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Suggested Citation:"Appendix A: Workshop Agendas." Institute of Medicine. 2015. Integrating Research and Practice: Health System Leaders Working Toward High-Value Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18945.
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Appendix A

Workshop Agendas

HEALTH SYSTEM LEADERS WORKING TOWARD HIGH-VALUE CARE THROUGH INTEGRATION OF CARE AND RESEARCH (WORKSHOP 1)

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An Institute of Medicine Workshop
Sponsored by the Patient-Centered Outcomes Research Institute

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

April 23–24, 2014
Keck Center
500 Fifth Street, NW
Washington, DC

MEETING GOALS

  1. Broaden and deepen health systems’ leadership awareness of the prospects for and from a continuously learning health system.
  2. Foster the development of a shared commitment, vision, and strategy among health system leaders for building and maintaining the networked capacity.
  3. Identify common applications in meeting health systems responsibilities for science, technology, ethics, regulatory oversight, business, and governance.
  4. Consider and learn from models and examples of productive integration of research with care delivery programs.
Suggested Citation:"Appendix A: Workshop Agendas." Institute of Medicine. 2015. Integrating Research and Practice: Health System Leaders Working Toward High-Value Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18945.
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  1. Explore strategic opportunities for executive, clinical, and research leaders to forge working partnerships for progress.
  2. Consider the particular opportunities for CEO leadership in building, growing, and making full use of the infrastructure necessary.

Day 1: Wednesday, April 23, 2014

8:00 am Coffee and light breakfast available
8:30 am Welcome, Introductions, and Overview
This session will include welcomes from the IOM, the activity sponsor, and the Planning Committee chair. Comments will include an overview of the series and meeting goals, a brief discussion of the scope of the meeting, and a review of the agenda.
Welcome from the IOM
Michael McGinnis, Institute of Medicine
Opening remarks, workshop series, and meeting overview
Joe Selby, Patient-Centered Outcomes Research Institute Eric Larson, Planning Committee Chair, Group Health Research Institute
8:45 am Integrating Care Delivery and Clinical Research: Case Examples
This session will highlight examples of organizations that are on the leading edge of integrating care delivery and research in a way that has led to greater efficiency, better value, and improved health, including a discussion of the value proposition, which has led some organizations to embrace and succeed in gaining value, and its components.
Moderator: Hal Luft, Palo Alto Medical Foundation
Session presentations (10-minute presentations, each followed by moderated panel discussion among all speakers):
The REDUCE MRSA trial
Susan Huang, University of California, Irvine
Suggested Citation:"Appendix A: Workshop Agendas." Institute of Medicine. 2015. Integrating Research and Practice: Health System Leaders Working Toward High-Value Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18945.
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Improve Care Now Network
Uma Kotagal, Cincinnati Children’s Hospital
Group Health Cooperative
David Grossman, Group Health
The High Value Healthcare Collaborative
Edward Havranek, Denver Health
Suggested guidance for speakers:
  1. How do you describe your project/network to the CEO of your organization?
  2. What results were you able to achieve in terms of improving health care value? What were the key factors that allowed you to achieve these results?
  3. What are the lessons that you would pass along to organizational and research leaders hoping to move their institutions toward greater integration of research and care?
Q&A and Open Discussion
10:15 am Break
10:30 am Defining the Value Proposition of Continuously Learning Health Care
This session will give a brief introduction to the vision for a continuously learning health system, including a brief review of past and current research network efforts, an explicit description of the proposed value proposition for health systems’ leaders, and brief discussions of value propositions for stakeholder groups of key importance to health system leaders (e.g., patients and families, clinicians, payers).
Session presentation (15 minutes):
Is the time right for continuously learning health care?
Sarah Greene, Patient-Centered Outcomes Research Institute
Suggested Citation:"Appendix A: Workshop Agendas." Institute of Medicine. 2015. Integrating Research and Practice: Health System Leaders Working Toward High-Value Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18945.
×
Panel respondents (5-minute comments followed by moderated panel discussion):
Increasing efficiency and eliminating waste
Thomas Graf, Geisinger Health System
Improving our ability to choose wisely
Rita Redberg, University of California, San Francisco
Establishing infrastructure to pay for value
Trent Haywood, Blue Cross Blue Shield Association
Q&A and Open Discussion
12:00 pm Lunch
1:00 pm Creating the Conditions for Sustainability
This session will explore the business and financial issues and opportunities presented to organizations by moving toward continuous learning and improvement.
Moderator: Lew Sandy, UnitedHealth Group
Session presentation (15 minutes):
Creating the conditions for sustainability
Brent James, Intermountain Healthcare
Panel respondents (5-minute comments followed by moderated panel discussion):
Evaluation and improvement of care delivery
Thomas Garthwaite, HCA, Inc.
Improving care for me and patients like me
Sally Okun, PatientsLikeMe
Leveraging data for improvement
Karen DeSalvo, Office of the National Coordinator for Health Information Technology
Q&A and Open Discussion
Suggested Citation:"Appendix A: Workshop Agendas." Institute of Medicine. 2015. Integrating Research and Practice: Health System Leaders Working Toward High-Value Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18945.
×
2:30 pm Break
2:45 pm Addressing Issues of Regulatory Oversight
This session will take on the challenges and opportunities around the legal and ethical oversight of integrating care and research efforts.
Moderator: Barbara Bierer, Brigham and Women’s Hospital
Session presentation (15 minutes):
An ethical framework for learning health systems
Nancy Kass, Johns Hopkins University
Panel of example approaches to dealing with oversight challenges:
Susan Huang, University of California, Irvine
James Weinstein, Dartmouth–Hitchcock
Christopher Forrest, Children’s Hospital of Philadelphia
Q&A and Open Discussion
4:15 pm Governance That Accelerates Progress and Sustainability
This session will focus on issues of institutional governance of continuous learning activities.
Moderator: Paul Wallace, Optum Labs
Session presentations (10 minutes each):
Aligning research with institutional goals
James Rohack, Baylor Scott & White
Data sharing in a competitive environment
Mary Brainerd, HealthPartners
Governing interinstitutional research
John Steiner, Kaiser Permanente Colorado and HMO Research Network
Suggested Citation:"Appendix A: Workshop Agendas." Institute of Medicine. 2015. Integrating Research and Practice: Health System Leaders Working Toward High-Value Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18945.
×
Q&A and Open Discussion
5:45 pm Summary and Preview for Day 2
6:00 pm Adjourn

Day 2: Thursday, April 24, 2014

8:30 am Coffee and light breakfast available
9:00 am Welcome and Overview
Opening remarks and meeting overview
Eric Larson, Planning Committee Chair, Group Health Research Institute
9:15 am Fostering the Well-Prepared Stakeholder Culture
This session will take on challenges and opportunities in the engagement of clinicians, patients, families, and the public in integrating care and research efforts.
Moderator: Jean Slutsky, Patient-Centered Outcomes Research Institute
Session presentations (10 minutes each):
Creating a culture of learning
Peter Knox, Bellin Health
Clinician engagement
Peter Margolis, Cincinnati Children’s Hospital
Patient engagement
Bray Patrick-Lake, PCORnet Executive Leadership Committee
Q&A and Open Discussion
10:45 am Break
Suggested Citation:"Appendix A: Workshop Agendas." Institute of Medicine. 2015. Integrating Research and Practice: Health System Leaders Working Toward High-Value Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18945.
×
11:00 am Priority Opportunities for CEO Leadership to Make a Difference
This session will draw on previous sessions and discussions to identify and prioritize the key issues for health system leadership in moving toward greater integrated care and knowledge-generation activities, including whether a shared value proposition is the key to sustainability.
Moderator: Michael McGinnis, Institute of Medicine
Panel:
Raymond Baxter
, Kaiser Permanente
David Labby, Health Share of Oregon
Patricia Smith, Alliance of Community Health Plans
Janice Nevine, Christiana Cares
Q&A and Open Discussion
12:30 pm Summary and Next Steps
Parting comments from the sponsor and chair

Joe Selby, Patient-Centered Outcomes Research Institute
Eric Larson, Planning Committee Chair, Group Health Research Institute
Comments and thank-you from the IOM
Michael McGinnis, Institute of Medicine
1:00 pm Adjourn
Suggested Citation:"Appendix A: Workshop Agendas." Institute of Medicine. 2015. Integrating Research and Practice: Health System Leaders Working Toward High-Value Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18945.
×

HEALTH SYSTEM LEADERS WORKING TOWARD HIGH-VALUE CARE THROUGH INTEGRATION OF RESEARCH AND PRACTICE (WORKSHOP 2)

images

An Institute of Medicine Workshop
Sponsored by the Patient-Centered Outcomes Research Institute

images

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

June 20, 2014
National Academy of Sciences Building
2101 Constitution Avenue, NW
Washington, DC

MEETING GOALS

  1. Continuous learning infrastructure and business case. What are the key infrastructure, value proposition, and business case implications in integrating research and practice as the foundation of a continuously learning health system?
  2. Aligning continuous improvement and knowledge generation. What infrastructure commonalities exist in aligning executive agendas and knowledge generation priorities and driving continuous improvement through learning?
  3. Institutional opportunities. Consider common principles and strategies for participants to move priorities forward in their own institutions.
  4. PCORI contributions. Reflect on strategic infrastructure and research opportunities for PCORI that can support delivery systems in evolving toward learning health systems.
8:00 am Coffee and light breakfast available
Suggested Citation:"Appendix A: Workshop Agendas." Institute of Medicine. 2015. Integrating Research and Practice: Health System Leaders Working Toward High-Value Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18945.
×
8:30 am Welcome, Introductions, and Overview
Welcome
Michael McGinnis, Institute of Medicine
Opening comments from the IOM
Victor Dzau, President-Elect, Institute of Medicine
Opening comments from PCORI
Joe Selby, Executive Director, Patient-Centered Outcomes Research Institute
Opening comments from Planning Committee
Eric Larson, Planning Committee Chair, Group Health Research Institute
9:00 am Continuous Learning and Improvement in Health Care
This session will introduce the concepts of a learning health system and highlight an example of an effort that was successful in integrating research and practice and resulted in cost savings.
The learning health system (8 minutes)
Michael McGinnis, Institute of Medicine
The REDUCE MRSA trial (12 minutes)
Jonathan Perlin, HCA, Inc.
Open Discussion (40 minutes)
10:00 am Continuous Learning as an Executive Agenda Priority
This session will include a panel and moderated roundtable discussion among workshop participants of the challenges and opportunities they see to continuous learning within their institutions.
Moderator: Lew Sandy, UnitedHealth Group
Panel (20 minutes)
Glenn Steele, Geisinger Health System
Ronald DePinho, University of Texas MD Anderson Cancer Center
Suggested Citation:"Appendix A: Workshop Agendas." Institute of Medicine. 2015. Integrating Research and Practice: Health System Leaders Working Toward High-Value Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18945.
×
Rodney Hochman, Providence Health and Services
Steven Corwin, New York-Presbyterian Hospital
Open Discussion (55 minutes)
11:15 am Introduction to PCORI’s Research Network
This session will provide a brief introduction to the PCORI-funded National Patient-Centered Clinical Research Network (PCORnet).
PCORnet (12 minutes)
Joe Selby, Executive Director, Patient-Centered Outcomes Research Institute
Open Discussion (13 minutes)
11:40 am Lunch
12:25 pm Clinical Data Research Networks
This session will include brief presentations from PCORNet clinical data research networks leadership on their progress and plans.
Patient Outcomes Research to Advance Learning (PORTAL) Network (10 minutes)
Elizabeth McGlynn and Ray Baxter, Kaiser Permanente
New York City Clinical Data Research Network (10 minutes)
Rainu Kaushal, Weill Cornell Medical College
Open Discussion (20 minutes)
1:10 pm Multiuse Infrastructure for Continuous Learning
This session will include a panel and moderated roundtable discussion among workshop participants of the challenges and opportunities to the establishment and maintenance of infrastructure for continuous learning, including through PCORnet.
Suggested Citation:"Appendix A: Workshop Agendas." Institute of Medicine. 2015. Integrating Research and Practice: Health System Leaders Working Toward High-Value Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18945.
×
Moderator: Sarah Greene, Patient-Centered Outcomes Research Institute
Panel (20 minutes)
Patrick Conway, Centers for Medicare & Medicaid Services Brent James, Intermountain Healthcare
Scott Armstrong, Group Health Cooperative and MedPAC
John Warner, University of Texas Southwestern Medical Center
Open Discussion (55 minutes)
2:25 pm Break
2:40 pm Open Discussion of Needs, Opportunities, and Strategies
This session will include a discussion to identify strategic opportunities, priorities, and commitments from participants to move priorities forward in their own institutions.
3:50 pm Wrap-Up and Next Steps
4:00 pm Adjourn
Suggested Citation:"Appendix A: Workshop Agendas." Institute of Medicine. 2015. Integrating Research and Practice: Health System Leaders Working Toward High-Value Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18945.
×

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Suggested Citation:"Appendix A: Workshop Agendas." Institute of Medicine. 2015. Integrating Research and Practice: Health System Leaders Working Toward High-Value Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18945.
×
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Suggested Citation:"Appendix A: Workshop Agendas." Institute of Medicine. 2015. Integrating Research and Practice: Health System Leaders Working Toward High-Value Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18945.
×
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Suggested Citation:"Appendix A: Workshop Agendas." Institute of Medicine. 2015. Integrating Research and Practice: Health System Leaders Working Toward High-Value Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18945.
×
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Suggested Citation:"Appendix A: Workshop Agendas." Institute of Medicine. 2015. Integrating Research and Practice: Health System Leaders Working Toward High-Value Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18945.
×
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Suggested Citation:"Appendix A: Workshop Agendas." Institute of Medicine. 2015. Integrating Research and Practice: Health System Leaders Working Toward High-Value Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18945.
×
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Suggested Citation:"Appendix A: Workshop Agendas." Institute of Medicine. 2015. Integrating Research and Practice: Health System Leaders Working Toward High-Value Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18945.
×
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Suggested Citation:"Appendix A: Workshop Agendas." Institute of Medicine. 2015. Integrating Research and Practice: Health System Leaders Working Toward High-Value Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18945.
×
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Suggested Citation:"Appendix A: Workshop Agendas." Institute of Medicine. 2015. Integrating Research and Practice: Health System Leaders Working Toward High-Value Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18945.
×
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Suggested Citation:"Appendix A: Workshop Agendas." Institute of Medicine. 2015. Integrating Research and Practice: Health System Leaders Working Toward High-Value Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18945.
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Suggested Citation:"Appendix A: Workshop Agendas." Institute of Medicine. 2015. Integrating Research and Practice: Health System Leaders Working Toward High-Value Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18945.
×
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Suggested Citation:"Appendix A: Workshop Agendas." Institute of Medicine. 2015. Integrating Research and Practice: Health System Leaders Working Toward High-Value Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18945.
×
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Suggested Citation:"Appendix A: Workshop Agendas." Institute of Medicine. 2015. Integrating Research and Practice: Health System Leaders Working Toward High-Value Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18945.
×
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Health care has been called one of the most complex sectors of the U.S. economy. Driven largely by robust innovation in treatments and interventions, this complexity has created an increased need for evidence about what works best for whom in order to inform decisions that lead to safe, efficient, effective, and affordable care. As health care becomes more digital, clinical datasets are becoming larger and more numerous. By realizing the potential of knowledge generation that is more closely integrated with the practice of care, it should be possible not only to produce more usable evidence to inform decisions, but also to increase the efficiency and decrease the costs of doing clinical research.

Patient-Centered Clinical Research Network, or PCORnet, is a nation-wide patient-centered clinical research network intended to form a resource of clinical, administrative, and patient data that can be used to carry out observational and interventional research studies and enhance the use of clinical data to advance the learning health care system. The primary goal of the first phase of PCORnet will be to establish the data infrastructure necessary to do such research.

In April and June 2014 the Institute of Medicine's Roundtable on Value and Science-Driven Health Care convened two workshops aimed at accelerating progress toward real-time knowledge generation through the seamless integration of clinical practice and research, one of the fundamental concepts of a continuously learning health system, centered on the development of the PCORnet. The first workshop brought together health care system leaders, both administrative and clinical, and researchers to consider issues and strategic priorities for building a successful and durable clinical research network and facilitate progress toward a continuously learning health care system more broadly, including issues related to science, technology, ethics, business, regulatory oversight, sustainability, and governance. The second workshop focused on implementation approaches. Health system CEOs convened to consider strategic priorities and explore approaches to implementation. These workshops will inform the decisions of field leaders moving forward, including PCORI, the PCORnet steering committee, and PCORnet grantees. Integrating Research and Practice is the summary of the presentations and discussions of the workshops.

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