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Appendix B COMMITTEE ROLES ON THE OF ACADEMIC HEALTH CENTERS IN THE 21ST CENTURY WORKSHOP ON THE ROLES OF ACADEMIC HEALTH CENTERS Final Agenda Melrose Hotel, 2430 Pennsylvania Ave., N.W., Washington, D.C. January 24­25, 2002 Thursday, January 24 8:00 Continental breakfast available 8:30­8:40 Welcome, opening remarks John Edward Porter 8:40­9:00 Introductions around the table Section I: Changing Needs and Trends in Health Care 9:00­9:20 How AHCs Can Meet the Future of Health Care Uwe E. Reinhardt, Ph.D., Professor of Economics and Public Affairs, Woodrow Wilson School of Public and International Affairs, Princeton University 198

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APPENDIX B 199 9:20­9:40 Future Trends and Directions in Health Care Jeff Goldsmith, Ph.D., President, Health Futures, Inc. and Associate Professor of Medical Education, University of Virginia 9:40­10:00 Brief questions for Drs. Reinhardt and Goldsmith 10:00­10:30 Changing Expectations for AHCs from Various Constituencies · The Needs of Patients: Ellen Stovall, Executive Director, National Coalition for Cancer Survivorship · The Needs of Low-Income Populations: Sara Rosenbaum, J.D., Harold and Jane Hirsh Professor of Law and Policy, The George Washington University School of Public Health and Health Services · The Needs of Health Plans: Charles Cutler, M.D., Chief Medical Officer, American Association of Health Plans 10:30­11:10 Q&A for all morning presenters · Do different constituencies have conflicting expectations for AHCs? · Which trends and expectations are likely to have a particularly significant impact on the roles performed by AHCs? 11:10­11:20 Break Section II: Creating a Vision for the Future Panel on the Clinical Service Role 11:20­11:35 Peter Kohler, M.D., President, Oregon Health Sciences University 11:35­11:50 Ezra Davidson, M.D., Associate Dean, Charles R. Drew University of Medicine and Science 11:50­12:30 Questions for panelists and general discussion · As competition in clinical services grows and more sources of care are available, where does the AHC fit into the delivery system?

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200 ACADEMIC HEALTH CENTERS · To what extent is the academic relationship a differentiating factor in the marketplace? · Do AHCs have a role in developing efficient and effective models of care for the populations dependent upon them? 12:30­1:15 Lunch/break Panel on the Education and Training Role 1:15­1:30 A Perspective from Medicine: Edward Hundert, M.D., Dean, University of Rochester School of Medicine and Dentistry 1:30­1:45 A Perspective from Nursing: Colleen Conway-Welch, Ph.D., R.N., Dean and Professor, School of Nursing, Vanderbilt University 1:45­2:00 A Perspective from Public Health: James W. Curran, M.D., M.P.H., Dean and Professor of Epidemiology, The Rollins School of Public Health, Emory University 2:00­2:45 Questions for panelists and general discussion · How will training programs in medicine, nursing, and public health relate to each other to effectively train health professionals in the future? Can linkages be created among the medical, behavioral, and social sciences to improve health? · Will education become more expensive in the future? Why? · To what extent will changes in the education and training role impact the clinical service and/or research roles, or are the future changes in this role independent of other roles? 2:45­3:00 Break Panel on the Research Role 3:00­3:15 Biomedical Research: Gerald Fischbach, M.D., Executive Vice President for Health and Biomedical Sciences; Dean, Faculty of Health Sciences; Dean, Faculty of Medicine, Columbia University College of Physicians and Surgeons

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APPENDIX B 201 3:15­3:30 Clinical Research: Ralph Snyderman, M.D., Chancellor for Health Affairs; Executive Dean, School of Medicine; President and CEO, Duke University Health System 3:30­3:45 Perspectives from Private Industry: Samuel Broder, M.D., Executive Vice President, Celera Genomics 3:45­4:00 Health Services Research: Ralph I. Horwitz, M.D., Yale University School of Medicine 4:00­4:45 Questions for panelists and general discussion · Are research relationships between AHCs and private industry likely to increase or decrease in the future? What are the potential benefits and concerns that arise in research relationships between AHCs and private industry? · How do AHCs set research priorities? Who has input in defining priorities? · How important are concerns surrounding technology transfer? What is the role of the university in technology transfer? 4:45­5:00 Thanks to those leaving; committee's next steps; adjourn Friday, January 25 8:00 Continental breakfast available 8:30­8:45 Call to order; announcements; new introductions John Edward Porter, Chair Section III: Creating an Environment to Support Needed Changes 8:45­9:10 Critical Issues to Confront in Studying Academic Health Centers David Blumenthal, M.D., Executive Director, Commonwealth Task Force on Academic Health Centers; Director, Institute for Health Policy, Massachusetts General Hospital/Partners HealthCare System, Inc.

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202 ACADEMIC HEALTH CENTERS 9:10­9:40 Questions and Discussion 9:40­10:00 Financial Issues Affecting the Future of Academic Health Centers Bruce Vladeck, Ph.D., Senior Vice President for Policy, Mount Sinai/NYU Health 10:00­10:20 Questions and discussion 10:20­10:30 Break 10:30­10:50 An AHC's View on Cross-Subsidies and the Implications for Shifting Priorities Darrell G. Kirch, M.D., Senior Vice President for Health Affairs; Dean, College of Medicine; CEO, Penn State Milton S. Hershey Medical Center, Pennsylvania State University 10:50­11:10 Questions and discussion 11:10­11:30 Variation in the Roles Pursued by Academic Health Centers Gerard F. Anderson, Ph.D., Professor and Director, Center for Hospital Finance and Management, The Johns Hopkins University Bloomberg School of Public Health 11:30­11:50 Questions and discussion 11:50­12:15 General Discussion · Are all AHCs affected equally by the changing trends? Are all AHCs equally prepared to meet changing community needs? · To what extent can AHCs make changes desired by both themselves and their communities within current financing methods (e.g., if more ambulatory and multidisciplinary education is desired, can it be done)? · What are the nonfinancially related needs of AHCs to adapt to a changing health system? 12:15 Committee's next steps; thanks; adjourn John Edward Porter, Chair