Web Summit Bulletin

Did you miss the Pay for Performance 2006 Web Summit held May 1st through May 5th? Now you can get the complete Pay For Performance 2006 Web Summit on CD-ROM for just $425.00!! Get your copy at: http://www.healthwebsummit.com/cdroms.htm or call the Healthcare Web Summit office at 209.577.4888.

2006 faculty participants include: Geoffrey B. Baker, President, Med-Vantage · Peter Basch, MD, Medical Director, MedStar e-Health · Howard Beckman, MD, Medical Director, Rochester Individual Practice Association · Elaine Blechman, Professor, University of Colorado-Boulder · Richard Chung, MD, SVP, Health Services Division, Hawaii Medical Service Association · Carolyn Clancy, MD, Director, Agency for Healthcare Research and Quality · Michael R. Costa, JD, MPH, Senior Associate, Greenberg Traurig · Kathleen Curtin, NP, SVP, Client Services, Med-Vantage · Linda C. Davis, President, LCD Solutions, Consultant, BHCAG · Francois de Brantes, Program Leader, Health Care Initiatives, GE Corporate Health Care · William J. DeMarco, President, DeMarco & Associates · Catherine Eikel, Director, Leapfrog Hospital Rewards Program, The Leapfrog Group · Thomas Foels, MD, Medical Director, Independent Health · Andrew Foster, Director of Workforce, Department of Health, National Health Service UK · John D. Freedman, MD, Consultant · Bill Gil, President, Facey Medical Foundation · Joel Hasenwinkel, Director, Clinical Collaboration, Wellmark Blue Cross Blue Shield · Jon A. Hultman, DPM, CEO, Integrated Physician Systems · Brent James, MD, VP, Medical Research and Continuing Medical Education, Intermountain Health Care · Tom E. Jeffry, Esq., Partner, Davis Wright Tremaine LLP · Jon Kingsdale, SVP, Policy Development, Tufts Health Plan · Antonio Legorreta,MD, President, Health Benchmarks · Jeff Levin-Scherz, MD, Chief Medical Officer, Partners Community HealthCare · Ed Mendoza, Acting Director, California Office of the Patient Advocate · Peter Mongroo, Senior Director, Global Healthcare Strategy, Oracle · Ian Morrison, PhD, Senior Fellow, Institute for the Future · John C. Nelson, MD, Immediate Past President, American Medical Association · Margaret E. O'Kane, President, National Committee for Quality Assurance · Stan Padilla, MD, Chief Medical Officer, Brown & Toland Medical Group · James Robinson, PhD, MPH, Chair, Division of Health Policy and Management, School of Public Health, University of California, Berkeley · Lee Sacks, MD, President, Advocate Health Partners · Hesham Z. Sheikh, Project Leader, Health Care Initiatives, General Electric Company · Linda Shelton, AVP, Product Development, National Committee for Quality Assurance · Mark Shields, MD, Senior Medical Director, Advocate Health Partners · Stephen M. Shortell, PhD, MPH, Dean, School of Public Health, University of California, Berkeley, Paul T. Smith, Esq., Partner, Davis Wright Tremaine LLP · David Swieskowski, MD, VP, Quality Improvement, Mercy Clinics · Andy Weissberg, General Manager, Product Development and Interactive Marketing, Advanstar Medical Economics · Tom Williams, Executive Director, Integrated Healthcare Association · Dolores Yanagihara, Program Development Manager, Integrated Healthcare Association · John Zweifler, MD, MPH, Medical Consultant, California Office of the Patient Advocate

On-Line Presentations
Most Faculty are making presentations given during the recently held National Pay for Performance Summit in Los Angeles, CA.

Session 1: Enhancing Quality: Incentivizing Providers
Geoffrey B. Baker, MBA, Chief Executive Officer and President
Med-Vantage, Inc.

Kathleen Curtin, NP, MBA, Senior Vice President, Client Services
Med-Vantage, Inc.

This 19 slide presentation discusses National Trends; Measurement and P4P Strategies and Programs; What to Measure, How to Measure; Actionable Reporting; Provider Engagement; Public Reporting of Quality; and Predictions and Critical Success Factors.

Session 2: Bridges to Excellence: A Physician’s Perspective
Peter Basch, MD, Medical Director
MedStar e-Health

Dr. Basch's 19 slide presentation discusses the Washington Primary Care Physicians participation in Bridges to Excellence from a physician's perspective.

Session 3: The RIPA/Excellus Experience
Howard Beckman, MD, Medical Director, Clinical Professor of Medicine
Rochester Individual Practice Association

This 31 slide presentation highlights the Rochester IPA/Excellus P4P program’s outcomes, and reviews the key lessons learned in achieving those outcomes.

Session 4: Information Use as the Pay for Performance Criterion
Elaine Blechman, Professor
University of Colorado-Boulder

This 20 slide presentation discusses Information Use as the Pay for Performance Criterion in a Long-Term Care setting

Session 5: 8 Years of a PPO Pay for Performance Program
Richard Chung, MD, Senior Vice President, Health Services Division
Hawaii Medical Service Association (HMSA)

Antonio Legorreta,MD, MPH, President and CEO
Health Benchmarks, Inc.

Dr. Chung's and Dr. Legorreta's 37 slide presentation cover the lessons learned from implementing and measuring to improve quality of care at the Hawaii Medical Service Association (HMSA) PPO pay for performance program.

Session 6: Pay-for-Performance: The train has left the station, but where is it going?
Carolyn Clancy, MD, Director
Agency for Healthcare Research and Quality

Dr. Clancy's 49 slide presentation reviews the role for the Agency for Healthcare Research and Quality (AHRQ) in Pay for Performance programs; the drivers behind p4p as P4P gains traction; the evidence base; the enabling role of Health IT, the challenges ahead and several strategic questions.

Session 7: Understanding the New AMA Principles and Guidelines for Pay-for-Performance Programs- A Legal Interpretation
Michael R. Costa, JD, MPH, Senior Associate
Greenberg Traurig, LLP

This 25 slide presentation provides an overview of p4p programs; outlines factors Driving PPF programs; summarizes various Private, State and Federal initiatives; and then discusses problems associated with p4p; highlights the MedPAC Report, and reviews the applicable AMA Principles and Guidelines.

Session 8: BHCAG – Bridges to Excellence Implementation in Minnesota
Linda C. Davis, President and CEO, LCD Solutions Ltd.
Consultant, BHCAG

This 20 slide presentation discusses the Buyers Health Care Action Group's Bridges to Excellence program, including a review of the Minnesota Marketplace; Local Pay for Performance Building Block; What the program looks like today; and What’s in the BHCAG future.

An interview with Ms. Davis is available as a podcast recording

Session 9: The Promise of Pay for Performance: Better Value
Francois de Brantes, Program Leader, Health Care Initiatives
GE Corporate Health Care and Medical Services Programs

François de Brantes' 15 slide presentation discusses the Bridges to Excellence program from GE's perspective and the Prometheus payment model.

Session 10: Advanced Pay for Performance
William J. DeMarco, MA, CMC, President
DeMarco & Associates

Using several case studies, Bill DeMarco's 94 slide presentation addresses: Pay for performance, what is it?; Why now?; Environment is again shifting; Health System driven example; Health Plan driven example; Physician employer Joint Venture; Employer Driven example; and Creating a strategy.

This presentation is also available as an audio conference. An interview with Mr. DeMarco is available as a podcast recording

Session 11: The Leapfrog Hospital Rewards Program
Catherine Eikel, Director, Leapfrog Hospital Rewards Program
The Leapfrog Group

This presentation provides an overview of the Leapfrog hospital rewards program, and a case study on its implementation.

Session 12: Second Generation P4P: Community-Wide Diabetes and Asthma Care
Thomas Foels, MD, MMM, Medical Director
Independent Health

Dr. Foels' 56 slide presentation includes a discussion of general comments regarding P4P, followed by review of the Second generation Independent Health model, as well as Results of Independent's asthma and diabetes program.

This presentation is also available as an audio conference. An interview with Dr. Foels is available as a podcast recording

Session 13: Experience Of Primary Care Physicians In England
Andrew Foster, CBE, Director of Workforce
Department of Health, National Health Service

Mr. Foster's 27 slide presentation overviews General Practice physicians in the UK and a quick history of their NHS relationship, followed by a summary of what the doctors wanted going forward and What the government wanted; and then a discussion of the resulting quality and outcome framework.

An interview with Mr. Foster is available as a podcast recording

Session 14: CCHRI CAS P4P Summary Results and Comparison to prior years
Bill Gil, President and Chief Executive Officer
Facey Medical Foundation

Bill Gill's six slide presentation overviews Facey Medical Foundation p4p results and their EHR initiative.

Session 15: Collaboration on Quality: A Foundation Built on Trust
Joel Hasenwinkel, Director, Clinical Collaboration
Wellmark Blue Cross Blue Shield

David Swieskowski, MD, MBA, Vice President, Quality Improvement
Mercy Clinics, Inc.

This 29 slide presentation discusses Wellmark's p4p program and collaboration with Mercy Clinics. A companion 6 slide presentation provides sample documents and process flow.

Session 16: Achieving Collaboration Amongst Independent Physicians on a Common Database Employing an EHR
Jon A. Hultman, DPM, MBA, Chief Executive Officer
Integrated Physician Systems (IPS)

This 42 slide presentation addresses EHR collaboration issues for independent physicians and related process workflow.

Session 17: Financial Incentives and Quality Improvement
Brent James, MD, Executive Director, Institute for Health Care Delivery Research, Vice President, Medical Research and Continuing Medical Education, Intermountain Health Care

Dr. James' 20 slide presentation illustrates quality based cost improvement via financial incentives through specific data. A "printer friendly" black and white version of many of the slides is also provided as a companion presentation.

Session 18: Using Hospital Performance Data: Consumer Education and Benefit Design
Jon Kingsdale, Senior Vice President, Policy Development
Tufts Health Plan

John D. Freedman, MD, MBA, Consultant

This 25 slide presentation discusses the Tufts Health Plan approach to, and rationale for “value-based” tiering, their collaboration with providers to develop “value-based” metrics; and their member response to tiering.

Session 19: Partners HealthCare: EMR as a Foundation for Success in Pay For Performance Contracts
Jeff Levin-Scherz, MD, MBA, Chief Medical Officer
Partners Community HealthCare, Inc.

Dr. Levin-Scherz's 33 slide presentation provides a brief overview of Partners Community Healthcare; an overview of their P4P Contracts; and discusses Electronic Medical Records as a foundation for success in P4P contracts.

	Session 20: 2005 HMO Report Card: Office of the Patient Advocate Ed Mendoza, Acting Director California Office of the Patient Advocate
	John Zweifler, MD, MPH, Medical Consultant California Office of the Patient Advocate

This 47 slide presentation discusses the California Office of the Patient Advocate and the HMO Report Card project.

An interview with John Zweifler, MD, Medical Consultant, California Office of the Patient Advocate is available as a podcast recording

Session 21: The Silicon Valley Health Information Technology Pay for Performance Collaborative
Peter Mongroo, Senior Director, Global Healthcare Strategy
Oracle

This 12 slide presentation outlines the Silicon Valley HIT Program, and the NCQA’s Physician Practice Connections (PPC) program, contrasting it with the IHA p4p program and concludes with an outline of a migration path for these programs and what's next for the SVHIT Collaborative.

Session 22: The Role of Pay for Performance in the Future of American Healthcare
Ian Morrison, PhD, Senior Fellow
Institute for the Future

Ian Morrison's 44 slide presentation covers the context for P4P; the quest for Value, and p4p scenarios and implications in American healthcare.

Session 23: The National Pay for Performance Debate
John C. Nelson, MD, MPH, Immediate Past President
American Medical Association

Dr. Nelson's four page paper provides the AMA position regarding Pay for Performance and the AMA guidelines in this regard.

An interview with Dr. Nelson is available as a podcast recording

Session 24: Effective Clinical Incentives: Improving Quality and Efficiency
Margaret E. O'Kane, President
National Committee for Quality Assurance

This 16 slide presentation discusses the need for clinical incentives, how quality measurement leads to quality improvement, using payment to drive quality, and using quality to drive efficiency.

Session 25: Pay for Performance Pushes EMR Adoption
Stan Padilla, MD, Chief Medical Officer
Brown & Toland Medical Group

Dr. Padilla's 15 slide presentation the range of factors that influence EMR adoption.

Session 26: Strategic Choices In Pay-For-Performance Programs
James Robinson, PhD, MPH, Chair, Division of Health Policy and Management
School of Public Health, University of California, Berkeley

Professor Robinson's 26 slide presentation addresses the: Goals of pay-for-performance programs; Choices among metrics; Choices among structures; Matching choices to goals; and Making choices based on goals.

Session 27: Pay For Performance: A Catalyzing Component Of Clinical Integration
Lee Sacks, MD, President
Advocate Health Partners

Mark Shields, MD, Senior Medical Director
Advocate Health Partners

Dr. Sacks and Dr. Shields sixty slide presentation discusses the Advocate Health Partners Clinical Integration Program and addresses: Defining Clinical Integration; Market Place Realities; components of the Advocate Health Partners Clinical Integration Program; Incentive Plan Design; and Results.

An interview with Dr. Shields is available as a podcast recording

Session 28: The California Pay for Performance Program
Stephen M. Shortell, PhD, MPH, Dean, School of Public Health, Blue Cross of California Distinguished Professor of Health Policy and Management
University of California, Berkeley, School of Public Health

This 25 slide presentation covers various aspects, lessons learned and issues regarding the Integrated Healthcare Association's Pay for Performance program in California.

Session 29: Bridges to Excellence
Hesham Z. Sheikh, Project Leader, Health Care Initiatives
General Electric Company

This 17 slide presentation discusses the national Bridges to Excellence pay for performance program.

Session 30: Pay for Performance: Choosing Measures
Linda Shelton, Assistant Vice President, Product Development
National Committee for Quality Assurance

This sixteen slide presentation discusses the framework for quality measures, the use of medical evidence to develop measures, desirable attributes of measures, and examples of measures used for reports and rewards.

An interview with Ms. Shelton is available as a podcast recording

Session 31: Basic Legal Issues in Implementing Healthcare Incentives and Pay for Performance Programs
Paul T. Smith, Esq., Partner and Co-chair, HIT/HIPAA Task Force
Davis Wright Tremaine LLP

Tom E. Jeffry, Esq., Partner
Davis Wright Tremaine LLP

This 18 slide presentation reviews the context for P4P and outlines related legal issues regarding Antitrust, Physician Incentive Programs, and Collection and Exchange of Data.

	Session 32: Media’s Role in Pay for Performance: Providing Information Platforms That Facilitate Program Improvements Andy Weissberg, General Manager, Product Development and Interactive Marketing Advanstar Medical Economics
This 31 slide presentation discusses how the media and Internet influences physicians and p4p.
	Session 33: IHA Rewards Programs: Background and Overview Tom Williams, Executive Director Integrated Healthcare Association

Tom Williams' 16 slide presentation provides an overview of the Integration Healthcare Association pay for performance program.

Session 34: Essentials for Physicians, Payers, and Coalitions Managing Physicians PFP
Dolores Yanagihara, Program Development Manager
Integrated Healthcare Association

In this presentation, Ms. Yanagihara discusses the National Perspective; Questions to Consider in P4P Development; and California’s Experience.

This presentation is also available as an audio conference.

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