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Appendices
Pages 35-47

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From page 35...
... Reinhardt and Goldsmith 10:00-10:30 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, George Washington University School of Public Health and Health Services The bleeds of Health Plans: Charles Cutler, M.D., Chief\Iedical Officer, American Association of Health Plans 10:30-1 1:10 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?
From page 36...
... Curran, M.D., M.P.H., Dean and Professor of Epidemiology, The Rollins School of Public Health, Emory University 2:00-2:45 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?
From page 37...
... 4:45-5:00 Thanks to those leaving, Committee's next steps; Adjourn Friday, January 25 Call to Order, announcements, new introductions John Edward Porter, Chair Section III: Creating an Environment to Support Needed Changes 8:45-9:10 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. 9: 10-9 :40 Questions and Discussion 9:40-10:00 Financial Issues Affecting the Future of Academic Health Centers Bruce VIadeck, Ph.D., Senior Vice President for Policy, Mount Sinai/NYU Health 10:00- 10:20 Questions and Discussion 10:20-10:30 Break 10:30-10:50 An AHC's View on Cross-Subsidies and the Implications for Shifting Priorities Darrell G
From page 38...
... @ What arc the ~~} rclatod needs of ANC to It to ~ changing hcaltb system? 12: 15 Comm~tcc~s Scat flaps, Thanks, About John Edward Podep Cbak O ~0
From page 39...
... Adjunct Professor of Health Care Management, Wharton School, University of Pennsylvania Senior Advisor, JP Morgan Partners New York, NY Robert Dickler Association of American Medical Colleges Washington, DC Gerald Fischbach, M.D. Columbia University College of Physicians and Surgeons New York, NY Jeff Goldsmith, Ph.D.
From page 40...
... Hartford, CT Elaine Rubin, Ph.D. Association of Academic Health Centers Washington, DC Marla Salmon, ScD, RN, FAAN Nell Hodgson Woodruff School of Nursing Emory University Atlanta, GA Christine Seidman, M.D.
From page 41...
... I said at the beginning of my remarks that cancer survivors consider themselves the partners of academic health centers. To us, that partnership has meant fighting for federal dollars to support biomedical research, improving third-party reimbursement for care provided in clinical trials, and enrolling willingly in clinical trials.
From page 42...
... This is a matter of trust between academic health centers and a very important constituency, the group of willing and enthusiastic clinical trial participants. Aggressive action regarding conflict of interest issues is critical to a continued strong partnership between academic health centers and cancer survivors.
From page 43...
... I believe, as the title of my talk indicates, that within these environmental challenges lie opportunities for the academic health center. Cost Pressures and the Marketplace Environment We all know about the rapid marketplace evolution that came our way in the course of the 1 990s with the advent of managed care.
From page 44...
... At OHSU, we believe that academic health centers are in the best position to deliver the wide range of services necessary to treat chronic conditions. The synergy between education, research and clinical care gives AHCs a competitive advantage when it comes to building inter-disciplinary centers of excellence.
From page 45...
... It would appear that one of the first places they decided to look is at the OHSU Hospital - this despite the fact that OHSU receives less than 5% of our budget from the state and just uncler~vent a $10 million cut in the 2001 session. In a throwback to the state agency clays, we were told that the state would consider a $32 million cut to OHSU and direct us to maintain programs.
From page 46...
... At the same time, the provision of care to patients by loosely affiliated organizations and providers makes it difficult to implement improved clinical information systems capable of providing timely access to complete patient information. Unsafe care is one of the prices we pay for not having organized systems of care with clear lines of accountability." At OHSU, we're working to implement a multifaceted quality initiative aimed at moving us closer to error-free performance.
From page 47...
... Another area of opportunity to improve quality is in the area of training - where academic health centers, again, have a natural advantage. The benefits of coordinated care are becoming more and more apparent, yet the training of health care providers is typically isolated by discipline.


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