agenda & presentation slides

TUESDAY, JUNE 5

Sunday, June 3 | Monday, June 4 | Tuesday, June 5

CONCURRENT SESSIONS
9:00 a.m.–10:30 a.m.

Q Achieving National Quality Measurement & Reporting: Progress & Prospects
Southern Hemisphere I

Chair: Eric Schneider, Harvard University

Panelists:

Helen Burstin, National Quality Forum
PowerPoint Slides | PDF Handout

Elliott Fisher, Dartmouth Medical School
PowerPoint Slides | PDF Handout

David Hopkins, Pacific Business Group on Health
PowerPoint Slides | PDF Handout

Roundtable: To bring about a high-performance health care system, the Institute of Medicine and others have promoted a national system of performance measurement and reporting that could fulfill many needs, including those of health services researchers. Achieving standardized performance measurement and reporting has proven challenging. This roundtable will feature national leaders speaking about recent progress and current efforts to move forward on this important agenda.

Issues & Advances in Health Survey Methods
Southern Hemisphere V

Chair: Timothy Beebe, Mayo Clinic

Panelists:

Michael Davern, University of Minnesota

Timothy Johnson, University of Illinois at Chicago

Methods Workshop: Among others, epidemiologists, sociologists, economists, political scientists, policy analysts, and health care practitioners have long relied on the survey method in the study of health services. This session brings together survey experts to discuss some of the main issues and advances in health survey research methods. Topics include: 1) privacy, HIPAA, and health survey participation; 2) response rates, bias, and their effects on health-related estimates; and 3) racial and ethnic variability in health survey question processing and response.

Issues in Cost-Effectiveness Analysis
Southern Hemisphere III

Chair: Michael Chernew, Harvard University

Panelists:

Anirban Basu, University of Chicago
PowerPoint Slides | PDF Handout

R. Scott Braithwaite, Yale University
PowerPoint Slides | PDF Handout

David Vanness, University of Wisconsin Medical School
PowerPoint Slides | PDF Handout

Methods Workshop: This session will present research examining new and controversial methodological issues related to cost-effectiveness analysis. Topics covered will include: generation of confidence interval around C-E ratios, adjusting the societal value of life-years for differences across age groups, and incorporating strength of evidence into CEA results. Level: Intermediate, basic understanding of C-E.

B Practical Clinical Trials in Mental Health: When Evidence Meets Uncertainty
Southern Hemisphere IV

Chair: Junius Gonzales, Abt Associates, Inc.

Panelists:

Carolyn Clancy, Agency for Healthcare Research and Quality

Brad Gaynes, University of North Carolina, Chapel Hill
PowerPoint Slides | PDF Handout

Andy Nierenberg, Harvard Medical School
PowerPoint Slides | PDF Handout

Matthew Rudorfer, National Institute of Mental Health
PowerPoint Slides | PDF Handout

Invited Papers: This session will present 'new' evidence and ensuing uncertainties that emerged from two practical clinical trials in mental health: The STAR D Study for Depression and the STEP BD Study for Bipolar Disorder. The uncertainties and interpretation of evidence discussed have relevance for consumers, providers, and payers.

I Primary Care as a Window into a "High Performance Health Care System:” Opportunities to Learn from Abroad
Asia 4

Chair: Robin Osborn, The Commonwealth Fund

Panelists:

Niek Klazinga, AMC University of Amsterdam
PowerPoint Slides | PDF Handout

Markus Lungen, University of Cologne
PowerPoint Slides | PDF Handout

Martin Roland, University of Manchester

Invited Papers: Primary Care is fundamental to a high performance health care system and offers a unique opportunity for cross-national learning. At this session, findings from The Commonwealth Fund's 2006 International Health Policy Survey of Primary Care Doctors in Seven Countries, which demonstrates striking contrasts between countries on many aspects of primary care, will be presented. Leading experts from the Netherlands, Germany, and the United Kingdom will discuss recent reforms in their countries, from pay-for-performance to statutory disease management programs and their impact on access and after-hours care, coordination of care, quality improvement and patient safety, use of electronic medical records, and management of chronic illness in primary care. The session will highlight successful policies and innovative strategies that underpin high performance in primary care and their "transferability" to other countries.

D Disparities & Quality Improvement
Southern Hemisphere II

Chair: Marshall Chin, University of Chicago
PowerPoint Slides | PDF Handout

Panelists:

Jeroan Allison, University of Alabama at Birmingham
PowerPoint Slides | PDF Handout

Alyna Chien, University of Chicago
PowerPoint Slides | PDF Handout

J. Lee Hargraves, University of Massachusetts Medical School
PowerPoint Slides | PDF Handout
PowerPoint Slides | PDF Handout

Monica Peek, University of Chicago, Pritzker School of Medicine

Thomas Sequist, Brigham and Women's Hospital

Invited Papers: Using diabetes as a case example, the speakers, all of whom are members or grantees of the Robert Wood Johnson Foundation Finding Answers: Disparities Research for Change Program, will provide an overview of how interventions may improve health outcomes, and possibly reduce disparities for racial and ethnic minorities. After a review of existing literature, the panel will focus on three promising solutions: 1) a tailored chronic care model involving cultural competency training, nurse patient navigators, and disparity report cards; 2) culturally-congruent lay community health worker programs; and 3) pay-for-performance and public reporting of performance data. The panelists will devote thirty minutes to general discussion and integration of cross-cutting themes.

E Comparative Effectiveness Research: The Increasing Elegance of "Coke vs. Pepsi" Studies
Asia 5

Chair: Tanisha Carino, Avalere Health LLC

Panelists:

Henry Anaya, U.S. Department of Veterans Affairs
“Improving HIV Screening with Nurse Rapid Testing & Streamlined Counseling”
PowerPoint Slides | PDF Handout

Nicole Bloser, University of California, Davis
“Looking for Modifiers of Treatment Effects in the General Medical Literature: Room for Improvement”
PowerPoint Slides | PDF Handout

Paul Hebert, Mount Sinai School of Medicine
“Using Observational Data to Extend the Results of a Randomized Controlled Trial: An Application to the HOPE Trial”
PDF Handout

Shoshanna Sofaer, Baruch College-CUNY
“Decision Makers' Attitudes Toward Cost Effectiveness Analysis”
PowerPoint Slides | PDF Handout

Willem Van Harten
“Constructive Technology Assessment of Microarray Testing in Breast Cancer Treatment”
PDF Handout

T Real-Life Experience & Outcomes of Using Health IT Systems
Asia 3

Chair: Carol Cain, Kaiser Permanente's Care Management Institute

Panelists:

Jesse C. Crosson, UMDNJ-New Jersey Medical School
“Variation in the Implementation & Use of E-Prescribing in Ambulatory Settings”
PowerPoint Slides | PDF Handout

Ilana Graetz, Kaiser Permanente Division of Research
“Systematic Use of Health Information Technology: Are We There Yet?”
PowerPoint Slides | PDF Handout

Abby Kazley, Medical University of South Carolina
“Hospital EMR Use & Performance”
PowerPoint Slides | PDF Handout

Robert Miller, University of California, San Francisco
“The Demise of the Santa Barbara Care Data Exchange: Lessons for Policy”

Patrick O'Connor, HealthPartners Research Foundation
“Diabetes Care is No Better in Clinics that Use Electronic Medial Records”
PowerPoint Slides | PDF Handout

M Issues in Medicare Reform
Asia 2

Chair: Jeffrey T. Stensland, Medicare Payment Advisory Commission (MedPAC)

Panelists:

Jose Escarce, RAND
“Mortality Effects of Health Insurance for the Near-Elderly Uninsured”
PowerPoint Slides | PDF Handout

John Kautter, RTI International
“Pay for Performance in Medicare: Who Gets Paid?”

Gerald Riley, Centers for Medicare and Medicaid Services
“Long-Term Trends in the Concentration of Medicare Expenditures”
PowerPoint Slides | PDF Handout

Amal Trivedi, Brown University
“Effect of Cost-Sharing on Screening Mammography in Medicare Managed Care Plans”
PowerPoint Slides | PDF Handout

Vivian Wu, University of Southern California
“The Incidence of Medicare Payment Reductions: Evidence from Balanced Budget Act of 1997”
PowerPoint Slides | PDF Handout

N Prevention & Treatment of Chronic Illness: Population Needs & Approaches
Asia 1

Chair: Anne Sales, University of Alberta

Panelists:

Arlene Bierman, University of Toronto
“Chronic Illness & Unmet Need in a Single Payer Health Care System”

David Howard, Emory University
“Chronic Disease Treatment Rates in the U.S. & Europe”
PowerPoint Slides | PDF Handout

Dorothy Hung, Columbia University
“Rethinking Prevention in Primary Care: Applying the Chronic Care Model to Address Health Risk Behaviors”
PowerPoint Slides | PDF Handout

Maria Raven, New York University
“Identifying & Improving Care for Patients at High Risk of Frequent Hospitalization”
PowerPoint Slides | PDF Handout

Ming Tai-Seale, Texas A&M University Health Sciences Center
“Painful Facts about Chronic Pain Management: Inside Primary Care”
PowerPoint Slides | PDF Handout

F Public Policy & Health Care Markets: Intended & Unintended Effects
Australia 3

Chair: Kathleen Carey, Boston University

Panelists:

John Bian, American Cancer Society
“Spillover Effects of State Mandated-Benefit Laws: The Case of Outpatient Breast Cancer Surgery”
PowerPoint Slides | PDF Handout

Hsueh-Fen Chen, Virginia Commonwealth University
“The Impact of BBA, HMOs & Hospital Competition on Quality of Cardiac Care”
PowerPoint Slides | PDF Handout

Patricia Ketsche, Georgia State University
“Certificate of Need & the Price Paid for Inpatient Services for Privately Insured Patients”
PowerPoint Slides | PDF Handout

Hangsheng Liu, University of Rochester Medical Center
“Does Non-Price Competition among Managed Care Plans Improve Quality of Care? Evidence from the New York State Children's Health Insurance Program”

Thomas Selden, Agency for Healthcare Research and Quality
“Medical Expenditure Burdens: The Effects of Tax Subsidies, the Within-Year Concentration of Expenditures & More”
PowerPoint Slides | PDF Handout

O Organizational Culture, Climate & Readiness to Change
Oceanic 1

Chair: Gary Young, Department of Veterans Affairs, Boston

Panelists:

Laurence Baker, Stanford University School of Medicine
“Hospital Safety Culture: Relationship to Organizational Characteristics”

Edmund Becker, Emory University
“The Influence of Primary Care Practice Climate on Patient Trust in Physician & Activation”
PowerPoint Slides | PDF Handout

Peter Carswell, University of Auckland
“Strategies for Enhancing Organizational Learning in Healthcare Organizations”

Kamisha Escoto, University Of Minnesota Health System
“Nurses' Perceptions of Staffing & Resource Adequacy: Does Job Design Make a Difference?”
PowerPoint Slides | PDF Handout

Colleen Rye, The Wharton School
“The Social Construction of Valuation: Playing Mind Games”

U Pay for Performance & Outcomes
Oceanic 3

Chair: Dennis Scanlon, Pennsylvania State University

Panelists:

Stephen Campbell, University of Manchester
“The Impact of the Quality & Outcomes Framework Pay-for-Performance Scheme on General Practice Clinical Quality in the UK ”
PowerPoint Slides | PDF Handout

Cheryl Damberg, RAND
“Rewarding Performance: Three-Year Results from California 's Statewide Pay-for-Performance Experiment”
PowerPoint Slides | PDF Handout

Stephen Grossbart, Catholic Healthcare Partners
“Did the Premier Demonstration Project Make a Difference? Assessing the National Impact of P4P & Public Reporting Initiatives”
PowerPoint Slides | PDF Handout

Dana Mukamel, University of California, Irvine
“Actions Taken by Nursing Homes in Response to Publication of the Nursing Home Compare Report Card”

Mark Patterson, Duke Clinical Research Institute
“The Relationship Between CMS Quality Indicators & Long-Term Outcomes Among Hospitalized Heart Failure Patients”
PowerPoint Slides | PDF Handout

L Impact of Florida Legislative & Regulatory Innovations on Nursing Home Turnover, Tenure, Financial Performance & Quality of Care
Oceanic 5

Chair: Kathryn Hyer, University of South Florida

Panelists:

Kathryn Hyer, University of South Florida
“Mandates Matter: Florida Nursing Home Provider Response to Financial Incentives to Increase Nurse Staffing”
PowerPoint Slides | PDF Handout

Christopher Johnson, Texas A&M University Health Sciences Center
“Impact of Top Management Tenure on Nursing Home Turnover & Quality”
PowerPoint Slides | PDF Handout

David Macpherson, Florida State University
“Employee Turnover in the Long-Term Care Industry”
PowerPoint Slides | PDF Handout

Robert Weech-Maldonado, University of Florida
“The Relationship Between Staffing, Quality & Financial Performance: For-Profit versus Not-for-Profit Nursing Homes”
PowerPoint Slides | PDF Handout

CONCURRENT SESSIONS
10:45 am–12:15 pm

Using Qualitative & Mixed Methods to Conduct Research with & about Diverse Physician Practices & Populations
Southern Hemisphere III

Chair: Kelly Devers, Virginia Commonwealth University
PowerPoint Slides | PDF Handout

Panelists:

Deborah Cohen, Robert Wood Johnson Medical School
PowerPoint Slides | PDF Handout

J. Lloyd Michener, Duke University Medical Center
PowerPoint Slides | PDF Handout

Deborah Puntenney, Northwestern University

Gordon Willis, National Cancer Institute
PowerPoint Slides | PDF Handout

Methods Workshop: To achieve the aim of improving health, there is a growing appreciation of the need to conduct research with and about the diverse physician practices and populations that comprise local health systems and communities. This panel examines how: cognitive interviewing can be used to develop questionnaires for diverse populations; qualitative and mixed research methods can be used to effectively engage diverse primary care practices and communities in research; and, findings from multiple qualitative and mixed methods studies about diverse practices, interventions, and how communities might be synthesized. Level: Introductory.

How to Create Composite Measures: Latent Variable Analysis & Equally Frightening Statistical Methods
Asia 2

Chair: Sherrie Kaplan, University of California, Irvine
PowerPoint Slides | PDF Handout

Panelists:

Sheldon Greenfield, University of California, Irvine
PowerPoint Slides | PDF Handout

Dara Sorkin, University of California, Irvine
PowerPoint Slides | PDF Handout

D Access to Health Insurance & Care among Mexican Binationals: Reality & Potential
Southern Hemisphere II

Chair: Catherine Hoffman, Kaiser Commission on Medicaid and the Uninsured

Panelists:

Felicia Knaul, The Mexican Health Foundation
PowerPoint Slides | PDF Handout

Leighton Ku, Center on Budget and Policy Priorities
PowerPoint Slides | PDF Handout

Timothy Waidmann, The Urban Institute
PowerPoint Slides | PDF Handout

Steven Wallace, University of California, Los Angeles
PowerPoint Slides | PDF Handout

Invited Papers: As federal policymakers respond to the President's call for immigration reform, this panel will bring together researchers and policy experts to discuss the health of the largest single group of immigrants—those from Mexico . Mexico is making good progress on insuring the health of all its citizens by 2010, however this right to health insurance ends at the country's borders. Because good health is essential to an immigrant's ability to earn a living and contribute to the economies of both countries, the panel will focus on Mexican immigrants' health and access to care, and the current potential for expanding health coverage through binational private and public approaches.

Q Measuring Efficiency of Health Care
Southern Hemisphere I

Chair: Meredith Rosenthal, Harvard University

Panelists:

Ateev Mehrotra, RAND
PowerPoint Slides | PDF Handout

Gregory Pawlson, National Committee for Quality Assurance
PowerPoint Slides | PDF Handout

Justin Timbie, Harvard University
PowerPoint Slides | PDF Handout

Invited Papers: There is broad agreement on the desirability of improving the efficiency of the health care system, but considerable debate about how to conceptualize and measure efficiency. In the past several years, researchers and payers have proposed and experimented with alternative efficiency measurement tools including patient and episode-based adjusted costs and specific measures of waste (overuse). In this session, presenters will report on the development and empirical application of new strategies for measuring efficiency in a variety of settings.

K Measuring & Supporting Consumer Engagement & Informed Choice
Southern Hemisphere IV

Chair: Judith Hibbard, University of Oregon
PowerPoint Slides | PDF Handout

Panelists:

Kristin Carman, American Institutes for Research
PowerPoint Slides | PDF Handout

Anna Dixon, King's Fund

Jessica Greene, University of Oregon
PowerPoint Slides | PDF Handout

Invited Papers: Engaging consumers to be better managers of their health and health care has become a priority for health care delivery systems and those who pay for health care. In this session, the panel includes a study that assesses approaches for increasing consumer use of information in health care choices, as well as two papers that examine the characteristics of enrollees who do well within a consumer driven health plan, making use of information tools and making choices that result in higher quality care. Finally, the panel includes an analysis of patient activation and the challenges consumers and patients face in trying to manage their health.

B Mental Health & Primary Care
Asia 1

Chair: Benjamin Druss, Emory University

Panelists:

Ashley Dunham, University of North Carolina at Chapel Hill School of Pharmacy
“Does Guideline Level Care Explain Primary Care Depression Treatment Outcome? Results from the PRISM-E Study”
PowerPoint Slides | PDF Handout

Laura Dunlap, Research Triangle Institute
“The Effect of Health Insurance Characteristics on Outpatient Mental Health Care & Substance Abuse Treatment Utilization among Privately-Insured Employees & their Dependents”
PowerPoint Slides | PDF Handout

Katharine Levit, Thomson Medstat
“National Mental Health Medication Prescribing Patterns”
PowerPoint Slides | PDF Handout

Michael Ong, University of California, Los Angeles
“Specialty Differences in Appropriate Psychotropic Dosing for Adults”

James Romeis, Saint Louis University
“Genetic Factors in Health Service Use and Self-Reported Health”
PowerPoint Slides | PDF Handout

R Implementation of Research
Southern Hemisphere V

Chair: Jacqueline Pugh, South Texas Veterans Health Care System

Panelists:

Eileen Emori, Washington State Department of Health
“Recruitment of Primary Care Clinics & Health Plans Under HIPAA Regulations”

Alyson Falwell, Stanford University
“Leveraging Front Line Expertise: A Safety Culture Intervention to Enhance Senior Managers' Engagement”

Nancy Lenfestey, RTI International
“Development & Testing of an Adoption Decision Guide for Patient-Centered & Efficiency Innovations in Health Care”

Ari Mwachofi, University of Oklahoma Health Sciences Center
“Trust Building among Minorities Through CBPR/Action Research: Experiences from the Lower Mississippi Delta”

Jeffrey Smith, Central Arkansas Veterans Healthcare System
“Facilitation in Implementing Evidence-Based Practices for Schizophrenia: Researcher & Clinical Leader Perspectives”

A The Uninsured & Underinsured & Disparities in Access to Care
Oceanic 3

Chair: Pamela Farley Short, Pennsylvania State University

Panelists:

Christine Bishop, Brandeis University
“Capped Benefits & Prescription Drug use by Low Income Seniors: Exploiting Panel Data”
PowerPoint Slides | PDF Handout

Michelle Doty, The Commonwealth Fund
“Worrying about the Underinsured”
PowerPoint Slides | PDF Handout

Sherry Glied, Columbia University
“Health Insurance, Health & Low-Wage Worker”
PowerPoint Slides | PDF Handout

Carole Roan Gresenz, RAND
“Individuals' Use of Care While Uninsured: Effects of Time Since Episode Inception & Episode Length”
PowerPoint Slides | PDF Handout

Valerie Johnston, University of North Carolina at Charlotte
“Racial/Ethnic & Payer Disparities in Access to Emergency Care in U.S. Emergency Departments: Can We Legislate Equity in Health Care?”
PowerPoint Slides | PDF Handout

S Public Coverage for Children: SCHIP, Access & Sustainability
Oceanic 1

Chair: Andrew Hyman, Robert Wood Johnson Foundation

Panelists:

E. Kathleen Adams, Emory University
“Continuity of Coverage among Georgia 's Publicly Covered Children”

Ian Hill, The Urban Institute
“Growing Pains for the Los Angeles Health Kids Program - Sustainability Challenges Despite Proven Effectiveness”
PowerPoint Slides | PDF Handout

Ithai Zvi Lurie, U.S. Department of the Treasury
“The Differential Effect of the SCHIP Expansions by Children's Age”
PowerPoint Slides | PDF Handout

Silviya Nikolova, University of North Carolina, Chapel Hill
“Premium Increases & Disenrollment from SCHIP”
PDF Handout

Robert Saunders, Vanderbilt University
“Rural Children's Access to Behavioral Health Services in Medicaid”
PowerPoint Slides | PDF Handout

Facilitating & Implementing Health Services Research in Health Plan Environments
Asia 4

Co-Chairs: Mark Hornbrook, Kaiser Permanente

Gregory Wozniak, Blue Cross Blue Shield Association

Panelists:

Thomas Kottke, HealthPartners Research Foundation
PowerPoint Slides | PDF Handout

Jennifer Lafata, Henry Ford Health System
PowerPoint Slides | PDF Handout

Soyal Momin, Blue Cross Blue Shield of Tennessee
PowerPoint Slides | PDF Handout

David Smith, Kaiser Permanente Northwest
PowerPoint Slides | PDF Handout

Jonathan Weiner, Johns Hopkins University
PowerPoint Slides | PDF Handout

Special Session: Using organized healthcare delivery systems as living laboratories, panelists will explore diverse mechanisms for translating recommended care protocols into clinical practice and improved health outcomes.

Best Papers & Article-of-the-Year
Asia 3

Chair: Peter Budetti, Oklahoma University Health Science Center

Panelists:

Ateev Mehrotra, RAND Health
“What is the Relationship between Quality and Cost-Efficiency among Individual Physicians?”

Mark Patterson, Duke University
“The Relationship between CMS Quality Indicators and Long-Term Outcomes among Hospitalized Health Failure Patients” 

Kevin Volpp, University of Pennsylvania
“The Impact of the ACGME Duty Hour Rules on Mortality Rates in Teaching Hospitals”

D Monitoring the Healthcare Safety Net at the State & Local Levels
Oceanic 5

Chair: John Billings, New York University

Panelists:

Heidi Allen, State of Oregon
“Monitoring the Safety Net at the Local Level: Oregon 's Health Indicators Project (HIP)”
PowerPoint Slides | PDF Handout

Jeff Bontrager, Colorado Health Institute
“Bridging State & Local Safety Net Data Gaps: Strategies & Initial Results”
PowerPoint Slides | PDF Handout

Derek DeLia, Rutgers, The State University of New Jersey
“Use of Charity Care Records to Optimize Care for the Uninsured”
PowerPoint Slides | PDF Handout

Glenn Landers, Georgia State University
“Challenges of Urban Safety Net Evaluation”
PowerPoint Slides | PDF Handout

Jennifer Lin, Portland VA Medical Center
“Community Data Needs Assessment for Monitoring Portland 's Health Care Safety Net”
PowerPoint Slides | PDF Handout

M Medication Use by Aged & Disabled Medicare Beneficiaries across the Spectrum of Morbidity
Asia 5

Chair: Stuart Guterman, The Commonwealth Fund

Panelists:

Jalpa Doshi, University of Pennsylvania
“Medication Use by Community Dwelling Medicare Beneficiaries at the End of Life: Is It Too Much Too Late?
PowerPoint Slides | PDF Handout

Dennis Shea, Pennsylvania State University
“Arthritis, Disease Burden & the Impact of Medication Complications”
PowerPoint Slides | PDF Handout

Linda Simoni-Wastila, University of Maryland, Baltimore
“Differentials in Medication Treatment of Aged & Disabled Medicare Beneficiaries with Depression”
PowerPoint Slides | PDF Handout

Bruce C. Stuart, University of Maryland at Baltimore
“Charting Medication Patterns of Medicare Beneficiaries with Rising Disease Burden: Summary of Findings”
PowerPoint Slides | PDF Handout

Ilene Zuckerman, University of Maryland at Baltimore
“Racial & Ethnic Disparities in Treatment of Dementia among Medicare Beneficiaries”
PowerPoint Slides | PDF Handout

N Advancing Diabetes Self-Management
Australia 3

Chair: Joseph Burton, RTI International

Panelists:

Daren Anderson, Community Health Center, Inc.
“Managing Depression to Improve Diabetes Self-Management”
PowerPoint Slides | PDF Handout

Joseph Burton, RTI International
“Synthesizing Lessons Learned from Fourteen Diabetes Initiatives”

PowerPoint Slides | PDF Handout

Edwin Fisher, University of North Carolina, Chapel Hill
“Ongoing Follow Up & Support in Diabetes Management & the Critical Role of the Community Health Worker”

Lauren McCormack, RTI International
“Measuring Diabetes Self-Management: Findings from the RWJF Diabetes Initiative”

Devin Sawyer, Providence Saint Peter Family Practice Residency
“Enhancing Chronic Care Delivery in Primary Care Settings Through Planned & Mini-Group Visits”
PowerPoint Slides | PDF Handout

CONCURRENT SESSIONS
1:00 p.m.–2:30 p.m.

Methods for Dealing with Endogeneity & Selection Bias in Empirical Health Policy Analysis

Chair: Joseph Terza, University of Florida
PDF Handout | PDF Handout

Methods Workshop: The speaker will review the problem of endogeneity (confounding) in empirical health policy analysis using survey data and give a rigorous, but easy to understand definition for the term "policy effect." The conventional linear instrumental variables (IV) method and its nonlinear version—the generalized method of moments (GMM)—will be detailed. Alternative techniques including predictor substitution methods will be considered in the context of nonlinear models (nonlinear two-stage least squares), along with residual substitution methods and their desirable properties. The speaker will also introduce other control function methods for dealing with selection bias including classical methods for linear settings (e.g. Heckman's Mills ratio approach), and more recent developments in the nonlinear regression context. All methods will be illustrated. Level: For applied researchers with introductory graduate training in regression modeling and estimation

K Consumer Decision-Making & Quality-of-Care Information: Increasing Consumer Engagement & Knowledge
Southern Hemisphere 1

Chair: Kristin Carman, American Institutes for Research

Panelists:

Dawn Clancy, Medical University of South Carolina
“The Relationship Between Health Literacy & Diabetes Knowledge & Readiness to take Health Actions”
PowerPoint Slides | PDF Handout

Richard Hirth, University of Michigan
“Provider Monitoring & Pay for Performance when Multiple Providers Affect Outcomes: An Application to Renal Dialysis”
PowerPoint Slides | PDF Handout

Banafsheh Sadeghi, University of California, Davis
“Factors Associated with Use of Providing Computerized Tailored Information on Quality of Health Care of Health Plans During Open Enrollment Period for Small Business Employees in California ”
PowerPoint Slides | PDF Handout

Kevin Smith, RTI International
“Patient Concerns about Hospital Quality & Physician Assessments of Hospital Quality Reports”
PowerPoint Slides | PDF Handout

Sunyna Williams, Centers for Medicare and Medicaid Services
“Development & Validation of a Tool to Assess Health-Related Consumer Engagement among Medicare Beneficiaries”
PowerPoint Slides | PDF Handout

F How Does Market Structure Affect Access to Care & Quality?
Asia 2

Chair: Alison Evans Cuellar, Columbia University

Panelists:

Jie Chen, Stony Brook University
“Entry Pricing & Product Quality: Evidence from the Pharmaceutical Industry”
PowerPoint Slides | PDF Handout

Derek DeLia, Rutgers, The State University of New Jersey
“Reduction of Health Care Disparities with Market Competition: The Case of Cardiac Angiography in New Jersey ”
PowerPoint Slides | PDF Handout

Patricia Ketsche, Georgia State University
“Rural Safety Net Provision & Hospital Care in 11 States”
PowerPoint Slides | PDF Handout

Mary Beth Landrum, Harvard Medical School
“Does Spending More on Health Care Lead to Better Quality & Outcomes? Care for Colorectal Cancer”
PowerPoint Slides | PDF Handout

Feng Zeng, MedImpact HealthCare Systems
“Is There a Relationship Between HMO Competition & Quality of Care? Evidence from the California Medicare Population”
PowerPoint Slides | PDF Handout

L Help Wanted: A Workforce for Higher Quality LTC
Oceanic3

Chair: Christine Bishop, Brandeis University
PowerPoint Slides | PDF Handout

Panelists:

Zhanlian Feng, Brown University School of Medicine
“The Impact of State Medicaid Payment Rates & Case-Mix Reimbursement on Nursing Home Staffing, 1996-2004”
PowerPoint Slides | PDF Handout

Kathryn G. Kietzman, University of California, Los Angeles
“Former Family Caregivers & Future Homecare Work”
PowerPoint Slides | PDF Handout

Jeongyoung Park, University of North Carolina, Chapel Hill
“Nursing Home Staffing & Quality of Care: An Analysis of Causal Pathways”
PowerPoint Slides | PDF Handout

Dana Weinberg, Queens College - CUNY
“What Culture Change Entails: A Study of 18 Nursing Homes”
PowerPoint Slides | PDF Handout

Ning (Jackie) Zhang, University of Central Florida
“The Gap Between Nurse Staffing & Changing Demands of Nursing Home Resident Care: A Challenge for Quality Improvement”
PowerPoint Slides | PDF Handout

Q Hospital Quality
Asia 3

Chair: Rachel Werner, University of Pennsylvania

Panelists:

Vineet Arora, University of Chicago
“Relationship Between Quality of Care & Patient Outcomes for Hospitalized Elders”
PowerPoint Slides | PDF Handout

Laurence Baker, Stanford University School of Medicine
“Relationship of Safety Culture & Safety Performance in Hospitals”
PowerPoint Slides | PDF Handout

Helen Neikirk, University HealthSystem Consortium
“Is Compliance with National Hospital Quality Measures Associated with Improved Patient Outcomes?”
PowerPoint Slides | PDF Handout

Patrick Romano, University of California, Davis
“Association of Quality of Care, Hospital Setting & Physician Training among Children in the Emergency Department”
PowerPoint Slides | PDF Handout

Kevin Volpp, University of Pennsylvania
“The Impact of the ACGME Duty Hour Rules on Mortality Rates in Teaching Hospitals”

B Pharmacoepidemiology
Australia 3

Chair: Jalpa Doshi, University of Pennsylvania

Panelists:

Scott Bilder, Rutgers, The State University of New Jersey
“Mood Stabilizer & Anticonvulsant Prescription Refill Persistence in Bipolar Disorder: Disparities & Co-Occurring Conditions”
PowerPoint Slides | PDF Handout

Ramesh Raghavan, Washington University
“Patterns of Psychotropic Medication Use among Older Adolescents in Foster Care”
PowerPoint Slides | PDF Handout

Stephen Soumerai, Harvard Medical School and Harvard Pilgrim Health Care
“Discontinuities in Atypical Antipsychotic Therapy Following Prior Authorization & Step Therapy among Medicaid Beneficiaries with Schizophrenia”

Marcia Valenstein, Department of Veterans Affairs
“The Impact of a Pharmacy-Based Intervention on Antipsychotic Adherence among Patients with Serious Mental Illness”
PowerPoint Slides | PDF Handout

Joyce West, American Psychiatric Institute for Research and Education
“Medicare Part D Prescription Drug Benefits: Impact on Medication Access & Continuity among Dual Eligible Psychiatric Patients”
PowerPoint Slides | PDF Handout

D Impact of Health Financing, Organization & New Technologies on Healthcare Disparities
Asia 5

Chair: Jessica Greene, University of Oregon

Panelists:

Carter Coberley, Healthways, Inc.
“Improved Diabetes Care for Individuals Residing in Health Disparity Zones Delivered by Disease Management”

Peter Groeneveld, University of Pennsylvania
“The Adoption of Drug Eluting Coronary Stents by U.S. Hospitals, 2003-2004”
PowerPoint Slides | PDF Handout

Carol Korenbrot, California Rural Indian Health Board
“Effects of Disparities in Funding of Tribally-Operated Health Programs on Health Outcomes of AI/AN”
PowerPoint Slides | PDF Handout

Michele J. Siegel, Rutgers, The State University of New Jersey
“Racial Disparities in Antidepressant Use in Nursing Homes: The Role of Education”
PowerPoint Slides | PDF Handout

David Barton Smith, Temple University
“Racial Disparities in Use & Quality of Nursing Homes”
PowerPoint Slides | PDF Handout

P Strategies to Address Challenges to the Public's Health
Oceanic 1

Chair: Dawn Jacobson, Los Angeles County Department of Health

Panelists:

Edmund Becker, Emory University
“Worksite Wellness Programs: Factors Associated with Program Availability & Employee Participation”
PowerPoint Slides | PDF Handout

Curtis S. Florence, Emory University
“Does the Availability of Workplace Smoking Cessation Programs Increase Quit Attempts?”
PowerPoint Slides | PDF Handout

Glen Mays, University of Arkansas for Medical Sciences
“Causes & Consequences of Change in Local Public Health Spending”
PowerPoint Slides | PDF Handout

Douglas Roblin, Kaiser Permanente Georgia
“The Association of Neighborhood Characteristics & Social Interactions with Exercise & Obesity among Employed Adults”

Byung-Kwang Yoo, University of Rochester
“Effects of Mass Media Coverage on Influenza Vaccination Timing among Medicare Elderly”
PowerPoint Slides | PDF Handout

N Prevention & Treatment of Chronic Illness: Role of Communication & Adherence
Southern Hemisphere IV

Chair: Lisa Iezzoni, Harvard Medical School

Panelists:

Ann Bagchi, Mathematica Policy Research
“Adherence to Medications for the Treatment of Congestive Heart Failure & Its Effect on Medicaid Expenditures”
PowerPoint Slides | PDF Handout

Drew Helmer, VA-NJHCS
“Adherence to Hypoglycemic Medications is Associated with Hospitalization for Metabolic Decompensation”
PowerPoint Slides | PDF Handout

Holly Mead, George Washington University
“The Role of Communication in Patients' Comprehension & Sense of Control Over Chronic Heart Disease”
PowerPoint Slides | PDF Handout

Chandra Y. Osborn, Northwestern University
“Measuring Health Literacy in Context: The Rapid Estimate of Adult Literacy (REAL) - HIV”

Irena Pesis-Katz, University of Rochester
“Cervical Cancer Screening Test: Can Educational Materials Increase Adherence Rates?”

MEPS: A National Information Resource to Support Health Care Research & to Inform Health Care Policy & Practice

Chair: Steven Cohen, Agency for Healthcare Research and Quality

Panelists:

Karen Beauregard, Agency for Healthcare Research and Quality

Joel Cohen, Agency for Healthcare Research and Quality

Research Resources: 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, in addition to trends in employment related insurance coverage and premiums. An update will also be provided on the capacity of MEPS to support state and MSA level estimates, longitudinal analyses, and analyses of prescription drug use and expenditures by therapeutic classes. Recent findings will also be presented on the concentration of health care expenditures and its persistence, and characteristics of the long term uninsured. The session will include an update of forthcoming data releases and other recent enhancements to the survey to inform health care policy and practice.

Politics & Policymaking in State Coverage Expansions Efforts, 2007: Challenges & Opportunities
Southern Hemisphere II

Chair: Walter Zelman, University of Southern California

Panelists:

E. Richard Brown, University of California, Los Angeles

Jennifer Kolker, Drexel University

Thomas Oliver, Johns Hopkins University

Nancy Turnbull, Massachusetts Nongroup Health Insurance

Special Session: As the numbers of uninsured continue to rise, an increasing number of states are considering measures that might address the problem. Most prominent among them is California, where Republican Governor Arnold Schwarzenegger surprised many with a plan to cover nearly all Californians. The key issues and hurdles are, in many respects, the same as they have been for years; how to pay for coverage expansions; how to keep program costs under control; what form of mandate, if any, should be imposed; what benefits should be offered of guaranteed, etc. But some of the proposed answers may be changing. In this roundtable, panelists will focus primarily on California 's coverage expansion effort, but add perspectives from other states that have recently passed or are now considering similar proposals. We will also speculate on the potential implications of the new state initiatives for the federal government and national efforts to address the issue of the uninsured.

PBS Series Sneak Preview: Is Inequality Making Us Sick?
Southern Hemisphere III

Chair: William Dow, University of California, Berkeley

Panelists:

Teresa Seeman, University of California, Los Angeles

William Dow, University of California, Berkeley
“Evidence-Based Policy for Ameliorating Health Effects of Inequality”

Special Session: This session will sneak preview an episode from a forthcoming series for PBS "Unnatural Causes: Is Inequality Making Us Sick?" that explores the root causes of our alarming socio-economic and racial/ethnic disparities in health. The four-hour series will demonstrate that there is more to our health than bad habits, health care, or unlucky genes and examine how the social circumstances in which we are born, live, and work profoundly affect our well-being and longevity. The series has been conceived with leading public health, policy, and community organizations as part of an ambitious public impact campaign to stimulate a broad national debate over what we as a society can and should do to reduce health disparities. Two oral presentations will accompany the series preview. The session will open with a presentation summarizing recent scientific advances in studying the effect of socioeconomic status on health.

This will be followed by a showing of clips from the PBS series. After the showing, a second oral presentation will summarize evidence regarding potential policy interventions that could ameliorate adverse health consequences from inequality. The session will then open up for a floor discussion of the role of the television series as a tool to educate, mobilize, and advocate for health equity.

W Patient Outcomes & Costs Related to Nurse Staffing
Asia 4

Chair: Chuan-Fen Liu, VA Puget Sound Health Care System

Panelists:

Chuan-Fen Liu, VA Puget Sound Health Care System
“The Relationship Between Line Authority for Nurse Staffing & Patient Care Cost”
PowerPoint Slides | PDF Handout

Jack Needleman, University of California, Los Angeles
“Nurse Staffing & Patient Outcomes in Hospitals: Current Findings & Future Directions”
PowerPoint Slides | PDF Handout

Anne Sales, University of Alberta
“The Association Between Nursing Factors & Patient Morality in the Veterans Health Administration: The View from the Nursing Unit Level”
PowerPoint Slides | PDF Han