Agenda & Presentation Slides

Monday, June 9

Sunday, June 8 | Monday, June 9 | Tuesday, June 10

NEW! Kaiser Web casts

8:00 a.m. – 9:30 a.m.
Poster Session “B” & Continental Breakfast
Exhibit Hall

Poster Abstracts

Features:

• Comparative Effectiveness & Technology Assessment
• Consumer Choices in Health Care
• Coverage & Access
• Health Information Technology
• Medicare
• Military & Veterans Health Care
• Prevention & Treatment of Chronic Illness
• Research Translation
• Workforce

9:45 a.m. – 11:15 a.m.

CONCURRENT SESSIONS

Reflections on the Field of HSR: Where We've Been & What Questions We Left Unanswered
Thurgood Marshall North/East (Mezzanine Level)

Chair: Uwe Reinhardt, Princeton University

Panelist:

Stuart Altman, Brandeis University

Ronald Andersen, University of California, Los Angeles

Robert Brook, RAND Corporation

Karen Davis, The Commonwealth Fund
PowerPoint Presentation | PDF Handout of Slides

Joseph Newhouse, Harvard University

Special Session: Health services research is an enterprise that structures information to improve and hem in the folklore on which public policy is made. It is a cousin of other such enterprises -- e.g., financial accounting and financial analysis on Wall Street -- but in terms of its sophistication, its sincere search for unbiased best estimates and the ethical platform on which it proceeds, it is far superior to these other information-structuring enterprises. In this session, seasoned practitioners of the craft will reflect on what has been achieved by health services research over the past several decades and on the many challenges remaining for succeeding cohorts of health services researchers. Of one thing we can be certain: the demand worldwide for that kind of professional work will only multiply in the years ahead, as will the contribution that this work can and will make to human well being.

Multi-Method Research
Thurgood Marshall South (Mezzanine Level)

Chair: Shoshanna Sofaer, Baruch College-CUNY
PowerPoint Presentation | PDF Handout of Slides

Panelists:

Gerri Lamb, Department of Veterans Affairs, Atlanta and Emory University
PowerPoint Presentation | PDF Handout of Slides

Christine Pintz, George Washington University
PowerPoint Presentation | PDF Handout of Slides

Gail L. Towsley, University of Utah
PowerPoint Presentation | PDF Handout of Slides

Methods Workshop: The process of measurement development is well served by approaches that combine a wide range of qualitative and quantitative methods. This panel will present the methodological approaches and experiences of three research teams from the first round of The Robert Wood Johnson Foundation's Interdisciplinary Nursing Quality Research Initiative (INQRI). Each team is working to develop and test new “nursing sensitive” measures of hospital quality, in the areas of care coordination and pain management using a combination of methods.

Case Studies in Comparative Effectiveness: Promises & Pitfalls
Thurgood Marshall West (Mezzanine Level)

Chair: Mark Helfand, Department of Veterans Affairs, Portland and Oregon Health & Science University
PowerPoint Presentation | PDF Handout of Slides

Panelist:

David Matchar, Duke University
PowerPoint Presentation | PDF Handout of Slides

Paul Shekelle, Department of Veterans Affairs, Los Angeles and RAND Corporation
PowerPoint Presentation | PDF Handout of Slides

Alan Rosenberg, Wellpoint, Inc
PowerPoint Presentation | PDF Handout of Slides

The Health Services Research Agenda & Funding Opportunities of the National Institutes of Health
Washington 1 (Exhibit Level)

Chair: Martin Brown, National Cancer Institute

Panelists:

Steven Clauser, National Cancer Institute
PowerPoint Presentation | PDF Handout of Slides

Lawrence Fine, National Heart, Lung, and Blood Institute
PowerPoint Presentation | PDF Handout of Slides

John Haaga, National Institute on Aging
PowerPoint Presentation | PDF Handout of Slides

David Chambers, National Institute of Mental Health
PowerPoint Presentation | PDF Handout of Slides

Research Update: While is the Agency for Healthcare Quality and Research has traditionally been viewed as the main federal funding agency for health services research, over the past decade there has been increasing interest in this area from National Institutes of Health. As NIH research leads to an acceleration in innovation and an increased pace of dissemination of new medical technologies into the healthcare delivery system, there is increased interest in ensuring that these technologies are utilized in a way that is both effective and efficient. Additionally, with the increased interest in personalized health care and evidence-based medicine, it is recognized by NIH that advances in these areas depends, in part, on the ability to conduct large scale population-based research in the context of large, data-rich healthcare delivery systems. These developments imply an increasing synthesis between health services research, clinical research and even basic biomedical research. The purpose of this round table will be to describe the healthcare research agendas of selected NIH Institutes and to describe HSR funding initiatives and opportunities that have been developed by these Institutes.

G Breast Cancer: Where are We Now vs. 25 Years Ago in Detection & Treatment of Breast Cancer?
Washington 2 (Exhibit Level)

Chair: Carol Weisman, Penn State College of Medicine

Panelists:

Kathy Helzlsouer, Mercy Health Services
PowerPoint Presentation | PDF Handout of Slides

Paula Lantz, University of Michigan

Amal Khoury, East Tennessee State University

Amal Trivedi, Department of Veterans Affairs, Providence and Brown University
PowerPoint Presentation | PDF Handout of Slides

Cathy Bradley, Virginia Commonwealth University
PowerPoint Presentation | PDF Handout of Slides

Invited Papers: Breast cancer is the second leading cause of cancer-related death among women and has received major attention from health services researchers interested in access to screening and treatment, health care financing, disparities, quality of care, and survival. This panel considers prominent trends in the detection and treatment of breast cancer over the past 25 years. Topics covered include trends in incidence, mortality, and patterns of risk; the role of advocacy groups in promoting attention to breast cancer research, policy, and practice; current facilitators and barriers to breast cancer screening from the perspectives of women and physicians; trends in cost sharing for screening mammography and impact on screening among Medicare enrollees; and disparities in breast cancer diagnosis, treatment, and survival among elderly women.

Innovations in Research: Junior Investigator Forum
Washington 3 (Exhibit Level)

Chair: Margarita Alegria, Cambridge Health Alliance

Panelists:

Rhonda BeLue, The Pennsylvania State University
"Racial/Ethnic Disparities in Location and Quality of Care for Chronic Health Conditions"
PowerPoint Presentation | PDF Handout of Slides

Florence Dallo, University of Texas, School of Public Health
"The Relationship between Nativity Status, Satisfaction with and Confidence in Health Care: Results from the Commonwealth Fund 2001 Survey on Disparities in Quality of Health Care"
PowerPoint Presentation | PDF Handout of Slides

Cristiane Duarte, Columbia University
"Physical Environment and Overweight in Young Children and their Mothers"

Juliette Roddy, University of Michigan Dearborn
"Access and Consumption of Substance Abuse Treatment in Primary and Specialty Care Settings"
PowerPoint Presentation | PDF Handout of Slides

N Emerging Models for Preventing & Managing Chronic Disease
Washington 4 (Exhibit Level)

Chair: Kenneth Thorpe, Emory University

Panelists:
Dawn Clancy, Maybank Internal Medicine
"Do Diabetes Group Visits Lead to Lower Medical Care Charges?"
PowerPoint Presentation | PDF Handout of Slides

Ilana Graetz, Kaiser Permanente Division of Research
"Care Coordination Across Clinicians & Health Information Technology: Connecting the Medical Home with the Rest of the Village"
PowerPoint Presentation | PDF Handout of Slides

Steven Hill, Agency for Healthcare Research and Quality
"Care for Diabetes & Outcomes: Is an Ounce of Secondary Prevention Worth a Pound of Cure?"

David Mosen, Kaiser Permanente Northwest
"The Association of Care Coordination with ED & Hospital Utilization Among Adults with Diabetes"
PowerPoint Presentation | PDF Handout of Slides

Kartika Palar, RAND Corporation
"Estimating the Benefits of Population-Level Sodium Reduction Among US Adults"
PowerPoint Presentation | PDF Handout of Slides

D Community Based Approaches to Eliminating Disparities
Washington 5 (Exhibit Level)

Chair: Daniel Blumenthal, Morehouse School of Medicine
PowerPoint Presentation | PDF Handout of Slides

Panelists:

Matthew Kreuter, St. Louis University

Robert Mayberry, Baylor Health Care System
PowerPoint Presentation | PDF Handout of Slides

Adewale Troutman, Louisville Metro Public Health and Wellness
PowerPoint Presentation | PDF Handout of Slides

Roundtable: Eliminating racial and ethnic health disparities was one of the two overriding goals of Healthy People 2010, but progress has been slow. In this session, panelists will discuss some of the causes of health disparities - including both structural and social factors - and some of the community-level approaches to addressing disparities, including community capacity-building and community health promotion.

Q Quality Improvements at a Crossroads
Washington 6 (Exhibit Level)

Chair:

Francis Chesley, Agency for Healthcare Research and Quality
PowerPoint Presentation | PDF Handout of Slides

Carolyn Clancy, Agency for Healthcare Research and Quality
PowerPoint Presentation | PDF Handout of Slides

Panelists:

Donald Goldmann, Institute for Healthcare Improvement
PowerPoint Presentation | PDF Handout of Slides

Neil Powe, Johns Hopkins University
PowerPoint Presentation | PDF Handout of Slides

Roundtable: This is a very interesting and exciting time for health care. Quality improvement research is demonstrating that health care improvement is possible. Quality improvement activities are applying real world knowledge to improve costs and save lives. The intersection of quality improvement and research creates a number of dilemmas. When do QI activities become human subjects' research? What ethical consideration must be addressed? How can QI research be conducted in real world setting while maintaining compliance with human subject protections regulations? These issues and others will be addressed by discussants in this roundtable.

A The Feasibility & Effects of Policies to Increase Access to Health Insurance
Maryland A/B (Lobby Level)

Chair: Anthony Lo Sasso, University of Chicago
PowerPoint Presentation | PDF Handout of Slides

Panelists:
M. Kate Bundorf, Stanford University
"Are Health Insurance Exchanges Stable? The Effects of Risk Selection on Voluntary Pooled Purchasing Arrangements"

William Dow, University of California, Berkeley
"Role of Reinsurance & Risk Adjustment in California's Health Care Reform"
PowerPoint Presentation | PDF Handout of Slides

Ellen Meara, Harvard Medical School
"State & Federal Approaches to Health Reform: What Works for the Working Poor?"
PowerPoint Presentation | PDF Handout of Slides

Kosali Ilayperuma Simon, Cornell University
"Findings from NY Health Care Reform Opinion Poll"
PowerPoint Presentation | PDF Handout of Slides

M Can Care Coordination Improve the Quality of Care & Control Medicare Costs?
Virginia A/B (Lobby Level)

Chair: Deborah Peikes, Mathematica Policy Research, Inc.
PowerPoint Presentation | PDF Handout of Slides

Panelists:
Linda Magno, Mathematica Policy Research, Inc.
PowerPoint Presentation | PDF Handout of Slides

Randall Brown, Mathematica Policy Research, Inc.

Arnold Chen, Mathematica Policy Research, Inc.
"What Were the Effects of the Medicare Coordinated Care Demonstration on Quality of Care?"

Deborah Peikes, Mathematica Policy Research, Inc.
"Did the Medicare Coordinated Care Demonstration Reduce Hospitalizations & Control Medicare Costs?"

Jennifer Schore, Mathematica Policy Research, Inc.
"What Did the Care Coordination Programs Deliver?"

V Accessing, Coordinating & Integrating Care for Active Duty Military & Veterans
Delaware A (Lobby Level)

Chair: Terri Tanielian, RAND Corporation

Panelists:
Tuyen Hoang, Department of Veterans Affairs, Los Angeles
"The Impact of Integrated HIV Care on Veterans' Health Outcomes"
PowerPoint Presentation | PDF Handout of Slides

Huanguang Jia, Department of Veterans Affairs, Gainesville and University of Florida
"Longitudinal Impact of Home Telehealth Service on Preventable Hospitalization Use"
PowerPoint Presentation | PDF Handout of Slides

John Kautter, RTI International
"Health Insurance Expansion for the Guard & Reserve: Are Only the Sickest Enrolling?"

Judith Long, Department of Veterans Affairs, Philadelphia and University of Pennsylvania
"Integrated Care for Veterans with Diabetes & Serious Mental Illness"
PowerPoint Presentation | PDF Handout of Slides

Julia Prentice, Department of Veterans Affairs, Boston
"Health Care Financing Transitions & Non-Adherence to Medication Among VA Patients with Hypertension"
PowerPoint Presentation | PDF Handout of Slides

L Challenges & Opportunities in the Delivery of Long-Term Care Services
Delaware B (Lobby Level)

Chair: Mary Naylor, University of Pennsylvania School of Nursing

Panelists:
Charlene Harrington, University of California, San Francisco
"Medicaid Long Term Care Home & Community Based Services: Trends in Programs & Policies"
PowerPoint Presentation | PDF Handout of Slides

Hongdao Meng, Stony Brook University
"The Impact of a Voucher Program on Consumer Choices of Personal Assistance Providers: Unintended Consequences"
PowerPoint Presentation | PDF Handout of Slides

Dana Mukamel, University of California, Irvine
"Does Organizing Nursing Home Workforce in Teams Save Costs?"
PowerPoint Presentation | PDF Handout of Slides

Erin Rand-Giovannetti, Johns Hopkins School of Public Health
"The Effect of Informal Caregiving on Work Productivity"
PowerPoint Presentation | PDF Handout of Slides

Sally Stearns, University of North Carolina, Chapel Hill
"Staying the Course: Facility & Profession Retention among Nursing Assistants in Nursing Homes"
PowerPoint Presentation | PDF Handout of Slides

C Children's Health Insurance & Access to Care
Maryland C (Lobby Level) 

Chair: Cynthia Perry, Urban Institute

Panelists:
Sema Aydede, University of Florida
"Health Plan Exits & Disenrollment in the State Children's Health Insurance Programs"

Janet Cummings, University of California, Los Angeles
"The Effects of Varying Spells of Uninsurance on Children's Access to Health Care"

Lisa Dubay, Johns Hopkins University
"Stability of Children's Health Insurance Coverage Before & After SCHIP: Progress Made but Improvements Still Needed"
PowerPoint Presentation | PDF Handout of Slides

Amy Lischko
"The Impact of Cost Sharing on Middle-Income Children"
PowerPoint Presentation | PDF Handout of Slides

Q Critical Aspects of Hospital Quality
Virginia C (Lobby Level)

Chair: John Hsu, Kaiser Permanente

Panelists:
Scott Lorch, Children's Hospital of Philadelphia
"Readmissions as a Measure of Quality for Neonatal Intensive Care Units (NICU) & Outpatient Practices"
PowerPoint Presentation | PDF Handout of Slides

Joseph Ross, Department of Veterans Affairs, Bronx and Mount Sinai School of Medicine
"Hospital Volume & 30-day Mortality Following Hospitalization for Acute Myocardial Infarction & Heart Failure"
PowerPoint Presentation | PDF Handout of Slides

Christoph Schwierz, RWI Essen
"Peak Demand in Hospitals & Patient Outcomes"
PowerPoint Presentation | PDF Handout of Slides

Joanne Spetz, University of California, San Francisco
"The Impact of Inpatient Information Technology on Patient Safety & Nursing Staff"
PowerPoint Presentation | PDF Handout of Slides

Justin Timbie, Department of Veterans Affairs, Ann Arbor
"Profiling Hospital Differences in the Quality of CABG Surgery Using Quality-Adjusted Life Expectancy"
PowerPoint Presentation | PDF Handout of Slides

11:30 a.m. – 1:00 p.m.

CONCURRENT SESSIONS

Questions & Challenges for the Next Generation of Health Services Researchers
Thurgood Marshall North/East (Mezzanine Level)

Chair:
Anthony Lo Sasso, University of Illinois at Chicago
PowerPoint Presentation | PDF Handout of Slides

Panelists: Michelle Mello, Harvard University; Dennis Scanlon, The Pennsylvania State University; Kevin Volpp, Department of Veterans Affairs, Philadelphia and University of Pennsylvania

Special Session: This session will feature “bigger picture” presentations as well as a round-table discussion component from a group of younger scholars who are representative of the “next generation” of leaders in the field of health services research. The participants will share their thoughts on what they see as the big issues and directions for research, policy, and practice in the future. As part of the dialogue, presenters will share their thoughts on how to build successful careers during the junior faculty years.

V War, Its Aftermath & U.S. Health Policy
Thurgood Marshall South (Mezzanine Level)

Chair: Sara Rosenbaum, George Washington University
Panelists:

Lawrence Deyton, Department of Veterans Affairs, Washington, DC
PowerPoint Presentation | PDF Handout of Slides

Jeanne Lambrew, The University of Texas at Austin
PowerPoint Presentation | PDF Handout of Slides

Jonathan Perlin, Hospital Corporation of America

Roundtable: This policy roundtable session will focus on the immediate and longer term implications of modern warfare for health policy in the U.S. The discussion will span both the specialized care systems serving soldiers and veterans and broader issues of coverage, access, and quality as returning soldiers and veterans are re-integrated into civilian society.

P Examining the Limits of Public Health Emergency Preparedness
Thurgood Marshall West (Mezzanine Level)

Chair: David Abramson, Columbia University

Panelists:
David Abramson, Columbia University
"Is There a Mismatch Between Citizen Expectation of Disaster Response"
PowerPoint Presentation | PDF Handout of Slides

Anne Dievler, U.S. General Accountability Office
"Federal Preparedness & Response: Lessons Learned from the Public Health Response to the World Trade Center Disaster"
PowerPoint Presentation | PDF Handout of Slides

Christopher Nelson, RAND Corporation
"Conceptualizing & Defining Public Health Emergency Preparedness"
PowerPoint Presentation | PDF Handout of Slides

Nancy VanDevanter, New York University College of Nursing and Dentistry
"The Changing Role of Public Health in Disaster Response: What Does It Mean to be a Public Health First Responder?"
PowerPoint Presentation | PDF Handout of Slides

Use of Episode Groupers in Health Services Research
Washington 1 (Exhibit Level)

Chair: Patricia Sinnott, Department of Veterans Affairs, Palo Alto and Health Economics Resource Center (HERC)

Panelists:

Mark Hornbrook, Kaiser Permanente
PowerPoint Presentation | PDF Handout of Slides

Frederick Thomas, Centers for Medicare & Medicaid Services
PowerPoint Presentation | PDF Handout of Slides

Methods Workshop: Episode grouping software groups claims and encounter data into discrete episodes of care for various analyses. To date, reports most often have described their use in comparing provider performance. This workshop, however, will focus on the use of episode groupers in the broader framework of health services research. The presentation will include an introduction to the basic methodology of grouping claims/encounter data into episodes of care, a comparison of the output of two commercial software packages, and the derivation of a pregnancy episode grouper and its applications in epidemiology, clinical management, and other potential applications. The session will highlight differences in properties and applications between global episode groupers and disease-specific episode groupers.

Getting Your Research in the News: Tips on How to Effectively Communicate with Journalists
Washington 2 (Exhibit Level)

Chair: Felicia Mebane, University of North Carolina, Chapel Hill
Panelist: Alywn Cassil, Center for Studying Health System Change; Trudy Lieberman, City University of New York; Susan Dentzer, The NewsHour with Jim Lehrer and Health Affairs

Skill & Development: This workshop will help researchers and policy analysts better understand how they can increase the likelihood of news coverage for their work. A renowned journalist will discuss how news is produced and what makes research/analysis newsworthy. A well-respected researcher and policy advocate will present on challenges in balancing research vs. news expectations. Both panelists will present concrete examples of good journalist-researcher relationships and tips on how to translate research and analysis into news.

B Continuing Care for Adolescents with Substance Use Disorders: Opportunities for Health Services Research
Washington 3 (Exhibit Level)

Chair: Thomas Brady, DESPR/NIDA
PowerPoint Presentation | PDF Handout of Slides

Panelists:

Cynthia Campbell, Kaiser Permanente Division of Research
"Continuing Care & 3-Year Outcomes in Adolescents Who Entered Chemical Dependency Treatment"
PowerPoint Presentation | PDF Handout of Slides

Susan Godley, Chestnut Health Systems
"Preliminary Findings from a Randomized Clinical Trial Examining Assertive Continuing Care with Two Types of Outpatient Treatment for Adolescents with Substance Use Disorders"

D. Paul Moberg, University of Wisconsin
"Recovery High Schools as Continuing Care for Adolescents with Substance Use Disorders"
PowerPoint Presentation | PDF Handout of Slides

M Medicare & Post-Acute Care
Washington 4 (Exhibit Level)

Chair: Ann Meadow, Centers for Medicare and Medicaid Services
Panelists:

Kathleen Dalton, RTI International
PowerPoint Presentation | PDF Handout of Slides

Barbara Gage, both of RTI International
PowerPoint Presentation | PDF Handout of Slides

Trudy Mallinson, Rehabilitation Institute of Chicago

Jennifer Wolff, Johns Hopkins University
PowerPoint Presentation | PDF Handout of Slides

Invited Paper: In a 2005 Deficit Reduction Act mandate aimed at Medicare payment reform, Congress required the Centers for Medicare and Medicaid Services to conduct a large-scale study of post-acute-care (PAC) patients, using a standard assessment tool. The newly developed tool is expected to assist in understanding PAC placement options, and to facilitate comparison of costs and outcomes across PAC settings. In this session, speakers fill in part of the complex background motivating the reform study. Three presenters elucidate factors affecting PAC admissions and outcomes, and one assesses comparability among existing Medicare PAC assessment tools.

F A Pay for Performance Smorgasbord: Design, Implementation & Impact
Washington 5 (Exhibit Level)

Chair: Cheryl Damberg, RAND Corporation

Panelists:
Lorens Helmchen, University of Illinois at Chicago
"How Much Performance does Pay-for-Performance Buy? Evidence from a Large Network of Primary Care Clinics"

Rebecca Lipner, American Board of Internal Medicine
"Comparison of Physician Rankings on Performance Quality Composites in the Care of Hypertensive Patients"
PowerPoint Presentation | PDF Handout of Slides

Nikolas Matthes, Maryland Hospital Association
"The Role of Hospital Characteristics & Difference in Scoring on CMS' Performance Score for Value-Based Purchasing"
PowerPoint Presentation | PDF Handout of Slides

Andrew Ryan, Brandeis University Schneider Institute for Health Policy
"The Effect of Pay-for-Performance on Mortality & Hospital Costs in Medicare"
PowerPoint Presentation | PDF Handout of Slides

Melony Sorbero, RAND Corporation
"Hospitals' Experiences with Pay-for-Performance & Pay-for-Reporting"
PowerPoint Presentation | PDF Handout of Slides

Engaging Community & Practice in Translational Research
Washington 6 (Exhibit Level)

Chair:
J. Lloyd Michener, Duke University Medical Center
PowerPoint Presentation | PDF Handout of Slides

Panelists:

Sergio Aguilar-Gaxiola, University of California, Davis
PowerPoint Presentation | PDF Handout of Slides

Donna Jo McCloskey, National Center for Research Resources
PowerPoint Presentation | PDF Handout of Slides

David Warner, Mayo Clinic Rochester
PowerPoint Presentation | PDF Handout of Slides

Research Resources: This session will discuss goals and milestones for community engagement in the National Institutes of Health Clinical and Translational Science Award (CTSA) Consortium as well as some of the best practices used by CTSA grantees to foster community engagement in research, and the researcher's engagement with communities. The panel will also describe the best practices of the CTSA grantees in engagement and their efforts in coordinating community and practice-based engagement.

S What Are We Learning about State-Wide Health System Reform?
Maryland A/B (Lobby Level)

Chair: Lynn Blewett, University of Minnesota

Panelists:

Douglas Berkson, Health Dialog
"Health System Improvement Opportunities in Louisiana: Analysis through the Lens of Unwarranted Variation"
PowerPoint Presentation | PDF Handout of Slides

Jon Gabel, NORC
"Report from Massachusetts: Employers' Responses & Attitudes Toward Health Care Reform"
PowerPoint Presentation | PDF Handout of Slides

Sharon Long, Urban Institute
"Early Evidence on the Impacts of Health Reform in Massachusetts"
PowerPoint Presentation | PDF Handout of Slides

James Maxwell, JSI Research and Training Institute, Inc.
"Implementation of Comprehensive Reform in Vermont"
PowerPoint Presentation | PDF Handout of Slides

Barbara Ormond, Urban Institute
"Successes & Shortcomings of DC's Pioneering Healthcare Alliance for Non-Medicaid Low-Income Residents"
PowerPoint Presentation | PDF Handout of Slides

Health Services Researcher of 2020: Summit on the Future of the Health Services Research Workforce
Virginia A/B (Lobby Level)

Chair:
David Colby, Robert Wood Johnson Foundation
PowerPoint Presentation | PDF Handout of Slides

Panelists: Jean Moore, University at Albany, SUNY
PowerPoint Presentation | PDF Handout of Slides

Thomas Ricketts, University of North Carolina, Chapel Hill
PowerPoint Presentation | PDF Handout of Slides

Craig Thornton, Mathematica Policy Research, Inc.
PowerPoint Presentation | PDF Handout of Slides

Special Session: In late 2007, AcademyHealth convened a high level invitational summit to assess the size, composition and capacity of the current health services research (HSR) workforce and to consider future workforce needs as they relate to the challenge of generating the evidence needed to improve the performance of the nation's health care system. The summit brought together 50 educators, students, employers, and funders of HSR in a consultive process to consider three commissioned papers that looked at trends in 1) the demand for health services researchers in the workplace, 2) the size and composition of the field and 3) its multiple educational pathways. Summit participants recognize that while there is complexity in defining the workforce parameters, in the last decade the field has clearly doubled in size and the number of HSR interdisciplinary programs has surged. At the same time, research shows both a drop in inflation adjusted dollars going to HSR and a greater number of organizations sharing the funding. This panel will review results from the three commissioned studies and present the Summit recommendations.

N Chronic Disease & the Elderly
Delaware A (Lobby Level)

Chair: Ron Goetzel, Thomson Healthcare

Panelists:

Jay Margolis, Thomson Healthcare
"Differences in Healthcare Utilization & Expenditures Among Medicare Patients with Type 2 Diabetes Initiating Analog & Human Insulins"
PowerPoint Presentation | PDF Handout of Slides

Laura Seeff, Centers for Disease Control and Prevention
"The Effect of Screening 50 to 64 year olds for Colorectal Cancer on Medicare Costs: Report of the National Colorectal Cancer Roundtable Policy Action Task Group"

Bruce Stuart, University of Maryland at Baltimore
"Cost Offsets from Recommended Medications for Medicare Beneficiaries with Diabetes"
PowerPoint Presentation | PDF Handout of Slides

Jean Yoon, University of California, Los Angeles
"The Impact of Cost-Sharing on Adherence to Antihypertensive Drugs for Low & High Adherers"
PowerPoint Presentation | PDF Handout of Slides

Xinhua Yu, University of Minnesota
"The Impact of Colorectal Cancer Diagnosis on Mammography Screening Among Elderly Women"
PowerPoint Presentation | PDF Handout of Slides

W Health Workforce Supply for Rural & Underserved Americans
Delaware B (Lobby Level)

Chair: Janice Probst, University of South Carolina

Panelists:

George Avery, Purdue University
"Assessment of Emergency Medical Services Workforce Needs in Indiana "
PowerPoint Presentation | PDF Handout of Slides

Frederick Chen, University of Washington
"Rural Family Medicine Residency Training"
PowerPoint Presentation | PDF Handout of Slides

Astrid Guttmann, Institute for Clinical Evaluative Sciences
"Primary Care Physician Supply, Access to & Outcomes of Care for Children: Lessons from a Single Payer System"
PowerPoint Presentation | PDF Handout of Slides

Jennifer King, University of North Carolina, Chapel Hill
"Characteristics of Practice Among Rural & Urban General Surgeons in North Carolina"
PowerPoint Presentation | PDF Handout of Slides

Susan Skillman, University of Washington
"Factors Associated with Rural-Residing RNs' Choices to Work in Larger Rural & Urban Areas"

B Interventions & Incentives for Addressing Addiction
Maryland C (Lobby Level)

Chair: Julie Donohue, University of Pittsburgh

Panelists:

Daniel Eisenberg, Department of Veterans Affairs, Ann Arbor and University of Michigan
"Healthy Minds: A New National Study of Help-seeking & Mental Health Care Among College Students"

Sue Kim, MDRC
"The Effectiveness of Telephone Care Management in Monitoring Medicaid Recipients with Depression: A Randomized Control Trial"

Yue Li, State University of New York, Buffalo
"Mental Illness & Hospitalization for Ambulatory Care Sensitive Medical Conditions"
PowerPoint Presentation | PDF Handout of Slides

Sarah Sampsel, National Committee for Quality Assurance
"Assessing Opportunities to Improve Performance Measures Focused on Major Depressive Disorder"
PowerPoint Presentation | PDF Handout of Slides

Amal Trivedi, Department of Veterans Affairs, Providence and Brown University
"Effect of Parity on Quality of Mental Health Care in Medicare Health Plans"

Q Quality Assessment Methods
Virginia C (Lobby Level)

Chair: Allison Rosen, Department of Veterans Affairs, Ann Arbor and University of Michigan

Panelists:

Tanja Benton, Blue Cross Blue Shield of Tennessee
"Identifying Members with Chronic Conditions: The Impact of Using Different Identification Methodologies on Quality of Care Assessment & Care Management"
PowerPoint Presentation | PDF Handout of Slides

Eugene Kroch, Premier Inc./CareScience
"Meaningful Hospital Mortality Measurement"
PowerPoint Presentation | PDF Handout of Slides

James Naessens, Mayo Clinic
"Difference in Adverse Events Detected by Several Methods of Event Identification"
PowerPoint Presentation | PDF Handout of Slides

Patricia Zrelak, University of California, Davis
"Positive Predictive Value of AHRQ Patient Safety Indicators in a National Sample of Hospitals"
PowerPoint Presentation | PDF Handout of Slides

Ying Tabak, Cardinal Health Information Companies
"Development & Validation of a Cost-Effective Risk Adjustment System Using Automated Clinical Data"
PDF Handout of Slides

1:15 p.m. – 2:45 p.m.

Luncheon Plenary
Marriott Ballroom (Lobby Level)

Keynote Address
Drew Altman, Henry J. Kaiser Family Foundation
“Refocusing the Next Health Reform Debate”

Presentation of AcademyHealth Awards
Alice S. Hersh New Investigator Award
Awardee: Ashish Jha, Harvard School of Public Health
Presenter: Laura Salganik, Sister of Alice Hersh

Article-of-the-Year Award
Awardee: Ming Tai-Seale, Texas A&M University Health Sciences Center
Presenter: Thomas Rice, University of California, Los Angeles

Dissertation Award
Awardee: J. Michael McWilliams, Brigham and Women's Hospital
Presenter: John Ayanian, Harvard Medical School

Student Poster Award
Awardee: TBA
Presenter: Dennis Shea, The Pennsylvania State University

3:00 p.m. – 4:30 p.m.

CONCURRENT SESSIONS

E Comparative Effectiveness: What Does all this Information Mean for Me? The Perspectives of Patients & Physicians
Thurgood Marshall North/East (Mezzanine Level)

Chair: Paul Wallace, The Permanente Federation, LLC.
Panelists: Bruce Bagley, American Academy of Family Physicians; Marjorie Ginsburg, Sacramento Healthcare Decisions; Arthur Levin, Center for Medical Consumers; Janet Wright, American College of Cardiology

Roundtable: Comparative effectiveness is positioned as a key research-based means to the end of informing and supporting decision makers in health care policy and practice. As resources are being identified and accrued, methodology and approaches refined, and expectations raised, this session will reflect what is foremost in the current thinking of patients and clinicians about how to best insure that this substantial investment of time, money and effort brings value to them.

Who Should Pay for HIT?
Thurgood Marshall South (Mezzanine Level)

Chair: Carolyn Clancy, Agency for Healthcare Research & Quality

Panelist:

David Blumenthal, Massachusetts General Hospital

Congressman Michael Burgess, R-TX

Glenn Steele, Geisinger Health System
PowerPoint Presentation | PDF Handout of Slides

Health Services Genomics: Opportunities & Challenges
Thurgood Marshall West (Mezzanine Level)

Chair: Maren Scheuner, RAND Corporation

Panelists:

Joanne Armstrong, Aetna

Francis Collins, National Institutes of Health
PowerPoint Presentation | PDF Handout of Slides

Timothy O'Leary, Department of Veterans Affairs, Office of Research and Development, Washington DC
PowerPoint Presentation | PDF Handout of Slides

Paul Shekelle, Department of Veterans Affairs, Los Angeles and RAND Corporation
PowerPoint Presentation | PDF Handout of Slides

Special Session: Genomic medicine is the application of our knowledge of the human genome to medical practice. The greatest impact of advances in understanding the human genome will likely be experienced for the common chronic diseases of major public health concern, such a coronary heart disease, stroke, diabetes, and cancer. In this session, presenters will review how new discoveries in genomic medicine promise to improve our ability to diagnose, treat and prevent common diseases, and the complex organizational, provider, and patient challenges that remain before widespread adoption of genomics in clinical care becomes possible.

O Improving Care in Outpatient Settings: Organization & Delivery Issues
Washington 1 (Exhibit Level)

Chair: Mary Fennell, Brown University School of Medicine

Panelists:

Askar Chukmaitov, Florida State University College of Medicine
"Ambulatory Surgery Centers' Structure & Process Characteristics Associated with Quality Outcomes after Outpatient Procedures"
PowerPoint Presentation | PDF Handout of Slides

Katharina Janus, Columbia University
"Medical Decision-Making under Uncertainty - When Rules Do Not Apply"
PowerPoint Presentation | PDF Handout of Slides

Lucy MacPhail, Harvard Business School
"Organization of Chronic Care: Impact on Patient Experience & Care Coordination"
PowerPoint Presentation | PDF Handout of Slides

Hector Rodriguez, University of Washington
"The Role of Physician Panel Characteristics, Medical Group Improvement Strategies & Market Factors on Patients' Experiences with Individual Primary Care Physicians: Are They Linked?"
PowerPoint Presentation | PDF Handout of Slides

Donna Shelley
"An Intervention in Urban Community Health Centers to Increase Tobacco Use Treatment"
PowerPoint Presentation | PDF Handout of Slides

H Recent Research on Competition & Costs in the Market for Outpatient Care
Washington 2 (Exhibit Level)

Chair: Alison Evans Cuellar, Columbia University

Panelists:
Laurence Baker, Stanford University School of Medicine
"Is Expanding Imaging Availability Valuable (Enough) to be Worth the Costs?"

Lawrence Casalino, University of Chicago
"Costs to Physician Practices of Interacting with Health Plans"

Dan Ly, Weill Cornell Medical College
"Non-Price Competition Among Physicians"

Ateev Mehrotra, RAND Corporation
"Who is Visiting Retail Clinics & Why? A Comparison of Patient Visits to Retail Clinics & Primary Care Physicians"

J. William Thomas, University of Southern Maine
"Do Physicians Adjust Their Rates to Compensate for Increases in Medical Malpractice Insurance Premiums?"
PowerPoint Presentation | PDF Handout of Slides

I Redesigning the Hospital for the 21st Century: International Perspectives
Washington 3 (Exhibit Level)

Chair: Martin McKee, London School of Hygiene and Tropical Medicine
PowerPoint Presentation | PDF Handout of Slides

Panelists:

John Cole, Health Estates
PowerPoint Presentation

Nigel Edwards, NHS Confederation
PowerPoint Presentation | PDF Handout of Slides

Jonathan Erskine, University of Durham
PowerPoint Presentation | PDF Handout of Slides

Bernd Rechel, European Observatory on Health Systems & Policies
PowerPoint Presentation | PDF Handout of Slides

Carlos Trescoli Serrano, Hospital de la Ribera
PowerPoint Presentation | PDF Handout of Slides

Julie Sochalski, University of Pennsylvania

Invited Paper: What lessons can be learnt from Europe for redesigning the hospital of the 21st century? This workshop presents key findings from a study on health capital investment that is being undertaken by the European Observatory on Health Systems and Policies and the European Health Property Network. The panelists will debate the implications of the changing role of the hospital in the wider health system, as well as three case studies (regional planning in Northern Ireland, the Alzira model in Spain, and the Orbis medical park in the Netherlands) of how hospitals can be redesigned in a way that makes capital investment more responsive to new health needs and models of care.

D Cultural Competency Framework in Health Organizations: Measurement, Practices & Impact on Patient Experiences with Care
Washington 4 (Exhibit Level)

Chair: Robert Weech-Maldonado, Department of Veterans Affairs, Gainesville and University of Florida
Panelists: Janice Dreachslin, Penn State Great Valley; Marc Elliott, RAND Corporation

Invited Paper: The national standards for culturally and linguistically appropriate services (CLAS) in health care provide guidelines on policies and practices aimed at developing culturally competent systems of care. The Cultural Competency Assessment Tool for Hospitals (CCATH) is a survey instrument used to assess hospital's performance based on the CLAS standards. In this study, we describe the development process of the CCATH; examine the organizational and market characteristics associated with hospital's adherence to the CLAS standards; and analyze the relationship of hospital's adherence to CLAS and patient experiences with inpatient care.

Foundation Research & Policy Agendas
Washington 5 (Exhibit Level)

Chair: Lauren LeRoy, Grantmakers In Health
Panelists: David Colby, Robert Wood Johnson Foundation; Diane Rowland, Henry J. Kaiser Family Foundation; Stephen Schoenbaum, The Commonwealth Fund; Jill Yegian, California HealthCare Foundation

Research Update: Join a conversation with representatives from some of the nation's major foundations that fund health services and policy research. Learn about their current priorities and key resources they have available to enhance and support your work. Hear straight from the funders on how to most effectively approach foundations with ideas for needed research and analysis or to get feedback on funding possibilities.

AcademyHealth Methods Council: Communicating Ideas in a Multidisciplinary Field
Washington 6 (Exhibit Level)

Chair: Bryan Dowd, University of Minnesota

Panelists: Erin Holve, AcademyHealth; Matthew Maciejewski, Department of Veterans Affairs, Durham University of North Carolina, School of Pharmacy; Diane Martin, University of Washington
PowerPoint Presentation | PDF Handout of Slides

Special Session: This session provides an overview of efforts to promote discussion of methodologies used by researchers from the variety of disciplines that comprise health services research (HSR). In addition to providing an update on current activities of the AcademyHealth Methods Council, including involvement in the revision of core competencies for doctoral training in health services research, the session will feature a paper on synonyms used across the disciplines in HSR, and an introduction to concepts in causal research that have significant impact on HSR.

MEPS: Data Resources to Inform Health Care Policy & Practice
Maryland A/B (Lobby Level)

Chair: Steven Cohen, Agency for Healthcare Research and Quality

Panelists:
Karen Beauregard & Joel Cohen, both of the Agency for Healthcare Research and Quality
PowerPoint Presentation | PDF Handout of Slides

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 level estimates, longitudinal analyses, analyses of prescription drug use and expenditures by therapeutic classes, forthcoming data releases, and other recent enhancements to the survey to inform health care policy and practice.

Health Survey Methods: Cell Phones & Telephone Surveys
Virginia A/B (Lobby Level)

Chair: Timothy Beebe, Mayo Clinic

Panelists:

Stephen Blumberg, National Center for Health Statistics
PowerPoint Presentation | PDF Handout of Slides

Joel Cantor, Rutgers, The State University of New Jersey
PowerPoint Presentation | PDF Handout of Slides

Michael Dimock, Pew Research Center for the People and the Press
PowerPoint Presentation | PDF Handout of Slides

Methods Workshop: Telephone surveys have become a staple in health research. However, the viability of that method has been threatened by decreasing participation and the emergence of cell-only households. This session focuses on the latter issue and brings together experts to discuss the prevalence of cell-only households, their impact on health survey estimates, and possible methods to address the problem into the future. (Introductory)

Q The Interdisciplinary Nursing Quality Research Initiative
Delaware A (Lobby Level)

Chair: Lori Melichar, Robert Wood Johnson Foundation

Panelists:
Susan Beck, University of Utah
"Pain & Nursing Care Quality: A Mixed Methods Approach to Instrument Development"
PowerPoint Presentation | PDF Handout of Slides

Gerri Lamb, Department of Veterans Affairs, Atlanta and Emory University
"Coordination of Hospital Care: System Engineering Concepts Uncover Nurses' Contributions"
PowerPoint Presentation | PDF Handout of Slides

Shoshanna Sofaer, Baruch College-CUNY
"The NQF-15 Nursing Quality Measures: How Do They Play with the Public?"
PowerPoint Presentation | PDF Handout of Slides

A Public Health Insurance Programs & the Uninsured
Delaware B (Lobby Level)

Chair: Julie Hudson, Agency for Healthcare Research and Quality

Panelists:
Jen DeVoe, Oregon Health and Science University
"Uninsured Children with Covered Parents"
PowerPoint Presentation | PDF Handout of Slides

Melissa Kearney, University of Maryland
"The Expansion of Medicaid Family Planning Services"
PowerPoint Presentation | PDF Handout of Slides

Patricia Ketsche, Georgia State University
"Trends in the Health Insurance Coverage: How has the Composition of the Uninsured Changed Over Time"
PowerPoint Presentation | PDF Handout of Slides

Timothy McBride, Saint Louis University
"Exploring Differences Between Uninsured Spell Durations & Transitions in Two Surveys"
PowerPoint Presentation | PDF Handout of Slides

Sara Collins, The Commonwealth Fund
"Getting & Keeping Coverage: States' Experience with Medicaid Citizenship Documentation & Other Factors that Affect Coverage Stability"
PowerPoint Presentation | PDF Handout of Slides

J Childhood Obesity: Implications for Health Services
Maryland C (Lobby Level)

Chair: Lisa Simpson, Cincinnati Children's Hospital Medical Center

Panelists:

Rhonda BeLue, The Pennsylvania State University
"Mental Health Comorbidities & Youth Overweight: The Effects of Race/Ethnicity"
PowerPoint Presentation | PDF Handout of Slides

Lan Liang, Agency for Healthcare Research and Quality
"Do Adolescents Receive Healthy Eating & Physical Activity Advice from Their Doctors?"
PowerPoint Presentation | PDF Handout of Slides

Inas Rashad, Georgia State University
"Assessing School-Level Factors Contributing to Physical Fitness in Georgia's Children & Youth"
PowerPoint Presentation | PDF Handout of Slides

Sarah Sampsel, National Committee for Quality Assurance
"Test ing the Feasibility of Performance Measures for Childhood/Adolescent Obesity"
PowerPoint Presentation | PDF Handout of Slides

Joseph Thompson, University of Arkansas for Medical Sciences
"Cost & Health Impact of Childhood Obesity in Medicaid/SCHIP Enrollees"

F What is Being Learned from the Pay for Performance Experiments?
Virginia C (Lobby Level)

Chair: Meredith Rosenthal, Harvard University

Panelists:
Howard Beckman, Rochester Individual Practice Association
"The ROI for a P4P Diabetes Program"
PowerPoint Presentation | PDF Handout of Slides

Sukyung Chung, Palo Alto Medical Foundation
"Does the Frequency of Payment Matter? Experience from a Physician Pay for Performance Experiment in Outpatient Settings"
PowerPoint Presentation | PDF Handout of Slides

Cheryl Damberg, RAND Corporation
"Does Greater Investment in Chronic Care Management, Structural Capabilities & External Incentives Translate into Better Performance Scores for Medical Groups?"

Cheryl Damberg, RAND Corporation
"A Mid-Course Assessment of What Pay for Performance has Achieved: Four-Year Results from the Integrated Healthcare Association P4P Evaluation"

Tim Doran, University of Manchester
"The Effect of Financial Incentives on Inequalities in Quality of Care"
PowerPoint Presentation | PDF Handout of Slides

4:45 p.m. – 6:15 p.m.

CONCURRENT SESSIONS

Q Patient Targeted Approaches to Pay for Performance/Value-Based Insurance Design
Thurgood Marshall North/East (Mezzanine Level)

Chair: Jalpa Doshi, University of Pennsylvania
Panelists: Thomas Foels, Independent Health Association; Robert Galvin, General Electric Company; Allison Rosen, Department of Veterans Affairs, Ann Arbor and University of Michigan; Kevin Volpp, Department of Veterans Affairs, Philadelphia and University of Pennsylvania

Roundtable: Individual behavior plays a central role in the disease burden faced by society. Modifiable behaviors such as tobacco use, obesity, and alcohol abuse account for nearly one third of all deaths in the United States. In turn, nonadherence to evidence-based therapies has stymied the potential benefit of some of the most promising advances in medicine, contributing substantially to preventable morbidity and mortality. The vast majority of efforts to provide incentives for better quality have to date targeted providers, leaving consumers an oft forgotten but important target for innovative approaches to targeting incentives to improve patient health and, in turn, the value of health care spending. This session will provide an overview of ongoing patient targeted approaches to pay for performance and the potential for use of these approaches as part of value-based insurance design (VBID). The first set of speakers will discuss the results of ongoing research quantifying the impact of patient targeted incentives on smoking cessation, obesity, and medication adherence from an academic perspective. The second set of speakers will discuss these presentations in the context of what Independence Health and GE are doing and other such initiatives among payors and employers nationally.

Measurement Theory
Thurgood Marshall South (Mezzanine Level)

Chair: Jack Needleman, University of California, Los Angeles

Panelists

Nancy Donaldson, University of California, San Francisco
PowerPoint Presentation | PDF Handout of Slides

Steven Martino, RAND Corporation
PowerPoint Presentation | PDF Handout of Slides

Patrick Romano, University of California, Davis
PowerPoint Presentation | PDF Handout of Slides

Methods Workshop: Developing and using appropriate measures of quality requires both a firm grounding in the theory of measurement and understanding of the strengths and limits of available data collection. This session examines three types of widely used approaches to measuring quality. Patrick Romano of UC Davis and the Stanford/UCSF Evidence-Based Practice Center uses AHRQs PSIs to illustrate the issues in developing and validating measures from administrative data sets. Nancy Donaldson of UCSF and Co-Principal Investigator of the California Nursing Outcomes Coalition Project discusses issues in designing effective measures of processes of care while minimizing the burden of data collection. Steven Martino of RAND describes the development and evaluation of survey-based measures of consumer-assessed quality of healthcare using data from the Consumer Assessments of Healthcare Providers and Systems (CAHPS®) survey of Medicare Advantage and Fee-For-Service prescription drug plans. Level: Intermediate

K Does It Take a Community to Activate Consumers?
Thurgood Marshall West (Mezzanine Level)

Chair: Judith Hibbard, University of Oregon
Panelists: Michael Painter, Robert Wood Johnson Foundation; Dennis Scanlon, Pennsylvania State University; Shoshanna Sofaer, Baruch College-CUNY

Roundtable: Evidence suggests that social environments are important for increasing consumer activation. Workplaces, neighborhoods, and clinical settings that encourage and enable healthy behaviors appear to have more activated consumers. Various efforts are underway to help individuals pro-actively manage their health. In this roundtable discussion we examine the community level approach used to support consumer engagement in the 14 RWJF Aligning Forces for Quality communities. What is the overall approach that is being pursued? To what degree are communities prepared to take on this task? Can synergy for creating supportive environments occur when the different stakeholders in the community use consistent approaches and messages to support consumer engagement? How will we know if it is working? Common lessons and themes that have emerged from this work will be presented.

C Controversies in Financing New Childhood & Adolescent Immunizations
Washington 1 (Exhibit Level)

Chair: Gary L. Freed, University of Michigan
Panelist: Alan Rosenberg, Wellpoint; Sara Rosenbaum, George Washington University

Roundtable: Over the past three years, several new vaccines for children and adolescents have been recommended for use by the Federal Advisory Committee on Immunization Practices (ACIP). However, these new vaccines have been more expensive than previously recommended vaccines and have placed strains on both public and private payors. The discussants will present different perspectives on how the nation can best move forward in efforts to ensure all children have access to recommended vaccines.

H Specialty Services at General Hospitals: The Relationship Between Financial Viability & Access
Washington 2 (Exhibit Level)

Chair: R. Tamara Konetzka, University of Chicago

Panelists:

Gloria Bazzoli, Virginia Commonwealth University

Robert Berenson, Urban Institute

Guy David, Wharton School

Anouk Grubaugh, Department of Veterans Affairs, Charleston and Medical University of South Carolina
PowerPoint Presentation | PDF Handout of Slides

Richard Lindrooth, Medical University of South Carolina
PowerPoint Presentation | PDF Handout of Slides

Roundtable: Changes in the relative profitability of specific service lines have led to considerable increases in the supply of, especially, cardiac and orthopedic services, while supply of less profitable services has diminished. General hospitals that provide a portfolio of profitable and unprofitable services may see their ability to sustain access to unprofitable services threatened. This session will provide an overview of the viability of services that are generally deemed unprofitable. The first set of speakers will discuss the results of their joint qualitative and quantitative NIMH-funded study of the delivery of acute inpatient care in general hospitals. The second set of speakers will present the results from independent qualitative and quantitative studies on the impact of specialty hospitals on the health care safety net.

W Causes & Consequences of the Shift Away from Primary Care
Washington 3 (Exhibit Level)

Chair: Gary Hart, University of Arizona
PowerPoint Presentation | PDF Handout of Slides

Panelists:

David Goodman, Dartmouth University
PowerPoint Presentation | PDF Handout of Slides

Robert Phillips, Robert Graham Center
PowerPoint Presentation | PDF Handout of Slides

Thomas Ricketts, University of North Carolina, Chapel Hill
PowerPoint Presentation | PDF Handout of Slides

Over time in the U.S. there has been a dramatic shift away from primary care (generalism) to specialty care providers. During the last decade, the production of primary care physicians from U.S. residencies has dropped and emphasis on primary care has reduced after some increases. In this session, the causes of this shift and its consequences will be discussed.

I International Perspectives on Key Health Systems Issues
Washington 4 (Exhibit Level)

Chair: Martin Roland, University of Manchester

Panelists:
Doug Andrews, University of Waterloo
"Measuring the Output of Health Expenditures: An International Perspective"
PowerPoint Presentation | PDF Handout of Slides

Saskia Droesler, Niederrhein University of Applied Sciences
"Application of AHRQ PSI in OECD Member Countries: Results from a First Pilot Project"

Samuel Hohmann, University Health System Consortium
"Medical Tourism: Characteristics of International Patients & the Care They Receive at US Academic Medical Centers"
PowerPoint Presentation | PDF Handout of Slides

M. Mahmud Khan, Tulane University
"International Trade in Health: Implications for Market-based Health Care Systems"
PowerPoint Presentation | PDF Handout of Slides

Steven Morgan, University of British Columbia
"Toward High Performance 'Pharmacare' Systems: A Review of Experiences in Seven Countries"

P Preparedness for Disasters
Washington 5 (Exhibit Level)

Chair: Michael Stoto, Georgetown University School of Nursing & Health Studies

Panelists:
David Abramson, Columbia University
"Is there a Mismatch Between Citizen Expectation of Disaster Response Systems & Governmental & Public Health Capacity?"
PowerPoint Presentation | PDF Handout of Slides

Derek DeLia, Rutgers, The State University of New Jersey
"The Dwindling Supply of Empty Beds: Implications for Hospital Surge Capacity"
PowerPoint Presentation | PDF Handout of Slides

Sandra McGinnis, University at Albany, SUNY
"Emergency Preparedness Training Among Hospital RNs in New York State"
PowerPoint Presentation | PDF Handout of Slides

Lisa Shugarman, Department of Veterans Affairs, Los Angeles and RAND Corporation
"Lessons Learned for Special Needs Populations from the State & Local Public Health Response to Hurricane Katrina"
PowerPoint Presentation | PDF Handout of Slides

Sergey Sotnikov, Centers for Disease Control and Prevention
"Investigating the Effects of Partnerships of Local Health Departments with Schools on Public Health Preparedness"
PowerPoint Presentation | PDF Handout of Slides

Enhancing Outcomes Measurement: The NIH Patient-Reported Outcomes Measurement Information System (PROMIS)
Washington 6 (Exhibit Level)

Chair:
Dennis Revicki, United BioSource Corporation
PowerPoint Presentation | PDF Handout of Slides

Panelists:

Steven Clauser, National Cancer Institute
PowerPoint Presentation | PDF Handout of Slides

Bryce Reeve, National Cancer Institute
PowerPoint Presentation | PDF Handout of Slides

Kevin Weinfurt, Duke Clinical Research Institute
PowerPoint Presentation | PDF Handout of Slides

Research Resources: PROMIS is an NIH initiative intended to contribute to methods for health outcomes assessment for 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 distress. Four speakers, two from NIH and two representing PROMIS investigators, will provide an overview of the PROMIS measures and methods, summarize the psychometric analyses for the physical function and emotional distress domains, and describe how PROMIS measures can be used in health services and outcomes research applications.

ESP: An Evidence Synthesis Program that Informs VA Practice & Policy
Maryland A/B (Lobby Level)

Chair: Mark Helfand, Department of Veterans Affairs, Portland and Oregon Health & Science University

Panelists: Joe Francis, Department of Veterans Affairs; Paul Shekelle, Department of Veterans Affairs, Los Angeles and RAND Corporation

Roundtable: In 2005 the Veterans Affairs Health Services Research and Development Service began a new initiative called the Evidence Synthesis Program (ESP). The goals of the ESP were to provide rigorous analyses of the evidence on topics for which VA policymakers needed to make decisions.

This session will present how the program works; and case examples of how policy needs informed topic selection and evidence syntheses informed policy. Examples include pharmacy recommendations for treatment of benign prostatic hyperplasia, screening for male osteoporosis, assessment and management of acute inpatient pain, and developing a health services research agenda in genomics.

M Choice, Consumerism & the Role of Private Plans in Medicare
Virginia A/B (Lobby Level)

Chair: Tricia Neuman, Henry J. Kaiser Foundation

Panelists:
Brian Biles, George Washington University
"Medicare Advantage Private Plans: The Cost of Choice"
PowerPoint Presentation | PDF Handout of Slides

Juliette Cubanski, Kaiser Family Foundation
"Knowledge of the Medicare Prescription Drug Benefit: Do Beneficiaries Really Know as much as They Think They Do?"
PowerPoint Presentation | PDF Handout of Slides

Brian Elbel, New York University
"Is More Better? An Experimental Analysis of Consumer Choice"
PowerPoint Presentation | PDF Handout of Slides

Michelle Kitchman-Strollo, Kaiser Family Foundation
"Marketing Private Plans to the Medicare Population"
PowerPoint Presentation | PDF Handout of Slides

Thomas Rice, University of California, Los Angeles
"Reducing the Number of Drug Plans for Seniors: A Proposal & Analysis of Three Case Studies"
PowerPoint Presentation | PDF Handout of Slides

J New Paradigms in Obesity Treatment & Prevention: Linking Clinical, Public Health & Policy Strategies
Delaware A (Lobby Level)

Co-Chairs:

William Dietz, Centers for Disease Control and Prevention

Tracy Orleans, Robert Wood Johnson Foundation
PowerPoint Presentation | PDF Handout of Slides

Panelists:

George Flores, The California Endowment
PowerPoint Presentation | PDF Handout of Slides

Scott Gee, Kaiser Permanente
PowerPoint Presentation | PDF Handout of Slides

Charles Homer, National Initiative for Children's Healthcare Quality
PowerPoint Presentation | PDF Handout of Slides

Nico Pronk, Texas A & M University
PowerPoint Presentation | PDF Handout of Slides

Sylvia Stevens-Edouard, Blue Cross Blue Shield of Massachusetts PowerPoint Presentation | PDF Handout of Slides

Invited Paper: Presenters will describe cutting-edge programs that integrate healthcare and health plan interventions with public health, community, environmental and policy strategies to address obesity in children, adults and families, with a special focus on reaching high-risk populations. The Chronic Care Model will be used as a framework for defining core elements of comprehensive initiatives that link clinical and healthcare system interventions with community programs and policy-environmental supports. Discussants will highlight cross-cutting issues related to: building capacity for best practice healthcare and public health interventions; reducing disparities in obesity prevalence and intervention; and key research gaps and opportunities.

D Reducing Health Disparities: Effective Interventions
Delaware B (Lobby Level)

Chair: Elizabeth Howell, Mount Sinai School of Medicine

Panelists:
Nina Bickell, Mount Sinai School of Medicine
"A Tracking & Feedback Registry Reduces Disparities in Breast Cancer Care"
PowerPoint Presentation | PDF Handout of Slides

Glenn Flores, UT Southwestern Medical Center and Children's Medical Center
"A Randomized Controlled Trial of the Effectiveness of Parent Mentors in Improving Asthma Outcomes in Minority Children"
PowerPoint Presentation | PDF Handout of Slides

Jennifer Leng, New York University School of Medicine
"Diabetes Care & Interpreting Methods Among Chinese & Latino Primary Care Patients: A Randomized Controlled Trial"
PowerPoint Presentation | PDF Handout of Slides

Laurie Nsiah-Jefferson, Brandeis University
"Race & Gender Treatment Inequities & Quality Improvement: The Role of Hospital Structures, Contexts & Resources"
PowerPoint Presentation | PDF Handout of Slides

Somnath Saha, Department of Veterans Affairs, Portland and Oregon Health Sciences University
"Physician Cultural Competence, Patient Self-Management & Clinical Outcomes Among Persons Living with HIV/AIDS"
PowerPoint Presentation | PDF Handout of Slides

B New Evidence on Mental Health Utilization & Outcomes
Maryland C (Lobby Level)

Chair: Daniel Eisenberg, Department of Veterans Affairs, Ann Arbor and University of Michigan

Panelists:
Catherine Fullerton, Harvard Medical School
"Gabapentin: A Case Study of the Effects of Marketing, Scientific Evidence & Prior Authorization Policy on the Utilization of an Ineffective Drug in Bipolar Disorder"

Joyce West, American Psychiatric Institute for Research and Education
"Medicaid Prescription Drug Policies & Psychopharmacologic Treatment Access & Continuity: Findings from Ten States"

Jangho Yoon, University of California, Berkeley
"Does Deinstitutionalization Increase Suicide?" and "Physical Health Shocks & the Demand for Mental Health Care"
PowerPoint Presentation | PDF Handout of Slides
PowerPoint Presentation | PDF Handout of Slides

Yuting Zhang, University of Pittsburgh
"Economic & Clinical Impacts of Prior Authorization for Antipsychotic & Anticonvulsant Medications among Medicaid Beneficiaries with Bipolar Disorder"

CMS Databases – Part D Prescription Drug Event (PDE) files
Virginia C (Lobby Level)

Chair: Daniel Waldo, Centers for Medicare and Medicaid Services
PowerPoint Presentation | PDF Handout of Slides

This session is devoted to the new Medicare Part D Prescription Drug Event (PDE) data availability. Speakers will describe the regulation governing data release, the elements available, and the process for requesting data. NOTE: Discussion of other CMS data sets has been moved to the session chaired by Thomas Reilly, titled CMS Research Update, which is held Sunday at 4:30 in Washington 1 (Exhibit Level). Attendees are also invited to visit the ResDAC or CMS exhibits for further information.

6:30 p.m.–8:00 p.m.

Poster Session “C” & Reception
Exhibit Hall

Poster Abstracts

Features:

• Behavioral Health
• Disparities
• Obesity Prevention & Treatment
• Organizational Performance & Management
• Pay for Performance
• General Posters