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Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Implementing Quality Measures for Accountability in Community-Based Care for People with Serious Illness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25202.
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Page 83
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Implementing Quality Measures for Accountability in Community-Based Care for People with Serious Illness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25202.
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Page 84
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Implementing Quality Measures for Accountability in Community-Based Care for People with Serious Illness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25202.
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Page 85
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Implementing Quality Measures for Accountability in Community-Based Care for People with Serious Illness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25202.
×
Page 86
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Implementing Quality Measures for Accountability in Community-Based Care for People with Serious Illness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25202.
×
Page 87
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2018. Implementing Quality Measures for Accountability in Community-Based Care for People with Serious Illness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25202.
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Page 88

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Appendix B Workshop Agenda Implementing Quality Measures for Accountability in Community-Based Care for People with Serious Illness: A Workshop Keck Center of the National Academies 500 Fifth Street, NW, Room 100 Washington, DC 20001 April 17, 2018 Workshop Objectives • Explore approaches to implementation of quality measures for accountability purposes in community-based care programs for people of all ages facing serious illness. • Identify existing opportunities and challenges to implementation of quality measures for accountability. • Examine potential policy actions to address barriers to implementation. 83

84 IMPLEMENTING QUALITY MEASURES FOR ACCOUNTABILITY TUESDAY, APRIL 17, 2018 8:00 am Registration and Breakfast 8:30 am Welcome from the Roundtable on Quality Care for People with Serious Illness  Leonard D. Schaeffer, University of Southern California (Chair), and James Tulsky, M.D., Harvard Medical School (Vice Chair) Overview of the Workshop Amy Melnick, M.P.A., Executive Director, National Coalition for Hospice and Palliative Care 8:40 am Patient–Family Caregiver Perspective Interviewer: Bob Bergamini, M.D., Mercy Clinic Children’s Cancer and Hematology, representing the Supportive Care Coalition Interviewees: •  Martha Herrera, Family Caregiver and Parent Navigator, Children’s National Health System •  Gwen Darien, Executive Vice President, Patient Advocacy, National Patient Advocate Foundation Audience Q&A 9:20 am Session 1  Setting the Stage: Quality Measures Implementation for Accountability—Gaps, Challenges, and Opportunities Moderator: Amy Kelley, M.D., M.S.H.S., Associate Professor, Icahn School of Medicine at Mount Sinai Speakers: • Laura Hanson, M.D., M.P.H., Professor, University of North Carolina at Chapel Hill (UNC) Palliative Care Program

APPENDIX B 85 • Joan Teno, M.D., M.S., Professor of Medicine, Oregon Health & Science University • Helen Burstin, M.D., M.P.H., Executive Vice President and Chief Executive Officer, Council of Medical Specialty Societies • Amy Kelley, M.D., M.S.H.S., Associate Professor, Icahn School of Medicine at Mount Sinai Panel Discussion/Audience Q&A 10:20 am Break 10:30 am Session 2  Innovative Approaches to Implementing Quality Measures: Perspectives of Health Care Providers and Payers Moderator: Zinnia Harrison, M.H.S., Vice President, Innovation and Inclusion, National Hospice and Palliative Care Organization Speakers: • Richard Baron, M.D., M.A.C.P., President and Chief Executive Officer, American Board of Internal Medicine • Torrie Fields, M.P.H., Senior Program Manager, Blue Shield of California • Katy Lanz, DNP, M.S.N., Chief Clinical Officer, Aspire Health • Robert Krebbs, Staff Vice President, Specialty Payment Models, Anthem, Inc. Panel Discussion/Audience Q&A 12:00 pm Lunch 12:30 pm Keynote Address  Shantanu Agrawal, M.D., M.Phil., Chief Executive Officer and President, National Quality Forum Audience Q&A

86 IMPLEMENTING QUALITY MEASURES FOR ACCOUNTABILITY 1:00 pm Session 3  Implementing Quality Measures: Innovative Approaches and Policy Levers—Perspectives of Public Programs Moderator: Eric C. Schneider, M.D., Senior Vice President for Policy and Research, The Commonwealth Fund Speakers: • Reena Duseja, M.D., Director, Division of Quality Measurement, Quality Measurement and Value-Based Incentives Group, Center for Clinical Standards and Quality, Centers for Medicare & Medicaid Services • Susan Kirsh, M.D., Acting Deputy Assistant Deputy Under Secretary for Health for Access, U.S. Department of Veterans Affairs (VA) • Vincent Mor, Ph.D., Florence Pirce Grant University Professor and Professor of Health Services, Policy and Practice, Brown University School of Public Health; Research Health Scientist, Providence VA Medical Center • Becky Shipp, M.A., Vice President, The Sheridan Group; Former Health Policy Advisor for the U.S. Senate Committee on Finance Panel Discussion/Audience Q&A 2:15 pm Session 4  Future Use of Quality Measures for Accreditation to Support Accountability for High-Quality Care Moderator: Diane Meier, M.D., Director, Center to Advance Palliative Care Panel Discussants: • Maureen Henry, J.D., Ph.D., Research Scientist, National Committee for Quality Assurance

APPENDIX B 87 • David W. Baker, M.D., M.P.H., Executive Vice President, Division of Health Care Quality Evaluation, The Joint Commission • Barbara McCann, M.A., President and Chief Executive Officer, Community Health Accreditation Partner • Franziska Rokoske, PT, M.S., Director, End-of-Life, Palliative, and Hospice Care Research Program, RTI International Panel Discussion/Audience Q&A 3:30 pm Break 3:40 pm Session 5  Supporting Clinical Communities for Quality and Accountability Moderators: Laura Hanson, M.D., M.P.H., Professor, UNC Palliative Care Program, and Christine Ritchie, M.D., Professor, University of California, San Francisco (UCSF), School of Medicine Panel Discussants: • Steve Pantilat, M.D., Professor, UCSF School of Medicine • Hannah Luetke-Stahlman, M.P.A., Strategist, Population Health, Cerner Corporation • Debra Saliba, M.D., M.P.H., Anna and Harry Borun Endowed Chair and Director, University of California, Los Angeles, JH Borun Center for Gerontological Research; Physician Scientist, Los Angeles VA Geriatric Research Education and Clinical Center; Senior Natural Scientist, RAND Health • Carol Spence, Ph.D., RN, Independent Consultant; Former Vice President of Research and Quality, National Hospice and Palliative Care Organization Panel Discussion/Audience Q&A

88 IMPLEMENTING QUALITY MEASURES FOR ACCOUNTABILITY 4:45 pm Session 6  Reflections on the Day: Charting a Path Forward to Implementing Quality Measures for Accountability in Community-Based Care for People with Serious Illness Moderator: Christian Sinclair, M.D., Assistant Professor, Division of Palliative Medicine, The University of Kansas Health System Panel of reactors to the workshop presentations: •  Amy Berman, B.S.N., LHD, Senior Program Officer, The John A. Hartford Foundation •  Sean Morrison, M.D., Chair, Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, and Director, National Palliative Care Research Center •  Murali Naidu, M.D., Vice President and Chief Clinical Officer, Sentara Healthcare 5:25 pm Wrap-Up and Adjourn Amy Kelley and Amy Melnick

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Millions of Americans of all ages face the challenge of living with serious illnesses such as advanced cancer, heart, or lung disease. Many people with serious illness are increasingly cared for in community settings. While the number of community-based programs to provide care for those with serious illness has grown significantly, the quality of care provided is not consistent across geographic locations or care settings. Care for the serious illness population often features gaps in coordination across sites of care and poor patient and family perceptions as to the quality of care provided.

In an effort to better understand and facilitate discussions about the challenges and opportunities related to identifying and implementing quality measures for accountability purposes in community-based serious illness care, the National Academies of Sciences, Engineering, and Medicine held a public workshop on April 17, 2018, in Washington, DC. Workshop participants explored the current state of quality measurement for people with serious illness, their families, and caregivers, with the aim of identifying next steps toward effectively implementing measures to drive improvement in the quality of community-based care for those facing serious illness. This publication summarizes the presentations and discussions from the workshop.

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