site (www.nlm.nih.gov)
devoted to these topics. Come learn about these new and improved Web
from NLM (and its public and private partners), including
collaborative projects, databases, subject access projects, outreach
and training, publications, and research and informatics initiatives.
Research
Agenda at the National Cancer Institute: Priorities & New Opportunities
in Health Services & Outcomes Research
Royal Palm Three
Chairs:
Martin
Brown National Cancer Institute
Steven
Clauser, National Cancer Institute
PowerPoint Slides
| PDF
Handout
Research
Agenda: This session will present and discuss National Cancer
Institute (NCI) current and anticipated research programs and funding
opportunities in health services and outcomes research, emphasizing
the pathways for seeking and obtaining extramural support from this
largest of the NIH institutes and centers. NCI’s research priorities
in health services research and outcomes encompass a wide range of
topics, including cancer outcomes measurement, quality-of-care assessment
and improvement, and a host of topics in the economics of cancer care,
including analyses of costs, effectiveness, and cost-effectiveness.
There is also a focus on how the tools of health services research
and outcomes research can be applied to understand and reduce disparities
in access to cancer services and health outcomes.
View
from the State Legislature: Translating Research into Policy
Pacific One
Chair:
Mitch
Greenlick, Oregon State House of Representatives
PowerPoint Slides
| PDF
Handout
Panelists:
Bruce Goldberg, Office of Oregon Health Policy and Research; Phil
Lopes, Arizona State House of Representatives; James Tallon, United
Hospital Fund of New York
Special
Session: This session will examine the role of health services
research information from the perspective of the state legislature.
Three health services researchers/ health policy experts who are present
or former state legislators will present their perspectives on the
issue. They will be joined by the director of an agency that is responsible
for providing research data to a state legislature.
Investigating the Factors that Influence Hospitalization for Chronic
Medical Conditions
Royal Palm One
Chair:
Nancy
McCall, RTI International
Call
for Panels:
Erica Brody, RTI International
“Do Ambulatory Care Sensitive Conditions Affect Beneficiaries’
Experience and Satisfaction with Health Care?”
PowerPoint Slides
| PDF
Handout
Nancy
McCall, RTI International
“Are Changing Rates of Admission for Chronic Medical Conditions
Simply a Reflection of Changes in the Demographics, Health Status,
and Geographic Migration Patterns of the Elderly?“
PowerPoint Slides
| PDF
Handout
PowerPoint Slides
| PDF
Handout
PowerPoint Slides
| PDF
Handout
Lee Mobley,
RTI International
“Spatial Analysis of Healthcare Markets: Separating the Signal
from the Noise in Ambulatory Care Sensitive Condition Admission Rates”
PowerPoint Slides
| PDF
Handout
Sujha
Subramanian, RTI International
“Does Access to Usual Source of Care and Supplemental Insurance
Prevent Hospitalization for
Chronic Medical Conditions among the Elderly?”
PowerPoint Slides
| PDF
Handout
11:30
a.m. – 1:00 p.m.
Concurrent Sessions
Is
There a Future for Integrated Care Systems in the Consumer Era?
Royal Palm One
Chair:
Robert Crane, Kaiser Permanente
Panelists:
Kenneth
Chuang, University of California, San Francisco
PowerPoint Slides
| PDF
Handout
R. Adams
Dudley, University of California, San Francisco
PowerPoint Slides
| PDF
Handout
James
Robinson, University of California, Berkeley
PowerPoint Slides
| PDF
Handout
Stephen
Shortell, University of California, Berkeley
PowerPoint Slides
| PDF
Handout
Roundtable:
Today, responsibility for health care decisions is increasingly
placed on consumers. Consumer choice can encourage some quality and
efficiency improvements, but that alone is insufficient. Care delivery
systems must be aligned to support this task. This panel will explore
lessons learned from existing integrated care systems, such as Kaiser
Permanente, Group Health, and HealthPartners. What is known about
quality and efficiency in such systems? What has caused them to succeed
or fail? What role will they play in an increasingly consumer-driven
insurance market? What does their experience tell us about the prospects
for transforming health care as called for by the Institute of Medicine?
Understanding Approaches to Account for Clustering of Observations
in HSR
Pacific Two
Chair:
A. Russell Localio, University of Pennsylvania
PDF Slides
Methods
Workshop: This workshop will focus on the approaches for analyzing
clustered data from randomized and observational studies, with special
emphasis on binary outcome data. It will also cover less-well-known
analytic challenges, such as confounding by cluster, the sometimes
overlooked assumptions of volume outcome studies, and the risks of
estimates with substantial bias. Finally, there will be an overview
of tips for presenting results in a clinically meaningful manner.
The session will include copies of the slides and a bibliography.
Determinants
of Access & Quality of Care
Pacific Six/Seven
Chair:
Elizabeth Ozer, University of California, San Francisco
Call
for Papers:
David Brousseau, Medical College of Wisconsin
“Pediatric Quality of Care is Associated with Primary Care Provider
Type”
PowerPoint Slides
| PDF
Handout
Susan
Haber, RTI International
“Ethnic Disparities in SCHIP: The Role of Acculturation”
PowerPoint Slides
| PDF
Handout
Ian Hill,
The Urban Institute
“The Covering Kids and Families Evaluation: Findings from Parent
Focus Groups on Access to Care”
PowerPoint Slides
| PDF
Handout
Moira
Inkelas, University of California, Los Angeles
“Mental Health Need and Access to Services for CSHCN”
PowerPoint Slides
| PDF
Handout
Sue Kim,
University of California, San Francisco
“Access and Satisfaction with Care for CSHCN in Medicaid Managed
Care and Other Types of Health Plans: An Analysis of the 2000 MEPS”
PowerPoint Slides
| PDF
Handout
Learning from International Policy Change
Sunset
Chair:
Huw Davies, University of St. Andrews
Call
for Papers:
Carl-Ardy Dubois, London School of Hygiene and Tropical Medicine
“Managing the Workforce for a Changing Healthcare System: Lessons
from the European Experiences”
Naomi
Fulop, London School of Hygiene and Tropical Medicine
“Organizational Turnaround: Lessons from a Study of ‘Failing’
Health Care Providers in England”
PowerPoint Slides
| PDF
Handout
Michael
Harrison, Agency for Healthcare Research and Quality
“Market Reforms in Europe: Dynamics of Policy Fashion”
PowerPoint Slides
| PDF
Handout
Peter
Hussey, Johns Hopkins University
“How Does the Quality of Medical Care Compare in Five Countries?”
PowerPoint Slides
| PDF
Handout
Steven
Morgan, University of British Columbia
“A Decade of Evidence-Based Prescription Drug Purchasing in
British Columbia”
PowerPoint Slides
| PDF
Handout
Evidence
for Planning the Future Health Care Workforce
Royal Palm Two
Chair:
Lori Melichar, The Robert Wood Johnson Foundation
Call
for Papers:
Carol Brewer, University at Buffalo, The State University of New York
“Factors Influencing Registered Nurses’ Decisions to Work”
PowerPoint Slides
| PDF
Handout
Judith
A. Cooksey, University of Maryland, Baltimore
“Genetics Workforce Concern: A Limited Supply of Medical Geneticists”
PowerPoint Slides
| PDF
Handout
Nancy
Hanrahan, University of Pennsylvania
“Crisis in the Mental Health Workforce: The State of the Advanced
Practice Nurse Workforce”
PowerPoint Slides
| PDF
Handout
Lynn
Unruh, University of Central Florida
“Impact of Patient Turnover on Nurse Staffing”
PowerPoint Slides
| PDF
Handout
Diane
Watson, University of British Columbia
“What’s Up Docs? Population-Based Supply and Use of Family
Doctors, 1991 – 2001”
PowerPoint Slides
| PDF
Handout
The Uninsured
Pacific One
Chair:
Kenneth Thorpe, Emory University
Call
for Papers:
Susan Busch, Yale University
“Case Management of Uninsured Emergency Department Patients:
Results from an Economic Analysis of a Randomized Controlled Trial”
PowerPoint Slides
| PDF
Handout
Li-Wu
Chen, University of Nebraska Medical Center
“The Pent-up Demand for Health Care of the Uninsured Near Elderly
When They Are Approaching Age 65”
PowerPoint Slides
| PDF
Handout
Suzanne
Felt-Lisk, Mathematica Policy Research, Inc.
“The Accessibility of Specialty Care for California’s
Uninsured”
PowerPoint Slides
| PDF
Handout
Patricia
Ketsche, Georgia State University
“The Effect of Employment-Based Health Insurance on Wages and
Returns to Tenure: Evidence that High- and Low-Wage Workers Differ”
PowerPoint Slides
| PDF
Handout
Judy
Zerzan, Oregon Health and Science University
“The Demise of Oregon’s Medically Needy Program: Effects
of Losing Prescription Drug Coverage and Pharmaceutical Company Drug
Assistance Programs”
PowerPoint Slides
| PDF
Handout
Medical Care Use of Residential Care Patients
Royal Palm Four
Chair:
Penny Hollander Feldman, Visiting Nurse Service of New York
Call
for Papers:
Becky Briesacher, University of Maryland, Baltimore
“The Effect of Federal Drug Therapy Guidelines on Patient Safety
in Nursing Homes: A Natural Experiment”
PowerPoint Slides
| PDF
Handout
Susan
Horn, Institute for Clinical Outcomes Research
“Cost-Benefit Analysis of Nursing Home Registered Nurse Staffing
Times”
PowerPoint Slides
| PDF
Handout
Orna
Intrator, Brown University
“The Effect of Medicaid Rate on Potentially Preventable Hospitalizations
from Nursing Home”
PowerPoint Slides
| PDF
Handout
Sophia
Kazakova, Centers for Disease Control and Prevention
“Reduction in Mortality Associated with Influenza and Pneumococcal
Vaccination of Elderly in Nursing Homes”
PowerPoint Slides
| PDF
Handout
Charles
D. Phillips, Texas A&M University System Health Science Center
“Medicare Expenditures for Residents in Assisted Living: Data
from a National Study”
PowerPoint Slides
| PDF
Handout
Patient
Safety 2004: Connecting the Dots to Reduce Harm
Royal Palm Five/Six
Chair:
Daniel Stryer, Agency for Healthcare Research and Quality
Call
for Papers:
Didem Bernard, Agency for Healthcare Research and Quality
“Adverse Patient Safety Events: Costs of Readmissions and Patient
Outcomes Following Discharge”
PowerPoint Slides
| PDF
Handout
Kimberly
Galt, Creighton University
“Medication Safety in the Primary Care Physician’s Office”
PowerPoint Slides
| PDF
Handout
Daniel
Harris, CNA Corporation
“A Comparison of Medical Error Reports Submitted to a Voluntary
Patient Safety Reporting System by Different Classes of Reporters:
A Report from the ASIPS Collaborative”
PowerPoint Slides
| PDF
Handout
Dennis
Scanlon, Pennsylvania State University
“The Impact of the Leapfrog Group on Hospital Patient Safety
Practices”
PowerPoint Slides
| PDF
Handout
Donna
Woods, Northwestern University
“Patient Safety Problems in Adolescent Medical Care”
PowerPoint Slides
| PDF
Handout
Help with Publishing Instead of Perishing: Meet the Editors
Pacific Four/Five
Chair:
Bradford Gray, Milbank Quarterly
PowerPoint Slides
| PDF
Handout
Panelists:
Jeffrey
Alexander, Medical Care Research and Review
PowerPoint Slides
| PDF
Handout
Robert
Cunningham, Health Affairs
Harold
Luft, Health Services Research
PowerPoint Slides
| PDF
Handout
PowerPoint Slides
| PDF
Handout
PowerPoint Slides
| PDF
Handout
Colleen
McHorney, Medical Care
PowerPoint Slides
|
PDF Handout
Mark
Schlesinger, Journal of Health Politics, Policy and Law
Skill
and Career Development: In this session, editors from leading
health services research and policy journals will briefly describe
their journals’ niches and comment on factors that affect the
likelihood that submission’s will find their way into print.
There will be time for comments and questions from the audience.
Research Agenda of AHRQ
Pacific Three
Chair:
Francis
Chesley, Agency for Healthcare Research and Quality
PowerPoint Slides
|
PDF Handout
Research
Agenda: This session will provide an update on Agency for Healthcare
Research and Quality programs, provide an overview of new research
priorities, and describe new funding opportunities. Health information
technology research funding opportunities will be described and innovative
recent activities and potential future directions for the Agency’s
Translating Research into Practice and Policy program will be described.
Key findings from the recently released National Healthcare Quality
Report and the National Healthcare Disparities Report will be highlighted
including opportunities to use these reports in quality improvement
efforts and to address health care disparities.
Diversity
in Health Services Research
Royal Palm Three
Chair:
Vanessa Gamble, Johns Hopkins University
Panelists:
Marie
Briones-Jones, AcademyHealth
PowerPoint Slides
|
PDF Handout
Robert
Mayberry, Morehouse School of Medicine
PowerPoint Slides
|
PDF Handout
Kelly
J. Devers, Virginia Commonwealth University
PowerPoint Slides
|
PDF Handout
Eliseo
Perez-Stable, University of California, San Francisco
Ginny
VanHorne, AcademyHealth
PowerPoint Slides
|
PDF Handout
Special
Session: This panel will focus on the importance of ensuring
diversity in health services research. AcademyHealth, through a grant
from the W.K. Kellogg Foundation, is taking a leadership role in this
pursuit. Panelists will present the project’s findings to date
and will provide their perspective on the importance of diversity
in this field.
3:00
p.m. – 4:30 p.m.
Concurrent Sessions
How
Much, How Soon? Coverage Decisions in the Medicare Program
California
Chair:
Sean Tunis, Centers for Medicare and Medicaid Services
Panelists:
Tanisha
Carino, Health Strategies Consultancy, LLC
PowerPoint Slides
|
PDF Handout
Susan
Bartlett Foote, University of Minnesota
Peter
Neumann, Harvard University
Steven
Pearson, Harvard Pilgrim Health Care
PowerPoint Slides
|
PDF Handout
Roundtable:
Over the past five years, the Medicare program has substantially
altered its approach to making national coverage decisions by adopting
an explicit, evidence-based approach to policy development; appointing
an independent expert advisory committee; and conducting all of its
activities with full public disclosure. Perhaps because of these advances,
another layer of challenges to developing coverage policies has become
apparent. This session will explore several specific critical challenges
now faced when making these decisions, including the appropriate balance
between local and national policy, the role of economic factors in
decision making, and the degree of deference granted to physician
and patient preferences. The session will conclude with a participatory
exercise that will stimulate panelists and audience members to think
creatively about strategies that Medicare might use to further improve
its national coverage process.
Health
Information Technology for the Health Care Sector: Where Are We? How
Can We Get Where We Need to Go?
Sunset
Chair:
Helen Burstin, Agency for Healthcare Research and Quality
Panelists:
Brent
C. James, Institute for Health Care Delivery Research
PDF Slides
Mark
Leavitt, Healthcare Information and Management Systems Society
PowerPoint Slides
|
PDF Handout
Arnold
Milstein, William M. Mercer, Inc.
Peter
Scherer,
Organisation for Economic Cooperation and Development
PowerPoint Slides
|
PDF Handout
Roundtable:
While many consider health information technology as a transformational
force in patient safety and quality of care, there has been limited
diffusion within the health care sector. In this policy roundtable,
the panel will consider the current and future status of information
technology in health care from the perspectives of government, private
purchasers, vendors, and health care providers. Discussion will include
barriers to widespread implementation, potential quality and cost
benefits, and strategies to accelerate adoption.
Methodological Challenges in Detecting & Intercepting Medical Errors
& Adverse Events
Royal Palm One
Chair:
Donald Goldmann, Children’s Hospital, Boston
Panelists:
Harvey
Murff, Department of Veterans Affairs
PowerPoint Slides
| PDF
Handout
Richard
Platt, Harvard Pilgrim Health Care/Harvard Medical School
Methods
Workshop: This session will review diverse methodologies for detecting
and preventing medical errors and adverse events. Methods for detecting
and preventing events in real time (including automated methods)and
the use of computerized databases for research will be emphasized.
The potential for translating research methods into the real world
of clinical care will be assessed and research priorities highlighted.
Evidence-Based Management: Translating Research into Practice
Pacific Two
Chair:
Thomas
Rundall, University of California, Berkeley
PowerPoint Slides
|
PDF Handout
Panelists:
Huw Davies,
University of St. Andrews
PowerPoint Slides
|
PDF Handout
Jean-Louis
Denis, University of Montreal
PowerPoint Slides
|
PDF Handout
Jean
Slutsky, Agency for Healthcare Research and Quality
PowerPoint Slides
|
PDF Handout
Invited
Papers: At the core of evidence-based management (EBM) is the
notion that managers should incorporate into their decision making
the best available research. There is growing interest among researchers
and decision-makers in strengthening the role of research in decision-making.
The panelists will identify the barriers to EBM within the health
management research communities and within health organizations, discuss
strategies for overcoming those barriers, and present real world examples
of programs designed to increase EBM in health care organizations
within the United States, the United Kingdom, and Canada.
Supported
in part by AUPHA and the Center for Health Research, University of
California, Berkeley.
Health
Insurance Changes
Royal Palm Five/Six
Chair:
Thomas Buchmueller, University of California, Irvine
Call
for Papers:
Linda Blumberg, The Urban Institute
“Effects of an Economic Boom on Health Insurance Status”
and “Exploring the Decline in Employer Sponsored Insurance”
PowerPoint Slides
|
PDF Handout
Michael
Chernew, University of Michigan
“Increasing Health Insurance Premiums and the Decline in Insurance
Coverage”
PowerPoint Slides
|
PDF Handout
Richard
Kronick, University of California, San Diego
“The Response of Small Business to Variation in the Price of
Insurance: Results from a Randomized Controlled Trial”
PowerPoint Slides
|
PDF Handout
Len M.
Nichols, Center for Studying Health System Change
“Uninsured Decliners of Employer Sponsored Health Insurance:
How They Changed from 1997 – 2003”
PowerPoint Slides
|
PDF Handout
Supported
in part by The Lewin Group
Impact
of Practice Organization & Demographics on the Workforce
Pacific Four/Five
Chair:
Sean Clarke, University of Pennsylvania
Call
for Papers:
Gwendolyn Greiner, VA Puget Sound Health Care System
“RN Characteristics and Staffing Patterns: A Comparison of VHA
and Non-VHA Hospital RNs in the United States”
PowerPoint Slides
|
PDF Handout
Cheryl
Jones, University of North Carolina, Chapel Hill
“Educational Preparation and Registered Nurse Turnover”
Rebecca
Lewis, American College of Radiology
“Women in Radiology”
Elizabeth
Mertz, University of California, San Francisco
“Evaluation of Strategies to Recruit Oral Health Care Providers
to Underserved Areas in California”
PowerPoint Slides
| PDF
Handout
Patricia
Stone, Columbia University
“Turnover of Critical Care Registered Nurses”
PowerPoint Slides
|
PDF Handout
Focus on Prescription Drug Use: Data from the National Center for Health
Statistics
Royal Palm Two
Chair:
Diane
Makuc, National Center for Health Statistics
PowerPoint Slides
| PDF
Handout
Panelists:
Amy Bernstein,
National Center for Health Statistics
PowerPoint Slides
|
PDF Handout
Catharine
Burt, National Center for Health Statistics
PowerPoint Slides
| PDF
Handout
Ryne
Paulose, National Center for Health Statistics
PowerPoint Slides
|
PDF Handout
Research
: Prescription drugs are an increasingly important
component of health care. Drug utilization has been changing rapidly,
affected by third-party coverage, marketing practices, new clinical
guidelines, and the availability of new drugs. Data on trends in drug
use are available from multiple sources including medical records
and personal interviews. This session will describe the data collected
on medications in national health care provider- and population-based
surveys and how these data can be used to inform health policy. The
types of research and policy questions that can be addressed by each
data source will be highlighted.
Research Agenda of NIAAA, NIDA, NIMH
Royal Palm Three
Chair:
David Shern, University of South Florida
Panelists:
Junius
Gonzales, National Institute of Mental Health
PowerPoint Slides
|
PDF Handout
Harold
Perl, National Institute on Alcohol Abuse and Alcoholism
PowerPoint Slides
Jack
Stein, National Institute on Drug Abuse
PowerPoint Slides
| PDF
Handout
Research
Agenda: The institutes will provide an overview of current areas
of services research, highlight recent key findings, and discuss future
direction and funding opportunities.
Medicaid Reform & Enforceable Rights:
Implications of a Changing Legal Landscape for Access & Quality
Pacific One
Chair:
Sara Rosenbaum, George Washington University
Panelists:
Timothy Stolfus Jost, Washington and Lee University; Jeanne Lambrew,
George Washington University; Cindy Mann, Georgetown University; Alan
Weil, The Urban Institute
Special
Session: This session will explore judicial developments
over the past decade that affect Medicaid’s public policy status
as an enforceable legal right. The session will also consider approaches
to legislative and regulatory reform through the Health and Human
Services Secretary’s demonstration authority that similarly
could alter the fundamental structure of Medicaid as an enforceable
right. The panel will then consider the health services access and
quality implications of such a transformation and review possible
agendas for future research.
Does Participation in Collaborative Quality Improvement Programs Improve
Care for Patients with Chronic Illness?
Royal Palm Four
Chair:
Emmett Keeler, RAND
Call
for Panels:
David Baker, Northwestern University
“Improvements in Communication, Education, and Self-Management
Through Implementation of the Chronic Care Model for Patients with
Heart Failure “
PowerPoint Slides
|
PDF Handout
Jill
Marsteller, National Center for Health Statistics
“The Role of Team Effectiveness in Improving Chronic Illness
Care"
PowerPoint Slides
|
PDF Handout
Roberto
Vargas, RAND
“Do Collaborative Quality Improvement Programs Reduce Cardiovascular
Risk for Persons with Diabetes?”
PowerPoint Slides
|
PDF Handout
Impacts
of Incremental Public Health Insurance Expansions
Pacific Three
Chair:
Barbara Lyons, The Henry J. Kaiser Family Foundation
Call
for Panels:
Ted Joyce, National Bureau of Economic Research
“Chip Shots: Association Between the SCHIP and Immunization
Rates”
PowerPoint Slides
|
PDF Handout
Lisa
Dubay, The Urban Institute, The Urban Institute
“Effects of the SCHIP on Insurance Coverage of Low-Income Children”
PowerPoint Slides
|
PDF Handout
Thomas
Selden, Agency for Healthcare Research and Quality
“How Much Can Really Be Saved by Rolling Back SCHIP? The Marginal
Cost of Public Health Insurance for Children”
PowerPoint Slides
|
PDF Handout
Phil
Cooper, Agency for Healthcare Research and Quality
“The Effect of SCHIP Expansions on Health Insurance Decisions
by Employers”
PowerPoint Slides
|
PDF Handout
Using Report Cards to Drive Consumer Choice
Pacific Six/Seven
Chair:
David Howard, Emory University
Call
for Panels:
M. Kate
Bundorf, Stanford University
“The Effects of Health Plan Performance Measurement and Reporting
on Quality of Care for Medicare Beneficiaries”
PowerPoint Slides
|
PDF Handout
Roger
Feldman, University of Minnesota
“The Effect of Quality information on Consumer Choice of Health
Plans: Evidence from the Buyers Health Care Action Group”
PowerPoint Slides
|
PDF Handout
Judith
Hibbard, University of Oregon
“Short and Long-Term Effects of a Public Performance Report
on Hospital Reputation”
PowerPoint Slides
|
PDF Handout
David
Howard, Emory University
“Cards and Consumer Choice in Kidney Transplantation”
PowerPoint Slides
|
PDF Handout
3:00
p.m. – 6:30 p.m.
International Exchange
Sunrise
Comparative Quality Measures and Innovation
in the Use of Incentives
3:00
p.m. – 4:30 p.m. – Panel 1
Comparative Measures of Health Systems’ Quality
Chair:
Heather Palmer, Harvard University
Panelists:
Peter Scherer, OECD Directorate for Employment, Labour, and Social
Affairs
“OECD’s Health Project”
PowerPoint Slides
|
PDF Handout
Colin
Feek, Ministry of Health, New Zealand
“Commonwealth’s Five Country Study”
John
Millar, Population Health and Surveillance, Provincial Health Services
Authority, Canada
“Canada’s
Inter-Provincial Comparative Measures”
PowerPoint Slides
|
PDF Handout
Martin
McKee, London School and European Observatory
“How Useful are Comparative Exercises?”
PowerPoint Slides
| PDF
Handout
4:40
p.m. – 4:55 p.m.
Report on The Commonwealth Five Country Survey
of Hospitals Executives
Panelists:
Robert
Blendon, Harvard University
Robin
Osborn, The Commonwealth Fund
PowerPoint Slides
|
PDF Handout
5:00
p.m. – 6:30 p.m. – Panel II
Incentives to Improve Quality: Experiences
from Abroad
Chair:
Arnold Milstein, William M. Mercer, Inc.
Panelists:
Peter Smith, York University, United Kingdom
PowerPoint Slides
| PDF
Handout
Hong-Jen
Chang, Bureau of National Health Insurance, Taiwan
PowerPoint Slides
|
PDF Handout
Niek
Klazinga, University of Amsterdam, The Netherlands
PowerPoint Slides
|
PDF Handout
Uwe
Reinhardt, Princeton University, United States
PowerPoint Slides
|
PDF Handout
Sponsored
by The Commonwealth Fund and Taiwanese Bureau of National Health Insurance
5:00
p.m. – 6:30 p.m.
Concurrent Sessions
The
Future of Medicaid & SCHIP
Pacific One
Chair:
Diane Rowland, The Henry J. Kaiser Family Foundation
Panelists:
Judith
Feder, Georgetown University
Kristen
Testa, The Children’s Partnership, California
Alan
Weil, The Urban Institute
PowerPoint Slides
| PDF
Handout
Gail
Wilensky, Project HOPE
Roundtable:
While much progress has been made in extending health insurance
to low-income populations through Medicaid and SCHIP, rising costs,
the state fiscal crisis and the growing federal deficit are in tension
with efforts to maintain and improve coverage of low-income people.
Approaches to reform health and long-term care coverage are again
under discussion. This session will provide national and state perspectives
on the coverage challenges and implications of reform proposals.
Innovations
in Patient Safety
Pacific Two
Chair:
Daniel Stryer, Agency for Healthcare Research and Quality
Panelists:
Helen
Burstin, Agency for Healthcare Research and Quality
PowerPoint Slides
|
PDF Handout
Ada Sue
Hinshaw, University of Michigan
PowerPoint Slides
|
PDF Handout
Brent
James, Intermountain Health Care Institute for Healthcare Delivery
Research
PDF Slides
Jonathan
Perlin, Department of Veterans Affairs
PowerPoint Slides
|
PDF Handout
David
Stevens, Institute for Healthcare Improvement
Roundtable:
Improvements in patient safety during the past few years have
tended to be local phenomena, resulting in incremental advances. This
panel will present innovations in four critical areas that together
hold promise for more global, substantial, and sustainable change.
Speakers will discuss the roles for education and training, changes
in the health care workforce, and information technology in developing
a safer health care system.
Supported
in part by the Department of Health Care Policy & Research, Mayo
Clinic
Outlook
for Medicare PPOs
Royal Palm Five/Six
Chair:
Paul Ginsburg, Center for Studying Health System Change
Panelists:
Robert
Hurley, Virginia Commonwealth University
PowerPoint Slides
|
PDF Handout
Brian
Jeffrey, PacifiCare Health Systems
PowerPoint Slides
|
PDF Handout
William
Scanlon, Georgetown University
Roundtable:
This panel will look into the future concerning how the Medicare
Advantage Preferred Provider Organization (PPO) products will evolve,
the challenges they will face, and the potential for improving care
or reducing costs through care coordination and other techniques.
How will they differ from commercial PPO models? How extensive a market
share will they garner? What types of beneficiaries will they attract?
Socioeconomic
Status & Health
Pacific Four/Five
Chair:
Jose Escarce, University of California, Los Angeles
Panelists:
Dana Goldman and Michael Hurd, both from RAND
Methods
Workshop: This session will describe the evidence on the relationship
between socioeconomic status and health, assess the mechanisms underlying
this relationship, and examine methods to identify causal effects
in observational data.
Methods for Health Care Quality Improvement Research
Royal Palm Four
Chair:
Haya Rubin, Johns Hopkins University
Panelists:
Kelvin
Baggett, Johns Hopkins University
PowerPoint Slides
|
PDF Handout
Denise
Dougherty, Agency for Healthcare Research and Quality
PowerPoint Slides
|
PDF Handout
Lisa
Rubenstein, VA Greater Los Angeles Healthcare System
PowerPoint Slides
|
PDF Handout
Kenneth
Wells, University of California, Los Angeles
PowerPoint Slides
|
PDF Handout
Methods
Workshop: The need for quality improvement in health care has
never been greater, but many questions remain about the most effective
strategies and combination of strategies for quality improvement.
There is a need for health services researchers to turn their attention
to this important area. This workshop will provide guidance on methods
for conducting quality improvement research in real world settings
and publishing that research.
Prescription
Drugs & Behavioral Health
Royal Palm One
Chair:
Haiden Huskamp, Harvard Medical School
Panelists:
Thomas
Croghan, RAND
PowerPoint Slides
|
PDF Handout
Patricia
Deverka, Medco Health Solutions, Inc.
Benjamin
Druss, Emory University
|
