Medical Home Summit Conference
Medical Home Summit Conference
Medical Home Summit Conference
Medical Home Summit Conference
Medical Home Summit Conference
Medical Home Summit Conference



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Day 2


NATIONAL MEDICAL HOME SUMMIT AGENDA:
PRECONFERENCE SYMPOSIUM
Monday, June 6, 2016

(Preconference participation optional: Required for Medical Home Certificate Program)

7:00 a.m. Registration Opens
PRECONFERENCE: WHAT DOES THE RESEARCH TELL US ABOUT THE MEDICAL HOME
AND COLLABORATIVE MODELS?
8:00 a.m.

Welcome

Ann S. O'Malley, MD, MPH
Senior Fellow, Mathematica Policy Research, Washington, DC (Chair)

    Speaker Bio

    Dr. Ann O'Malley is a Senior Fellow at Mathematica Policy Research and Deputy Director of the Center on Health Care Effectiveness. She does both qualitative and quantitative primary care health services research. She focuses on improving support for primary care practices to provide more coordinated and comprehensive care, particularly for patients with multiple chronic conditions. Among her current projects are two evaluations at Mathematica: the "Uptake and dissemination of the new Chronic Care Management Fee" under the 2015 Physician Fee Schedule, and evaluation of the Centers for Medicare and Medicaid's "Comprehensive Primary Care Initiative (CPC)" implementation. She is board certified in preventive medicine and public health, has clinical training in pediatrics and preventive medicine, and completed a National Research Service Award fellowship in primary care research. She obtained her M.D. from the University of Rochester School of Medicine, and an M.P.H. from Johns Hopkins School of Hygiene and Public Health.
8:10 a.m.

The CMS Comprehensive Primary Care Initiative

Debbie Peikes, PhD
Senior Fellow, Mathematica Policy Research, Princeton, NJ

    Speaker Bio

    Dr. Debbie Peikes is a Senior Fellow in the Princeton, NJ office of Mathematica Policy Research. She serves as the project director and principal investigator of a large initiative to improve the performance of nearly 500 primary care practices in seven regions for CMS. She also serves as a technical advisor to a project testing health care innovations for CMS and to the Coordinating Center for Comparative Health System Performance for AHRQ. She has led a series of foundational studies of medical homes for AHRQ and care coordination for CMS. She has also conducted studies of health policies and programs for the Robert Wood Johnson Foundation, the Medicare Chronic Care Practice Research Network, Aetna, United, the United Auto Workers, HRSA, and SSA. Her paper on care coordination in JAMA was awarded Best Paper by both AcademyHealth and the National Institute for Health Care Management, and another in Health Affairs was selected to be one of the most influential of the year by the Robert Wood Johnson Foundation. Dr. Peikes has regularly taught a graduate class on program evaluation at Princeton University's Woodrow Wilson School and serves on the editorial board of Medical Home News. She holds an MPA in economic policy and a PhD in public policy from Princeton University, and was a Fulbright Scholar.
    Presentation Material (Acrobat)
8:30 a.m.

Transforming to an Integrated Health System: The Vermont Blueprint for Health

Jenney Samuelson
Assistant Director, Blueprint for Health, Department of Vermont Health Access, Williston, VT

    Speaker Bio

    Jenney Samuelson is an assistant director with the Blueprint for Health at the Department of Vermont Health Access. The Blueprint was established by the State of Vermont, under the leadership of its Governor, Legislature and the bi-partisan Health Care Reform Commission to spearhead transformation to a system where all Vermonters have access to a continuum of seamless, effective, and preventive health services.

    Ms. Samuelson leads the Blueprint Expansion and Quality Improvement Program (EQuIP) which consists of a team of practice facilitators who assist over one-hundred adult, family, and pediatric primary care practices to implement continuous quality improvement and patient centered medical home recognition. In addition, Ms. Samuelson oversees the Blueprint community-based self-management programs including statewide implementation of the Stanford Chronic Disease, Chronic Pain, and Diabetes Self-management Programs; the Vermont Tobacco Quit in Person Program; Wellness Recovery Action Planning (WRAP); and the YMCAs Diabetes Prevention Program.

    Over the past decade Ms. Samuelson has administered diverse community and statewide public health programs including leading a four county health careers workforce development program, quality improvement with health systems to support tobacco cessation in primary care practices and directing the State of Vermont's Lead Poisoning Prevention Program. She earned a masters of science in community health education from Southern Illinois University and is a master certified health education specialist.
    Presentation Material (Acrobat)
8:50 a.m.

The Veterans Administration PACT Model

Karin Nelson, MD, MSHS
Associate Professor, Department of Medicine, University of Washington, HSR&D VA Puget Sound, Seattle, WA

    Speaker Bio

    Dr. Karin Nelson is a general internist and staff physician at the VA Puget Sound Health Care System (VAPSHCS). She is an Associate Professor in the School of Medicine, Adjunct Associate Professor in Health Services at the University of Washington and core investigator at the Seattle Health Services Research & Development (HSR&D) Center of Innovation (COIN). Dr. Nelson is the associate director for the VHA's evaluation of the patient centered medical home, the Patient Aligned Care Team (PACT) initiative. Dr. Nelson received her medical training at the University of Minnesota and completed and internship and residency in the Department of Medicine at Hennepin County Medical Center in Minneapolis, MN. She completed a NRSA general medicine fellowship and earned a Master's degree in health services from the University of California, Los Angeles (UCLA).
    Presentation Material (Acrobat)
9:10 a.m.

The Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration

Susan G. Haber, ScD, MPH
Senior Program Director, Division for Health Services and Social Policy Research, RTI International, Waltham, MA

    Speaker Bio

    Dr. Susan Haber is a senior economist at RTI International, where she leads RTI's program on Health Coverage for Low-Income and Uninsured Populations. She serves as the Deputy Project Director of the CMS-funded evaluation of the Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration and leads the evaluation of Rhode Island's initiative. Dr. Haber's current research also includes directing the evaluation of the Maryland's all-payer hospital payment system in which hospitals operate under fixed global budgets. In addition to her work evaluating multi-payer health system reform initiatives, Dr. Haber has more than 25 years of experience studying Medicaid programs in many states, including evaluations of waiver programs and the impact of Medicaid policies on access to care. She has conducted extensive research on the population dually eligible for Medicare and Medicaid.
    Presentation Material (Acrobat)
9:30 a.m.

Sustaining Healthcare Across Integrated Primary Care Efforts -- The SHAPE Initiative in Colorado

Benjamin F. Miller, PsyD
Director, Eugene S. Farley, Jr. Health Policy Center, Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO

    Speaker Bio

    Dr. Benjamin Miller is Director of The Eugene S. Farley, Jr. Health Policy Center and Assistant Professor in the Department of Family Medicine at the University of Colorado Denver School of Medicine. He received his doctorate degree in clinical psychology from Spalding University in Louisville, Kentucky. He completed his predoctoral internship at the University of Colorado Health Sciences Center, where he trained in primary care psychology and worked as a postdoctoral fellow in primary care psychology at the University of Massachusetts Medical School in the Department of Family Medicine and Community Health. He has been principal investigator on federal grants, state contracts, and foundation grants focused on integrating behavioral health and primary care. He is a technical expert panelist on the Agency for Healthcare Research and Quality Innovations Exchange, on the International Advisory Board of the British Journal of General Practice, the past President of the Collaborative Family Healthcare Association, and faculty for the Institute for Healthcare Improvement and the Center for Medicare and Medicaid Innovation (CMMI) Comprehensive Primary Care Initiative (CPCI) program. Dr. Miller often travels speaking on clinical, operational and financial components of integrating mental health and primary care as well as the policy implications for these models.
    Presentation Material (Acrobat)
9:50 a.m. Networking Break
10:10 a.m.

Evaluating The CMS FQHC APCP Demonstration

Katherine L. Kahn, MD
Distinguished Chair in Health Care Delivery Measurement and Evaluation and a Senior Natural Scientist, RAND Corporation, Santa Monica, CA

    Speaker Bio

    Dr. Katherine Kahn is Senior Natural Scientist at RAND, Distinguished Chair in Health Care Delivery Measurement and Evaluation, and Professor of Medicine at UCLA where she is a practicing internist. Her research focuses on the impact of policy interventions on structure, processes, and outcomes, and the relationships between these. With expertise in both health policy and clinical care, her work examines how interventions can restructure care to improve patient and population processes and outcomes. She has studied performance measures using primary and secondary data sources from patients and providers, and relies upon both qualitative and quantitative methods. Her work includes the first national reports of the demonstration of a link between inpatient clinical processes of care and survival (Kahn 1990) and between ambulatory processes of care and health related quality of life (Kahn 2007). She currently leads CMS' Evaluation of the Federally Qualified Health Center Advanced Primary Care Practice Demonstration.
    Presentation Material (Acrobat)
10:30 a.m.

Patient-Centered Medical Home Transformation Costs

Grant R. Martsolf, PhD, MPH, RN
Policy Researcher, RAND Corporation; Adjunct Assistant Professor, University of Pittsburgh School of Public Health, Department of Health Policy and Management and School of Nursing, Department of Health and Community Systems, Pittsburgh, PA

    Speaker Bio

    Dr. Grant Martsolf is a Policy Researcher at RAND and an Adjunct Assistant Professor of Health Policy and Management and Nursing at the University of Pittsburgh. His research has focused on organizational innovations and workforce issues affecting the delivery of primary care services. He has specific expertise related to patient-centered medical homes and the use of Nurse Practitioners to expand primary care capacity. Dr. Martsolf is the Principal Investigator ontwo projects funded by the Agency for Healthcare Research and Quality (AHRQ) to examine the costs and effects of transforming primary care practices into patient-centered medical homes. Dr. Martsolf has numerous papers in peer-reviewed journals on various topics related to primary care services and systems. He has a PhD in Health Policy and Economicsfrom Pennsylvania State University, a MPH degree from Tulane University, and BSN, BSE from the University of Pennsylvania.
    Presentation Material (Acrobat)
10:50 a.m.

Measuring "True" Primary Care

Ann O'Malley, MD, MPH
Senior Fellow, Mathematica Policy Research, Washington, DC

    Speaker Bio

    Dr. Ann O'Malley is a Senior Fellow at Mathematica Policy Research and Deputy Director of the Center on Health Care Effectiveness. She does both qualitative and quantitative primary care health services research. She focuses on improving support for primary care practices to provide more coordinated and comprehensive care, particularly for patients with multiple chronic conditions. Among her current projects are two evaluations at Mathematica: the "Uptake and dissemination of the new Chronic Care Management Fee" under the 2015 Physician Fee Schedule, and evaluation of the Centers for Medicare and Medicaid's "Comprehensive Primary Care Initiative (CPC)" implementation. She is board certified in preventive medicine and public health, has clinical training in pediatrics and preventive medicine, and completed a National Research Service Award fellowship in primary care research. She obtained her M.D. from the University of Rochester School of Medicine, and an M.P.H. from Johns Hopkins School of Hygiene and Public Health.
    Presentation Material (Acrobat)
11:10 a.m.

Faculty Panel and Audience Q&A

Ann O'Malley, MD, MPH
Senior Fellow, Mathematica Policy Research, Washington, DC (Moderator)

    Speaker Bio

    Dr. Ann O'Malley is a Senior Fellow at Mathematica Policy Research and Deputy Director of the Center on Health Care Effectiveness. She does both qualitative and quantitative primary care health services research. She focuses on improving support for primary care practices to provide more coordinated and comprehensive care, particularly for patients with multiple chronic conditions. Among her current projects are two evaluations at Mathematica: the "Uptake and dissemination of the new Chronic Care Management Fee" under the 2015 Physician Fee Schedule, and evaluation of the Centers for Medicare and Medicaid's "Comprehensive Primary Care Initiative (CPC)" implementation. She is board certified in preventive medicine and public health, has clinical training in pediatrics and preventive medicine, and completed a National Research Service Award fellowship in primary care research. She obtained her M.D. from the University of Rochester School of Medicine, and an M.P.H. from Johns Hopkins School of Hygiene and Public Health.
12:00 p.m. Adjourn the Preconference. Lunch on your own.

AGENDA: DAY I
Monday, June 6, 2016


OPENING PLENARY SESSION
1:00 p.m.

Welcome and Overview

Marci Nielsen, PhD, MPH
Chief Executive Officer, Patient-Centered Primary Care Collaborative, Washington, DC (Chair)

    Speaker Bio

    Dr. Marci Nielsen is Chief Executive Officer of the Patient-Centered Primary Care Collaborative (PCPCC). She previously served as Vice Chancellor for Public Affairs and Associate Professor within the Department of Health Policy and Management at the University of Kansas School of Medicine, where she was twice awarded Professor of the Year by her students. She also served on the Board of Directors of the Health Care Foundation of Greater Kansas City, TransforMED, LLC (a wholly owned, non-profit subsidiary of the American Academy of Family Physicians), and the MidAmerica Coalition on Health Care. She also has been a committee member on the Institute of Medicine's Leading Health Indicators for Healthy People 2020 and Living Well with Chronic Illness: A Call for Public Health Action. She serves as the first public (non-physician) member on the American Board of Family Medicine. Prior to rejoining the KU faculty, she was appointed by then-Governor Kathleen Sebelius to oversee Kansas' health care agency, the Kansas Health Policy Authority (KHPA). At the national level, she has worked as a legislative assistant to U.S Senator Bob Kerrey (D-Nebraska) and as the health lobbyist and assistant director of legislation for the AFL-CIO. She earned her MPH degree from George Washington University and her PhD in Health Policy and Management from the Johns Hopkins School of Public Health.
    Presentation Material (Acrobat)
1:15 p.m.

Keynote: What Does the Research Tell Us?

Melinda Abrams, MS
Vice President, Delivery System Reform, The Commonwealth Fund, New York, NY

    Speaker Bio

    Melinda Abrams, vice president of The Commonwealth Fund, directs the Fund's Patient-Centered Coordinated Care program. The program makes grants to strengthen primary care practices to assist them in adopting models, tools, and policies associated with high-quality, patient-centered care. Since coming to the Fund in 1997, Ms. Abrams has had leadership roles on the Fund's Task Force on Academic Health Centers, the Commission on Women's Health, and the Child Development and Preventive Care programs. Ms. Abrams has a master's degree in health policy and management and is a nationally recognized leader in the medical home field. She is a member of the board of managers of TransforMED, the steering committee for the CMS Advanced Primary Care Demonstration, the NCQA Patient-Centered Medical Home Advisory Committee, and two medical home expert panels for AHRQ.
    Presentation Material (Acrobat)
2:00 p.m.

Panel: Patient and Family Engagement across the Care Continuum

Susan Frampton, PhD
President, Planetree, Derby, CT

    Speaker Bio

    Dr. Susan Frampton is the President of Planetree, a nonprofit advocacy and membership organization working with an international network of healthcare provider organizations in 19 countries to implement comprehensive patient-/person-centered models of care. A medical anthropologist, she has authored numerous publications, including the third edition of Putting Patients First (Jossey-Bass 2013).

    Dr. Frampton currently co-chairs the National Quality Forum's National Quality Partnership, a collaborative of major national organizations convened by the, and their Advanced Illness Care Action Team. She also serves on the Governing Board for the WHO-CC International Network of Health Promoting Hospitals, chairs the National Academy of Medicine's Scientific Advisory Panel on the Evidence Base for Patient-Centered Care, and is a member of the editorial board for the Journal of Compassionate Healthcare. In addition to speaking internationally on culture change, quality, safety, and the patient experience, she was honored in 2009, when she was named one of "20 People who Make Healthcare Better" by Health Leaders Magazine.
Jennifer Sweeney
Vice President, National Partnership for Women & Families, Washington, DC

    Speaker Bio

    Jennifer Sweeney is a vice president at the National Partnership for Women & Families. In her role, Jennifer works with foundations, federal government leaders, health care providers, community-based organizations, consumers and others to develop and implement strategies for improving the quality, safety, efficiency and patient- and family-centeredness of the health care delivery system. She has extensive experience with multi-stakeholder engagement and deliberative processes, and a deep knowledge of delivery system models and quality improvement strategies aimed at achieving a more patient-centered, high quality health care system.

    Jennifer sits on the Center for Medical Technology's Patient and Consumer Advisory Committee and the Joint Commission's Patient and Family Advisory Board. She is also a frequent speaker on health care issues, with a particular focus on consumer stakeholder engagement strategies.
Christine Bechtel
President and Chief Executive Officer, Bechtel Health Advisory Group, Washington, DC (Moderator)

    Speaker Bio

    Christine Bechtel is the President and CEO of Bechtel Health Advisory Group, focused on accelerating innovation and implementation of patient and family engagement and patient-centered care. She currently serves on the federal Health IT Policy Committee as a consumer representative and also co-chairs the Center for Patients, Families and Consumers at the Patient-Centered Primary Care Collaborative on behalf of the National Partnership for Women & Families, a non-profit consumer organization, where she serves as an advisor. Previously, she was vice president of the National Partnership for five years, and her previous work also included leadership and advisory roles at the eHealth Initiative (eHI), the American Health Quality Association, AARP, and Louisiana's Medicare Quality Improvement Organization, eQHealth Solutions. She began her career as a legislative associate for U.S. Barbara A. Mikulski (D-MD). She holds a BA degree in politics and public policy from Goucher College in Baltimore and a master's in political management from George Washington University in Washington, D.C.
    Presentation Material (Acrobat)
3:00 p.m. Break
3:30 p.m.

An Academic Medical Center Builds a Medical Home Model for the Safety Net

Mark Weissman, MD
Chief, Division of General Pediatrics & Community Health; Vice President, Goldberg Center for Community Pediatric Health; Vice President & Executive Director, Children's National Health Network; The Diane and Norman Bernstein Professor of Community Pediatrics ; Children's National Health System, Washington, DC

    Speaker Bio

    Dr. Mark Weissman is the Chief of General Pediatrics & Community Health at Children's National Health System in Washington, DC and its first Diane & Norman Bernstein Professor of Community Pediatrics. He directs primary care services as Vice President of its Goldberg Center for Community Pediatric Health. Children's National is the largest primary care provider for underserved children in the District of Columbia through its hospital-based and community health centers and its mobile health program (all NCQA PCMH Level III). A practicing primary care pediatrician for over 35 years, Dr. Weissman has been recognized for clinical excellence by Washingtonian magazine, Washington Consumer Checkbook & local medical societies. He is an Associate Professor of Pediatrics at the George Washington University. Dr. Weissman also serves as Vice President & Executive Director for Children's National Health Network (CNHN)- linking almost 1400 affiliated community-based pediatricians in Maryland, DC, and Virginia- through group purchase, education and quality improvement initiatives. He is a nationally-recognized expert in clinical quality improvement in pediatric practice.
    Presentation Material (Acrobat)
4:00 p.m.

From Medical Home to Medical Neighborhood to ACO and Beyond

Emily Brower, MBA
Vice President, Population Health, Atrius Health, Newton, MA

    Speaker Bio

    Emily DuHamel Brower is Vice President of Population Health for Atrius Health, an alliance of three community-based medical groups and a home health care and hospice agency in Massachusetts -- Dedham Medical Associates, Granite Medical Group, Harvard Vanguard Medical Associates, and VNA Care Network & Hospice. Emily first joined Atrius Health in 2010, as Senior Director, Clinical Improvement Ventures for Harvard Vanguard and became Executive Director of Atrius Health's Accountable Care Programs in 2012.

    In her position at Atrius Health, Emily has developed opportunities to support transformational work that measurably improves healthcare within value-based payment models. Key accomplishments include securing Atrius Health's participation in, and leading our implementation of, the Pioneer ACO model, an initiative of CMS' Center for Medicare and Medicaid Innovation.
    Presentation Material (Acrobat)
Katherine A. Schneider, MD, Mphil, FAAFP
President and Chief Executive Officer, Delaware Valley Accountable Care Organization, Radnor, PA

    Speaker Bio

    Nationally known for her work in the field of accountable care and patient engagement, Dr. Katherine Schneider's mission is to deliver better health, better care, and sustainable cost in the communities that we work in, live in, and serve. She believes passionately that the time has finally come for the business model of healthcare to align with care models that further this mission. As President and CEO, Dr. Schneider provides leadership, strategic direction and ongoing administration and management for all aspects of the Delaware Valley Accountable Care Organization, the Philadelphia region's largest including more than 450 primary care physicians and five health systems.
    Presentation Material (Acrobat)
Craig Schneider, PhD, MBA
Senior Researcher and Project Director, CMS Learning Systems for ACOs Initiative, Mathematica Policy Research, Cambridge, MA (Moderator)

    Speaker Bio

    Dr. Craig Schneider is a Senior Health Researcher at Mathematica Policy Research. Dr. Schneider has been a leader in promoting accountable care, developing and implementing payment reform strategies, and engaging stakeholders to improve consumer engagement, efficiency, and quality throughout his 24-year career. He is currently the Project Director of the Learning Systems for Accountable Care Organizations and the Next Generation ACO Model projects for the Center for Medicare and Medicaid Innovation. His previous role was Director of Healthcare Policy at the Massachusetts Health Data Consortium, where he co-chaired several learning collaboratives, including those related to payment reform, health IT, and quality reporting. Previously, Dr. Schneider worked at the CMS Boston regional office for 14 years. He currently serves on the Board of Directors of the National Association of Health Data Organizations and New England HIMSS. He received a doctorate in Health Policy from the Brandeis University Heller School.
    Presentation Material (Acrobat)
5:00 p.m.

Advanced Medical Homes and Advanced Health Systems are Demonstrating Value

Peggy O'Kane
President, National Committee for Quality Assurance, Washington, DC

    Speaker Bio

    Margaret E. "Peggy" O'Kane is the founder and president of the National Committee for Quality Assurance (NCQA). She was elected a member of the Institute of Medicine in 1999 and received the 2009 Picker Institute Individual Award for Excellence in the Advancement of Patient-Centered Care. Modern Healthcare magazine has named O'Kane one of the "100 Most Influential People in Healthcare" ten times, most recently in 2015, and one of the "Top 25 Women in Healthcare" three times. She received the 2012 Gail L. Warden Leadership Excellence Award from the National Center for Healthcare Leadership.
    Presentation Material (Acrobat)
5:30 p.m.

Driving Patient-Centered Triple Aim Care

Laura Sessums, JD, MD
Director, Division of Advanced Primary Care, Seamless Models Group, CMS Center for Medicare and Medicaid Innovation, Baltimore, MD

    Speaker Bio

    Dr. Laura Sessums joined CMMI as the Director of the Division of Advanced Primary Care in 2013. At CMMI, she oversees the Comprehensive Primary Care initiative and the development of new models for care delivery and payment in primary care. Previously, she worked in academic medicine as a clinician-educator, mostly at Walter Reed Army Medical Center (as a civilian), where she served as the Chief of the General Medicine Section. Her professional activities have has been in the areas of health care policy and advocacy, medical education, senior medical administrative leadership, and scholarship at the intersection of law and medicine. Her research has focused on primary care, particularly ethical and legal domains. She is a practicing general internist and a former lawyer.
    Presentation Material (Acrobat)
6:00 p.m. Networking Reception

Go to Agenda:
Day 2




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