      |
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Presentations
are available in PowerPoint 
and PDF 
formats.
7:30
a.m. – 8:45 a.m.
Poster
Session B
Exhibit
Hall
9:15
a.m. – 10:45 a.m.
Concurrent
Sessions
Public
Policy & Childhood Obesity: Emerging Policy Options
Pacific Three
Chair:
James
Sallis, San Diego State University
PowerPoint Slides
|
PDF Handout
PowerPoint Slides
|
PDF Handout
Panelists:
Debra
Cohen, RAND
Roland
Sturm, RAND
PowerPoint Slides
|
PDF Handout
Roundtable:
An emerging research literature is exploring what types of public
policy interventions could help change the trends in childhood obesity
rates. This session will feature three presentations exploring research
findings and the implications for developing public policy options.
Issues related to nutrition, policy, the use of economic incentives,
and the push toward government efforts to make the built environment
more exercise-friendly will be considered.
Sponsored
by The Robert Wood Johnson Foundation
Inside the Black Box: How Actuaries Price Health Insurance
Sunset
Chair:
Kara Clark, Society of Actuaries
Panelists:
Cathi
Callahan, Actuarial Research Corporation
PowerPoint Slides
|
PDF Handout
John
Lloyd, Ernst & Young LLP
PowerPoint Slides
|
PDF Handout
Lisa
Tourville, Ingenix
PowerPoint Slides
|
PDF Handout
Jerome
Winkelstein, Blue Cross of California
PowerPoint Slides
|
PDF Handout
Methods
Workshop: Evaluations of health insurance expansion proposals
require modeling of the interplay between health insurance premiums
and the number of individuals covered. This session is designed to
give health policy researchers a greater understanding of the factors
involved in the pricing of various types of health insurance. Panelists
will first provide an overview of the health insurance marketplace
and how pricing considerations differ between lines of business, with
an emphasis on the particulars of the individual and small group markets.
The critical role of trend analysis in the pricing process will also
be closely examined. Panelists will then discuss some of the pricing-related
issues that need to be considered in the assessment of health insurance
expansion proposals, such as benefit design, adverse selection, and
induced demand.
Using Mixed Qualitative & Quantitative Methods in Health Services
& Policy Research
Pacific Four/Five
Chair:
Shoshanna
Sofaer, Baruch College
PowerPoint Slides
|
PDF Handout
Panelists:
Elizabeth
Bradley, Yale University
PowerPoint Slides
|
PDF Handout
Kristin
Carman, American Institutes for Research
PowerPoint Slides
|
PDF Handout
Steven
Woolf, Virginia Commonwealth University
PowerPoint Slides
|
PDF Handout
Methods
Workshop: An increasing number of research efforts in our fields
finds that a mix of qualitative and quantitative methods are required.
This panel will identify and discuss those methods using examples
from the experience of the presenters. They will discuss the wide
range of contexts in which mixed methods are appropriate and the special
challenges involved in using these methods, including creating an
appropriate research design; dovetailing data collection instruments
and methods; analyzing data that can sometimes be both complementary
and conflicting; and working with a 0research team whose epistemological
assumptions may be at odds.
Medicare Drug Benefits
Royal Palm One
Chair:
Roger
Feldman, University of Minnesota
PowerPoint Slides
|
PDF Handout
Panelists:
Marisa
Elena Domino, University of North Carolina, Chapel Hill
PowerPoint Slides
|
PDF Handout
Geoffrey
Joyce, RAND; Steven Pizer, Boston University
PowerPoint Slides
|
PDF Handout
Dennis
Shea, Pennsylvania State University
PowerPoint Slides
|
PDF Handout
Robert
Town, University of Minnesota
PowerPoint Slides
|
PDF Handout
Invited
Papers: This panel consists of four papers on the topic of Medicare
and Prescription Drugs. Two of the papers deal specifically with aspects
of the new Medicare drug program that will start in 2006. Will poor
and near-poor beneficiaries take up this coverage, and how much will
prescription drug plans that exclude or severely restrict coverage
of brand name drugs cost? The other two papers investigate the implications
of managed care plans with drug coverage for physician behavior and
enrollee health. Both patient enrollment and physician involvement
in managed care are associated with increases in psychiatrists’
price sensitivity when selecting drug treatments for depression, and
enrollment in Medicare+Choice plans without drug coverage appears
to increase patient mortality.
Migration & the Global Health Care Workforce:
Balancing Competing Demands
California
Chair:
Linda Aiken, University of Pennsylvania
Panelists:
James
Buchan, Queen Margaret University College, Scotland
PowerPoint Slides
|
PDF Handout
Richard
Cooper, Medical College of Wisconsin
PowerPoint Slides
|
PDF Handout
Peter
Scherer, Organisation for Economic Cooperation and Development
PowerPoint Slides
|
PDF Handout
Barbara
Stilwell, World Health Organization, Geneva
PowerPoint Slides
|
PDF Handout
Invited
Papers: International migration of physicians and nurses is increasing
rapidly as demand for health professionals in countries with well-resourced
health care systems exceed their domestic production. However, reliance
on international migration may delay or prevent host countries from
undertaking necessary steps to develop a sustainable domestic supply
of physicians and nurses. Moreover, the supply of health professionals
in developing countries is at risk of being depleted, creating risks
to global health. This panel will provide new information on trends
in physician and nurse migration and its potential consequences.
Long-Term Care Community Services & Market Factors
Pacific Six/Seven
Chair:
Barbara Gage, RTI International
Call
for Papers:
Leslie Foster, Mathematica Policy Research, Inc.
“Do Children with Developmental Disabilities Benefit from Consumer-Directed
Medicaid Supportive Services Programs?”
PowerPoint Slides
|
PDF Handout
Wen-Chieh
Lin, University of Missouri, Columbia
“Varied Regional Responses to Medicare Post-Acute Care Prospective
Payment Systems”
PowerPoint Slides
|
PDF Handout
Christopher
Murtaugh, Visiting Nurse Service of New York
“Access to Medicare Home Health Care: How Has It Changed Following
the Introduction of PPS?”
PowerPoint Slides
|
PDF Handout
Donald
Taylor, Duke University
“Do Selection or Treatment Effects Explain Differences in Medicare
Costs among Hospice and Normal-Care Decedents?”
PowerPoint Slides
|
PDF Handout
Courtney
Harold Van Houtven, VA and Duke Medical Centers
“Home- and Community-Based Waivers for Disabled Adults”
PowerPoint Slides
|
PDF Handout
Issues in Chronic Care Delivery & Quality
Royal Palm Two
Chair:
Sherrie Kaplan, University of California, Irvine
Call
for Papers:
Wenke Hwang, Johns Hopkins University
“Persistent High Out-of-Pocket Costs among Medicare Beneficiaries”
Sarah
Sampsel, National Committee for Quality Assurance
“Measuring Quality of Care in People with Arthritis”
PowerPoint Slides
|
PDF Handout
Jay Shen,
Governors State University
“Adverse Maternal Outcomes among Asthma Women”
PowerPoint Slides
|
PDF Handout
Brad
Smith, University of Texas Health Science Center at San Antonio
“Does Literacy Impact the Effectiveness of a Disease Management
Program in Congestive Heart Failure?”
PowerPoint Slides
|
PDF Handout
David
Zingmond, University of California, Los Angeles
“Is Managed Care Superior to Traditional Fee-For-Service among
HIV-Infected Beneficiaries of Medi-Cal?”
PowerPoint Slides
|
PDF Handout
Insurance Coverage Issues & Effects
Pacific One
Chair:
Jessica Banthin, Agency for Healthcare Research and Quality
Call
for Papers:
Julia Costich, University of Kentucky
“’Churning’: SCHIP Coverage Discontinuity and Its
Consequences”
PowerPoint Slides
|
PDF Handout
Amy Davidoff,
The Urban Institute
“Effects of the SCHIP on Health Insurance and Access to Care
for Children with Special Health Care Needs”
PowerPoint Slides
|
PDF Handout
Gerry
Fairbrother, New York Academy of Medicine
“Costs of Enrolling Children in Medicaid and SCHIP”
PowerPoint Slides
|
PDF Handout
Nancy
Lenfestey, RTI International
“Churning: Disenrollment and Reenrollment in Wisconsin’s
Medicaid and BadgerCare Programs”
PowerPoint Slides
|
PDF Handout
Health Literacy, Cultural Competence & Perceived Racism
Royal Palm Four
Chair:
Joseph
Betancourt, Massachusetts General Hospital
PowerPoint Slides |
PDF Handout
Call
for Papers:
Mary Catherine Beach, Johns Hopkins University
“Cultural Competence: A Systematic Review of Health Care Provider
Educational Interventions”
PowerPoint Slides |
PDF Handout
Linda
Cummings, National Public Health and Hospital Institute
“Serving Diverse Communities in Hospitals and Health Systems”
PowerPoint Slides |
PDF Handout
Shoou-Yih
Lee, University of North Carolina, Chapel Hill
“Development of an Easy-to-Use Spanish Health Literacy Assessment
Tool”
PowerPoint Slides |
PDF Handout
Ninez
Ponce, University of California, Los Angeles
“Language Barriers and Seniors: Implications for Medicare Policies”
PowerPoint Slides |
PDF Handout
Amal
Trivedi, Harvard Medical School
“Impact of Perceived Discrimination on Use of Preventive Services”
PowerPoint Slides |
PDF Handout
Empowering Patients: The Impact of Public Reporting
& Direct Patient Involvement
Royal Palm Five/Six
Chair:
Julie Brown, RAND
Call
for Papers:
Donna Havens, University of North Carolina, Chapel Hill
“Hospital Ratings: Quality Measures or Mere Puffery?”
PowerPoint Slides |
PDF Handout
David
Howard, Emory University
“Report Cards and Consumer Choice in Kidney Transplantation”
PowerPoint Slides |
PDF Handout
Nancy
Mitchell, RTI International
“Public Reporting Formats That Motivate Older Consumers to Compare
Medicare Health Plan Options”
PowerPoint Slides |
PDF Handout
Julie
Rainwater, University of California, Davis
“Consumers’ Use of Quality Information When Selecting
a Health Plan”
PowerPoint Slides |
PDF Handout
Demand-Driven Research: Working Through Delivery-Based Networks
Pacific Two
Chair:
Irene
Fraser, Agency for Healthcare Research and Quality
PowerPoint Slides |
PDF Handout
Panelists:
Douglas
Conrad, University of Washington
PowerPoint Slides |
PDF Handout
Kelly
Gebo, Johns Hopkins University
PowerPoint Slides |
PDF Handout
Lucy
Savitz, RTI International
PowerPoint Slides |
PDF Handout
Skill
and Career Development: The traditional model of research
is supply-driven: researchers come up with questions, test hypotheses,
write up and publish their findings, and then move on to the next
project. One way to increase the likelihood that health care leaders
will use research to actually inform decision-making is to shift to
a more demand-driven model, which requires rethinking and occasionally
merging the roles of researchers and users. Delivery-based research
networks can achieve this merger. This panel will include presentations
from representatives of three such networks: the Integrated Delivery
System Research Network led by AHRQ, the HIV Research Network also
led by AHRQ, and the Center for Health Management Research housed
at the University of Washington.
Research
Agenda of the Office of the Assistant Secretary for Planning and Evaluation
(OASPE/DHHS)
Royal Palm Three
Chair:
William
Marton, OASPE/DHHS
PowerPoint Slides |
PDF Handout
Panelists:
Barbara
Greenberg, Centers for Medicare and Medicaid Services
PowerPoint Slides |
PDF Handout
Anne
McCormick, OASPE/DHHS
PowerPoint Slides |
PDF Handout
K. Lynn
Nonnemaker, U.S. General Accounting Office
PowerPoint Slides |
PDF Handout
Research
Agenda: Panelists will present the Office of the Assistant Secretary
for Planning and Evaluation’s research agenda for FY 2004. The
focus will be on health and long-term care research, human services
policy, and departmental data needs.
Concurrent
Sessions
11:15
a.m. – 12:45 p.m.
People
with Disabilities: Do They Have the Same Access?
Pacific Six/Seven
Chair:
Susan Palsbo, National Rehabilitation Hospital Center for Health and
Disability Research
Panelists:
Mari-Lynn
Drainoni, Boston University
PowerPoint Slides |
PDF Handout
Holly
Hollingsworth, Washington University, St. Louis
PowerPoint Slides |
PDF
Handout
Trudy
Mallison, Northwestern University
PowerPoint Slides |
PDF Handout
Roundtable:
The lack of a universally accessible health system results in
significant access disparities for more than 50 million Americans
with chronic physical, behavioral, developmental, or sensory disabilities.
The panel will report cutting-edge research addressing this national
health issue from three perspectives: the development of surveillance
methods of accessibility and receptivity of communities to people
with disabilities; issues of access to post-acute care resulting from
the extension of prospective payment to rehabilitation hospitals;
and evidence of how different types of clinical providers respond
to the needs of patients with different types of disabilities. Panelists
will also discuss how clinical services and national health policy
might be changed to improve access and health for people with disabilities,
using real world examples.
Policy by Numbers: The Role of Budget Estimates & Scoring in Health
Care Reform
Pacific One
Chair:
Sherry Glied, Columbia University
Panelists:
Linda
Bilheimer, The Robert Wood Johnson Foundation
Judith
Feder, Georgetown University
Len Nichols,
Center for Studying Health System Change
Kenneth
Thorpe, Emory University
Timothy
Westmoreland, Georgetown University
Roundtable:
Estimating the budget costs of health insurance proposals—called
scoring when done by government agencies—is an imprecise art
that usually depends on many untested or untestable assumptions. For
example, the Medicare prescription drug “donut hole” was
invented so that policymakers could achieve budget targets. These
budget scores can play a critical role in the design of health policies.
Media and political assessment of Republican and Democratic proposals
for health reform in the next election are also likely to depend heavily
on cost and consequence estimates. This roundtable will discuss how
policymakers should and do use health policy estimates and budget
scores.
Instrumental Variables
Pacific Three
Chair:
John
Brooks, University of Iowa
PowerPoint Slides |
PDF Handout
Methods
Workshop: The amount of treatment variation in retrospective databases
tempts researchers wanting to estimate the effects of treatments in
practice, but the danger of selection bias hinders the interpretation
of results with these data, even when risk adjustment methods and
other techniques that account for observed differences among patients
are employed. Instrumental variable estimation has been proposed to
overcome the selection bias problem in observational studies with
retrospective data and offers an interpretation that serves to complement
and not substitute for randomized control trial estimates. Using several
applied examples, this session will: 1) define selection bias and
describe how instrumental variable estimation overcomes this problem,
and 2) provide the appropriate interpretation of estimated instrumental
variable treatment effects. It will emphasize the assumptions underlying
instrumental variable estimation and approaches (statistical and theoretical)
for finding instrumental variables that satisfy these assumptions.
The United States in a World Prescription Drug Market
California
Chair:
William Scanlon, Georgetown University
Panelists:
Gerard
Anderson, Johns Hopkins University
PowerPoint Slides |
PDF Handout
Anna
Cook, Mathematica Policy Research, Inc.
PowerPoint Slides |
PDF Handout
Panos
Kanavos, London School of Economics and Political Science
PowerPoint Slides |
PDF Handout
Bruce
Stuart, University of Maryland at Baltimore
Invited
Papers: U.S. prescription drug prices are generally perceived
as considerably higher than in other countries. Proposals to reduce
U.S. consumers’ costs, either through importation of drugs or
U.S. purchasers using leverage to secure larger discounts, are countered
by concerns about potential quality problems with imported drugs and
possible loss of research and development funds for innovative drugs
due to manufacturers’ reduced profits. This panel will discuss
the measurement of international drug price differences and the implications
of those differences for U.S. purchasing power. It will also examine
issues related to importation of drugs including how lessons from
experience with importation in the European Union may apply to the
United States and the potential impacts of current proposals to allow
importation.
Public Health & Disaster Preparedness
Pacific Two
Chair:
Robert
Valdez, RAND
PowerPoint Slides |
PDF Handout
Panelists:
Kristine
Gebbie, Columbia University
PowerPoint Slides |
PDF Handout
Nicole
Lurie, RAND
Carmen
Nevarez
PowerPoint Slides |
PDF Handout
Invited
Papers: In 2002 Congress sent $1.6 billion to states and cities
to use toward public health and bioterrorism preparedness. Are local
public health agencies better prepared to respond to current and emerging
public health threats and emergencies than two years ago? This session
will examine how local public health systems have used federal preparedness
grant dollars and at what price to other critical public health functions.
Disparities in Hospital Care
Sunset
Chair:
Edward Guadagnoli, Harvard Medical School
Call
for Papers:
David Bott, Dartmouth Medical School
“Veteran Status is Not an Independent Risk Factor for CABG Mortality”
PowerPoint Slides |
PDF Handout
Elizabeth
Bradley, Yale University
“Racial and Ethnic Differences in the Time to Acute Reperfusion
Therapy for Patients Hospitalized with Myocardial Infarction”
PowerPoint Slides |
PDF Handout
Kevin
Fiscella, University of Rochester
“Separate and Unequal: Hospital Racial Segregation and Disparity
in Pressure Ulcers in New York State”
PowerPoint Slides |
PDF Handout
Peter
Groeneveld, University of Pennsylvania
“Technology Diffusion, Geographic Variation, and Racial Disparities
among Elderly Medicare Beneficiaries: 1989 – 2000”
PowerPoint Slides |
PDF Handout
Meena
Seshamani, University of Pennsylvania
“The Effect of Cuts in Medicare Reimbursement on Quality of
Hospital Care”
PowerPoint Slides |
PDF Handout
Child Health Challenges: New Research Approaches
Royal Palm Five/Six
Chair:
Patrick Vivier, Brown University
Call
for Papers:
T.M. Bird, University of Arkansas for Medical Sciences
“Racial Disparities in Hospital Admissions and Surgical Management
of Children with Appendicitis”
PowerPoint Slides |
PDF Handout
Ruey-Kang
Chang, University of California, Los Angeles
“Changes in Newborn Delivery During a Period of Rapid Expansion
of Medicaid Managed Care in Los Angeles and Orange County, California”
PowerPoint Slides |
PDF Handout
Lesley
Curtis, Duke Clinical Research Institute
“Use of Atypical Antipsychotic Drugs by Children and Adolescents
in the United States: A Retrospective Cohort Study”
PowerPoint Slides |
PDF Handout
James
Robbins, University of Arkansas for Medical Sciences
“Newborn Hospitalizations for Birth Defects in the Pre- and
Post-Folic Acid Fortification Periods”
PowerPoint Slides |
PDF Handout
Ying
Tabak, Cardinal Health Information Companies
“Age-Specific Pathophysiologic Mortality Models for General
Pediatric Inpatients”
PowerPoint Slides |
PDF Handout
Policy Developments in Mental Health & Substance Abuse
Royal Palm Four
Chair:
Nancy Wolff, Rutgers, The State University of New Jersey
Call
for Papers:
Lori Achman, Mathematica Policy Research, Inc.
“Coverage of Mental Health Benefits and Parity Laws”
PowerPoint Slides |
PDF Handout
Martha
Beattie, Public Health Institute
“Cost-Effectiveness of Public Sector Substance Abuse Treatment:
Comparison of a Managed Care Approach to a Traditional Public Sector
System”
Jeremy
Bray, RTI International
“The Cost Offset of Behavioral Health Treatment in Medicaid”
PowerPoint Slides |
PDF Handout
Alexander
Cowell, RTI International
“The Association Between Federal Block Grants and Individual
Mental Health and Substance Abuse Expenditures”
PowerPoint Slides |
PDF Handout
Neil
Jordan, University of South Florida
“Effect of Managed Care on Treatment Costs for a Medicaid Population
with Psychiatric Disabilities”
PowerPoint Slides |
PDF Handout
CMS Databases
Royal Palm Three
Chair:
Stuart Guterman, Centers for Medicare and Medicaid Services
Panelists:
David
Baugh, Centers for Medicare and Medicaid Services
PowerPoint Slides
|
PDF Handout
Gerald
Riley, Centers for Medicare and Medicaid Services
PowerPoint Slides
|
PDF Handout
Daniel
Waldo, Centers for Medicare and Medicaid Services
PowerPoint Slides
|
PDF Handout
Research
: This session will include descriptions of three
sets of data activities being conducted by the Centers for Medicare
and Medicaid Services. The Medicare Current Beneficiary Survey collects
information on Medicare beneficiaries, their health care utilization
and spending patterns, sources of health insurance coverage, and other
data describing their circumstances. The Surveillance, Epidemiology,
and End Results (SEER) Medicare Database merges information from the
National Cancer Institute’s SEER files and Medicare claims data.
The Medicaid Analytic Extract contains person-level and claims data
on Medicaid enrollees for nearly all states. The discussion will focus
on the contents of these databases and their applications to health
services research.
Best
Abstracts & Article-of-the-Year
Royal Palm One
Chair:
Michelle Dolfini-Reed, CNA Corporation
Special
Session:
Elizabeth McGlynn, RAND
“The Quality of Health Care Delivered to Adults in the United
States”
(Article-of-the-Year Awardee)
PowerPoint Slides
|
PDF Handout
Yuhua
Bao, University of California, Los Angeles
“Is Some Physician Advice on Smoking Cessation Better than No
Advice?”
PowerPoint Slides
|
PDF Handout
Alka
Indurkhya, Harvard University
“Which Dimensions of Continuity of Mental Health Care Lead to
Improved School Outcomes?”
PowerPoint Slides
|
PDF Handout
Marlene
Niefeld, Johns Hopkins University
“Ambulatory Care Sensitive Condition Hospitalizations among
Elderly Medicare and Medicaid (Dual) Enrollees”
PowerPoint Slides
|
PDF Handout
Monitoring Outcomes of Medicare-Funded Health Care with Administrative
Data: The Medicare Quality Monitoring System
Royal Palm Two
Chairs:
Lein
Han, Centers for Medicare and Medicaid Services
PowerPoint Slides
|
PDF Handout
Myles
Maxfield, Mathematica Policy Research, Inc.
Call
for Panels:
Arnald Chen, Mathematica Policy Research, Inc.
“Patient Safety among Medicare Beneficiaries”
PowerPoint Slides
|
PDF Handout
Irene
Fraser, Agency for Healthcare Research and Quality
"Using
Administrative Data for Monitoring and Improvement"
PowerPoint Slides
|
PDF Handout
Angela
Merrill, Mathematica Policy Research, Inc.
“Quality of Care for Medicare Claimants with Diabetes: 1992
and 2001”
PowerPoint Slides
|
PDF Handout
Timothy
Lake, Mathematica Policy Research, Inc.
“Preventable Hospitalizations among Medicare Fee-For-Service
Beneficiaries, 1995 to 2001”
PowerPoint Slides
|
PDF Handout
Measure, Learn & Improve: Is the Science of Quality Improvement
Applied by Physicians? What Can be Done to Accelerate Adoption?
Pacific Four/Five
Chair:
Anne-Marie Audet, The Commonwealth Fund
Call
for Panels:
Anne-Marie Audet, The Commonwealth Fund
“Measure, Learn, and Improve: Have Physicians Begun to Engage
in the Quality Improvement Cycle?”
David
Leach, Accreditation Council for Graduate Medical Education
“The Formation of Residents: Acquiring the Habit of Quality
Improvement”
PowerPoint Slides
|
PDF Handout
John
Tooker, American College of Physicians
“What Can Professional Organizations Do to Foster Adoption of
Quality Improvement Principles and Methods by Practicing Physicians?”
PowerPoint Slides
|
PDF Handout
AcademyHealth
gratefully acknowledges the following for general conference support:
Johnson &
Johnson, Health Policy Group
RAND Health
Sunday,
June 6 | Monday, June 7 | Tuesday,
June 8
|
