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Agenda
Thursday, September 27, 2007
Registration
7:00 A.M. – 5:00 P.M.
Continental Breakfast
7:00 A.M. – 8:00 A.M.
Innovation café
8:00 A.M. – 7:00 P.M.
Concurrent Sessions I
8:00 A.M. – 9:30 A.M.
Track 1: Data Sharing, Health Care Reporting, and the Public Trust A – Navigating Privacy and Security Issues for Health Information Exchange Salon E • Moderator: Teresa Zayas Cab á n, Agency for Healthcare Research and Quality • Presenters: Vicki Estrin, Vanderbilt Center for Better Health; Gerald Hinkley, Davis, Wright, Tremaine, LLP; Marc Overhage, Regenstrief Institute and Indiana University School of Medicine; Deven McGraw, National Partnership for Women and Families • Overview : This session will discuss privacy and security policies and procedures in light of health information exchange, including HIPAA, individually identifiable health information, individual rights, administrative procedures for data security and physical safeguards, and the implications for the public trust. Track 2: Medication Management and Safety D – Implementing Medication Safety Tools at Critical Junctures Salon F and G • Moderator: Eileen M. Hogan, Patient Safety Program Officer, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality • Presenters: Kristine Gleason, Quality Leader, Clinical Quality and Patient Safety Northwestern Memorial Hospital; Daniel P. Hays, Clinical Pharmacy Specialist, Department of Pharmacy/Emergency Medicine, University of Rochester Medical Center, Strong Memorial Hospital; Kathy Leonhardt, Patient Safety Officer and Medical Director, Care Management, Aurora Health Care; Carl Sirio, Associate Professor, Critical Care Medicine, University of Pittsburgh • Overview : This session focuses on patient-centered tools and processes to improve the effective and safe delivery of medications across the healthcare continuum. The speakers will highlight l essons learned from reengineering work processes for medications and effective tools for implementing medication safety in the emergency department, hospital, and ambulatory care settings. Track 3: Strategies and Tools for Patient Safety/Quality Improvement A – Innovative Strategies and Tools for Improving Healthcare Quality BrooksideB • Moderator: Judi Consalvo, Agency for Healthcare Research and Quality • Presenters: Chris McCarthy, Kaiser Permanente; Christine Goeschel, Johns Hopkins University; Cheryl B. Aspy, Oklahoma University Health Science Center; Mark Redding, Mansfield Pediatrics • Overview : This session will focus on innovations in health services delivery that have been implemented in different settings: hospital, medical group practice, integrated delivery system, and a community setting. Track 4: Value and Sustainability of Health Information Technology and Health Information Exchange A – New Studies on Return on Investment for Health Information Technology Adoption Salon C • Moderator: Erin Grace, Agency for Healthcare Research and Quality • Presenters: Blackford Middleton, Partners Healthcare System, Brigham and Women's Hospital; Mark Frisse, Vanderbilt Center for Better Health; John Hsu, Kaiser Permanente Northern California; Yael Harris, Office of the National Coordinator for Health Information Technology, U.S. Department of Health and Human Services • Overview : This session will explore return on investment for health information technology implementations. Track 5: Improving Health Care Decision Making A – Using Clinical Decision Support Effectively, Lessons from the Field White Flint Amphitheater • Moderator: Jon White, Agency for Healthcare Research and Quality • Presenters: Farzad Mostashari, NYC Department of Health and Mental Hygiene; Tejal Ghandi, Brigham and Women's Hospital; David Lobach, Duke University School of Medicine; Lisa Dolan-Branton, Indian Health Service • Overview : This session will provide an overview of clinical decision support tools, with a special emphasis on lessons learned in clinical decision support technology. F – Human Factors and Patient Safety Improvement Glen Echo • Moderator: Kerm Henriksen, Human Factors Advisor for Patient Safety, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality • Presenters: Meghan M. Dierks, Director of Clinical Systems Analysis, Beth Israel Deaconess Medical Center; Rollin J. (Terry) Fairbanks, Assistant Professor of Emergency Medicine, University of Rochester; Ben-Tzion Karsh, Associate Professor, Department of Industrial and Systems Engineering, University of Wisconsin–Madison; Matthew B. Weinger, Norman Ty Smith Chair in Patient Safety & Medical Simulation, Professor of Anesthesiology, Biomedical Informatics, and Medical Education, Vanderbilt University School of Medicine • Overview : This session affords the opportunity to examine how human factors research plays a significant role in improving patient safety. The four presentations nicely illustrate the potential that can be realized when healthcare and human factors expertise converges to address important patient safety issues. Track 6: System Design and Organizational Change D – Reducing Waste and Enhancing Value in Health Care Delivery Forest Glen • Moderator: Cynthia Palmer, Agency for Healthcare Research and Quality • Presenters: Sheri Eisert, Denver Health; Steve Raab, University of Pittsburgh School of Medicine; Lucy Savitz, Abt Associates • Overview : Estimates suggest that waste may account for more than 50 percent of all American health care expenditures. Health care systems have been using Lean and other such approaches to reduce waste and enhance value in care delivery. Three implementation research studies that used Lean will be discussed in terms of their purpose, infrastructure, coordination, evaluation methods, hurdles overcome, outcomes (including business case findings), lessons learned, and next steps. Break 9:30 A.M. – 10:00 A.M. Joint Plenary Session 10:00 A.M. – 11:30 A.M. Town Hall Session: Visionary Leadership Inspires Transformation Salon E, F, G, and H • Moderator: Carolyn M. Clancy, Director, Agency for Healthcare Reseach and Quality • Presenters: Jill Berger, Health & Welfare Plan Management and Design for Marriott International; Thomas Kline, Iowa's Medicaid Medical Director; Maria Carolina Hinestrosa, The National Breast Cancer Coalition; Jeffrey Rich, Society of Thoracic Surgeons; Daniel W. Varga, SSM Health Care–St. Louis • Overview : This session will take basic principles of organizational and culture change theory and tie these theories to organizational change initiatives. Speakers will share phases and solutions that were used to address fear and concern of culture change around implementation of health information technology. Lunch On Your Own 11:30 A.M. – 1:30 P.M.
Concurrent Sessions II 1:30 P.M. – 3:00 P.M. Track 1: Data Sharing, Health Care Reporting, and the Public Trust B – Quality Reporting Tools Salon H • Moderator: Katherine Crosson, Agency for Healthcare Research and Quality
• Presenters: Shoshanna Sofaer, School of Public Affairs, Baruch College; Lise Rybowski, Severyn Group; Dale Shaller, Shaller Consulting • Overview : As more and more health organizations move toward public reporting of health care quality, particularly at the hospital level, the methods used to communicate this information becomes critical. This session will focus on AHRQ's evidence-based reporting tools. Common themes and lessons learned from the TalkingQuality Web site, Report Card Compendium, and the AHRQ Quality indicators Reporting Model will be discussed.
C – Findings from AHRQ's State Privacy and Security Projects White Flint Amphitheater • Moderator: Jon White, Agency for Healthcare Research and Quality • Presenters: Donald Connelly, University of Minnesota Medical School; Linda Dimitropoulos, RTI International; Robert St. Peter, Kansas Health Institute; Ellen Flink, New York State Department of Health • Overview : This session will discuss key findings from the AHRQ-funded privacy and security projects conducted in 33 States and one territory. Track 2: Medication Management and Safety C – New Approaches in Medication Management and Care Transition Glen Echo • Moderator: Erin Grace, Agency for Healthcare Research and Quality • Presenters: Michael Bordelon, Talyst, Inc.; Rachelle Spiro, Bpharm, R. Spiro Consulting; Mike Murphy, St. Joseph's Community Hospital; Timothy Stratton, University of Minnesota College of Pharmacy-Duluth • Overview : This session will focus on new ways for improving medication safety across different care settings and populations. Track 4: Value and Sustainability of Health Information Technology and Health Information Exchange E – Using Clinical Health Information Exchange to Improve Population Health Salon F • Moderator: Robert Mayes , Agency for Healthcare Research and Quality
• Presenters: Farzad Mostashari, New York City Department of Health and Mental Hygiene; Eleanor Littman, Health Improvement Partnership of Santa Cruz County; Robert White, Lovelace Clinic Foundation; Stephen Downs, Regenstrief Institute and Indiana University School of Medicine
• Overview : This session will discuss models for improving population health using health information exchange, including those that support the important intersection between public health and health care system data.
Track 5: Improving Health Care Decision Making B – Innovative Trends in Guideline Development, Implementation, and Use Brookside A • Moderator: Mary Nix, Agency for Healthcare Research and Quality • Presenters: Cally Vinz, Institute for Clinical Systems Improvement; Mary Barton, Agency for Healthcare Research and Quality; Vivian Coates, ECRI Institute; Eloise Clark, Cincinnati Children's Hospital Medical Center • Overview: By attending this session, attendees will (1) gain insight into how guidelines included in AHRQ's National Guideline Clearinghouse™ (NGC) have changed over time and (2) explore with guideline developer organizations the methods and approaches they use to produce high-quality guidelines that are current, relevant to their audiences, and implementable. Representing national, regional, and local perspectives, speakers will provide historical and contemporary contexts. C – Comparative Effectiveness Research Brookside B • Moderator: Scott Smith, Agency for Healthcare Research and Quality • Presenters: Peter Juhn, Johnson & Johnson, Inc.; Jennifer Bright, Society for Healthcare Epidemiology of America; Gail Shearer, Consumers Union • Overview: Clinical comparative effectiveness research has captured the attention of health care decision makers. This session will discuss AHRQ's congressionally mandated comparative effectiveness research program. Panelists will discuss different aspects of comparative effectiveness research including the role of stakeholders, translation and communication of findings, and how the findings can be used in health care decision-making. E – Improving Prevention in Primary Care Practice-Based Research Networks Salon G • Moderator: David Lanier, Agency for Healthcare Research and Quality • Presenters: Stephen Rothemich, Virginia Commonwealth University; Ardis Olson, Dartmouth Medical School; Rebecca Etz, Prescription for Health • Overview : Primary care practice-based research networks (PBRNs) involve community-based clinicians and their staffs in activities designed to understand and improve primary care. The best of PBRN efforts link relevant clinical questions with rigorous research methods in community settings to produce scientific information that is externally valid, and, in theory, assimilated more easily into everyday practice. This session will focus on PBRN research that seeks to improve the provision of counseling for healthy behaviors in primary care settings. Case examples will be the Prescription for Health initiative (funded jointly by AHRQ and the Robert Wood Johnson Foundation), the Healthy Teen Project (adolescent health counseling), and QuitLink - A Leveraging Solution to Tobacco Counseling.
G – In the Eye of the Beholder: Patient Perspectives on Quality of Care Salon C • Moderator: Christine Crofton, Agency for Healthcare Research and Quality • Presenters: Susan Edgman-Levitan, Executive Director, John D. Stoekle Center for Primary Care Innovation, Massachusetts General Hospital; Cindy Larkin, Senior Director, Operations Excellence, Tenet Healthcare Corporation; Margarita Hurtado, Principal Research Scientist, American Institutes for Research • Overview : Speakers in this session will describe how data from CAHPS® (Consumer Assessment of Healthcare Providers and Systems) surveys have been used in different settings to improve patient-centered care. Presentations will focus on improvements in a primary care setting, a hospital setting, and a hemodialysis center. In addition, there will be discussion of current CAHPS effort focused on measurement of cultural competence in health settings. Track 6: System Design and Organizational Change C –Redesigning Work Processes to Improve Patient Safety and Quality Forest Glen • Moderator: Marge Keyes, Patient Safety Team Leader, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality
• Presenters: Twila Burdick, System Director, Organizational Performance, Banner Health; Susan D. Horn, Senior Scientist, Institute for Clinical Outcomes Research, Ross Koppel, Lecturer and Adjunct Professor, Department of Sociology, University of Pennsylvania; Siobhan Sharkey, Managing Director, Health Management Strategies, Institute for Clinical Outcomes Research
• Overview : This session addresses redesigning workflow to improve the safety and quality of care delivered to patients treated in several different settings including emergency departments, hospitals, and nursing homes. Speakers will discuss their processes, tools, and study findings related to optimizing workflow to prevent patients from leaving emergency departments without being treated, preventing pressure ulcers in nursing home residents, and understanding healthcare information technology's impact on the quality and safety of care provided in hospitals and nursing homes.
H – Improving Discharge and Transitions in Care Salon E • Moderator: Deborah Queenan, Coordinator, International Health, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality • Presenters: Brian Jack, Associate Professor and Vice Chair, Department of Family Medicine, Boston University School of Medicine/Boston Medical Center; Gary A. Noskin, Associate Professor of Medicine, Northwestern University Feinberg School of Medicine and Director, Northwestern Center for Patient Safety, Northwestern Memorial Hospital; Mark V. Williams , Professor of Medicine and Chief, Division of Hospital Medicine, Northwestern University Feinberg School of Medicine • Overview : This session will focus on the safety of patients as they move throughout the healthcare system. Presentations will highlight efforts to reengineer processes and effectively implement tools to transform the safe delivery of care for both clinicians and patients. Break 3:00 P.M. – 3:30 P.M. Concurrent Sessions III 3:30 P.M. – 5:00 P.M. Track 2: Medication Management and Safety B – e-Prescribing Implementation Salon F • Moderator: Jon White, Agency for Healthcare Research and Quality
• Presenters: Beth Devine, University of Washington Department of Pharmacy; Robert Elson, Clinical System Designs; Gunther Schadow, Indiana University School of Medicine and Regenstrief Institute; Kate Lapane, Brown University
• Overview : This session will showcase the results of several AHRQ-funded projects that tested e-prescribing implementation.E – Medication Reconciliation Across the Continuum Glen Echo • Moderator: Ernest Moy, Medical Officer, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality • Presenters: Peter Kaboli, Associate Professor, University of Iowa College of Medicine and Center for Research in the Implementation of Innovative Strategies in Practice, VA Iowa City Health Care System; Melinda Muller, Medical Director, Legacy Clinics; Michael Bordelon, Executive Vice President, Operations, Extended Care Group, Talyst; Douglas Bell, RAND Corporation, UCLA Medical Center • Overview : This session will focus on medication reconciliation across different sites of care. Presentations will highlight effective medication reconciliation in hospital, ambulatory care, and long-term care settings and the contribution of health information technologies to this critical activity. Track 3: Strategies and Tools for Patient Safety/Quality Improvement B – Using Health Information Technology to Improve Quality of Care Among Racial and Ethnic Minorities Salon G • Moderator: Teresa Zayas Cabán, Agency for Healthcare Research and Quality • Presenters: Linda Aranaydo, California Rural Indian Health Board ; Craig Mathews, Bayou Teche Community Health Network; Mark Jones, Health Improvement Collaboration in Cherokee County (SMRTNET) and Talequah City Hospital; Alfred Bove, Temple University Medical Center and Temple University Medical School • Overview : This session focuses on health information technology as a tool for improving quality of care among racial and ethnic minority populations. C – Overview of AHRQ Quality Indicators Salon E • Moderator: Mamatha Pancholi, Agency for Healthcare Research and Quality
• Presenters: Sheryl Davies, Stanford University; Jeffrey Geppert, Battelle Memorial Institute; Patrick Romano, Division of General Medicine, University of California, Davis
• Overview : This session is designed to provide attendees with an overview of the AHRQ Quality Indicators. The session will focus on the research, rationale, and process used to develop the indicators, current issues of interpretation and use, and information on how ICD-9 coding practices impacts the indicators.
Track 4: Value and Sustainability of Health Information Technology and Health Information Exchange F – Assessing Quality of Telehealth Salon H • Moderator: Robert Mayes, Agency for Healthcare Research and Quality • Presenters: Sanjeev Arora, University of New Mexico Health Sciences Center; Teresa Waters, University of Tennessee Health Science Center; Cynthia Scheideman-Miller, Evident Telehealth Services; Lee Goldberg, Hospital of the University of Pennsylvania • Overview : The goal of this session would be to showcase the implementation and evaluation of an AHRQ-funded telehealth project and discuss how telehealth contributes to measurable improvements in cost, safety, and quality of care. Track 5: Improving Health Care Decision Making D – A Tour of USPSTF/AHRQ Prevention Tools for Clinicians Brookside A • Moderators: Tricia Trinite and William Spector, Agency for Healthcare Research and Quality • Presenters: Ron Finch, National Business Group on Health; Susan Horn, Institute for Clinical Outcomes Research • Overview : This session will focus on various “levels of use” of products and tools that contain AHRQ-generated evidence on preventive services. Examples will include U.S. Preventive Services Task Force (USPSTF) printed and electronic tools for clinicians, the Purchaser's Guide to Preventive Services for large businesses and other payors, and on-time pressure ulcer prevention strategies for patients in long-term care settings. J – Addressing Problems in Care Coordination Brookside B • Moderator: David Atkins, Agency for Healthcare Research and Quality • Presenters: Vandana Sundaram, Stanford University; David Door, Oregon Health and Science University; James Mortimer, Johns Hopkins University • Overview : This session will review a number of developments around efforts to improve the coordination of care of patients with chronic diseases. Results of a systematic review around care coordination will be highlighted, as will efforts to develop quality measures around coordination. The potential role for health information technology in improving coordination among caregivers will be discussed, along with an innovative program combining practice-based nurse care management with information technology to improve care coordination. Track 6: System Design and Organizational Change A – Working Conditions, Organizational Culture, and Health Care Quality Forest Glen • Moderator: Jeffrey Brady, Commander, U.S. Public Health Service, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality • Presenters: Christopher P. Landrigan, Director, Sleep and Patient Safety Program, Brigham and Women's Hospital and Assistant Professor of Pediatrics and Medicine, Harvard Medical School; Ann Rogers, Associate Professor of Nursing, University of Pennsylvania; Patricia W. Stone, Associate Professor of Nursing, Columbia University; Joel Weissman, Assistant Professor, Institute for Health Policy, Partners Healthcare Systems, Inc. • Overview : This session will focus on the impact of working conditions and organizational culture on patient safety and health care quality. In the presentations and discussion, speakers will present summaries of their research and draw on their experience with the topic overall and in the context of the disciplines and perspectives they represent: medicine, nursing, and workflow. E – Driving Innovation in Health Services Delivery White Flint Amphitheater • Moderator: Mary Nix, Agency for Healthcare Research and Quality • Facilitator: Paul Plsek, Directed Creativity™ • Presenters: Chris McCarthy, Kaiser Permanente; Paul Plsek, Directed Creativity™; Patricia Collins, TRICARE Management Activity, U.S. Department of Defense; Tim Ogilvie, Peer Insight • Overview : Innovation is the transformative business discipline of the 21 st Century. How can health care organizations improve quality, reengineer processes, and be innovative too? How can service innovation be viewed as just as important as product innovation? Answers to these and many other questions will be offered in this interactive session whose speakers are experts in service innovation. A thought-stimulating and lively session is planned. Networking Reception 5:00 P.M. – 6:30 P.M.
