Symposium Agenda

Expanding Research and Evaluation Designs to Improve the Science Base for Health Care and Public Health Quality Improvement Symposium

On September 13-15, 2005, AHRQ convened a meeting to examine public health quality improvement interventions.

September 13, 2006 (evening)

5:30 p.m. Registration
Lower Level Lobby

5:30-6:30 Networking Reception at Wyndham City Center Hotel
City Center Ballroom

6:30-6:50 Welcoming Remarks
City Center Ballroom
Facilitator: Thomas J. Chapel, M.A., M.B.A.
Welcoming Remarks: Carolyn Clancy, M.D.

6:50-7:00 Planning Group and Co-Sponsor Self-Introductions
City Center Ballroom

7:00-7:20 Dinner
City Center Ballroom

7:20-8:45 Setting the Stage
City Center Ballroom
Moderator: Lawrence W. Green, Dr.P.H.
Remarks: Frank Davidoff, M.D. (7:20-8:00)
Brief Response: Lawrence W. Green, Dr.P.H. (8:00-8:05)
Discussion: (8:05-8:45)

8:45 Brief Statement of Meeting Purpose/Housekeeping Details
City Center Ballroom
Denise Dougherty, Ph.D.

9:00 Adjourn for the Evening

September 14, 2006 (8:00 a.m.-5:15 p.m.)

7:30 a.m. Registration and Continental Breakfast
Lower Level Lobby

8:00-8:30 Meeting Purposes and Process Revisited
New Hampshire Ballroom
Thomas Chapel, M.A., M.B.A.

8:30 -12:15 p.m. SESSION I. CASE STUDIES: QII AT THE CLINICAL MICROSYSTEM LEVEL
New Hampshire Ballroom

8:30-9:30 QII to Increase Delivery of Clinical Preventive Services in Office-Based Primary Care
Chair/Moderator: Lawrence J. Fine, M.D., Dr.P.H.
Presenters: Steven Ornstein, M.D. (25 minutes)
Mary C. Ruhe, R.N. (10 minutes)
Commenter: Kurt C. Stange, M.D., Ph.D. (25 minutes)

9:30-10:30 QII to Increase Timely Delivery of Surfactant to High-Risk Newborns During Hospital L & D
Chair/Moderator: David Atkins, M.D., M.P.H.
Presenters: Gautham Suresh, M.D., D.M., M.S.,
and Laura C. Leviton, Ph.D. (20 minutes)
General Discussion: To be led by Drs. Leviton and Suresh
(35 minutes)

10:30-10:45 Break
Lower Level Lobby

10:45-11:45 5 Breakout Sessions Led by a Facilitator with Brief Kickoff Remarks by Two Commenters
Goals: Identify solutions to the challenge of improving the science
base for QII evaluation at the clinical microsystems level from the
breakout group's perspective

Peer Reviewers (Journal Editors and Study Section members)
New Hampshire Three
Facilitator Edward Wagner, M.D., M.P.H.
Kickoff commenters: Alan S. Go, M.D. (invited), and
Sankey Williams, M.D. (invited)
Recorder: Emily DeVoto, Ph.D., M.S.P.H.
Recorder on easel: C. Tracy Orleans, Ph.D.

Design Experts
New Hampshire Two
Facilitator: Laura C. Leviton, Ph.D.
Kick-off commenters: Jeremy Grimshaw, M.B., Ch.B., Ph.D., and
Benjamin Crabtree, Ph.D.
Recorder: Lori Melichar, Ph.D.

Users of QII Research
New Hampshire One
Facilitator: David Atkins, M.D., M.P.H.
Kick-off commenters: Marian F. Earls, M.D., M.T.S., and
Paul Wallace, M.D.
Recorder: Shawna Mercer, Ph.D., M.Sc.

Research Training Directors
Potomac Room
Facilitator: Joseph Francis Jr., M.D., M.P.H.
Kick-off commenters: Richard Hirth, Ph.D., and
Joan Reede, M.D., M.P.H., M.S.
Recorder: Neil Thakur, Ph.D.

Disparity Reductions within Quality
Dupont Room
Facilitator: Marshall Chin, M.D., M.P.H.
Kick-off commenter: Robin Weinick, Ph.D.
Recorder: Denise Dougherty, Ph.D.

11:45-12:00 noon Break
Lower Level Lobby

12:00-12:45 p.m. Lunch Buffet/Networking Break/Facilitators and Recorders
Prepare Summary of Breakout Groups' Solutions
New Hampshire Ballroom

12:45-1:30 Plenary: Reports Back by Breakout Groups' Facilitators
(10 minutes each) and General Discussion (15 minutes)
New Hampshire Ballroom
Moderator: Arnold Milstein, M.D., M.P.H.

1:30-2:30 SESSION II. RESEARCH EVALUATION DESIGNS FOR QII AT THE HEALTH "PLAN" LEVEL
New Hampshire Ballroom
Case: Expanding and Testing VA Collaborative Care Models for
Depression" (ReTIDES QII)
Chair/Moderator: Joseph Francis Jr., M.D., M.P.H.
Presenter: Lisa V. Rubenstein, M.D., M.S.P.H.
(20 minutes)
Commenter: Junius Gonzales, M.D. (10 minutes)
General Discussion: (30 minutes)

2:30-2:45 Break
Lower Level Lobby

2:45-3:45 SESSION III. QII AT MULTIPLE CLINICAL SYSTEMS LEVEL: ICICE (Improving Chronic Illness Care Evaluation)
New Hampshire Ballroom
Chair/Moderator: C. Tracy Orleans, Ph.D.
Presenters: Edward Wagner, M.D., M.P.H., and
Emmett Keeler, Ph.D. (30 minutes)
Commenter: Marshall Chin, M.D., M.P.H. (10 minutes)
General Discussion: (20 minutes)

3:45-4:00 Break
Lower Level Lobby

4:00-5:15 5 Breakout Sessions led by facilitators (see above)
Goals: Identify solutions for QII evaluation at the health and
multiple clinical systems levels from the breakout group's
perspective

Peer Reviewers (Journal Editors and Study Section members)
New Hampshire Three
Facilitator: Molla Sloane Donaldson, Dr.P.H., M.S.
Kick-off commenters: Martin Eccles, M.D., M.B., and
Gayle Weaver, Ph.D.
Recorder: Lawrence W. Green, Dr.P.H.

Design Experts
New Hampshire Two
Facilitator: Francis D. Chesley Jr., M.D.
Kick-off commenters: Kelly J. Devers, Ph.D., and
Kaveh G. Shojania, M.D.
Recorder: David M. Introcaso, Ph.D.

Users of QII Research
New Hampshire One
Facilitator: Peter Briss, M.D., M.P.H.
Kick-off commenters: Anne-Marie J. Audet, M.D., M.Sc.,
and Evelyn Whitlock, M.D., M.P.H.
Recorder: Shawna Mercer, Ph.D., M.Sc.

Research Training Directors
Potomac Room
Facilitator: Thomas J. Chapel, M.A., M.B.A.
Kick-off commenters: Ann Barry Flood, Ph.D.,
and Mark Splaine, M.D., M.S. (invited)
Recorder: Joseph Francis Jr., M.D., M.P.H.

Disparity Reductions within Quality
Dupont Room
Facilitator: Denise Dougherty, Ph.D.
Kick-off commenters: Constance Fung, M.D., M.S.H.S.,
and Marsha Gold, Sc.D.
Recorder: Debra Joy Perez, Ph.D., M.A., M.P.A.

5:15-6:00 Breakout Group Facilitators and Recorders Convene;
Others Adjourn
New Hampshire Three

5:15 -?:?? Dinner on Your Own (Except Core Planning Group Members)

6:00-7:00 Core Planning Group Members Convene to Debrief
Potomac Room

September 15, 2006 (8:15 a.m.-1:00 p.m.)

7:45 a.m. Registration and Continental Breakfast
Lower Level Lobby

8:15-9:15 SESSION V. QII AT THE STATE/REGIONAL LEVEL:
California State Tobacco Prevention and Control, Public
Health QII—Evaluation Design Issues and Lessons for Health
Care QII in the Policy Environment
New Hampshire Ballroom
Chair/Moderator: Peter Briss, M.D., M.P.H., and
Shawna Mercer, Ph.D., M.Sc.
Presenters: David Hopkins, M.D., M.P.H. and
Terry Pechacek, Ph.D., M.A. (25 minutes)
Commenter: Edward Wagner, M.D., M.P.H. (10 minutes)
General Discussion (25 minutes)

9:15-10:00 Plenary: Review Recommendations from September 14
Breakout Sessions and Discuss
New Hampshire Ballroom
Moderator: Tanja Popovic, M.D., Ph.D.

10:00-10:15 Break
Lower Level Lobby

10:15-11:15 SESSION VI. DEVELOPING INTERSECTING
RECOMMENDATIONS BREAKOUT GROUPS
Charge: Expanding the range of acceptable evaluation research
designs for QII will take action by the many interdependent
components of the QII evaluation universe over the short- and longterms.
How would you take the solutions identified to date by the
homogeneous breakout groups and combine them into solutions that
would be actionable by the key intersecting stakeholders, acting in a
complementary fashion? Are there some solutions that could be
implemented in the short-term (e.g., over the next 1-3 years)? What
are some solutions that might take a longer time to implement?

Heterogeneous I Last names A-D
New Hampshire One
Facilitators: Lisa A. Simpson, M.B., B.Ch., M.P.H.,
and Denise Dougherty, Ph.D.
Recorder: Emily DeVoto, Ph.D., M.S.P.H.

Heterogeneous II Last names E-I
New Hampshire Two
Facilitators: Susanne Salem-Schatz, Sc.D., and
Shawna Mercer, Ph.D., M.Sc.
Recorder: David Haggstrom, M.D., M.C.R.

Heterogeneous III Last names J-M
New Hampshire One
Facilitator: Lawrence J. Fine, M.D., Dr.P.H.
Recorder: Barbara Wells, Ph.D.

Heterogeneous IV Last names N-R
Dupont Room
Facilitators: Lawrence W. Green, Dr.P.H., and
Patricia Dolan Mullen, Dr.P.H., M.P.H.
Recorder: David Atkins, M.D., M.P.H.
Heterogeneous V Last names S-Z
Potomac Room
Facilitator: Joseph Francis Jr., M.D., M.P.H.
Recorder: Neil Thakur, Ph.D.

11:15-11:30 Break; Get Box Lunch; Facilitators and
Recorders Convene
Lower Level Lobby

11:30-12:30 p.m. Working Lunch: Plenary and Discussion:
REPORTS BACK AND DISCUSSION
New Hampshire Ballroom
Facilitator: Thomas J. Chapel, M.A., M.B.A.

12:30-1:00 Next Steps, Parting Remarks (Core Planning Group)
New Hampshire Ballroom

1:00 Adjourn
New Hampshire Ballroom

2:00-4:00 Core Planning Group Convenes to Debrief
Potomac Room

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Current as of March 2009
Internet Citation: Symposium Agenda: Expanding Research and Evaluation Designs to Improve the Science Base for Health Care and Public Health Quality Improvement Symposium. March 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/events/other/phqisymp/phqi10.html