Agenda: September 28, 2010

Slide presentation from the AHRQ 2010 conference.

Sunday, September 26 | Monday, September 27 | Tuesday, September 28 | Wednesday, September 29

Tuesday, September 28

TimeEvent DescriptionLocation
7:00 a.m. - 5:00 p.m.Registration
 
Salon Foyer
8:00 a.m. - 9:30 a.m.

Track A: Medical Homes: Refining the AHRQ Blueprint (#26)

This will be a bi-directional listening session in which AHRQ will update the audience on how the Agency has been incorporating the feedback stakeholders shared with us during the 2009 Annual Conference on the potential role for AHRQ in transforming primary care. The presentation will include highlights from work in integrating mental health services into the medical home, engaging patients and families in designing medical homes, and the potential role of health IT in building medical homes. During the second half of the session, we will hand over the microphones and invite audience members to provide feedback and suggestions for AHRQ on next steps in this area including on research gaps, implementation needs, and primary care's role after health reform enactment.

Moderator: David Meyers, Agency for Healthcare Research and Quality (Select for presentation)

Speakers: Michael Barr, American College of Physicians

David Meyers, Agency for Healthcare Research and Quality

Deborah N. Peikes, Mathematica Policy Research

Salon G

Track A: Assessing Evidence and Recommendations: Using GRADE Basics Versus the Full GRADE Framework (#37)

This session has been approved for 1.5 continuing education credits. See continuing education section for more information.

The workshop is intended for participants interested in rating the quality of a body of evidence and formulating the strength of recommendations. This session delivers strategies on how to succeed with GRADE even when resources and manpower are limited, but will also demonstrate the advantages of utilizing the entire spectrum of the GRADE framework. So whether participants are trying to get started with GRADE or are interested in "going all the way," this short workshop will provide tips and insight into how those goals can be accomplished.

Moderator: Mary Nix, Agency for Healthcare Research and Quality

Speakers: Yngve Falck-Ytter, Case Western Reserve University (Select for presentation)

Holger Schunemann, McMaster University

Forest Glen

Track A: Use of Clinical Decision Support (CDS) Tools To Facilitate Evidence-Based Patient Care (#56)

The session will cover the opportunities and challenges in harnessing health information technology to improve patient care. CDS tools can provide real-time, evidence-based, clinically useful information at the time of patient care to improve the effectiveness, safety, and quality of patient care. The interactive session will describe two relevant AHRQ projects that are developing new CDS tools and foster a dialogue between the audience, researchers, and AHRQ staff to identify challenges and future needs that need to be addressed.

Moderator: Gurvaneet Randhawa, Agency for Healthcare Research and Quality

Speakers: Wilson Pace, University of Colorado, Denver

Linda Squiers, RTI International (Select for presentation)

Salon H

Track D: Measuring and Improving Care for Children—Building on the Unprecedented Opportunities in CHIPRA (#5)

The Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) provides a unique roadmap for linking health care quality measurement to improvement by requiring Secretarial leadership, the identification of an initial core measurement set and activities and resources to produce improved core sets, and reporting to Congress and the public on State progress and resources for health care quality demonstration projects and their evaluation. This session will summarize the progress made since President Obama signed the bill in early 2009, and engage participants in identifying future directions for health care quality measurement for children.

Moderator: Jeff Schiff, Minnesota Department of Human Services

Speakers: Barbara Dailey, Centers for Medicare & Medicaid Services

Denise Dougherty, Agency for Healthcare Research and Quality (Select for presentation)

Glen Echo

Track D: Identifying, Preventing, and Reducing Diagnostic Error in Health Care (#23)

This session has been approved for 1.5 continuing education credits. See continuing education section for more information.

The goal of this session is to present an overview of different research approaches for reducing diagnostic error in health care. Session presenters will describe the threat that diagnostic error poses to patient safety, unique underlying factors and challenges that contribute to diagnostic error, and three approaches that are currently under way and supported by AHRQ to identify, prevent, and reduce diagnostic error.

Moderator: Kerm Henriksen, Agency for Healthcare Research and Quality

Speakers: Mark L. Graber, VA Medical Center

Hardeep Singh, Michael DeBakey VA Medical Center (Select for presentation)

Ernest Moy, Agency for Healthcare Research and Quality (Select for presentation)

Brookside A&B

Track E: Bigger and Better: Making AHRQ's Quality Indicators More Comprehensive and Useful to All Stakeholders in Health Care (#45)

Many State partners in the Healthcare Cost and Utilization Project (HCUP) now submit enhanced administrative data, including "present on admission" status for each diagnosis, emergency department visit summaries, and (in pilot projects) key laboratory findings. These enhanced data provide important opportunities to improve the validity, comprehensiveness, and usefulness of the AHRQ Quality Indicators (QIs) and related tools. Current efforts to assess the accuracy of these enhanced data, and to use these enhanced data to augment the QIs, will be described.

Moderator: Patrick Romano, University of California, Davis

Speakers: Jeffrey Geppert, Battelle Memorial Institute (Select for presentation)

Denise Love, National Association of Health Data Organizations (Select for presentation)

White Flint

Track E: AHRQ's Value Portfolio: Data, Measures, Expertise, and Evidence for Health Care Policymakers, Session 1 (#73)

This session is the first of two sessions where grantees funded under AHRQ's Value Portfolio will present and discuss project characteristics most relevant to public and private policymakers currently seeking value in a changing health care sector. Investigators will briefly describe relevant project aims, research questions, data, methods, measures, teams, and findings. Current policy contexts for these characteristics will be highlighted.

Moderator: Michael Hagan, Agency for Healthcare Research and Quality

Speakers: David Grossman, Group Health Research Institute (Select for presentation)

Donald Taylor, Duke University (Select for presentation)

Salon F
10:00 a.m. - 11:30 a.m.

Plenary Session:

Transformation and Change: Making a Complex System Safe and Right

Keynote Speaker: Atul Gawande, M.D., M.P.H.
Moderator: Carolyn M. Clancy, M.D.

Salons D&E
11:30 a.m. - 11:45 a.m.Break 
11:45 a.m. - 12:45 p.m.

Lunch On Your Own
See inside cover of program book for locations and costs for lunch.

 
11:45 a.m. - 12:45 p.m.Lunch and Learn Sessions
Participants are invited to bring their lunch and join the session discussion.
 
Track E: HCUP: Celebrating 20 Years of Powerful Data (#40)

Over the past 20 years, the Healthcare Cost and Utilization Project (HCUP) has grown to include databases that capture medical care in the hospital inpatient, emergency department, and ambulatory surgery settings. This session celebrates HCUP successes by recognizing a select group of researchers for their contributions to the Health Services Research field through the use of HCUP resources.

Moderator: Herbert Wong, Agency for Healthcare Research and Quality (Select for presentation)

Speakers: Ya-lin (Aileen) Huang, Emory University

Carlos G. Grijalva, Vanderbilt University School of Medicine (Select for presentation)

Jay Berry, Children's Hospital (Select for presentation)

Salon H
Track E: Assessing and Understanding the Impact of Research on Policymaking Session Track: Measuring and Reporting on Provider and System Performance (#77)

AHRQ contracted with Mathematica Policy Research (MPR) to conduct a systematic review of 149 projects from the Agency's grant-funded research on health care costs, productivity, organization, market forces, financing, and value. In this lunch session, the lead investigator for the study, Marsha Gold (Senior Fellow at MPR), presents and discusses major findings from that study. After presenting a description of the projects in the study, she will discuss results from the study, including (1) how research findings are disseminated to public and private decisionmakers, (2) what factors contribute to the use and effectiveness of such findings, and (3) what actions, if any, could enhance AHRQ's efforts to track, disseminate, and encourage use of these research findings. In an informal lunch environment, audience participation and discussion will be strongly encouraged during and after the presentations. Michael Hagan (economist, program contact on research priorities in AHRQ's Value Portfolio, and project officer on the study) will moderate the discussion and provide a brief overview of current grant-supported projects in AHRQ's Value Portfolio. [This lunch session accompanies morning session #73 and afternoon session #48.]

Moderator: Michael Hagan, Agency for Healthcare Research and Quality

Speaker: Marsha Gold, Mathematica Policy Research (Select for presentation)

Salon F
12:45 p.m. - 1:00 p.m.Break 
1:00 p.m. - 2:30 p.m.Track A: Do Patient-Centered Medical Homes Lower Costs and Improve Quality? (#27)

Two AHRQ-funded investigative teams have examined the impact on quality and costs of care delivered within groups of well-established PCMHs. Members of the audience will be asked to compare these results to findings available from PCMH-related efforts within their own practices or health care systems.

Moderator: David Lanier, Agency for Healthcare Research and Quality

Speakers: Leif Solberg, HealthPartners Research Foundation

David R. West, University of Colorado, Denver

Salon H
Track A: Transparency and Stakeholder Engagement in the Research Enterprise (#52)

AHRQ routinely engages stakeholders throughout the Effective Health Care research processes to ensure relevance and applicability of research products to health care decision-makers. Panelists from the stakeholder and research communities will discuss their experiences working together and ways to improve stakeholder engagement.

Moderator: Katherine Cravens, Agency for Healthcare Research and Quality

Speakers: Supriya Janakiraman, Agency for Healthcare Research and Quality (Select for presentation)

Melissa McPheeters, Vanderbilt Evidence-Based Practice Center (Select for presentation)

Joseph V. Selby, Kaiser Permanente (Select for presentation)

Brookside A&B
Track A: Improving Care Through the Use of AHRQ Health IT Tools (#58)

Sixteen grants were awarded under the Enabling Patient-Centered Care through Health IT grant initiative. The projects have a diverse range of interventions, using different health IT applications. Most applications target the primary care office as the setting of care while others address the home environment. Two projects address subspecialty care and one specifically focuses on transitions between the inpatient and ambulatory setting. While all areas of patient-centered care are addressed across the grants, most of the projects focus on patient self-management. This session will feature the consumer health IT applications being developed by some of the grantees. Grantees will show how some of the applications work and explain the design rationale behind them. They will also share any preliminary findings they may have with regard to the tools' effectiveness.

Moderator: Vera Rosenthal, Agency for Healthcare Research and Quality (Select for presentation)

Speakers: Brian Jack, Boston Medical Center

Alex H. Krist, Virginia Commonwealth University (Select for presentation)

Kate Lapane, Virginia Commonwealth University

Salon E
Track C: America's "Growth Spurt": Screening and Treatment of Overweight Children and Adolescents in Primary Care (#30)

This session has been approved for 1.5 continuing education credits. See continuing education section for more information.

Workshop participants will learn about the latest evidence regarding obesity treatment in children and discuss ways that obesity management can be incorporated into a primary care setting. Evidence will include a recently released U.S. Preventive Services Task Force recommendation on screening for overweight and obesity in children and study results from a Practice-Based Research network on treating overweight children in primary care.

Moderator: Iris Mabry-Hernandez, Agency for Healthcare Research and Quality

Speakers: David Grossman, Group Health Research Institute

Ellen Wald, University of Wisconsin

Glen Echo
Track D: Implementation, Change, and Improving Health Care Quality and Safety: Lessons Learned From AHRQ's Implementation Science Awards (#7)

This session has been approved for 1.5 continuing education credits. See continuing education section for more information.

AHRQ's and others' efforts to improve health care quality and safety strongly suggest that it can be as important to know the characteristics of where and how quality and safety improvement projects have been implemented and the effects of these characteristics on variation in outcomes as to know the nature of the intervention and the average results. Only in this way can potential future implementers learn "whether and how" interventions can be applied successfully in their own settings. This session will summarize lessons emerging from selected AHRQ efforts to more systematically understand the roles of context and implementation processes in quality and safety improvement. The session will also engage participants in identifying future directions for health care quality and safety improvement implementation research and evaluation.

Moderator: Denise Dougherty, Agency for Healthcare Research and Quality (Select for presentation)

Speakers: Carrie L. Byington, University of Utah (Select for presentation)

Rita Mangione-Smith, University of Washington

Salon G
Track E: Learning From Patients' Experience: Designing Reporting Systems for Patients' Reports of Patient Safety Events (#20)

AHRQ recognizes that there is much to be learned from patients' experiences with care as a way to improve patient safety. Currently, patient safety event reporting systems are largely designed to collect information from health care providers, not patients. Yet patients have keen insight about the care they received and how a particular chain of events may have occurred and contributed to an adverse event. This session will focus on key findings from an AHRQ research contract to develop recommendations for designing consumer reporting systems for patient safety events.

Moderator: James Battles, Agency for Healthcare Research and Quality

Speakers: Ethan Basch, Memorial Sloan-Kettering Cancer Center (Select for presentation)

James Battles, Agency for Healthcare Research and Quality

Helen Haskell, Mothers Against Medical Error

White Flint
Track E: Emergency Preparedness: Can We Achieve Valid Measurement? (#47)

Does the current approach of self-report of emergency preparedness planning capabilities actually predict adequate emergency response? Can principles that guide clinical quality measurement be applied to emergency preparedness? We will discuss the unique issues of measuring preparedness and discuss novel approaches to measuring this important aspect of quality care.

Moderator: Mamatha Pancholi, Agency for Healthcare Research and Quality

Speaker: David Chin, University of California, Davis (Select for presentation)

Sheryl Davies, Stanford University School of Medicine

Forest Glen
Track E: AHRQ's Value Portfolio: Data, Measures, Expertise, and Evidence for Health Care Policymakers, Session 2 (#48)

This session is the second of two sessions where grantees funded under AHRQ's Value Portfolio will present and discuss project characteristics most relevant to public and private policymakers currently seeking value in a changing health care sector. Investigators will briefly describe relevant project aims, research questions, data, methods, measures, teams, and findings. Current policy contexts for these characteristics will be highlighted.

Moderator: Marsha Gold, Mathematica Policy Research

Speakers: Jonathan D. Ketcham, Arizona State University (Select for presentation)

Stephen Parente, University of Minnesota (Select for presentation)

Neeraj Sood, University of Southern California (Select for presentation)

Salon F
Track E: Opportunities and Challenges in Identifying Nationally Consistent, Locally Adaptable Approaches To Make Performance Results Available (#78)

Many communities are attempting to make performance results available to improve care and to assist consumers and patients in their care selection decisions. To support those aims, communities and stakeholders have begun to identify best practices in how to collect and aggregate data. These practices could be "harvested" to formulate a national approach to make more performance results available in communities. This may allow for the availability of a core set of comparable measures nationally, while allowing local communities to augment a national core set. This session will highlight opportunities, and challenges in identifying nationally consistent, locally adaptable approaches to make performance results available.

Moderator: Carolyn M. Clancy, Agency for Healthcare Research and Quality

Speakers: Jim Chase, Minnesota Community Measurement

Aparna Higgins, America's Health Insurance Plans

Karen Jones, WellSpan Health (Select for presentation)

Kalahn Taylor-Clark, The Brookings Institution

Salon D
3:00 p.m. - 4:30 p.m.Track A: Wisdom in Numbers: Using Stakeholder Feedback To Shape a Research Agenda for Integrating Mental Health and Primary Care (#31)

This learning session will use audience response technology to capture participant reactions to the presentation of three papers developed by the Collaborative Care Research Network through an AHRQ-funded conference. The topics are (1) a research agenda for integrating mental health and primary care, (2) developing metrics for integrated care, and (3) a new lexicon for integration. By engaging the audience and obtaining its responses during the presentations, the presenters will obtain important input to identify needed policy and systems changes. This process is a proven method to help increase learning, retain knowledge, build consensus, and make decisions, making the overall experience unique for the participants and useful for the presenters.

Moderator: Charlotte Mullican, Agency for Healthcare Research and Quality

Speakers: Rodger S. Kessler, University of Vermont College of Medicine

Benjamin Miller, University of Colorado School of Medicine (Select for presentation)

C.J. Peek, University of Minnesota Medical School

Forest Glen
Track A: Reducing Waste in Care Delivery (#43)

This session has been approved for 1.5 continuing education credits. See continuing education section for more information.

Dr. David West will present PBRN research on gaps in evidence for guiding primary care efficiency and quality improvement and will report findings used in developing a "Decision Guide on Waste Reduction in Primary Care." Dr. Kristin Carman will present findings from research on Lean implementation in ambulatory and hospital settings. Panelists and attendees will discuss possible outputs (e.g., reports, decision guides) from the presented research that would be most useful for practice and for spreading the findings and practice recommendations.

Moderator: Michael I. Harrison, Agency for Healthcare Research and Quality

Speakers: Kristin L. Carman, American Institutes for Research (Select for presentation)

Marilyn Moon, American Institutes for Research (Select for presentation)

David R. West, University of Colorado, Denver (Select for presentation)

Salon F
Track A: Accounting for Clinical Heterogeneity in Comparative Effectiveness Research (#53)

Critics of comparative effectiveness and the evidence-based medicine movement argue that studies or syntheses of studies that report the average effect of treatments do not account for important clinical differences between individuals. Speakers will address how to define clinical heterogeneity and how researchers can consider the clinical heterogeneity within a population of people when conducting systematic reviews, randomized studies, and nonrandomized studies.

Moderator: Stephanie Chang, Agency for Healthcare Research and Quality

Speakers: David Atkins, Veterans Health Administration (Select for presentation 1 and presentation 2)

Carlos Weiss, Johns Hopkins University School of Medicine (Select for presentation)

Suzanne West, RTI International

Salon H
Track A: Health IT State of Evidence: Impact of Consumer Health Informatics Applications and Use of Health IT To Deliver Patient-Centered Care (#62)

Over the last few years, one of the goals of the Health IT Portfolio has been to develop the evidence with regard to how health IT can be used to enable patient-centered care. To that end, the Portfolio awarded two separate contracts to examine the state of the evidence on how health IT can enable patient-centered care: one focused on the use of health IT by consumers, their families, or caregivers and the other focused on the use of clinical health IT systems to deliver patient-centered care. This session will present findings from both systematic reviews and discuss gaps in research, including specific areas that should be addressed.

Moderator: Kevin Chaney, Agency for Healthcare Research and Quality

Speaker: Joseph Finkelstein, Johns Hopkins University

M. Chris Gibbons, Johns Hopkins University (Select for presentation)

Salon G
Track A: Structuring Clinical Recommendations for Clinical Decision Support (#64)

Jerry Osheroff, M.D., will present AHRQ-funded efforts to structure clinical recommendations, including the U.S. Preventive Services Task Force A and B recommendations, for clinical decision support in health IT applications.

Moderator: P. Jon White, Agency for Healthcare Research and Quality

Speaker: Jerry Osheroff, Thomson Reuters (Select for presentation)

Brookside A&B
Track B: Understanding Trends in Health Insurance Coverage: Examining Coverage Strategies in Public and Private Programs (#2)

This session will examine critical insights on emerging coverage trends and discuss the implications for health reform. Papers will look at disparities among families by income and wealth categories, age groups, insurance status, and other measures. Commentators will react to the findings in terms of possible changes they foresee due to key features of national health reform design.

Moderator: Jessica S. Banthin, Agency for Healthcare Research and Quality

Speakers: Didem S.M. Bernard, Agency for Healthcare Research and Quality

James Kirby, Agency for Healthcare Research and Quality (Select for presentation)

White Flint
Track E: Laying the Groundwork for Pharmacy Quality Measurement: Results From the Evaluation of the PQA Phase I Demonstration Project (#21)

This session will discuss key findings from an AHRQ-sponsored evaluation of the Pharmacy Quality Alliance Phase I Demonstration Projects, in which five sites tested the implementation of a performance reporting system based on a set of 15 claims-based quality indicators and conducted a survey of consumers' experiences with pharmacy services. The evaluation team collected quantitative and qualitative data and will present findings across all five demonstration sites. The focus of the panel will be on feasibility of reporting on the measures, performance of the measures and the consumer survey, training used to educate pharmacists about the demonstration, differences between the models employed by the demonstration sites, and recommendations for future pharmacy quality initiatives.

Moderator: Deborah Perfetto, Agency for Healthcare Research and Quality

Speakers: Joyce McMahon, Center for Naval Analysis (Select for presentation)

Elizabeth Schaefer, Center for Naval Analyses

Laura T. Pizzi, Jefferson School of Pharmacy

Linden Oak
Track B: Policy and Practice: Update on CHIPRA Model Children's EHR Format (#60)

The Children's Health Insurance Program Reauthorization Act (CHIPRA) of 2009 included a requirement for the Secretary of Health and Human Services to develop and disseminate a model electronic health record format for children enrolled in Medicaid or CHIP. In collaboration with CMS, AHRQ is managing the process to develop the model children's EHR format. This session will provide an overview of the work that has been completed to date, and the work that will continue through March 2012 to develop and disseminate the model format.

Moderator: Erin Grace, Agency for Healthcare Research and Quality (Select for presentation)

Speakers: Scott Finley, Westat, Inc.

Jessica Pollak Kahn, CMS

Glen Echo
Track C: Concept Meets Action: Creating an Integrated Framework for Reducing Racial and Ethnic Disparities in Health Care Quality (#6)

Conceptual and action frameworks exist for reducing population health disparities and for health care quality improvement. Despite the call to synthesize the two approaches so that disparities reduction can be an integral part of health care quality improvement efforts as appropriate, an integrated framework for doing so does not yet exist. This interactive session will engage the intellectual leads representing exemplar multilevel QI and disparities reduction frameworks with session participants to develop an actionable and feasible combined approach to health care quality improvement and health care disparities reduction.

Moderators: Cecilia Casale and Francis Chesley, Agency for Healthcare Research and Quality (Select for presentation 1 and presentation 2)

Speakers: Marshall Chin, University of Chicago (Select for presentation)

Donald Goldmann, Institute for Healthcare Improvement

Salon E
Track E: Measurement and Cost Containment: Examining Potentially Avoidable Emergency Department Encounters and Hospital Admissions (#46)

Avoiding unnecessary high-intensity encounters has been proposed as one means of reducing the cost of health care. This session will describe two efforts to quantify such encounters through measurement of potentially avoidable emergency room encounters and inpatient readmissions. We will report results to date characterizing these measures and their relationship to other quality-of-care and efficiency measures, and the face validity of applying these indicators as quality measures for large physician groups and health plans.

Moderator: Patrick Romano, University of California, Davis

Speakers: Sheryl Davies, Stanford University School of Medicine (Select for presentation)

Claudia Steiner, Agency for Healthcare Research and Quality (Select for presentation)

Salon D
4:30 p.m. - 6:00 p.m.Poster Removal

All posters must be removed by 6:00 p.m.

Salons A-C

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Current as of December 2010
Internet Citation: Agenda: September 28, 2010. December 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/events/conference/2010/agenda2.html