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presentation slides
SUNDAY, JUNE 3
Sunday, June 3 | Monday, June 4 | Tuesday, June 5
STUDENT BREAKFAST
(MEET-THE-EXPERTS)
7:45 a.m.–8:45 a.m.
Experts: David Blumenthal, Massachusetts General Hospital; E. Richard Brown, University of California, Los Angeles; John Holahan, The Urban Institute; Marsha Lillie-Blanton, The Henry J. Kaiser Family Foundation; Harold Luft, University of California, San Francisco; Sara Rosenbaum, The George Washington University; Lisa Simpson, Cincinnati Children's Hospital; Shoshanna Sofaer, Baruch College-CUNY; John Ware, QualityMetric, Inc.
OPENING BREAKFAST PLENARY
9:00 a.m.–10:30 a.m.
Welcoming Remarks
Jon Christianson, Conference Chair
University of Minnesota
Keynote Address
"New Approaches to Health Care Reform"
David Cutler, Harvard University
Alice S. Hersh New Investigator Award Presentation
CONCURRENT SESSIONS
11:00 am–12:30 pm
Statistical Methods for Missing Multivariate Data: A Practitioner's Perspective
Southern Hemisphere I
Chair: Sharon-Lise Normand, Harvard Medical School
Panelists:
Armando Teixeira-Pinto, University of Porto
 PowerPoint Slides |  PDF Handout of Slides
Recai Yucel, University of Massachusetts, Amherst
PDF Handout of Slides
Methods Workshop: Statistical analyses of "multivariate data" are often complicated by arbitrary missing values. The multivariate data may consist of outcomes of different types (denoted "mixed" data) such as binary and continuous. Advances in the computational and theoretical statistics over the last two decades have resulted in numerous procedures with a sound statistical basis for analyzing multivariate data with missing values. Despite these advances, many misconceptions and unsound practices exist among practitioners analyzing multivariate data missing values. For example, when modeling outcomes measured on different scales, a common approach involves modeling each outcome separately, ignoring the multivariate structure of the data. However, this strategy is not fully efficient and can lead to biased results in the situation of missing-data. The first part of the session will frame the missing-data problem, and review old and new methods. Multiple imputation approaches and available software (e.g. SAS PROC MI, IveWare, NORM, etc.) will also be presented. The second part of the session will involve a review of multivariate approaches to modeling mixed outcomes and strategies to deal with missing-data. Throughout, the relevant concepts will be demonstrated using data drawn from the Behavioral Risk Factor Surveillance System and from a study to examine the quality of schizophrenia care for adults. Level: Intermediate/Advanced.
Participants should have experience with generalized linear regression modeling.
S SCHIP Reauthorization: Moving Forward, Standing Still, or Sliding Back?
Southern Hemisphere II
Chair: Genevieve Kenney, The Urban Institute
Panelists:
Judith Arnold, New York State Department of Health
Linda Nablo, Virginia Department of Medical Assistance Services
Rose Naff, Florida Healthy Kids Corporation
Lynne Thomas, Senate Finance Committee
Roundtable: This panel will bring SCHIP directors and Congressional staff together to discuss SCHIP reauthorization. The roundtable will cover issues ranging from federal funding levels and the funding formula; potential changes to eligibility, benefits, and premium-assistance programs; policy changes directed at increasing enrollment in Medicaid and SCHIP; and quality initiatives.
L Using LTC Public Reporting Programs for Quality Improvement
Southern Hemisphere III
Chair: Robert Kane, University of Minnesota
Panelists:
Gregory Arling, Indiana University-Purdue University Indianapolis (IUPUI)
PowerPoint Slides | PDF Handout of Slides
Vincent Mor, Brown University School of Medicine
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John Ware, QualityMetric, Inc.
Invited Papers: Consumer report cards and other public reports for health care appear to be more interesting to providers than consumers. The assumptions of the marketplace that information on quality will drive competition are still being examined. Consumer information can be combined with pay for performance in an effort to drive LTC to higher levels of quality. This session will examine the state of the art of quality measurement in LTC and describe efforts to use incentives to improve nursing home quality.
AHRQ Research Update
Southern Hemisphere IV
Co-Chairs: Carolyn Clancy, Agency for Healthcare Research and Quality
PowerPoint Slides | PDF Handout of Slides
Francis Chesley, Agency for Healthcare Research and Quality
Research Update: The mission of the Agency for Healthcare Research and Quality is to improve the quality, safety, efficiency, and effectiveness of healthcare for all Americans. In this session, AHRQ's Director will provide an agency overview and update and describe AHRQ initiatives designed to achieve this mission. This session will provide an update on the AHRQ budget, overview of research priorities, and review of new funding opportunities for health services researchers. This session will also include an interactive dialogue with the audience.
H Private Health Insurance: Payment, Provision & Regulations
Southern Hemisphere V
Chair: Anthony Lo Sasso, University of Illinois at Chicago
Panelists:
Phillip Cooper, Agency for Healthcare Research and Quality
“Trends & Determinants of Self Insuring Employer Health Benefits 1997-2004”
PowerPoint Slides | PDF Handout of Slides
Teresa Gibson, Thomson Medstat
“Prescription Drug Cost-Sharing among Commercially-Insured Children & Adults with Chronic Illness”
PowerPoint Slides | PDF Handout of Slides
Wynand Van de Ven, Erasmus University Rotterdam
“Evaluation of the Dutch Risk Equalization System: Are the Insurers Confronted with Predictable Losses for the Chronically Ill?”
PowerPoint Slides | PDF Handout of Slides
Vivian Wu, University of Southern California
“Managed Care's Price Bargaining with Hospitals”
PowerPoint Slides | PDF Handout of Slides
Patient-Reported Outcomes Measurement Information System (PROMIS): A Resource for Clinical & Health Services Research
Asia 1
Chair: Kathleen Lohr, RTI International/UNC School of Public Health
Panelists:
Steven Clauser, National Cancer Institute
PowerPoint Slides | PDF Handout of Slides
Dennis Revicki, United BioSource Corporation
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Kevin P. Weinfurt, Duke Clinical Research Institute
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Research Resources: PROMIS is a NIH initiative intended to revolutionize the way investigators and others can select and apply patient-reported outcome tools in research and practice evaluation. It will be a national resource for accurate and efficient measurement of patient-reported symptoms, such as pain or fatigue, and other dimensions of health-related quality of life, such as physical functioning and emotional health. Three speakers, one from NIH and two representing PROMIS investigators, will describe the role of PROMIS within the NIH Roadmap (Re-engineering Clinical Research), describe how PROMIS researchers have determined domains of interest, created item data banks, and are now developing publicly available static test forms and dynamic, adaptive tests for the research community.
Q Group Practice, Systems & Quality: Examining the Linkages
Asia 2
Chair: Gregory Pawlson, National Committee for Quality Assurance
PowerPoint Slides | PDF Handout of Slides
Panelists:
Ateev Mehrotra, RAND
“Do Integrated Medical Groups Provide Higher-Quality Medical Care than Individual Practice Associations?”
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Diane Rittenhouse, University of California, San Francisco
“The 2nd National Study of Physical Organizations & Management of Chronic Illness”
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Sarah Hudson Scholle, National Committee for Quality Assurance
“Development, Testing & Correlation with Selected Quality Measures of a Survey Instrument to Assess Systemness in Office Practice”
M Medicare Advantage Private Plans: Costs & Benefits in 2007
Asia 3
Chair: Stuart Guterman, The Commonwealth Fund
Panelists:
Brian Biles, George Washington University
“Extra Payments to Medicare Advantage Plans & Options for Medicare Savings Through 2012”
PowerPoint Slides | PDF Handout of Slides
Marsha Gold, Mathematica Policy Research, Inc.
“MMA Effects on Medicare Advantage Availability, Benefits & Enrollment 2005-2007”
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Lyle Nelson, Congressional Budget Office
“Private Plans' Costs of Delivering Medicare Benefits”
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Lauren Nicholas, Columbia University
“The Effect of Medicare Advantage Payment Rates on Enrollment & Benefits”
PowerPoint Slides | PDF Handout of Slides
P HSR & Public Health Resources at NLM & Beyond
Asia 4
Chair:
Catherine Selden, National Information Center on Health Services Research
PDF Handout of Slides
Panelists:
Vivian Auld, National Library of Medicine
PowerPoint Slides | PDF Handout of Slides
F. Douglas Scutchfield, University of Kentucky
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Research Resources: Web-based resources for health services research and public health have expanded significantly at NLM this year, and a major focus area is resources for public health systems research (PHSR). Come learn about information available through HSR Info Central and PHPartners.org, HSR and public health databases and datasets, projects supported by special funding in PHSR, data standards, and health information technology.
M Assessing Quality of Care of Medicare Managed Care Health Plans & Frailty Adjustment Using the Medicare Health Outcomes Survey and the Medicare Health Outcomes Survey-Modified
Asia 5
Chair: Beth Ellis, Health Services Advisory Group
Panelists:
Vijit Chinburapa, Health Services Advisory Group, Inc.
“The Medicare Health Outcomes Survey & the Medicare Health Outcomes Survey-Modified: An Introduction"
PowerPoint Slides | PDF Handout of Slides
Sean Creighton & Nancy Kenly, Centers for Medicare & Medicaid Services
“Impacts of Applying Frailty to Medicare Advantage Plans”
Kazis Lewis, Boston University
“Case-Mix Measures for Monitoring System Performance”
Judy Ng, National Committee for Quality Assurance
“New Measures in the Medicare Health Outcomes Survey”
Edith Walsh, RTI International
“Comparing Two Approaches to Surveying Frail Enrollees in the 2006 Medicare Health Outcomes Survey-Modified (HOS-M)”
Web Survey Methods
Australia 3
Chair: David Johnson, Pennsylvania State University
PowerPoint Slides | PDF Handout of Slides
Panelist:
Patty Nordstrom, The Pennsylvania State University
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Methods Workshop: This is an introductory workshop for researchers wishing to use a Web survey for their research study. Speakers will first discuss the relative advantages and disadvantages of Web survey compared to other survey methods. Examples of types of survey that may be good candidates for administration over the Web will be described. Issues related to sampling, IRB and security concerns, data extraction, and format of the survey will be covered. Finally, examples of software products and providers that can facilitate the use of Web surveys will be presented.
B Child & Adolescent Mental Health Issues
Oceanic 1
Chair: Douglas Leslie, Yale School of Medicine
Panelists:
Jennifer Bellamy, Washington University in St. Louis
“Foster Care Caseworkers as a Gateway to Outpatient Mental Health Services for Children”
Susan Busch, Yale University
“Child Mental Health Disorders: Assessing the Burden on Families”
PowerPoint Slides | PDF Handout of Slides
Deena Chisolm, Ohio State University
“Adolescent Behavioral Risk Screening & Use of Health Services”
PowerPoint Slides | PDF Handout of Slides
Daniel Eisenberg, University of Michigan
“Help-Seeking & Access to Mental Health Care among University Students”
Roy Grant, Children's Health Fund
“Mental Health Needs in Louisiana Schools Following Hurricane Katrina”
PowerPoint Slides | PDF Handout of Slides
G Gender Differences in Care for Chronic Disease
Oceanic 3
Chair: Michelle Seelig, Department of Veterans Affairs, Seattle
Panelists:
Ann Chou, University of Oklahoma Health Sciences Center
“Quality Measurement & Gender Differences in Managed Care Populations with Chronic Diseases”
PowerPoint Slides | PDF Handout of Slides
Steven Culler, Rollins School of Public Health at Emory University
“Gender Differences in Hospital Survival Rates for Medicare Beneficiaries Undergoing CABG: Does Hospital Performance Ranking Matter?”
PowerPoint Slides | PDF Handout of Slides
Joan Griffin, Department of Veterans Affairs, Minneapolis
“Gender Differences in Colorectal Cancer Screening, Attitudes & Information Preferences”
PowerPoint Slides | PDF Handout of Slides
Andrea Kronman, Boston University Medical Center
“Primary Care Mediates Gender Differences in Hospital Utilization at the End of Life”
PowerPoint Slides | PDF Handout of Slides
Yue Li, State University of New York, Buffalo
“Gender Differences in Healthcare-Seeking for Urinary Incontinence & the Impact of Socioeconomic Status: A Study of the Medicare Managed Care Population”
PowerPoint Slides | PDF Handout of Slides
C Preventive Services to End-of-Life Care: Challenges in the Care of Vulnerable Children
Oceanic 5
Chair: Michelle L. Mayer, University of North Carolina, Chapel Hill
Panelists:
Janet Coffman, University of California, San Francisco
“Effects of Pediatric Asthma Education on Emergency Department Visits & Hospitalizations: A Meta-Analysis”
PowerPoint Slides | PDF Handout of Slides
Debbie Feldman, University of Montreal
“Waiting for Rehabilitation Services for Children with Physical Disabilities: Effects on Child Function & Quality of Life”
PowerPoint Slides | PDF Handout of Slides
Pamela Hull, Tennessee State University
“EPSDT Preventive Services among Children in Arkansas ' Medicaid Program”
Caprice Knapp, University of Florida
“Expenditure Patterns for Medicaid Eligible Children in the Last Year of Life” PowerPoint Slides | PDF Handout of Slides
Peter Scal, University of Minnesota Health System
“Losing Insurance & Using the Emergency Department: Critical Effect of Transition to Adulthood for Youth with Chronic Conditions”
PowerPoint Slides | PDF Handout of Slides
POSTER SESSION “A” & LUNCH
12:45 p.m.–2:45 p.m.
Download Poster Abstracts
CONCURRENT SESSIONS
3:00 p.m.–4:30 p.m.
F Ten+ Years of Tracking Health System Change: What Does It Tell Us About the Potential for Markets in Health Care?
Southern Hemisphere I
Chair: Paul Ginsburg, Center for Studying Health System Change
Panelists:
James Robinson, University of California, Berkeley
PowerPoint Slides | PDF Handout of Slides
Joseph White, Case Western Reserve University
PowerPoint Slides | PDF Handout of Slides
Roundtable: Since 1995, the Center for Studying Health System Change has been analyzing changes in the financing and delivery of health care with community site visits and surveys of households and physicians. The key themes were summarized in a Nov/Dec 2005 Health Affairs article by the session chair titled "Competition in Health Care: Its Evolution Over the Last Decade." Others have contributed research as well. This policy roundtable will draw on the experience of the last ten+ years to look forward to discuss the potential for market forces to achieve what society is looking for in its health care system. In order to have sufficient time for audience questions and comments, the panel has been limited to two speakers.
G Women's Health: Research, Financing & Clinical Practice
Southern Hemisphere II
Chair: Amal Khoury, University of Florida
Panelists:
Juliette Cubanski, Kaiser Family Foundation
“The Impact of Health Expenses on Older Women's Financial Security”
PowerPoint Slides | PDF Handout of Slides
Ronald Ozminkowski, Thomas Healthcare
“The Direct & Indirect Cost Burden of Clijnically Significat & Symptomatic Uterine Fibroids”
PowerPoint Slides | PDF Handout of Slides
Nicole Quon, Indiana University
“Are Women's Health Concerns Prioritized at the NIH & FDA?”
PowerPoint Slides | PDF Handout of Slides
Asma Razzaq, Institute for Clinical & Evaluative Sciences
“POWER: Project for an Ontario Women's Health Evidence-Based Report Card”
PowerPoint Slides | PDF Handout of Slides
Melony Sorbero, RAND Corporation
“Urban/Rural Differences in Survival among Medicare Beneficiaries with Breast Cancer”
PowerPoint Slides | PDF Handout of Slides
Bayesian Trial Designs: Opportunities & Challenges for Developing Comparative Effectiveness Evidence
Southern Hemisphere III
Chair: Bryan Luce, United BioSource Corporation
Panelists:
Scott Berry, Berry Consultants
Sean Tunis, HealthTech
Methods Workshop: There is an increasing policy interest in stimulating more and better empirical comparative effectiveness evidence to inform health care decision-making, yet there are a number of barriers for this to occur, including cost and the time it takes to develop evidence from a new clinical study as well as, from a manufacturer's perspective, the risk of findings that could jeopardize commercial success of an inline product. In this session, we explore the potential for Bayesian adaptive designs to reduce cost, time, and risk while producing useful new comparative effectiveness evidence for health care decision-making. Level: Introductory
W Changes in the Provision of Primary Care
Southern Hemisphere IV
Chair: J. Lloyd Michener, Duke University Medical Center
PowerPoint Slides | PDF Handout of Slides
Panelists:
Atul Grover, Association of American Medical Colleges
PowerPoint Slides | PDF Handout of Slides
Robert Phillips, Robert Graham Center of the American Academy of Family Physicians
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Roundtable: Primary care in the United States is evolving from its historical focus on one-to-one interactions between a physician and patients in the office, to a more complex array of services provided in a variety of locations and by a mix of methods. The forces driving these changes include lower reimbursement for cognitive services; falling medical student interest; expanding numbers and roles of physician assistants and nurse practitioners; and better outcomes with team-based care in the office. Further changes are underway as electronic medical records proliferate and allow for tighter integration of care across multiple sites, while community-wide integration of primary care and public health functions, now being attempted at a number of communities, may demonstrate larger scale improvements in health status. The presentations will provide an overview and a variety of perspectives of this rapidly evolving field, and will encourage active discussion and interaction.
Opportunities & Challenges in Multi-Method Research
Southern Hemisphere V
Chair: Shoshanna Sofaer, Baruch College-CUNY
PowerPoint Slides | PDF Handout of Slides
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Panelist:
David Miranda, Centers for Medicare and Medicaid Services
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Methods Workshop: Health services and health policy research has increasingly recognized the value of using mixed or multiple research methods in addressing critical questions. This panel will highlight both how a mix of qualitative and quantitative methods have been used in specific contemporary studies and the challenges faced in dealing with different, even conflicting, findings generated from different measures. Speakers will present methodological issues in a study of public response to the use of cost-effectiveness analysis in resource allocation decisions in the Medicare program that used focus groups, pre- and post-group surveys, and participant rankings. They will also present a study of the response of physicians to public reporting of clinical and patient experience information through the Hospital Compare Web site that began with individual, scenario-driven interviews with physicians, which were used to help design the instrument for a national sample survey of physicians.
A Impact of Coverage on Utilization
Asia 1
Chair: Deborah Chollet, Mathematica Policy Research, Inc.
Panelists:
Cathy Bradley, Virginia Commonwealth University
“Differences in Breast Cancer Diagnosis & Treatment: Experiences of Insured & Uninsured Patients in a Safety Net Setting”
William Dow, University of California, Berkeley
“Risk Adjusted Subsidies for the Chronically Ill”
Lisa Shugarman, RAND
“An Exploration of Urban & Rural Differences in Lung Cancer Treatment among Medicare Beneficiaries”
Kaan Tunceli, Henry Ford Health System
“Are Cancer Survivors Locked into Jobs with Health Insurance?”
Darren Zinner, Harvard University
“The Sociodemographic Predictors of Clinical Trial Participation: Are the Uninsured Using Industry-Sponsored Treatment Protocols for their Healthcare Needs?”
Focus on Access to Care: Data from the National Center for Health Statistics
Asia 2
Chair: Diane Makuc, National Center for Health Statistics
Panelists:
Amy Bernstein, National Center for Health Statistics
Christina Bethell, Oregon Health and Science University
Michael Martinez, National Center for Health Statistics
Jane Sisk, National Center for Health Statistics
Research Resources: Measuring access to health care benefits from the use of different types of data systems including provider- and population-based surveys. Provider-based surveys collect information about providers, their health care encounters, and their patients.
Population-based surveys collect information about individuals' characteristics, their health conditions, and their health care access and use. This session will describe measures of access to health care that can be obtained from publicly-available data files of several data systems including the National Health Care Survey, the National Health Interview Survey, the National Health and Nutrition Examination Survey (NHANES), and the National Survey of Children with Special Health Care Needs, and will provide examples of how these data are used in assessing access to health care.
P Issues in Public Health Finance
Asia 3
Chair: Peggy Honore, Mississippi State Department of Health
Panelists:
Julia Costich, University of Kentucky
“Developing Competencies for the Public Health Financial Management Workforce”
Susan Griffin, Centers for Disease Control and Prevention
“Impact of Increasing Medicaid Dental Reimbursement & Implementing School Sealant Programs on Sealant Prevalence”
Michele Lloyd-Puryear, Health Resources and Services Administration
“Financing Newborn Screenings: Sources, Issues & Future Considerations”
R Strategies to Improve Clinical Practice Through Guidelines: Experience from Recent Studies
Asia 4
Chair: Michael Cabana, University of California, San Francisco
PowerPoint Slides | PDF Handout of Slides
Panelists:
Thomas C. Bailey, Washington University
PowerPoint Slides | PDF Handout of Slides
Rebecca Beyth, Department of Veterans Affairs, Houston
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Benjamin Crabtree, Robert Wood Johnson Medical School
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Invited Papers: In 2001, the National Heart, Lung, and Blood Institute (NHLBI) funded several studies to examine innovative ways to improve clinical practice through guidelines published by the NHLBI. These studies assessed the effectiveness of different interventions (e.g., information technology, physician education, academic detailing, provider feedback, etc.) in improving clinical practice for a range of conditions (e.g., heart disease, asthma, stroke, etc.). The presentations in this session will summarize the common lessons and themes that have emerged from this work including issues with clinician behavior change, the role of patients in improving provider behavior, the use of information technology, and the use of organizational change and team building.
L Incentives, Responses & Measurement in Long-Term Care & Disability
Asia 5
Chair: Brenda Spillman, The Urban Institute
Panelists:
Vincent Mor, Brown University School of Medicine
“The Impact of State Policies on Nursing Home Residents' Outcomes”
PowerPoint Slides | PDF Handout of Slides
Dana Mukamel, University of California, Irvine
“Did the Publication of the Nursing Home Compare Report Card Lead to "Cream Skimming" by Nursing Homes?”
Timothy Peng, Visiting Nurse Service of New York
“Do Changes in Service Delivery Following the Introduction of Medicare Home Health PPS Differ by Agency Ownership?”
PowerPoint Slides | PDF Handout of Slides
Irena Pesis-Katz, University of Rochester
“Why are Nursing Homes' Quality Report Cards Important? Evidence from California ”
Kate Stewart, Harvard University
“Understanding Self-Reported Disability among the Elderly”
PowerPoint Slides | PDF Handout of Slides
H Consumer-Directed Health Plans: What Do Recent Data Tell Us?
Australia 3
Chair: Kosali Ilayperuma Simon, Cornell University
Panelists:
Melinda J. Beeuwkes Buntin, RAND
“Demand for High-Deductible & ‘Consumer-Directed' Health Plans”
PowerPoint Slides | PDF Handout of Slides
Susan Busch, Yale University
“Who Chooses Consumer-Directed Health Plans?”
Kathleen Fairman, Express Scripts, Inc.
“What Really Happens After Enrollment in a Consumer-Driven Health Plan? Utilization & Chronic Medication Persistency”
Anthony Lo Sasso, University of Illinois at Chicago
“The Effects of Consumer-Directed Health Plans on Utilization & Cost of Care”
Stephen Parente, University of Minnesota
“Who Chooses a Health Savings Account?”
PowerPoint Slides | PDF Handout of Slides
M Medicare Advantage Issues & Regional Variation Issues in Medicare
Oceanic 1
Chair: Bryan Dowd, University of Minnesota
Panelists:
Eric Barrette, University of Minnesota
“An Examination of Resource Use Variation in a Medicare HMO”
Vijit Chinburapa, Health Services Advisory Group, Inc.
“The Relationship Between Health Status & Health Services Utilization: A Comparison Between Medicare Managed Care & Fee-for-Service Beneficiaries”
PowerPoint Slides | PDF Handout of Slides
Jack Hadley, The Urban Institute
“Determinants of Variation in Medical Spending per Elderly Person: Does It Really Matter Where You Live?”
PowerPoint Slides | PDF Handout of Slides
Salomeh Keyhani, Mount Sinai School of Medicine
“Does the VA Provide Veterans with Better Quality Preventive Care Compared to Medicare HMO Plans?”
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Jackson T. Williams, AARP
“Do Differences in Social Capital Explain Geographic Variations in Medicare Utilization”
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C Threats and Challenges to Childhood Health: Vaccines, Injuries & Childhood Obesity
Oceanic 3
Chair: Joseph Thompson, University of Arkansas for Medical Sciences
Panelists:
Dan Salmon, University of Florida College of Medicine
PowerPoint Slides | PDF Handout of Slides
Stephen Bowman, University of Arkansas for Medical Sciences
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Jennifer Shaw, University of Arkansas for Medical Sciences
Invited Papers: Public health and healthcare advances over the past century have lowered mortaility rates and enhanced the quality of life for children and adolescents. However, new threats and challenges may undermine these accomplishments. This panel of invited papers will examine challenges to established programs (vaccines), threats from environmental risks (injuries), and new conditions (obesity) that may alter our perspectives and practice in the 21st century.
Q Improving Safety Culture in Healthcare Organizations
Oceanic 5
Chair: Sara Singer, Stanford University
Panelists:
Barry Kitch, Massachusetts General Hospital
“Considerations for Choosing a Safety Climate Survey Instrument”
PowerPoint Slides | PDF Handout of Slides
J. Bryan Sexton, The Johns Hopkins University
“Safety Culture at Work: Assessing & Improving”
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Sara Singer, Stanford University
“Safety Climate: Variation by Management Status & Profession”
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Joann Sorra, Westat
“Results from the AHRQ Survey on Patient Safety Culture”
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CONCURRENT SESSIONS
5:00 pm–6:30 pm
F Specialty Services: The New Front for Health Provider Competition
Southern Hemisphere 1
Chair: Gloria Bazzoli, Virginia Commonwealth University
Panelists:
Shulamit Bernard, RTI International
Kathleen Carey, Boston University
Ariel Winter, Medicare Payment Advisory Commission
PDF Handout of Slides
Invited Papers: Competition in health care markets has changed dramatically in the past few years, especially as new specialized facilities have arisen that compete with traditional general hospitals. In particular, there are a growing number of specialty hospitals providing both inpatient and outpatient care, typically in the areas of cardiac and orthopedic care. Free-standing ambulatory surgery centers and outpatient diagnostic centers have also proliferated, frequently through the efforts of entrepreneurial physicians. General hospitals are responding by building their own competing facilities and offering ownership opportunities to select physicians. This session will provide an overview of the trends in specialty service line competition. Speakers will also present new research pertinent to the debate about specialty facility development, including analysis of quality of care and efficiency differences between general and specialty hospitals and physician efforts to develop ambulatory surgery centers.
A The Massachusetts Plan as a Proposal for Expanding Access: A Midterm Assessment of the Plan & Implications for Other States
Southern Hemisphere II
Chair: John Holahan, The Urban Institute
Panelists:
Nancy Turnbull, Harvard School of Public Health (formerly Blue Cross Blue Shield of Massachusetts Foundation)
PowerPoint Slides | PDF Handout of Slides
Brian Rosman, Health Care for All in Massachusetts
Linda Blumberg, The Urban Institute
Len Nichols, New America Foundation
E Expanding the Capacity for Comparative Effectiveness Research in the United States
Southern Hemisphere III
Chair: Sean Tunis, HealthTech
Panelists:
Carolyn Clancy, Agency for Healthcare Research and Quality
W. David Helms, AcademyHealth
J. Michael McGinnis, Institute of Medicine/National Academy of Sciences
Steven Pearson, National Institute for Health
Roundtable: Over the past several years, comparative effectiveness research has gained increasing attention among health policymakers, and many believe that significant new funding and activity in this area are highly likely in the near future. Beyond a general agreement about the value of having studies that compare benefits, risks, and costs of health care services, views differ as to which questions deserve top priority, what methods are appropriate for these questions, and how this enterprise might best be organized and funded. This panel will provide a number of perspectives on comparative effectiveness research, and how capacity to conduct this work might best be expanded in the United States.
W Nursing Workforce Shortages: Reframing Problems to Envision New Solutions
Southern Hemisphere IV
Chair: Mary Wakefield, University of North Dakota
Panelists:
Gary Hart, University of Washington
Kristine Gebbie, Columbia University
PowerPoint Slides | PDF Handout of Slides
Joanne Spetz, University of Pennsylvania
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Alan Weil, National Academy for State Health Policy
Invited Papers: Concerns about the adequacy of the supply, distribution, and skill level of the nation's health care clinicians continue to resonate in academic, health care delivery, and public policy discussions. Yet most assessments of workforce adequacy are premised on assumptions that have been called into question and definitions, such as health professions shortage area designations, that are viewed by many as inadequate. These assessments, and their underlying assumptions and definitions, have questionable utility in guiding the future of workforce policy. Focusing on nursing, this session will open with a profile of current status and future projections of nursing workforce supply and demand. The remainder of the presentations will contrast this profile with new approaches to assess nursing workforce adequacy. These approaches are grounded in the context of estimating nursing workforce needs by anticipating major health care challenges facing the nation. The panel dialogue will center on reframing nursing supply and demand issues through the lens of current and anticipated health problems and their workforce solutions. Panelists will consider ways to project nursing workforce adequacy by framing it within potential and emerging problems such as the prevalence of chronic illness, the promise of prevention, and the neglect of public health. With this problem oriented approach, solutions will be discussed that are based on proposed changes in education and payment for care.
Publishing Instead of Perishing: Meet the Editors
Southern Hemisphere V
Chair: Bradford Gray, Milbank Quarterly
Panelists:
Jeffrey Alexander, Medical Care Research and Review
Jeroan Allison, Medical Care
Parmeeth Atwal, Health Affairs
Ann Barry Flood, HSR
PowerPoint Slides | PDF Handout of Slides
Douglas Kamerow, BMJ
Skill and Career Development: In this session, editors of several journals that publish health services and policy research will discuss the editorial process, what they look for in submissions, and ways you can increase the likelihood your paper will find its way into print. There will be time for comments and questions from the audience.
Measuring Hospital Quality of Care
Asia 1
Chair: Patrick Romano, University of California, Davis
Panelists:
Stephen Campbell, University of Manchester
PowerPoint Slides | PDF Handout of Slides
Jeffrey Geppert, Battelle Memorial Institute
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Sharon-Lise Normand, Harvard Medical School
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Michael Pine, Michael Pine & Associates, Inc.
PowerPoint Slides | PDF Handout of Slides
Methods Workshop: This session will cover a variety of current methodological topics related to measuring the quality of hospital care. Four prominent panelists will present their own research, and synthesize the work of other researchers, related to consensus techniques for developing quality indicators, process and outcome relationships in quality measurement, construction of composite quality measures, and enhancing claims data to improve comparisons of risk-adjusted hospital outcomes. Level of difficulty: Intermediate/Advanced. Panelists will give the following presentations:
- "The Advantages & Disadvantages of Using Consensus Techniques to Develop Quality Indicators"
- "Methodological Issues in Assessing Hospital Quality of Care: Process & Outcomes Measures"
- "Composite Measures in Health Care: Methods & Issues"
- "Enhancing Claims Data to Improve Comparisons of Risk-Adjusted Hospital Outcomes"
C Children's Healthcare Quality: Measures, Medications & Drivers
Asia 2
Chair: Lisa Simpson, Cincinnati Children's Hospital
Panelists:
Christina Bethell, Oregon Health and Science University
“2001-2004 National Trends in Prescription Medication Use for Children & Adolescents: Assessment of National Disparities & Quality-Related Practice Patterns” and “Drivers of the Quality of Preventive & Developmental Services for Young Children? Findings from a Multi-Level, Provider & Patient-Centered Method to Assess Quality”
Corinna Haberland, Stanford University
“The AHRQ Neonatal Quality Measures—Development & Ratings”
Embry M. Howell, The Urban Institute
“Using Health Status to Measure Quality of Care for Young Children”
PowerPoint Slides | PDF Handout of Slides
Michael Ong, University of California, Los Angeles
“Specialty Difference in Appropriate Antidepressant Dosing for Children”
CMS Research Update
Asia 3
Chair: Thomas Reilly, Centers for Medicare and Medicaid Services
Research Update: This session will provide an overview of the Centers for Medicare & Medicaid Services (CMS) research agenda for the coming year. It will provide an overview of key research themes and planned projects and discuss factors shaping the agenda, including the outlook for the CMS research budget. It will have a special focus on important Medicare and Medicaid databases that are available through the Office of Research, Development, and Information and how researchers can access the data.
Q Lessons from the VA on Patient Safety: From Research to Policy & Practice Implications
Asia 4
Chair: Amy Rosen, Bedford VA Medical Center
Panelists:
Edward Dunn, VA National Center for Patient Safety
“Efforts to Achieve a Culture of Safety in the Veterans Health Administration”
PowerPoint Slides | PDF Handout of Slides
Peter Rivard, VA Boston Healthcare System
“Moving Patient Safety Improvement Practices to the Next Level: Closing the Organizational Learning Loop ”
PowerPoint Slides | PDF Handout of Slides
Stephanie Shimada, Bedford VA Medical Center
“Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration”
PowerPoint Slides | PDF Handout of Slides
Priti Shokeen, Edith Nourse Rogers Memorial Veterans Hospital
“Safety Cultures in VA Hospitals”
Kevin Volpp, University of Pennsylvania
“The Impact of the ACGME Duty Hour Rules on Mortality Rates in Teaching Hospitals”
P Emerging Findings in Public Health Systems Research
Asia 5
Chair: Katherine Papa, AcademyHealth
Panelists:
Peter Jacobson, University of Michigan
“Measuring the Value of Public Health Services”
PowerPoint Slides | PDF Handout of Slides
Glen Mays, University of Arkansas for Medical Sciences
“Causes & Consequences of Change in Local Public Health Spending”
PowerPoint Slides | PDF Handout of Slides
Michael Stoto, Georgetown University School of Nursing & Health Studies
“Regionalization in Local Public Health Systems: Variation in Rationale, Implementation & Impact on Public Health Preparedness”
Susan Zahner, University of Wisconsin, Madison
“Structural Capacities, Processes & Performance of Essential Public Health Services by Small Local Public Health Systems”
I Innovations in International Health
Australia 3
Chair: Martin Roland, University of Manchester
Panelists:
John Cai, Massachusetts Division of Health Care Finance and Policy
“The Reform of China's Health Care System: Problems & Solutions”
Bruce Guthrie, University of California, San Francisco
“Implementing Pay-for-Performance: What Changed When Incentives Changed in Primary Medical Care in the United Kingdom?”
PowerPoint Slides | PDF Handout of Slides
Ya-Hsin Li, Tulane University
“The Effects of Pay-for-Performance System on Tuberculosis Control & Treatment in Taiwan ”
PowerPoint Slides | PDF Handout of Slides
Ellen Nolte, London School of Hygiene and Tropical Medicine
“Responding to the Epidemic of Chronic Disease”
PowerPoint Slides | PDF Handout of Slides
Bart Verbelen, CEPS/INSTEAD
“Is Technology a Real Health Expenditure Driver? A Comparative Statistical Analysis of 19 Industrialized Countries”
PowerPoint Slides | PDF Handout of Slides
O Influence of Organizational Factors on Provider Behavior & Quality Improvement
Oceanic 1
Chair: Neil Jordan, Northwestern University
Panelists:
Sarita Bhalotra, Brandeis University
“Organizational Factors in Cardiac Rehabilitation (CR) Utilization by Medicare Beneficiaries”
PowerPoint Slides | PDF Handout of Slides
Jean-Frederic Levesque, Institut National de Sante Publique de Quebec
“Patient Assessment of Chronic Illness Care in Various Organizational Models of Primary Health Care: Preliminary Results”
PowerPoint Slides | PDF Handout of Slides
Amol Navathe, University of Pennsylvania
“Are Teaching Hospitals Even Better than We Think?”
PowerPoint Slides | PDF Handout of Slides
Carol Simon, Abt Associates, Inc.
“The Effect of Physician Practice Organizational Form on Physician Behavior & Adoption of Health Information Technology”
PowerPoint Slides | PDF Handout of Slides
Mindy Wyttenbach-Lindsey, Virginia Commonwealth University
“Organizational & Environmental Factors Associated with Hospitalist Use”
K Consumer Decision-Making in Clinical Trials, Screening & Treatment
Oceanic 3
Chair: Shoshanna Sofaer, Baruch College-CUNY
Panelists:
Margaret L. Holland, University of Rochester
“Assessing the Quality of Online Health Information: A Case Study of Web Search for Use of Antibiotics for Ear Infections”
PowerPoint Slides | PDF Handout of Slides
Damon Seils, Duke University Medical Center
“Understanding Patient Expectations in Early-Phase Clinical Oncology Trials” and “Decisional Conflict among Patients Who Accept or Decline Participation in Phase I Cancer Clinical Trials”
PowerPoint Slides | PDF Handout of Slides
Katherine Treiman, RTI International
“Promoting Informed Decision-Making about Prostate Cancer Screening”
PowerPoint Slides | PDF Handout of Slides
D Cultural Competence as a Strategy to Improve Quality & Eliminate Disparities
Oceanic 5
Chair: Joseph Betancourt, Massachusetts General Hospital
Panelists:
Eric Cheng, West Los Angeles VA Hospital
“The Impact of English Proficiency on Disparities of Health Care Services”
PowerPoint Slides | PDF Handout of Slides
Keith Elder, University of South Carolina
“Men's Health: Disparities in Health Self Advocacy”
PowerPoint Slides | PDF Handout of Slides
Sarah Hawley, University of Michigan
“Latina Patient Perspectives about Informed Decision-Making for Surgical Breast Cancer Treatment”
PowerPoint Slides | PDF Handout of Slides
Chandra Y. Osborn, Northwestern University
“Race, Health Literacy & HIV Medication Adherence”
PowerPoint Slides | PDF Handout of Slides
Ninez Ponce, University of California, Los Angeles
“Do Safety Net Clinics Reduce Ethnic Enclave Risk in Cancer Screening?”
PowerPoint Slides | PDF Handout of Slides
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