Read "Core Measurement Needs for Better Care, Better Health, and Lower Costs: Counting What Counts: Workshop Summary" at NAP.edu

Page 117 Cite

Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2013. Core Measurement Needs for Better Care, Better Health, and Lower Costs: Counting What Counts: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18333.

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Appendix B

Workshop Agenda

CORE METRICS FOR BETTER CARE, BETTER HEALTH, AND LOWER COSTS

An Institute of Medicine Workshop
Sponsored by Blue Shield of California Foundation

A Learning Health System Activity
IOM Roundtable on Value & Science-Driven Health Care

December 5–6, 2012
The Beckman Center of The National Academies
100 Academy Way
Irvine, CA 92617

Meeting Goals

Discuss the vision for the nature, use, and impact of core health metrics.
Identify the important principles, targets, infrastructure, processes, strategies, and policies.
Describe lessons from efforts at national, state, community, and organization levels.
Specify core needs and requirements and propose priority metric categories that will most reliably measure care outcomes, care costs, and health improvement.
Consider specific examples of metric options within categories.
Describe the implementation strategies—national, state, community, organizational.

Page 118 Cite

Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2013. Core Measurement Needs for Better Care, Better Health, and Lower Costs: Counting What Counts: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18333.

×

Wednesday, December 5

8:00 a.m.	Coffee and light breakfast available

8:30 a.m.	Welcome, introductions, and overview Welcome from the IOM Michael McGinnis, Institute of Medicine

	Welcoming remarks Peter Long, Blue Shield of California Foundation

	Opening remarks and meeting overview Craig Jones, Vermont Blueprint for Health (Planning Committee Chair)

9:00 a.m.	Core metrics and health progress: Vision, principles, uses, requirements Discuss the purpose of core metrics, review examples of their usefulness, consider their development and use at national, state, community, organizational, and individual levels, and preview some of development and implementation challenges.

	Vision and importance of measuring the three-part aim Maureen Bisognano, Institute for Healthcare Improvement

	Vision for a systems approach to achieve the three-part aim George Isham, HealthPartners

	Q&A and Open Discussion

	Session Chair: Craig Jones, Vermont Blueprint for Health

10:15 a.m.	Break

10:30 a.m.	Current state of measurement Discuss the inventory of current primary efforts, their relationships to each other, the categories of issues they cover, and the key discrepancies between the measurement vision and the current state of assessment on the three dimensions at the various levels. Illustrate issues with case studies.

Page 119 Cite

Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2013. Core Measurement Needs for Better Care, Better Health, and Lower Costs: Counting What Counts: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18333.

×

	The role of measurement in the National Quality Strategy Carolyn Clancy, Agency for Healthcare Research and Quality

	Key challenges and opportunities for current measurement capabilities Helen Burstin, National Quality Forum

	Consistent and timely measure implementation Barbara Gage, The Brookings Institution

	Q&A and Open Discussion

	Session Chair: Ed Sondik, Centers for Disease Control and Prevention

12:00 p.m.	Lunch

12:30 p.m.	Priority requirements and needs in measuring health, care, and cost Consider the principles for choosing the core metrics—priorities for improving care, lowering costs, improving health; regulatory and program requirements; available capacity.

	Accountable care and measuring the three-part aim Eugene Nelson, The Dartmouth Institute for Health Policy and Clinical Practice

	General themes for implementation Matt Stiefel, Kaiser Permanente

	Case studies of current initiatives for measuring the three-part aim Craig Jones, Vermont Blueprint for Health

	Q&A and Open Discussion

	Session Chair: Anne Weiss, Robert Wood Johnson Foundation

Page 120 Cite

Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2013. Core Measurement Needs for Better Care, Better Health, and Lower Costs: Counting What Counts: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18333.

×

2:00 p.m.	Breakout groups: Proposed options for measuring health, care, and cost Identify potential sets of core metrics to track progress toward better care, better health, and lower costs at national, state, community, organizational, and individual levels. Outline the primary challenges, opportunities, and measurement needs.

	Health Leader: Patrick Remington, University of Wisconsin Opening Context: Steven Teutsch, Los Angeles County Department of Public Health

	Health care Leader: David Stevens, National Association of Community Health Centers Opening Context: Mary Barton, National Committee for Quality Assurance

	Cost Leader: Kate Goodrich, Centers for Medicare and Medicaid Services Opening Context: Dennis Scanlon, Pennsylvania State University

4:00 p.m.	Report back from breakout groups

5:00 p.m.	Wrap up of the day’s discussions Summarize common themes heard in Day 1.

5:30 p.m.	Recess to Reception

Thursday, December 6

8:00 a.m.	Coffee and light breakfast available

8:30 a.m.	Summary of Day 1
9:00 a.m.	Getting there from here: Panel discussion on implementation Examine strategies for successfully advancing measurement of the three-part aim using case studies of individual initiatives.

Page 121 Cite

Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2013. Core Measurement Needs for Better Care, Better Health, and Lower Costs: Counting What Counts: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18333.

×

	Analyzing health status in all counties Patrick Remington, University of Wisconsin

	Implementing statewide measures on access, cost, quality Stefan Gildemeister, Minnesota Department of Health

	Measurement framework for coordinated care in Medicaid Carole Romm, Oregon Health Authority

	Q&A and Open Discussion

	Session Chair: Diana Dooley, California Health and Human Services

10:15 a.m.	Break

10:30 a.m.	Requirements for building the infrastructure Explore the common themes around the data, technical, and social infrastructure necessary to advance measurement. This will especially consider the challenges and opportunities for making measurement a routine component of the health care and health systems.

	Data infrastructure needs for measurement Kevin Larsen, Office of the National Coordinator for Health Information Technology

	Case examples of building the infrastructure Chris Queram, Wisconsin Collaborative for Healthcare Quality

	Building the data infrastructure in a health care environment Bruce Ferguson, East Carolina University

	Q&A and Open Discussion

	Session Chair: David Stevens, National Association of Community Health Centers

Page 122 Cite

Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2013. Core Measurement Needs for Better Care, Better Health, and Lower Costs: Counting What Counts: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18333.

×

12:00 p.m.	Moving forward: Policy options and practical strategies The workshop will conclude with a session that summarizes the discussions and outlines the path for moving these metrics into practice.

	Comments from the Chair Craig Jones, Vermont Blueprint for Health

	Comments and thanks from the IOM Michael McGinnis, Institute of Medicine

1:00 p.m.	Adjourn

*********************************************

Planning Committee

Craig Jones (Chair)	Vermont Blueprint for Health
David Atkins	Veterans Health Administration
Maureen Bisognano	Institute for Healthcare Improvement
Michael E. Chernew	Harvard Medical School
Diana S. Dooley	California Health and Human Services
Julie Gerberding	Merck and Co, Inc.
Marjorie Ginsburg	Center for Healthcare Decisions
Kate Goodrich	Centers for Medicare & Medicaid Services
George J. Isham	HealthPartners, Inc.
Peter Margolis	Cincinnati Children’s Hospital Medical Center
Leo S. Morales	University of California, Los Angeles
Judy Murphy	Office of the National Coordinator for Health Information Technology
Samuel R. Nussbaum	WellPoint, Inc.
Patrick Remington	University of Wisconsin School of Medicine and Public Health
Edward J. Sondik	National Center for Health Statistics
David M. Stevens	National Association of Community Health Centers
	George Washington University School of Public Health and Health Services
Thomas B. Valuck	National Quality Forum
Anne F. Weiss	Robert Wood Johnson Foundation
Nancy Wilson	Agency for Healthcare Research and Quality

Staff officer: Robert Saunders rsaunders@nas.edu 202.334.2747

Core Measurement Needs for Better Care, Better Health, and Lower Costs: Counting What Counts: Workshop Summary (2013)

Chapter: Appendix B: Workshop Agenda

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