R Application of Predictive Modeling for Care Management
Room 200 - Second Level
Chair: Soyal Momin, Blue Cross Blue Shield of Tennessee
Panelists:
Avery Ashby, BlueCross BlueShield of Tennessee
"Predictive Modeling of Diabetic Inpatient Hospitalizations for the Tennessee Diabetic Medicaid Population"
PowerPoint Slides | 
PDF Handout of Slides
Soyal Momin, Blue Cross Blue Shield of Tennessee
"Application of Predictive Modeling to Identify, Stratify and Triage Members in Care Management Programs: A Health Plan Case Study"
PowerPoint Slides | PDF Handout of Slides
Terry Whitlock, Blue Cross and Blue Shield of Tennessee
"Using Predictive Modeling to Evaluate Disease Management Financial Impact"
PowerPoint Slides | PDF Handout of Slides
Building Your Career in HSR
Room 202- Second Level
Chair: Joan Reede, Harvard Medical School
Panelists:
Anne Beal, The Commonwealth Fund; Francis Chesley, Agency for Healthcare Research and Quality; Bruce Siegel, George Washington University; Kima Taylor, Office Of Senator Paul Sarbanes
Skill and Career Development: In this roundtable the panel will explore career trajectories and opportunities for support of career pathways related to health policy, health policy research, health services research, and minority health policy. The discussion will include perspectives from the federal to the local level, as well as careers in academe, the private sector, and philanthropy.
B Addressing Challenges in Behavioral Health Care Through Benefit Design & Management Mechanisms
Room 309- Third Level
Chair: Thomas Croghan, RAND
Panelists:
Kara Bambauer, Harvard Medical School
"Impact of an Antidepressant Adherence Improvement Program in a Managed Care Organization"
PowerPoint Slides | PDF Handout of Slides
Melissa Farmer, Department of Veterans Affairs, Sepulveda, CA
"Demonstration of a Process-Outcome Link for Smoking Cessation"
PowerPoint Slides | PDF Handout of Slides
Constance Horgan, Brandeis University
"Health Plan Performance on Antidepressant Medication Management: Relationship with Organizational Characteristics"
PowerPoint Slides | PDF Handout of Slides
Douglas Leslie, Yale School of Medicine
"Changes in Antipsychotic Pharmacotherapy and Healthcare Costs Following a New Diagnosis of Diabetes among Patients with Schizophrenia"
PowerPoint Slides | PDF Handout of Slides
Anthony Lo Sasso, University of Illinois at Chicago
"Expanded Mental Health Benefits and Outpatient Treatment Intensity"
PowerPoint Slides | PDF Handout of Slides
CMS Databases
Room 203 - Second Level
Chair: William Saunders, Centers for Medicare and Medicaid Services
Panelists:
David Baugh, Centers for Medicare and Medicaid Services
Gerald Riley, Centers for Medicare and Medicaid Services
PowerPoint Slides | PDF Handout of Slides
Daniel Waldo, he Centers for Medicare and Medicaid Services
PowerPoint Slides | PDF Handout of Slides
Research Update: This session will include descriptions of three sets of data activities being conducted by the Centers for Medicare & 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.
R Organizational Factors & Tools for Improving Practice
Room 311 - Third Level
Chair: Shoou-Yih Daniel Lee, University of North Carolina, Chapel Hill
Panelists:
Laurie Hurowitz, University of Vermont
"Relationship Between the Chronic Care Model and Diabetes Outcome"
PowerPoint Slides | PDF Handout of Slides
Margaret Love, University of Kentucky
"Asthma Patients and the Patient-Clinician Relationship: A Qualitative Study of Continuity of Care"
PowerPoint Slides | PDF Handout of Slides
Douglas Roblin, Kaiser Permanente Georgia
"The Influence of Primary Care Practice Climate on Medical Services Costs and Quality of Care"
PowerPoint Slides | PDF Handout of Slides
Margaret Wang, University of California, Los Angeles/RAND
"A Tale of Two Ownership Types: Implications for Organizational Resources, External Incentives and the Implementation of the Chronic Care Model"
PowerPoint Slides | PDF Handout of Slides
Anne Wilkinson, RAND
"Factors Associated with Family Caregivers' Experience of End of Life Care"
PowerPoint Slides | PDF Handout of Slides
R Informatics Systems Supporting Collaborative Care of Chronic Illness
Room 207 - Second Level
Chair: Alexander Young, Department of Veterans Affairs, Los Angeles, CA
Panelists:
Edmund Chaney, Department of Veterans Affairs, Seattle, WA
"Optimizing informatics Support for Collaborative Care: Examples from Veterans Administration Smoking and Depression Treatment Programs"
PowerPoint Slides | PDF Handout of Slides
Amy Cohen, Department of Veterans Affairs, Los Angeles, CA
"Evaluating an Intervention to Improve the Quality of Care for Schizophrenia"
David Dorr, Oregon Health and Science University
PowerPoint Slides | PDF Handout of Slides
Mary Goldstein, Department of Veterans Affairs, Palo Alto, CA
"Clinician Interactions with an Automated Clinical Decision Support System for Managing Hypertension in Primary Care Clinics"
D Medicare as a Leader in Reducing Racial & Ethnic Health Disparities
Room 208 - Second Level
Chair: Renee Landers, Suffolk University Law School
Panelists:
Lawrence Casalino, University of Chicago
"An Organized Process Approach to Reduce Clinical Disparities in Medicare"
PowerPoint Slides | PDF Handout of Slides
Timothy Stolfus Jost, Washington and Lee University
"Racial & Ethnic Disparities in Medicare: What HHS and CMS Can and Should Do"
Marshall McBean, University of Minnesota
"Medicare Race and Ethnicity Data"
PowerPoint Slides | PDF Handout of Slides
Ellen O'Brien, Georgetown University
"CMS' Programs and Initiatives to Reduce Racial & Ethnic Disparities"
PowerPoint Slides | PDF Handout of Slides
L Improving Nursing Home Outcomes: Measurement & Policy
Room 210 - Second Level
Chair: Christine Bishop, Brandeis University
Panelists:
David Grabowski, Harvard Medical School
"Nursing Home Quality as a Public Good"
PowerPoint Slides | PDF Handout of Slides
Jiexin Liu, West Virginia University
"Staffing Levels and Quality of Life Outcomes in Nursing Facilities"
Dana Mukamel, University of California, Irvine
"How Have Nursing Homes Responded to the Publication of the CMS 'Nursing Home Compare' Quality Report Cards?"
Charlene Quinn, University of Maryland, Baltimore
"Diabetes Quality of Care among Nursing Home New Admission Cohort"
PowerPoint Slides | PDF Handout of Slides
Sally Stearns, University of North Carolina, Chapel Hill
"Using Propensity Stratification to Compare Patient Outcomes in Hospital-Based vs. Freestanding Skilled Nursing Facilities"
PowerPoint Slides | PDF Handout of Slides
M Medicare Modernization Act: The Impact of State Implementation Decisions
Room 302 - Third Level
Chair: Richard Frank, Harvard Medical School
Panelists:
Kimberley Fox, Rutgers Center for State Health Policy
PowerPoint Slides | PDF Handout of Slides
Daniel Gilden, JEN Associates
Haiden Huskamp, Harvard Medical School
PowerPoint Slides | PDF Handout of Slides
Invited Papers: States have historically provided assistance with the purchasing of drugs to the elderly and disabled. They have done this in a number of ways including state pharmacy assistance programs and Medicaid. In this session we explore some likely policy responses by states to the implementation of the Medicare Modernization Act (MMA). The session will focus on design issues related to state pharmacy assistance programs and potential consequences for dually eligible Medicare/Medicaid recipients that will have their drug coverage paid for under the terms set by the MMA. Data from several states will be presented to highlight key design issues and a discussion from the state policy perspective will be offered.
H Consumer Driven Health Plans: Working Toward Healthy Choices or Only Working for the Healthy?
Room 304 - Third Level
Chair: Judith Hibbard, University of Oregon
Panelists:
Jessica Greene, University of Oregon
Stephen Parente, University of Minnesota
PowerPoint Slides | PDF Handout of Slides
Meredith Rosenthal, Harvard University
Shoshanna Sofaer, Baruch College
Invited Papers: The panel will begin with an examination of trends in consumer-driven health plans, including who is offering them, what variations exist, and the uptake by consumers. The success of consumer-driven health plans are built on a number of largely unexamined assumptions about who will enroll and how enrollees will behave once enrolled. The plans are also based on the assumption that the information tools necessary to make informed choices is available and are used by consumers. Panel members will explore the validity of some of these implicit assumptions about consumer behavior and the adequacy of the information tools provided to them.
Sponsored in part by the Institute for Health Policy Studies, University of California, San Francisco
D Can the Appropriate Consumption of Health Care Reduce Disparities?
Room 306 - Third Level
Chair: Marsha Lillie-Blanton, The Henry J. Kaiser Family Foundation
Panelists:
Yuhua Bao, University of California, Los Angeles
"Racial/Ethnic Disparities in Behavioral Counseling: The Case of Hispanic/White Difference in the Receipt of Smoking Cessation Advice"
PowerPoint Slides | PDF Handout of Slides
Arthur Bonito, Research Triangle Institute
"Identifying Racial and Ethnic Disparities in Ambulatory Care Sensitive Conditions among Medicare Beneficiaries"
PowerPoint Slides | PDF Handout of Slides
Lisa Gary, Yale University
"To Voice or to Exit: Racial Differences in Consumer Responses to Problematic Health Care Experiences"
Sarah Laditka, University of South Carolina
"Mediators of Race Effects on Risk of Potentially Avoidable Maternity Complications among Medicaid-Insured Mothers"
PowerPoint Slides | PDF Handout of Slides
Jacqueline Wiltshire, University of Wisconsin Medical School
"Racial/Ethnic Differences in the Use of Health Information to Self-Advocate During the Medical Encounter: Is Having Health Information Enough?"
PowerPoint Slides | PDF Handout of Slides
Q Culture Change, System Change & Quality Improvement
Room 310- Third Level
Chair: Susan Edgman-Levitan, Massachusetts General Hospital
Panelists:
Laurence Baker, Stanford University
"Adverse Event Reporting Laws and Medical Errors"
Elizabeth Bradley, Yale University
"Improving Complex Systems: Top Performing Hospitals in Door-to-Balloon Times for Patients with Acute Myocardial Infarction"
Ateev Mehrotra, Harvard Medical School
"Are Differences in Quality Between Physician Groups Explained by Organizational Characteristics or Use of Quality Improvement Strategies?"
Claire Snyder, Johns Hopkins University
"Do Quality Improvement Organizations Improve the Quality of Hospital Care for Medicare Beneficiaries?"
James Zazzali, RAND
"Organizing for Quality: Journeys of Improvement at Leading Healthcare Organizations in the U.S. & U.K. "
G Assessing & Improving Quality of Care by Gender
Room 313 - Third Level
Chair: Amal Khoury, University of Florida
Panelists:
Arlene Bierman, St. Michael's Hospital
"Are Older Women More Likely to Get Inappropriate Drugs?"
PowerPoint Slides | PDF Handout of Slides
Kathleen Irwin, Centers for Disease Control and Prevention
"Cervical Cancer Screening Practices in the U.S. Since the Release of National Guidelines on Genital Human Papillomavirus (HPV) Testing: Results from a Recent National Clinician Survey"
PowerPoint Slides | PDF Handout of Slides
Andrea Kutinova, University of New Hampshire
"The Forgotten Beneficiary of the Medicaid Expansions"
PowerPoint Slides | PDF Handout of Slides
Patrick Roohan, New York State Department of Health
"The Relationship of Surgeon and Hospital Volume with Long-Term Survival for Women with Breast Cancer"
PowerPoint Slides | PDF Handout of Slides
Lok Wong, National Committee for Quality Assurance
"Gender Differences in Prescribing Drugs Potentially Harmful to Elderly Managed Care Enrollees"
PowerPoint Slides | PDF Handout of Slides
10:30 a.m. - 12:00 p.m.
M The Impact of Drug Coverage & Benefit Design on the Use & Cost of Prescription Medications among the Elderly
Room 200 - Second Level
Chair: Bruce Stuart, University of Maryland at Baltimore
Panelists:
Jalpa Doshi, University of Pennsylvania
"Generosity of Retiree Drug Benefits and Essential Medication Use among Aged Medicare Beneficiaries with Employer-Sponsored Health Insurance"
Boyd Gilman, RTI International
"The Impact of Tiered Co-payments on the Use and Cost of Prescription Drugs among the Elderly in Employer-Sponsored Health Plans"
PowerPoint Slides | PDF Handout of Slides
Dennis Shea, Pennsylvania State University
"Estimating the Moral Hazard Effect of Prescription Drug Coverage"
PowerPoint Slides | PDF Handout of Slides
Linda Simoni-Wastila, University of Maryland, Baltimore
"Gaps in Drug Benefits: The Impact on Utilization and Spending for Drugs Used by Medicare Beneficiaries with Mental Illness"
PowerPoint Slides | PDF Handout of Slides
H Effects of Hospital Competition & Managed Care Penetration on Outcomes, Inputs & Alternative Sites of Care
Room 309- Third Level
Chair: R. Tamara Konetzka, University of Chicago
Panelists:
Laurence Baker, Stanford University
"Market Forces, Adoption of Cardiac Care Technology and Outcomes"
PowerPoint Slides | PDF Handout of Slides
John Bian, University of Alabama at Birmingham
"Hospital Competition, HMO Penetration and Growth of Free-Standing
Ambulatory Surgery Centers"
PowerPoint Slides | PDF Handout of Slides
Julie Sochalski, University of Pennsylvania
"Does Increasing Hospital Price Competition Influence Nursing Staffing and Quality of Care for AMI Patients?"
PowerPoint Slides | PDF Handout of Slides
Kevin Volpp, Department of Veterans Affairs, Philadelphia, PA
"Effects of Financial Stress from Price Competition on Hospital Quality of Care"
PowerPoint Slides | PDF Handout of Slides
MEPS: A National Information Resource to Support Health Care Research & Inform Health Care Policy & Practice
Room 202 - Second Level
Chair: Steven Cohen, Agency for Healthcare Research and Quality
PowerPoint Slides | PDF Handout of Slides
Panelists:
Karen Beauregard, Agency for Healthcare Research and Quality
Joel Cohen, Agency for Healthcare Research and Quality
Research Update: AHRQ's Medical Expenditure Panel Survey (MEPS) collects data on the specific health services that Americans use, how frequently they use them, the cost of these services and how they are paid, as well as data on the cost, scope, and breadth of private health insurance held by and available to the U.S. population. This session will highlight research findings from recent MEPS studies on trends in health care costs, coverage, use and access. An update will be provided on the ability of MEPS to support large state and metro area estimates, longitudinal analyses, analyses of prescription drug use and expenditures by therapeutic classes, and other recent enhancements to the survey to inform health care policy and practice.
Q Quality & Safety for All: Caring for Vulnerable Populations
Room 203 - Second Level
Chair: Stephen Schoenbaum, The Commonwealth Fund
Panelists:
Connie Mah, Harvard Medical School and Harvard Pilgrim Health Care
"Racial Differences in Impact of HMO Coverage of Diabetes Blood Glucose Monitors on Initiation of Self-Monitoring"
PowerPoint Slides | PDF Handout of Slides
Laura Morlock, Johns Hopkins University
"Is JCAHO Accreditation Associated with Better Patient Outcomes in Rural Hospitals?"
PowerPoint Slides | PDF Handout of Slides
Hoangmai Pham, Center for Studying Health System Change
"The Usual Source of Care for Medicare Beneficiaries and Whether They Receive Preventive Services"
PowerPoint Slides | PDF Handout of Slides
Karen Shore, American Institutes for Research (AIR)
"Perceptions of Specific Clinician Behaviors Linked to Health Care Quality"
PowerPoint Slides | PDF Handout of Slides
Lok Wong, National Committee for Quality Assurance
"Prescribing Rates of Drugs to be Avoided in the Elderly in Managed Care"
PowerPoint Slides | PDF Handout of Slides
B A Comparison of Integrated vs. Enhanced Referral Models of Care for Serving Older Adult Consumers with Mental Health or Substance Use Problems
Room 311- Third Level
Chair: James Maxwell, JSI Research and Training Institute, Inc.
Panelists:
Marisa Elena Domino, University of North Carolina, Chapel Hill
"The Influence of Integration on the Expenditures and Costs of Mental Health and Substance Use Care: Results from the PRISM-E Study"
Dean Krahn, William S. Middleton Memorial Veterans Hospital
"Depression and At-Risk AlcohZol Use Outcomes for Older Primary Care Patients in Integrated Care and Enhanced Specialty Referral"
PowerPoint Slides | PDF Handout of Slides
Sue Levkoff, Harvard Medical School
"Overview of the PRISM-E Study: Methodology and Access to Care"
PowerPoint Slides | PDF Handout of Slides
Elizabeth McDonel Herr, Substance Abuse and Mental Health Services Administration
"PRISM-E Findings and the Evolution of Federal Behavioral Health Policy"
Cynthia Zubritsky, University of Pennsylvania
"Stakeholder Perspectives on Integrated Mental Health Services in Primary Care Settings"
PowerPoint Slides | PDF Handout of Slides
PowerPoint Slides | PDF Handout of Slides
A The Health Care Safety Net
Room 312 - Third Level
Chair: Michael Chernew, University of Michigan
Panelists:
Janet Bronstein, University of Alabama at Birmingham
"Which Safety Net Services Make a Difference in Health Care Use?"
PowerPoint Slides | PDF Handout of Slides
Peter Cunningham, Center for Studying Health System Change
"Awareness of Safety Net Providers by Uninsured Persons"
PowerPoint Slides | PDF Handout of Slides
Carole Roan Gresenz, RAND
"Healthcare Markets, the Safety Net and Access to Care among the Uninsured"
PowerPoint Slides | PDF Handout of Slides
Mary Price, Kaiser Permanente Northern California
"Co-payments and Emergency Departments: Effective Incentives or Effects Unintended?"
PowerPoint Slides | PDF Handout of Slides
Benjamin Vanlandingham, Johns Hopkins University
"The Shortage of On-Call Specialist Physician Coverage in U.S. Hospitals"
PowerPoint Slides | PDF Handout of Slides
R Do Physicians Appropriately Intensify Care for Patients with Chronic Illnesses?
Room 207 - Second Level
Chair: R. Adams Dudley, University of California, San Francisco
Panelists:
Ayse Akincigil, Rutgers, The State University of New Jersey
"Refill Persistence with Beta-Blocker and ACE Inhibitor Therapy After Acute Myocardial Infarction"
PowerPoint Slides | PDF Handout of Slides
Didem Bernard, Agency for Healthcare Research and Quality
"National Spending on Bariatric Surgery and Bariatric Medications"
PowerPoint Slides | PDF Handout of Slides
Niteesh Choudhry, Harvard Medical School
"The Impact of Adverse Events on Warfarin Prescribing in Atrial Fibrillation: A Matched-Pair Analysis"
PowerPoint Slides | PDF Handout of Slides
Neale Chumbler, Department of Veterans Affairs, Gainesville, FL
"Evaluation of a Patient-Centered Care Coordination/Home-Telehealth Disease Management Program for Veterans with Diabetes"
PowerPoint Slides | PDF Handout of Slides
Monika Safford, Department of Veterans Affairs, Birmingham, AL
"Progress in Reducing Cardiovascular Risk in Diabetes: Is It Enough?"
PowerPoint Slides | PDF Handout of Slides
E Funders' & Researchers' Efforts to Translate Research Into Policy & Practice
Room 208 - Second Level
Chair: John Lavis, McMaster University
Panelists:
Marsha Gold, Mathematica Policy Research, Inc.
"Translating Research to Practice: Insights from Experience with AHRQ's IDSRN Initiative"
Jeremy Grimshaw, Ottawa Health Research Institute
"How and to Whom are Canadian Health Researchers Promoting the Uptake of their Findings? Part 1: The Quantitative Piece" and "How and to Whom are Canadian Health Researchers Promoting the Uptake of their Findings? Part 2: The Qualitative Piece"
PowerPoint Slides | PDF Handout of Slides
Jacqueline Tetroe, Ottawa Health Research Institute
"An International Study of Health Research Funding Agencies' Support and Promotion of Knowledge Translation. Part 1: The Study" and "An International Study of Health Research Funding Agencies' Support and Promotion of Knowledge Translation. Part 2: The Workshop"
PowerPoint Slides | PDF Handout of Slides
W Developing a Stable Frontline LTC Workforce
Room 210 - Second Level
Chair: Nancy Fishman, The Robert Wood Johnson Foundation
PowerPoint Slides | PDF Handout of Slides
Panelists:
Diane Brannon, Pennsylvania State University
"Caregiver Job Quality & Turnover Intentions in Long-Term Care Organizations"
PowerPoint Slides | PDF Handout of Slides
Candace Howes, Connecticut College
"Flexible Work with Benefits as a Strategy for Increasing the LTC Workforce"
PowerPoint Slides | PDF Handout of Slides
Peter Kemper, Pennsylvania State University
"Improving Jobs of Frontline Workers in Long-Term Care: What Do Workers in the Better Jobs Better Care Demonstration Say?"
PowerPoint Slides | PDF Handout of Slides
Best Abstracts & Article-of-the-Year
Room 302 - Third Level
Chair: Patricia Parkerton, University of California, Los Angeles
Panelists:
Richard Kravitz, University of California, Davis
"Influence of Patients' Requests for Directly Advertised Prescription Drugs on Physician's Treatment of Depression: A Randomized Controlled Trial"
PowerPoint Slides | PDF Handout of Slides
Anthony Lo Sasso, University of Illinois at Chicago
"The Effect of the State Children's Health Insurance Program on Health Insurance Coverage" (Article-of-the-Year)
PowerPoint Slides | PDF Handout of Slides
Mark Meterko, Department of Veterans Affairs, Boston, MA
"Civility Among Healthcare Employees: The Impact on Patients"
PowerPoint Slides | PDF Handout of Slides
Dana Gelb Safran, Tufts-New England Medical Center
"Comparing Four-Year Health Outcomes of Elderly Adults Enrolled in Traditional Medicare (FFS) vs. Medicare HMOs"
Using Administrative Data for Quality Measurement & Improvement: Payment & Public Reporting
Room 306 - Third Level
Chair: Lucy Savitz, RTI International
PowerPoint Slides | PDF Handout of Slides
Panelists:
Shulamit Bernard, RTI International
Nancy Foster, American Hospital Association
Patrick Romano, University of California, Davis
PowerPoint Slides | PDF Handout of Slides
Shoshanna Sofaer, Baruch College
Methods Workshop : Four distinguished speakers will address key aspects related to the selection and implementation of quality indicators given the multiple applications and stakeholders involved. We set the stage by considering the politics of selecting and implementing quality indicators. This is followed by a discussion of: 1) issues around the creation/evidence-base for quality indicators; 2) operationalization of quality indicators (how do you use them and respond to such feedback); and 3) unintended consequences encountered in using quality indicators for quality improvement, payment, and public reporting.
D Reducing Health Disparities: Programs That Work
Room 304 - Third Level
Chair: Darrell Gaskin, Johns Hopkins University
Panelists:
Joseph Betancourt, Massachusetts General Hospital
PowerPoint Slides | PDF Handout of Slides
Francis Chesley, Agency for Healthcare Research and Quality
Lisa Cooper, Johns Hopkins University
PowerPoint Slides | PDF Handout of Slides
Dwight McNeill, Agency for Healthcare Research and Quality
PowerPoint Slides | PDF Handout of Slides
Invited Papers: Eliminating disparities in health and health care utilization has reached the top of the nation's health policy agenda. The session will focus on efforts by federal and state health policymakers, health plans, health care providers, patients and researchers to address this health care problem. Specific attention will be devoted to discussing successful programs and newly developed strategies for reducing health disparities. Panelists will discuss system-level, provider-level, and patient-level interventions.
12:15 p.m. - 1:45 p.m.
