The Healthcare Imperative Lowering Costs and Improving Outcomes: Workshop Series Summary (2010) / Chapter Skim
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Appendix B: Workshop Agendas
Appendix B: Workshop Agendas
Pages 755-772
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Fineberg, Institute of Medicine Denis A Cortese, Mayo Clinic and Chair, IOM Roundtable on Value & Science-Driven Health Care
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Cortese, Mayo Clinic and Chair, IOM Roundtable on Value & Science-Driven Health Care Qualitative description and quantitative estimates on the contribution of unnecessary services to excess healthcare spending, waste and inefficiency. Elliott S
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Jessee, Medical Group Management Association Arnold Milstein, Pacific Business Group on Health Costs from inefficiencies in physician offices and hospitals OPEN DISCUSSION Session 3: Excess Administrative Costs 3:30 pm Chair: Nancy H Nielsen, American Medical Association Qualitative description and quantitative estimates on the contribution of excess administrative costs: (1)
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OPEN DISCUSSION Session 5: Missed Prevention Opportunities 10:45 am Chair: J Michael McGinnis, Institute of Medicine Qualitative description and quantitative estimates on the contribution of missed prevention opportunities, the treatment of which amounts to excess healthcare spending.
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Michael McGinnis, Institute of Medicine workshop II agenda Strategies that Work July 16-17 meeting agenda Objectives: To identify, characterize, and discuss the major causes of excess healthcare spending, waste, and inefficiency in the United States, to consider strategies that might reduce per capita health spending in the United States while improving health outcomes, and to explore policy options relevant to those strategies. DAY ONE Welcome, Introductions and Overview 8:00 am J
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Reischauer, Urban Institute OPEN DISCUSSION Session 1: Knowledge Enhancement-Based Strategies 10:30 am Chair: Nancy H Nielsen, American Medical Association Discussion of knowledge-focused strategies for reducing waste and inefficiency, an assessment of their effectiveness and potential impact on health system efficiency, and a review of the specific opportunities for their implementation.
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Ferris, Massachusetts General Hospital Care site integration initiatives BREAK Roger Feldman, University of Minnesota Antitrust interventions Ashish Jha, Harvard University Promoting information technology interoperability/connectivity Frank A Sloan, Duke University Service capacity restrictions Randall R
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Ginsburg, Center for Studying Health System Change Discussion of payment and payer-based strategies for reducing waste and inefficiency, an assessment of their effectiveness and potential impact on health system efficiency, and a review of the specific opportunities for their implementation. Amita Rastogi, Bridges to Excellence Bundled and fee-for-episode payments Harold D
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Wichmann, UnitedHealth Group Payer harmonization, coordination and/or consolidation OPEN DISCUSSION Session 5: Community-Based and Transitional Care 10:45 am Strategies Chair: Gail Shearer, Consumers Union Discussion of community-based and transitional care strategies for reducing waste and inefficiency, an assessment of their effectiveness and potential impact on health system efficiency, and a review of the specific opportunities for their implementation. Kenneth E
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Anderson, Johns Hopkins University Strategies importable from abroad OPEN DISCUSSION Concluding Remarks, Upcoming Workshops and 2:30 pm Adjournment Arnold Milstein, Pacific Business Group on Health J Michael McGinnis, Institute of Medicine workshop III agenda The Policy Agenda September 9-10 meeting agenda Objectives: To identify, characterize, and discuss the major causes of excess healthcare spending, waste, and inefficiency in the United States; to consider strategies that might reduce per capita health spending in the United States while improving health outcomes; and to explore policy options relevant to those strategies.
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Estimates of excess costs, by source: Unnecessary services, Inefficiently delivered services, Excess administrative costs, Prices that are too high, and Missed prevention opportunities. Estimates of potential gains, by initiative: Payment-based strategies, Care delivery efficiency-based strategies, Payer harmonization-based strategies, Transparency-based strategies, Tort reform, Knowledge enhancement-based strategies, and Community-based strategies.
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Neupert, Microsoft This session considers policies that might foster delivery system innovations, ranging from care coordination and more efficient caregiver profiles, to shared services arrangements, and patient/family engagement initiatives, including consideration of policies promoting reform of palliative and end-of-life care. Arnold Milstein, Pacific Business Group on Health State-of-the-art initiatives Ronald A
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Sinai School of Medicine Anand K Parekh, Department of Health and Human Services Policy perspective OPEN DISCUSSION Session 4: Policies Targeting Delivery System Integration 2:15 pm Chair: Helen Darling, National Business Group on Health This session addresses the current state and consequences of the fragmentation of health care, and considers the organizational, technical, and financial incentives for integrated and virtually integrated care.
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Kloss, American Health Information Management Association Provider perspective Harry Reynolds, Blue Cross/Blue Shield of North Carolina Policy engagement issues OPEN DISCUSSION Session 7: Policies Targeting Consumer Preferences for 10:00 am Higher Value Care Chair: Robert S Galvin, Global Healthcare/General Electric This session considers policies that aim to sharpen consumer awareness, focus, and choice of care that delivers higher value.
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Mark B McClellan, Brookings Institution Joseph Onek, Office of the Speaker of the House of Representatives Dean Rosen, Mehlman Vogel Castagnetti Short-term possibilities and goals Long-term possibilities and goals OPEN DISCUSSION Concluding Remarks and Adjournment 2:30 pm Arnold Milstein, Pacific Business Group on Health J
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OPEN DISCUSSION Identifying the Primary Opportunities 11:15 am Develop the priority list of the domains of highest importance to target, the cost saving strategies of highest yield and importance. OPEN DISCUSSION Lunch 12:30 pm Consideration of Different Strategy Scenarios -- Reaching 1:00 pm 10 Percent Presentation and discussion of different strategic scenario for reaching 10 percent, including the stakeholders affected and the relative savings potentially achievable in the current delivery system milieu.
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Michael McGinnis, Institute of Medicine Identification of Strategic Options to Reach 10 Percent 9:00 am Development of strategic roadmap for achieving 10 percent health expenditure savings, including the policies needed to implement the strategies, the potential barriers to implementations, the critical co-factors needed to maximize success. OPEN DISCUSSION Cadence Issues 11:00 am Considerations of timing of implementation of the identified strategic options.
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