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Suggested Citation:"Appendix B: Workshop Agendas." National Academy of Medicine. 2017. Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health. Washington, DC: The National Academies Press. doi: 10.17226/27115.
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APPENDIX B

WORKSHOP AGENDAS

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MODELS OF CARE FOR HIGH-NEED PATIENTS

A National Academy of Medicine Workshop

. . . funded by the Peterson Center on Healthcare

July 7, 2015
Keck Center
Room 100
500 Fifth St, NW
Washington DC 20001

NAM LEADERSHIP CONSORTIUM FOR VALUE & SCIENCE-DRIVEN HEALTH CARE

Meeting objectives

  1. What are the key characteristics of high-need patient populations, and which subgroups offer the greatest opportunity for impact?
  2. What factors are most important in determining the match between a model of care and a patient population?
  3. How can lessons learned from past experience with high-need patients be amplified and spread effectively?
Suggested Citation:"Appendix B: Workshop Agendas." National Academy of Medicine. 2017. Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health. Washington, DC: The National Academies Press. doi: 10.17226/27115.
×

AGENDA

8:00 AM Coffee and light breakfast available
8:30 AM Welcome and agenda overview
  • Michael McGinnis, MD, MPP, National Academy of Medicine
  • Peter Long, PhD, Blue Shield of California Foundation (Chair)
8:45 AM Partner organizations: introduction and updates
  • Emily Zyborowicz, MPH, Peterson Center on Healthcare
  • G. William Hoagland, Bipartisan Policy Center
  • Katherine Hayes, JD, Bipartisan Policy Center
  • Jose Figueroa, MD, MPH, Harvard T.H. Chan School of Public Health
9:15 AM Patient perspective

Brief opening presentation and discussion on the personal perspectives of a patient.

  • Jeromie Ballreich, Johns Hopkins University
9:30 AM High-need patients: introduction and overview

Presentations and discussion on the existing high-need patient literature, including definitions, categories, challenges, and other considerations. [Meeting Goal: What are the key characteristics of high-need patient populations?]

  • Melinda Abrams, MS, The Commonwealth Fund
  • Alan Glaseroff, MD, Stanford University
10:30 AM Break (15 min)
10:45 AM Identifying and defining high-need patients

Presentations and discussion exploring special considerations for key subgroups and mechanisms for identifying opportunities for improving quality and controlling costs. [Meeting Goal: Which subgroups offer the greatest opportunity for impact?]

Suggested Citation:"Appendix B: Workshop Agendas." National Academy of Medicine. 2017. Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health. Washington, DC: The National Academies Press. doi: 10.17226/27115.
×
  • David Meyers, MD, Agency for Healthcare Research and Quality (moderator)
  • Bruce A. Chernof, MD, FACP, The SCAN Foundation
  • Frank V. deGruy III, MD, MSFM, University of Colorado, Denver
  • Lisa Iezzoni, MD, MSc, Harvard Medical School
  • David Meltzer, MD, PhD, University of Chicago
12:15 PM Meeting goal 1: closing discussion
12:30 PM Lunch
1:30 PM Models that deliver: success stories

Case studies of successful interventions and care models that engage the priorities of high-need groups. [Meeting Goal: What factors are most important in determining the match between a model of care and a patient population?]

  • Arnold Milstein, MD, MPH, Stanford University (moderator)
  • John O’Brien, PharmD, MPH, CareFirst BlueCross BlueShield
  • Robert Master, MD, Commonwealth Care Alliance
  • Bonnie LaPlante, RN, MHA, Health Care Homes, Minnesota
  • Rebecca Ramsay, MPH, CareOregon
3:00 PM Break
3:15 PM Comments from the NAM president
  • Victor J. Dzau, MD, National Academy of Medicine
3:20 PM Applying models of care to diverse circumstances

Presentations and discussion on the challenges that arise in the application and spread of models of care in diverse settings and for diverse patient groups. [Meeting Goal: How can lessons learned from past experience with high-need patients be amplified and spread effectively?]

  • Gerard Anderson, PhD, Johns Hopkins Bloomberg School of Public Health (moderator)
  • Rajesh Davda, MD, Cigna Healthcare
  • Don Furman, MD, Alignment Healthcare
Suggested Citation:"Appendix B: Workshop Agendas." National Academy of Medicine. 2017. Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health. Washington, DC: The National Academies Press. doi: 10.17226/27115.
×
  • Lisa Mangiante, MPP, MPH, Pacific Business Group on Health
  • Deborah Peikes, PhD, MPA, Mathematica Policy Research
4:45 PM Summary and next steps
  • Peter Long, PhD, Blue Shield of California Foundation (Chair)
  • Michael McGinnis, MD, MPP, National Academy of Medicine
5:00 PM Adjourn
Suggested Citation:"Appendix B: Workshop Agendas." National Academy of Medicine. 2017. Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health. Washington, DC: The National Academies Press. doi: 10.17226/27115.
×

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MODELS OF CARE FOR HIGH-NEED PATIENTS

A National Academy of Medicine Workshop

. . . funded by the Peterson Center on Healthcare

January 19, 2016
National Academy of Sciences Building
Lecture Room
2101 Constitution Avenue, NW
Washington, DC 20418

NAM LEADERSHIP CONSORTIUM FOR VALUE & SCIENCE-DRIVEN HEALTH CARE

Meeting objectives

  1. Data and segmentation. Review existing data sources on care delivery to high-need patients, and consider how the populations may be best characterized to design and target care more effectively.
  2. Design elements. Explore successes and lessons learned from designing various models of care.
  3. Policy implications. Consider policies particularly important to spreading the most successful models.
8:00 AM Coffee and light breakfast available
8:30 AM Welcome and agenda overview
  • Michael McGinnis, MD, MPP, National Academy of Medicine
  • Jeff Selberg, MHA, Peterson Center on Health Care
  • Peter Long, PhD, Blue Shield of California Foundation (Chair)
8:45 AM Patient perspective
  • Darcel Jackson, Children’s National Health System
Suggested Citation:"Appendix B: Workshop Agendas." National Academy of Medicine. 2017. Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health. Washington, DC: The National Academies Press. doi: 10.17226/27115.
×
9:00 AM Framing the conversation: utility of a segmentation strategy for high-need patients and implications for care and policy

Perspectives on the issues and uses of different approaches to segmenting high-need patient populations, and the implications for care delivery and policy.

  • David Dorr, MD, MS, Oregon Health & Science University
  • Craig Samitt, MD, Anthem, Inc.
  • Simon Hambidge, MD, PhD, Denver Health
9:30 AM The existing data on high-need patients

Primary data sources and insights gleaned about the nature and care for high-need patients, including identification of the limits and opportunities of working with these data.

  • Gerard Anderson, PhD, Johns Hopkins University
  • Ashish Jha, MD, MPH, Harvard T.H. Chan School of Public Health
  • Paul Bleicher, MD, PhD, Optum Labs

Q&A and Open Discussion

10:30 AM Break
10:45 AM Understanding the taxonomy of high-need patient populations

Synthesis of what we know about segmenting high-need patient populations, and the activities underway to build the taxonomy.

  • Melinda Abrams, MS, The Commonwealth Fund

Q&A and Open Discussion

11:30 AM Breakout sessions: interacting with the data and segmentation

Two small-groups discuss: 1) the use of a segmentation strategy for high-need patients; 2) challenges and opportunities in use of different approaches and data sources for segmenting patients; and 3) implications of groupings for design, organization, and financing of care delivery.

Suggested Citation:"Appendix B: Workshop Agendas." National Academy of Medicine. 2017. Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health. Washington, DC: The National Academies Press. doi: 10.17226/27115.
×
12:30 PM Working lunch and report back from breakout sessions
1:30 PM Identifying the design elements of successful models

Panelists explore attributes of successful models.

  • Molly Coye, MD, MPH, Network for Excellence in Health Innovation
  • Randall Brown, PhD, Mathematica Policy Research
  • Rahul Rajkumar, MD, JD, Center for Medicare & Medicaid Innovation

Q&A and Open Discussion

2:30 PM Replicating successful models through spread and scale

Panelists introduce policy strategies and opportunities to improve care for high-need patients.

  • Arnold Milstein, MD, MPH, Stanford University
  • Katherine Hayes, JD, Bipartisan Policy Center
  • Sandra Wilkniss, PhD, National Governors Association

Q&A and Open Discussion

3:10 PM Break
3:20 PM Breakout sessions: policy implications

Two small-groups: 1) discuss key barriers to scaling new delivery models for high-need patients; and 2) identify essential elements for a policy framework that would mitigate these barriers.

4:20 PM Report back

A facilitated large group discussion reviews outcomes and takeaways from the breakout.

4:45 PM Summary and next steps
  • Peter Long, PhD, Blue Shield of California Foundation (Chair)
  • Michael McGinnis, MD, MPP, National Academy of Medicine
5:00 PM Adjourn
Suggested Citation:"Appendix B: Workshop Agendas." National Academy of Medicine. 2017. Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health. Washington, DC: The National Academies Press. doi: 10.17226/27115.
×
Suggested Citation:"Appendix B: Workshop Agendas." National Academy of Medicine. 2017. Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health. Washington, DC: The National Academies Press. doi: 10.17226/27115.
×

Image

MODELS OF CARE FOR HIGH-NEED PATIENTS

A National Academy of Medicine Workshop

. . . funded by the Peterson Center on Healthcare

October 21, 2016
Keck Center
Room 100
500 Fifth St, NW
Washington, DC 20001

NAM LEADERSHIP CONSORTIUM FOR VALUE & SCIENCE-DRIVEN HEALTH CARE

Meeting objectives

  1. Examine tools to improve care delivery for high-need patients. Discuss a patient “taxonomy” matched to care models with the most potential to improve outcomes and lower costs, and the use of measures to enhance care delivery.
  2. Advance policy to support better care for high-need patients. Consider a policy-level approach and other insights to support and accelerate the spread and scale of effective care models.
  3. Synthesize and identify future opportunities. Provide a synthesis of the three-part workshop series and identify approaches and priorities for advancing progress.
Suggested Citation:"Appendix B: Workshop Agendas." National Academy of Medicine. 2017. Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health. Washington, DC: The National Academies Press. doi: 10.17226/27115.
×
8:00 AM Coffee and light breakfast available
8:30 AM Welcome and agenda overview
  • Michael McGinnis, National Academy of Medicine
  • Jeff Selberg, Peterson Center on Healthcare
  • Peter Long, Blue Shield of California Foundation (Chair)
9:00 AM Patient perspective: A caregiver and clinical team example
  • Eric De Jonge, MedStar Total Elder Care
  • Veronica Humes Butler, Long-time Caregiver
  • Gretchen Nordstrom, MedStar Total Elder Care
9:30 AM A patient taxonomy and promising care models

This session will examine a taxonomy of high-need patients matched to care models with the most potential to improve outcomes and lower the total cost of care for high-need patients.

  1. Melinda Abrams, The Commonwealth Fund, Planning Committee Member
  2. Arnie Milstein, Stanford University, Planning Committee Member

Q&A and Open Discussion

10:45 AM Break
10:55 AM Policy opportunities for spread and scale of care models

Introductory comments:

  • David Blumenthal, The Commonwealth Fund

The planning committee offers insight on opportunities to advance policy.

  • Gerard Anderson, Johns Hopkins School of Public Health, Planning Committee Member

Bipartisan Policy Center policy framework for implementation of effective care models for high-need patients, particularly Medicaid and Medicare eligible.

  • Katherine Hayes, Bipartisan Policy Center, Planning Committee Member
Suggested Citation:"Appendix B: Workshop Agendas." National Academy of Medicine. 2017. Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health. Washington, DC: The National Academies Press. doi: 10.17226/27115.
×

Reactor panel:

  • Julian Harris, Care Allies
  • Melanie Bella, Formerly CMS and Independent Consultant
  • Carolyn Ingram, Molina

Q&A and Open Discussion

12:30 PM Lunch
1:00 PM The use of measures in payment to enhance care

Experts discuss the use of measures in health care payment, and their role in enhancing and incentivizing high-value care for high-need patients.

  • Helen Burstin, National Quality Forum
  • Shari Ling, Centers for Medicare and Medicaid Services
  • Rick Kronick, University of California San Diego

Q&A and Open Discussion

2:15 PM Synthesis

A synthesis of suggestions and insight gleaned to date from the three-part workshop series.

  • Ashish Jha, Harvard School of Public Health, Planning Committee Member
  • Peter Long, Blue Shield of California Foundation, Planning Committee Chair
3:00 PM Counsel on moving the field forward

A tightly moderated discussion of priorities for stakeholder action to improve care for high-need patients.

Moderator: David Meyers, AHRQ, Planning Committee Member

Reactor insight:

  • Payer: Aelaf Worku, CareMore
  • System representative: Dave Chokshi, NYC Health + Hospitals
Suggested Citation:"Appendix B: Workshop Agendas." National Academy of Medicine. 2017. Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health. Washington, DC: The National Academies Press. doi: 10.17226/27115.
×
  • Patient: MaryAnne Sterling, Sterling Health IT Consulting and Connected Health Resources
  • Physician researcher: David Dorr, Oregon Health and Science University
4:15 PM Closing remarks
  • Michael McGinnis, National Academy of Medicine
  • Peter Long, Blue Shield of California Foundation (Chair)
4:30 PM Adjourn
Suggested Citation:"Appendix B: Workshop Agendas." National Academy of Medicine. 2017. Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health. Washington, DC: The National Academies Press. doi: 10.17226/27115.
×
Page 147
Suggested Citation:"Appendix B: Workshop Agendas." National Academy of Medicine. 2017. Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health. Washington, DC: The National Academies Press. doi: 10.17226/27115.
×
Page 148
Suggested Citation:"Appendix B: Workshop Agendas." National Academy of Medicine. 2017. Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health. Washington, DC: The National Academies Press. doi: 10.17226/27115.
×
Page 149
Suggested Citation:"Appendix B: Workshop Agendas." National Academy of Medicine. 2017. Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health. Washington, DC: The National Academies Press. doi: 10.17226/27115.
×
Page 150
Suggested Citation:"Appendix B: Workshop Agendas." National Academy of Medicine. 2017. Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health. Washington, DC: The National Academies Press. doi: 10.17226/27115.
×
Page 151
Suggested Citation:"Appendix B: Workshop Agendas." National Academy of Medicine. 2017. Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health. Washington, DC: The National Academies Press. doi: 10.17226/27115.
×
Page 152
Suggested Citation:"Appendix B: Workshop Agendas." National Academy of Medicine. 2017. Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health. Washington, DC: The National Academies Press. doi: 10.17226/27115.
×
Page 153
Suggested Citation:"Appendix B: Workshop Agendas." National Academy of Medicine. 2017. Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health. Washington, DC: The National Academies Press. doi: 10.17226/27115.
×
Page 154
Suggested Citation:"Appendix B: Workshop Agendas." National Academy of Medicine. 2017. Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health. Washington, DC: The National Academies Press. doi: 10.17226/27115.
×
Page 155
Suggested Citation:"Appendix B: Workshop Agendas." National Academy of Medicine. 2017. Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health. Washington, DC: The National Academies Press. doi: 10.17226/27115.
×
Page 156
Suggested Citation:"Appendix B: Workshop Agendas." National Academy of Medicine. 2017. Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health. Washington, DC: The National Academies Press. doi: 10.17226/27115.
×
Page 157
Suggested Citation:"Appendix B: Workshop Agendas." National Academy of Medicine. 2017. Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health. Washington, DC: The National Academies Press. doi: 10.17226/27115.
×
Page 158
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To advance insights and perspectives on how to better manage the care of the high-need patient population, the National Academy of Medicine, with guidance from an expert planning committee, was tasked with convening three workshops held between July 2015 and October 2016. The resulting special publication, Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health, summarizes the presentations, discussions, and relevant literature.

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