Agenda: September 20

AHRQ 2011 Annual Conference

Tuesday, September 20, 2011

7:00 a.m. - 5:00 p.m. Registration

8:00 a.m. - 9:30 a.m. Plenary Session
Leading Through Innovation & Collaboration: Addressing Health System Change, Patient Safety, and Quality of Care

Carolyn M. Clancy, M.D.
Director
Agency for Healthcare Research and Quality

Molly Joel Coye, M.D., M.P.H.
Chief Innovation Officer
UCLA Health System
University of California, Los Angeles

Arnold Milstein M.D., M.P.H.
Professor and Director
Stanford Clinical Excellence Research Center

Peter J. Pronovost, M.D., Ph.D.
Senior Vice President for Patient Safety and Quality
Director, Armstrong Institute for Patient Safety & Quality
Professor, Departments of Anesthesiology, Critical Care Medicine, and Surgery
The Johns Hopkins University School of Medicine
Professor, Department of Health Policy and Management
Bloomberg School of Public Health
Professor
Johns Hopkins University School of Nursing

9:30 a.m. - 10:00 a.m. Break

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

  • Facing Challenging Situations When Grading the Strength of Evidence
    Session Number: 104
    Track ID: C
    Session Description: Grades of the strength of evidence are an important feature of any systematic review. They tell users of systematic reviews how much confidence they can have in the underlying evidence answering a particular question of interest. The advantage of systems such as the GRADE approach is the explicit presentation of the reasoning behind grading the strength of evidence. Nevertheless, the process involves subjective judgments and can be challenging. Based on hands-on examples, participants in this workshop will discuss challenging situations when grading the strength of evidence with representatives from GRADE and the EPC program. The session requires a basic understanding of grading the strength of evidence.
    Keywords: Effective Health Care; Patient Safety/Quality.
    Moderator: Nancy Berkman, RTI International (Select for presentation)
    Speakers:
    • Holger Schunemann, McMaster University.
    • Nancy Berkman, RTI International.
  • Data Standards and the United States Health Information Knowledgebase
    Session Number: 97
    Track ID: C
    Session Description: This session will detail the work AHRQ has done to support the data standards use, the AHRQ Common Formats, and Meaningful Use Quality Measures tool, and provide a demonstration of the United States Health Information Knowledgebase (USHIK).
    Keywords: Health IT; Patient Safety/Quality.
    Moderator: Michael Fitzmaurice, Agency for Healthcare Research and Quality (Select for presentation)
    Speaker:
    • Robin Barnes, Data Consulting Group.
    • John Donnelly, IntePro Solutions, Inc.
  • Strategies to Put Patients at the Center of Primary Care: Partnering for Health
    Session Number: 72
    Track ID: B
    Session Description: Putting patients at the center of primary care has benefits for all parties involved, but it requires thoughtful attention, action, and reflection. Key areas of partnership for primary care practices and patients include fostering effective communication, promoting self-care, and linking with community resources. In this session, speakers describe how they partner with patients, and how their research and implementation activities in self-management support, productive interactions, and clinical-community linkages can inform strategies to put and keep patients at the center of care.
    Keywords: Delivery of Care; Evidence-Based Practice.
    Moderator: Michael Parchman, Agency for Healthcare Research and Quality
    Speakers:
  • Multistakeholder Quality Collaboratives: Advancing Public Reporting One Community at a Time
    Session Number: 62
    Track ID: A
    Session Description: A growing number of regional multistakeholder collaboratives across the country, including AHRQ's Chartered Value Exchanges (CVEs), have formed with a mission of quality improvement and transparency. Findings from an AHRQ study of eight collaboratives will be shared in this session, examining their public reporting accomplishments, management practices, challenges, and future sustainability.
    Keywords: Patient Safety/Quality; Policy.
    Moderator: Jan De La Mare, Agency for Healthcare Research and Quality
    Speakers:
  • Insights AHRQ Peer Review Process: Update of AHRQ Scientific Review Process and New Study Section Alignment
    Session Number: 48
    Track ID: E
    Session Description: The session will provide updated information regarding the current realignment and addition of the AHRQ study sections to review grant applications. Also, a mock review will be conducted for researchers who would like to have a taste of insights AHRQ peer review proceeding. AHRQ review committees will discuss the key issues/factors that reviewers are looking for when evaluating an application submitted to AHRQ for funding opportunity. It will directly involve participants who can help shape the Agency's ongoing research agenda.
    Keyword: Policy.
    Moderator: Francis Chesley, Agency for Healthcare Research and Quality
    Speakers:
    • Timothy Carey, University of North Carolina at Chapel Hill.
    • John Steiner, Kaiser Permanente Colorado.
    • Denise Tate, University of Michigan (Select for presentation).
  • Improving Cardiovascular Disease Care Delivery; Innovators' Stories
    Session Number: 8
    Track ID: A
    Session Description: This session will focus on innovations that address problems in cardiovascular disease care delivery. Innovations were selected that improved quality or reduced a particular disparities issue, increased access, and reduced costs. Innovators will tell their stories followed by active networking with the innovators and a 3 x 5 "next steps" exercise.
    Keywords: Delivery of Care; Cost
    Moderator: Judi Consalvo, Agency for Healthcare Research and Quality
    Speakers:

11:30 a.m. - 12:30 p.m. Break

12 noon - 1:00 p.m. Lunch and Learn Sessions

  • Helping Patients, Policymakers, and Providers Make Health Decisions: Systematic Reviews in Action<br />Session Number: 102
    Track ID: C
    Session Description: Decisionmakers face multiple challenges when trying to implement findings of systematic reviews. The session will discuss lessons learned and outline strategies that can improve acceptability of reviews. Representatives from each of three key stakeholder groups—patients, policymakers, and providers—will offer their insights about the obstacles faced by each type of stakeholder in using systematic reviews to make health decisions.
    Keywords: Effective Health Care; Evidence-Based Practice.
    Moderator: Catherine Gallagher, George Mason University
    Speakers:
  • CAHPS® Survey Updates and Nursing Home Surveys
    Session Number: 46
    Track ID: F
    Session Description: This session will provide the latest updates on the range of CAHPS surveys and databases for use in research, quality improvement, and public reporting.
    Moderator: Judy Sangl, Agency for Healthcare Research and Quality
    Speakers:
  • Top Ten Innovative Health Care Ideas to Improve Clinical Practice in Primary Care
    Session Number: 17
    Track ID: E
    Session Description: This two to three-member panel session is designed to provide a dynamic interactive dialogue on the latest innovative ideas to improve health care delivery in primary care (family medicine, internal medicine, urgent care, emergency medicine, and pediatrics). Speakers will independently scan and appraise the latest evidence-based clinical practice literature and review recent HHS initiatives to identify the top 10 innovative health care delivery "pearls" and practical take-home lessons for end-users. This session will be useful for academic clinical audiences, policymakers, and patients.
    Keywords: Effective Health Care; Evidence-Based Practice; Patient Safety/Quality; Health Disparities; Access; Cost.
    Moderator: Shilpa Amin, Agency for Healthcare Research and Quality
    Speakers:

12 noon - 1:00 p.m. Business Sessions (by invitation)

  • Health IT Technical Assistance Roundtables for Grantees.

12 noon - 4:30 p.m.

  • Previewing AHRQ Products: We Want Your Opinion
    Session Number: 67
    Track ID: C
    Session Description: At this special "feedback session," you will get the opportunity to preview AHRQ products that are still in draft form and provide your input on how they can be improved. Example products include videos on self-management support principles: what it is, why it is important, and how it can be implemented in primary care; and a video on improving patient safety for patients with limited English proficiency. There is no need to register. Simply come to the Seneca Boardroom anytime on Tuesday afternoon and we will guide you through the process. Drop in and help us develop the best products we can!
    Keywords: Delivery of Care

1:00 p.m. - 1:30 p.m. Break

1:30 p.m. - 3:00 p.m.

  • Transforming Primary Care: A Guided Tour of Research
    Session Number: 80
    Track ID: F
    Session Description: In the summer of 2010, AHRQ awarded 14 transforming primary care grants. The purpose of these grants is to understand the "natural experiments" that practices undergo as they transform into Patient-Centered Medical Homes (PCMHs). At this session many of the grantees will use a poster format to walk participants through their research. There will be opportunity for interaction with the grantees and participation in an open discussion about models for transforming primary care.
    Keywords: Delivery of Care; Policy
    Moderator: Michael Parchman, Agency for Healthcare Research and Quality
  • Searching Grey Literature: Is the Effort Worth the Yield?
    Session Number: 105
    Track ID: C
    Session Description: Grey literature searches add a substantial workload to a systematic review. Often the information from unpublished documents is limited and the risk of bias cannot be determined. This session will explore different approaches to these searches and how to increase the odds that the extra effort will be worthwhile. A moderated group discussion based on real-world examples will follow the presentations.
    Moderator: Marian McDonagh, Oregon Health & Science University (Select for presentation)
    Speakers:
  • Reducing Health Disparities Through Research and Translation Programs
    Session Number: 47
    Track ID: E
    Session Description: Despite efforts, health disparities still exist in our country. Government agencies have spent millions of dollars funding research to hopefully reduce health disparities; however, some agencies have failed to meet this demand or fund research that is needed to discover, develop, implement, evaluate, and scale up effective strategies and interventions to address disparities. Our panelists will discuss how funding agencies can effectively start to reduce health disparities through research.
    Keywords: Health Disparities.
    Moderator: Francis Chesley, Agency for Healthcare Research and Quality (Select for presentation)
    Speakers:
  • Improving Performance on the Patient Safety Indicators: A New AHRQ Toolkit
    Session Number: 57
    Track ID: A
    Session Description: This session will describe a new toolkit developed for helping hospitals incorporate the AHRQ Patient Safety Indicators (PSIs) and Inpatient Quality Indicators (IQIs) into their efforts for quality and patient safety improvement. Experience from participating hospitals will also be shared.
    Keywords: Patient Safety/Quality; Delivery of Care.
    Moderator: Robin Weinick, RAND Corporation

    Speakers:
  • Measures of Resource Use and Cost in Public Reports for Consumers: Whether and How to Include?
    Session Number: 60
    Track ID: F
    Session Description: One approach across the political spectrum to help address rising costs is to publicly report hospital, physician, and other providers' costs or alternative measures of resource use. This session will draw on recent AHRQ work to examine whether and when inclusion of resource use measures in a public report succeeds in engaging consumers in cost considerations and influencing their decision-making.
    Keywords: Cost; Policy.
    Moderator: Peggy McNamara, Agency for Healthcare Research and Quality
    Speakers:
  • Implementing AHRQ's Tools in the Field: Successes and Lessons Learned
    Session Number: 83
    Track ID: E
    Session Description: Are you struggling with how to move research into everyday practice? What strategies will expand your organization's knowledge base and improve the practice or delivery of health care? In this session, you will have an opportunity to interact with members of AHRQ's Office of Communications and Knowledge Transfer (OCKT), along with contractors who are leading some successful projects. Goals of the session include engaging attendees in discussions about examples of practical strategies that bring results, the potential pitfalls to avoid and challenges to overcome, and success stories of private-public sector partnerships.
    Keywords: Patient Safety/Quality; Evidence-Based Practice.
    Moderator: Bonnie Ohri, Agency for Healthcare Research and Quality (Select for presentation)
    Speakers:
    • Barbara Kass, Agency for Healthcare Research and Quality.
    • Margie Shofer, Agency for Healthcare Research and Quality (Select for presentation).
    • Cheryl Thompson, Agency for Healthcare Research and Quality.
  • Effective Health Care Session: Spotlight on Reproductive Endocrine and Gynecological Comparative Effectiveness Research Topics
    Session Number: 16
    Track ID: E
    Session Description: This session is designed to provide a snapshot of recent AHRQ and the National Institutes of Health (NIH) patient-centered outcomes research initiatives in reproductive endocrinology and gynecology. This session will feature speaker summary presentations on recent initiatives in uterine fibroid disease, chronic pelvic pain, abnormal uterine bleeding, and issues in menstrual health. This will be an interactive session among panelists with discussions appraising methodological challenges encountered and lessons learned. Components of stakeholder engagement, consortia development, and the role of research tools such as patient registries, future topic identification work, and future considerations are shared with the audience for next steps. This session will be useful for academic researchers, policymakers, and consumers.
    Keywords: Effective Health Care; Evidence-Based Practice; Access; Delivery of Care; Patient Safety/Quality.
    Moderators:
    • Shilpa Amin, Agency for Healthcare Research and Quality.
    • Lawrence Nelson, National Institute of Child Health and Human Development, NIH (Select for presentation).
    Speakers:
  • Health Care Costs and Utilization: The Effect of Insurance and Other Factors
    Session Number: 2
    Track ID: F
    Session Description: Taking advantage of the Medical Expenditure Panel Survey's (MEPS) capacity to relate health care utilization and expenditures to the insurance coverage and other characteristics of people in the United States, the papers in this session will examine the effects of health insurance on the use of and spending on medical care services.
    Keywords: Cost; Policy.
    Moderator: Joel Cohen, Agency for Healthcare Research and Quality
    Speakers:
    • Eric Sarpong, Agency for Healthcare Research and Quality (Select for presentation).
    • Philip Cooper, Agency for Healthcare Research and Quality.
    Discussant:
    • Jessica Banthin, Congressional Budget Office.

3:00 p.m. - 3:30 p.m. Break

3:30 p.m. - 5:00 p.m.

  • Patient-Centered Medical Homes: The Who, What, and How of Effective Evaluations
    Session Number: 70
    Track ID: F
    Session Description: Patient-Centered Medical Homes (PCMH) is a promising model for transforming primary care. This session will provide researchers and policymakers with a clear understanding of (1) methodological challenges in evaluating the patient-centered medical home; (2) why the interpretation of research findings must take evaluation methods into consideration; and (3) how to address key methodological issues through improvements in research design and implementation.
    Keywords: Evidence-Based Practice; Policy.
    Moderator: Michael Parchman, Agency for Healthcare Research and Quality (Select for presentation)
    Speakers:
    • David Meyers, Agency for Healthcare Research and Quality.
    • Debbie Peikes, Mathematica Policy Research.
  • A Guided Tour of How a USPSTF Topic Becomes a Recommendation
    Session Number: 81
    Track ID: D
    Session Description: The U.S. Preventive Services Task Force (USPSTF) makes recommendations on clinical preventive services for use in primary care practice. During this session, USPSTF members and support staff will use a poster session format to walk participants through the life cycle of a USPSTF topic from selection to publication of a recommendation. There will be opportunity for interaction and discussion with the presenters.
    Keywords: Evidence-Based Practice; Delivery of Care.
    Moderator: Therese Miller, Agency for Healthcare Research and Quality
    Speakers:
    • Michael LeFevre, University of Missouri-Columbia.
    • Elizabeth O'Connor, Kaiser Permanente Center for Health Research/Oregon EPC.
    • Timothy Wilt, Minneapolis Veteran Affairs Health Care Center.
  • Assembling a Systematic Review Team: Balancing Expertise and Potential Conflicts of Interest
    Session Number: 103
    Track ID: C
    Session Description: Conflicts of interest can occur at all levels of a systematic review, from topic refinement to grading the strength of the evidence. This session will discuss how to deal with and how best to balance expertise and potential intellectual and economic conflicts of interest when assembling a review team. This interactive panel session will have case study scenarios involving identifying conflicts of interest and how they might best be handled interspersed to engage the audience.
    Keywords: Effective Health Care.
    Moderator: Stephanie Chang, Agency for Healthcare Research and Quality (Select for presentation)
    Speakers:
    • Susan Norris, Oregon Health & Science University.
    • Gillian Sanders Schmidler, Duke University (Select for presentation).
  • Advancing Public Reporting on Quality: Meeting Consumers Where They Are
    Session Number: 61
    Track ID: B
    Session Description: Currently hundreds of public reports on provider performance target an audience of consumers, yet evidence that consumers are actually using these reports is mixed. This session focuses on recent AHRQ work addressing decision-making challenges consumers face as they try to interpret information from reports and apply it to their personal circumstances. Strategies and recommendations for engaging consumers in public reports will be discussed.
    Keywords: Patient Safety/Quality; Policy.
    Moderator: Jan De La Mare, Agency for Healthcare Research and Quality (Select for presentation)
    Speaker: Dale Shaller, Shaller Consulting Group (Select for presentation)
    Discussant: Jessie Gruman, Center for Advancing Health (Select for presentation)
  • Delivery System Research: Discovering Ways to Improve Care Value
    Session Number: 59
    Track ID: C
    Session Description: A year ago, with funds from the American Recovery and Reinvestment Act, AHRQ awarded 10 large grants to evaluate and demonstrate how delivery systems and policymakers can enhance care value (quality and efficiency) by improving care organization (system design), payment, and reporting. This session will provide progress reports from several of these important studies. Additionally, there will be a brief summary of key points from an expert meeting on advancing research on care delivery and its redesign.
    Keywords: Delivery of Care; Patient Safety/Quality; Cost; Access.
    Moderator: Michael Harrison, Agency for Healthcare Research and Quality (Select for presentation)
    Speakers:
  • Patient-Centered Care and Health IT
    Track ID: B
    Session Description: This session will include a discussion of how to make health IT more patient-centered. It will feature a presentation by one of the leading patient spokespersons and a discussion of how we can now measure the consumer's assessment of health IT using the new CAHPS survey addition.
    Keywords: Health IT; Patient Safety/Quality.
    Moderator: P. Jon White, Agency for Healthcare Research and Quality
    Speakers:
  • Rewarding Positive Patient Experiences: Incorporating CAHPS in Pay for Performance Strategies
    Session Number: 66
    Track ID: B
    Session Description: Pay for Performance (P4P) programs financially reward providers for the achievement of a range of performance objectives. A number of P4P programs reward improvements in patient experience of care measures, including AHRQ's CAHPS measures. This session will review P4P best practices and explore their application to physician CAHPS measures.
    Keywords: Policy; Cost; Patient Safety/Quality.
    Moderator: Elizabeth Goldstein, Centers for Medicare & Medicaid Services
    Speakers:
  • Eliminating Health Disparities Through Community-Based Research
    Session Number: 84
    Track ID: D
    Session Description: Panelists will discuss successful implementation of community-based research projects that have led to a decrease in health disparities, and pinpoint future needs for effective and innovative communication strategies to promote more informed choices regarding health care within underserved communities.
    Keywords: Health Disparities.
    Moderator: Karen Migdail, Agency for Healthcare Research and Quality
    Speakers:
  • National Quality Measures Clearinghouse™ (NQMC)—An Expanded Tool With Real-World Relevance
    Session Number: 5
    Track ID: A
    Session Description: To remain relevant to the field of quality measures, the NQMC recently expanded its measure domain classifications. In this session, we will showcase these expanded domains, the modified inclusion criteria, and the revised template of attributes; and we will provide the rationale for these changes and the approach used. Assisted by an audience response system, we will encourage participation in the presentation; additionally, we will provide provocative questions to stimulate discussion about these expanded domains.
    Keywords: Effective Health Care; Policy.
    Moderator: Vivian Coates, ECRI Institute (Select for presentation)
    Speakers:
    • Heather Palmer, Harvard School of Public Health.
    • Eric Schneider, Rand Boston.

5:00 p.m. - 5:30 p.m. Poster Removal

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Current as of March 2012
Internet Citation: Agenda: September 20: AHRQ 2011 Annual Conference. March 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/events/conference/2011/agenda2.html