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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

image

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

  1. Discuss the vision for the nature, use, and impact of core health metrics.
  2. Identify the important principles, targets, infrastructure, processes, strategies, and policies.
  3. Describe lessons from efforts at national, state, community, and organization levels.
  4. Specify core needs and requirements and propose priority metric categories that will most reliably measure care outcomes, care costs, and health improvement.
  5. Consider specific examples of metric options within categories.
  6. Describe the implementation strategies—national, state, community, organizational.
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.
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
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.
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
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
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.
×
Page 117
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.
×
Page 118
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.
×
Page 119
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.
×
Page 120
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.
×
Page 121
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.
×
Page 122
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Health care quality and its affordability have become very pressing issues in the United States. All sectors of the country are attempting to push forward initiatives that will improve the health care system as well as the health of the American population in general. Despite the economical dedication to health care, about 1/5, the system remains uneven and fragmented, patient harm is quite common, care is often uncoordinated, and many more mishaps occur. There exists many obstacles to improve the nation's health care system; these include the capacity to reliably and consistently measure progress. In 2006 the Institute of Medicine (IOM) established the Roundtable on Value & Science-Driven Health Care which has since accelerated the development of a learning health system- one in which science, informatics, incentives, and culture are aligned to create a continuous learning loop. This learning loop would thus help make the health care system better.

In response, the IOM organized a 2-day workshop to explore in depth the core measurement needs for population health, health care quality, and health care costs. The workshop hoped to gain a full understanding of how to improve the nation's measurement capacity to track progress in the health care system. Having this knowledge would help the nation get one step closer to the creation of an efficient learning loop.

The workshop was divided into a series of sessions that focused on different aspects of measurement. Core Measurement Needs for Better Care, Better Health, and Lower Costs: Counting What Counts: Workshop Summary includes explanations and key details for these sessions: Vision, Current Measurement Capabilities, Specifying the Shape of a Core Metric Set, and Implementation. The report also features common themes within these areas, the workshop agenda, and information about those involved.

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