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2010 ARM Agenda: Sessions by Theme

The Annual Research Meeting agenda is organized around 20 themes in health services research and policy. See the full agenda for details on other conference themes.

I Quality and Efficiency: Improving Processes of Care


Sunday, June 27

9:00 a.m.–10:30 a.m.

Handovers of Patient Care: What Will it Take to Ensure Safe Outcomes?
Chair: Paul Barach
, University of Miami
Panelists: Vineet Arora, University of Chicago; Richard Frankel, Department of Veterans Affairs, Indianapolis and Indiana University School of Medicine; Julie Johnson, University of New South Wales

Roundtable: This session examines standardization, impact, and implementation of handovers of patient care. Panelists will share research findings from federally funded studies in the United States, Europe, and Australia that bridge the gap between research and practice.

11:00 a.m.–12:30 p.m.

Improving Hospital Safety and Quality
Chair: Anne-Marie Audet, The Commonwealth Fund
Panelists: John Chang, Zynx Health
Improving Outcomes Through the Use of Inpatient Order Sets: A Systematic Review

Luke Hansen, Northwestern University Feinberg School of Medicine
Perceptions of Safety Climate and Hospital Readmission

Douglas Levy, Harvard Medical School
Determinants of Inpatient Smoking Cessation Quality

4:15 p.m.–5:45 p.m.

Prescribing Efficiently and Safely: Quality of Care for Prescription Drugs
Co-Chairs: Walid Gellad
, Department of Veterans Affairs, Pittsburgh and University of Pittsburgh; Yuting Zhang, University of Pittsburgh
Panelists: Julie Donohue, University of Pittsburgh
Medicare Part D’s Impact on Use of High Risk Medications among Older Adults

Walid Gellad, Department of Veterans Affairs, Pittsburgh and University of Pittsburgh
Use of Angiotensin Receptor Blockers in the VA, 2000-2009 – Why So Much Variation?

Haiden Huskamp, Harvard Medical School
Physician Prescribing Patterns for Psychiatric Medications

William Shrank, Brigham and Women's Hospital and Harvard Medical School
The Epidemiology of Prescriptions Abandoned at the Pharmacy

Monday, June 28

9:45 a.m.–11:15 a.m.

Hospital-Based Systems Redesign
Chair: Robin Newhouse
, University of Maryland School of Nursing
Panelists: James Bramble, Creighton University
Team Training and Operating Room Performance

Amir Ghaferi, Michigan Surgical Collaborative for Outcomes Research
Hospital Characteristics Associated with Failure to Rescue in High Risk Surgery and Intensive Care Unit Staffing and Failure to Rescue with Major Surgery

Mary McCarthy, Madigan Army Medical Center
Measuring the Effects of Nurse Staffing on Patient Outcomes: The MilNOD Project

11:30 a.m.–1:00 p.m.

Processes for Care and Disease Management
Chair: David Dorr
, Oregon Health and Science University
Panelists: Kenneth Coburn, Health Quality Partners
Care Coordination by Means of Community-Based Nurse Care Management

Rachel Everhart, Denver Health
Improving Chronic Disease Management and Preventive Care Through Patient-Centered Navigation

Jeffrey Pearson, Arbor Research Collaborative for Health
Improved Processes of Care for End-Stage Renal Disease Patients in a Centers for Medicare & Medicaid Services Disease Management Demonstration

Adam Powell, Department of Veterans Affairs, Minneapolis and University of Minnesota
Pre-Post Evaluation of a VA Collaborative to Improve the Timeliness of Follow-Up after a Positive Colorectal Cancer Screening Test

3:00 p.m.–4:30 p.m.

Predicting and Reducing Utilization among Patients
Chair: Amy Berman
, John A. Hartford Foundation
Panelists: Diane Holland, Mayo Clinic
Increasing the Efficiency and Effectiveness of Discharge Planning Services: A Tool to Identify Early Those with Complex Needs and Problems after Discharge

Katherine Kahn, University of California, Los Angeles
Delivering High Quality Care for Patients with High Severity and Comorbidity

Joan Penrod, Department of Veterans Affairs, Bronx and Mount Sinai School of Medicine
Cost and Utilization Effects of Hospital-Based Palliative Care Consultation

Walter Wodchis, University of Toronto
Understanding and Identifying Target Populations for Integrated Care

Tuesday, June 29

8:00 a.m.–9:30 a.m.

Interventions to Improve Care Coordination
Chair: Hoangmai Pham
, Center for Studying Health System Change
Panelists: Ann O'Malley, Center for Studying Health System Change; Lewis Sandy, UnitedHealth Group; Sara Singer, Harvard School of Public Health; Mark Williams, Northwestern University

Roundtable: Fragmented care delivery imposes huge burdens for coordination on patients and clinicians, puts patients at risk for receiving unnecessary care or not receiving the care they need, and may contribute to higher health care spending and/or worse health outcomes. Panelists will explore policy and practice approaches to improve coordination. They will share recent data on how leading medical practices approach coordination; why and how new methods for measuring integrated care should be developed; innovations in coordinating transitions in and out of the hospital; and the many roles that payers can play in supporting coordination, including engaging consumers, supporting new care models such as the patient-centered medical home, and focusing performance measurement and incentives. Panelists will also explore relevant research and policy opportunities in the context of current health care reform efforts.

National Progress Toward Eliminating Health Care-Associated Infections
Chair: Don Wright, Department of Health and Human Services
Panelists: Lauren Harris-Kojetin, National Center for Health Statistics; Jill Marsteller, Johns Hopkins University; William Munier, Agency for Healthcare Research and Quality; Chesley Richards, Centers for Disease Control and Prevention;

Roundtable: This session will provide a broad context on health care-associated infections (HAIs) and the strategies and impact of the U.S. Department of Health and Human Services’ prevention plans. Panelists will share two research presentations that illustrate how the current evidence base on HAIs varies by health care setting, with a specific focus on long-term care and acute settings.

9:45 a.m.–11:15 a.m.

Patient-Centered Medical Homes and Patient Characteristics
Chair: Melinda Abrams
, The Commonwealth Fund
Panelists: Robert Gabbay, Pennsylvania State College of Medicine
Pennsylvania Statewide Implementation of Multi-payer Supported Patient Centered Medical Home Improves Diabetes Care

Holly Mead, The George Washington University
Do Patients Want What PCMHs Give? An Exploration of Chronically Ill Patients’ Priorities in Care and How They Align with the PCMH Model

Lyn Sibley, University of Toronto
Understanding the Case-Mix of Patient-Centered Medical Homes in Ontario, Canada

John Zeber, Department of Veterans Affairs, San Antonio and University of Texas Health Science Center
Cost-Related Medication Adherence and Patients’ Experience with the Chronic Care Model

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