Health Care Quality Innovation Summit

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1 Health Care Quality Innovation Summit Optimizing Value and Securing a Future of Innovation and Quality May 11 13, 2011 InterContinental Hotel and Bank of America Conference Center, Cleveland, Ohio Register Today!

2 Health Care Quality Innovation Summit Optimizing Value and Securing a Future of Innovation and Quality Overview What is Unique about the Conference? The 2011 Cleveland Clinic Health Care Quality Innovation Summit is devoted to exploring novel strategies for improving the assessment and delivery of quality health care. This 2½-day multidisciplinary conference brings together the major stakeholders in this process for in-depth discussions of the shared and sometimes competing visions through which health quality metrics can be used to advance health care outcomes. Stakeholders include patients, physicians, nurses, provider institutions, professional societies, public and private payers, regulatory agencies, nongovernment organizations, patient safety organizations, the device and pharmaceutical industry, funding agencies, as well as state and federal government agencies. The Quality Innovation Summit will examine medical and surgical care and prevention of acute and chronic disease in six major medical domains: musculoskeletal, endocrine and metabolic disease, cardiovascular disease, primary care, medical imaging, and laboratory medicine and pathology. The goal of this Summit is to enable attendees to do the following: Build a shared understanding of the vocabulary, issues, and competing and common interests and visions shaping the practices of medicine and health care; Participate in a dynamic forum to explore, discuss, and debate the most effective tools, contexts, and systems with which to assess the quality and value of health care in each of these medical domains; Examine current best practice models and major obstacles and discuss options to address the shared challenge of implementing systems of quality metrics; Critically assess current and proposed methods through which health care quality information can be used to improve health care decision making and delivery, associated business and operational models, and state and federal health policy decisions. Most national meetings on health care quality focus their programs on the stakeholders who drive quality every day. This Summit expands that focus to include the interactions between stakeholders, providing a forum for new ideas and innovations that can be tied to improving quality and safety in daily clinical practice. This Summit provides opportunities for all stakeholders to develop mutual awareness and to explore opportunities for leverage, collaboration, and cross-fertilization. The 2011 Cleveland Clinic Health Care Quality Innovation Summit (CC-HCQIS) builds on the tradition of the highly acclaimed Cleveland Clinic Innovation Summit Series. Since 2004, these Summits have provided a national and international forum to explore and advance opportunities for innovation in patient care. During the Summit, a renowned faculty will provide overviews of each topic area, moderate focused presentations, and lead robust open discussions. Emphasis will be placed on articulation of the basic principles and perspectives guiding stakeholders; on understanding and confronting the varied and sometimes conflicting perspectives of key stakeholders; and on identifying and developing opportunities to better align and leverage varied interests and capabilities to achieve common benefit. Day 1 evaluates health care quality from the perspective of varied stakeholders and disciplines. Day 2 features breakout sessions in which participants will discuss best practice tools and models and evolving innovations in musculoskeletal care, endocrine and metabolic care, cardiovascular care, primary care, medical imaging services and laboratory medicine and pathology services. Day 3 reassembles all participants to explore the national landscape of health care quality assessment and examine the different stakeholders visions through which health quality metrics can be used on a national scale to advance health education, general wellness, reduce cost, and preserve innovation. Core topics include the following: Evolving standards in individual patient responsibility, professional societies, and credentialing and regulatory bodies; Evolving opportunities in health information technology, national registries, inter-institutional networks, and payer-provider business models; Crucial components of infrastructure and culture; Objective and subjective realities of health care fiscal policy and legislation.

3 The Engine of Innovation Speaker Series Exploring the Anatomy and Opportunity of Innovation Partnerships The Summit is further enriched by The Engine of Innovation Speaker Series. In these luncheon and dinner presentations, keynote speakers will explore the role of stakeholders as stewards of innovation and assess the process of translating knowledge and technology into high quality practices and products that serve patients and the medical community. The medical innovations that improve health care are initiated and implemented through the work of dedicated individuals and groups who ask the important questions, solve practical problems, and create the systems and opportunity to bring these innovations forward. The process is not linear or predictable and involves a complex and often stochastic web of inspiration, creative questions, hard-nosed basic science, technology development, education, product development, process development, careful preclinical and clinical assessment, and responsible implementation. Increasingly, innovations are products born out of the collaboration of multidisciplinary teams and institutions that inspire creative thinking, critical assessment, and leverage available opportunities, expertise, and resources rather than individuals. The success of these individuals and teams in improving patient care depends on their work environment to provide these components: Access to information; Opportunity and authority to act; Funding to support both pilot work and key operations; Critical interdisciplinary partnerships that enable promising innovations to advance from concept to bench to bedside, throughout the broader community. This Engine of Innovation Speaker Series will explore the perspective of these partners, their current roles, and future opportunities for advancing these partnerships to greater effect. Objectives Describe the core principles and vocabulary of quality assessment and management practices in health care; Critically appraise points of synergy and tension in the visions and perspectives of patients, physicians, institutions, thirdparty payers, regulatory agencies, industry, and government and nongovernment agencies; Develop models of current best practices in quality assessment and management that incorporate key stakeholder perspectives; Summarize the challenges and opportunities for advancing health care and cost effectiveness through collaborative programs in quality assessment and management extending across the domains of patient, physician, institution, payer, industry, and government and nongovernment organizations. Who Should Attend? This educational activity is designed for a multidisciplinary audience of individuals involved in health care quality assessment and management that includes: Clinicians, scientists, nurses, health institutions, health care administrators; Public and private payers, biomedical industry; Government policymakers and regulators; Nongovernment organizations; Patient advocates and media experts. This Summit will be of value to anyone looking for an intensive, intellectually demanding examination of health care quality from multiple perspectives in a forum that provides opportunities to participate in the real-world process of learning, discussion, exploration, and analysis needed to shape a future of shared responsibility and value in health care quality assessment and management.

4 Health Care Quality Innovation Summit Optimizing Value and Securing a Future of Innovation and Quality Summit Directors Planning Committee George F. Muschler, MD Vice Orthopaedic and Rheumatologic Institute Ajay Kumar, MD, FACP Medical Director, IMPACT Center Medical Director, Blood Management Quality and Patient Safety Institute D. Scott Endsley, MD, MSc Director, Innovation and System Design Barbara Ackerman, RN, MPH Director, Program Development Quality and Patient Safety Institute Chief Quality Officer Quality and Patient Safety Institute David Bronson, MD, FACP President Cleveland Clinic Regional Hospitals C. Martin Harris, MD, MBA Chief Information Officer M. Elaine Husni, MD, MPH Orthopaedic and Rheumatologic Institute Joseph P. Iannotti, MD, PhD Orthopaedic and Rheumatologic Institute Morgan H. Jones, MD, MPH Orthopaedic and Rheumatologic Institute Michael McMillan Executive Director Market and Network Services Cleveland Clinic Speakers Delos M. Cosgrove, MD President and Chief Executive Officer Daphne Bascom, MD, PhD Chief Systems Officer Medical Operations Janet Fuchs, MSN, MBA, NEA-BC Director Advanced Practice Nursing Stanley Shalom Zielony Institute for Nursing Excellence Chief Quality Officer Quality and Patient Safety Institute Sangeeta Kashyap, MD Endocrinology and Metabolism Institute Catherine Keating, MD Chief Medical Affairs and Quality Cleveland Clinic Regional Hospitals Kandice Kottke-Marchant, MD, PhD Pathology and Laboratory Thomas Marwick, MD, PhD Section Head Cardiovascular Imaging Heart and Vascular Institute Michael McMillan Executive Director Market and Network Services Michael Modic, MD Neurological Institute Steven Nissen, MD Department of Cardiovascular Medicine Heart and Vascular Institute Josanne K. Pagel, MPAS, PA-C Director Physician Assistant Services Shannon C. Phillips, MD, MPH Quality Officer Gary Procop, MD Pathology and Laboratory Andrew Proctor Senior Director Business Intelligence Medical Operations Michael Rabovsky, MD Medical Director, Family Medicine Vice Mark Sands, MD Vice man Clinical Operations and Quality Imaging Institute Philip Schauer, MD Director Bariatric and Metabolic Institute Endocrinology and Metabolism Institute Sarah Sinclair, RN, BSN, MBA, FACHE Executive Chief Nursing Officer Stanley Shalom Zielony Institute for Nursing Excellence Lisa Yerian, MD Medical Director Continuous Improvement Section Head Surgical Pathology Pathology and Laboratory James B. Young, MD Executive Dean Cleveland Clinic Lerner College of Medicine man Endocrinology and Metabolism Institute

5 Guest Speakers Ron J. Anderson, MD President and Chief Executive Officer Parkland Health and Hospital System Dallas, TX Bruce Bagley, MD Medical Director for Quality Improvement American Academy of Family Physicians Leawood, KS Kevin Bozic, MD, MBA Associate Professor and Vice Department of Orthopaedic Surgery University of California, San Francisco San Francisco, CA Helen Burstin, MD, MPH Performance Measures National Quality Forum Washington, DC Franklin R. Cockerill, MD Laboratory Medicine and Pathology Mayo Clinic President and CEO Mayo Collaborative Services, Inc. (MML) Rochester, MN David J. Cohen, MD Director of Cardiovascular Research St. Luke s Mid America Heart Institute Kansas City, MO David Cutler, PhD Otto Eckstein Professor of Applied Economics Department of Economics Harvard University Cambridge, MA Charles Denham, MD man Texas Medical Institute of Technology Austin, TX J. Timothy Harrington, MD Medical Director, University of Wisconsin School of Medicine and Public Health Madison, WI Jennifer Leigh Hunt, MD Associate Chief of Anatomic and Molecular Pathology Massachusetts General Hospital Boston, MA Bob Ihrie, CCP, CBP Employee Rewards and Services Lowe s Companies, Inc. Mooresville, NC Tom James, MD Corporate Medical Director National Network Operations Humana, Inc. Louisville, KY Elliot Joseph President and CEO, Hartford Healthcare and Hartford Hospital Hartford, CT Teresa Koenig, MD, MBA Chief Medical Officer SummaCare, Inc./Apex Akron, OH Allan M. Korn, MD Chief Medical Officer Blue Cross and Blue Shield Association Chicago, IL Gerri Lamb, PhD, RN, FAAN Associate Professor College of Nursing & Health Innovation Arizona State University Tucson, AZ Jack Lewin, MD Chief Executive Officer American College of Cardiology Washington, DC Paul V. Miles, MD Maintenance of Certification and Quality American Board of Pediatrics Chapel Hill, NC Regis O Keefe, MD, PhD man, Department of Orthopaedics University of Rochester Medical Center Rochester, NY Anne Peters, MD Westside Center for Diabetes Director, Clinical Diabetes Programs University of Southern California Beverly Hills, CA Michael Recht, MD Louis Marx Professor of Radiology man, Radiology New York University Langone Medical Center New York, NY Richard Salmon, MD, PhD National Medical Executive Performance Measurement and Improvement Cigna Health Care Hartford, CT James W. Saxton, Esq. Stevens and Lee Scranton, PA Susan Sheridan, MBA, MIM President, Consumers Advancing Patient Safety Chicago, IL Linda Siminerio, RN, PhD, CDE Director, University of Pittsburgh Diabetes Institute Pittsburgh, PA Rebecca Smith-Bindman, MD Professor University of California, San Francisco San Francisco, CA Steve Sternberg USA Today McLean, VA Stephen J. Swensen, MD, MMM, FACR Director for Quality Mayo Clinic Rochester, NY Marc F. Swiontkowski, MD Professor, Orthopaedic Surgery University of Minnesota CEO, TRIA Orthopaedic Center Minneapolis, MN Jay Walker man and Founder Walker Digital Management, LLC Stamford, CT Donald Wright, MD, MPH Deputy Assistant Secretary for Healthcare Quality U.S. Department of Health and Human Services Washington, DC

6 Health Care Quality Innovation Summit Optimizing Value and Securing a Future of Innovation and Quality Agenda Wednesday, May 11, :00 am Registration/Continental Breakfast/Exhibits 3rd Floor Foyer Session 1: Defining Quality in Health Care Part 1: Patients, Physicians, Public Moderator: George F. Muschler, MD 7:45 am Welcome and Introduction George F. Muschler, MD 7:50 am Keynote Address: The View From the Office of Healthcare Quality: HHS Donald Wright, MD, MPH 8:30 am Landscape of Quality Organizations and Public Debate Overview Helen Burstin, MD, MPH 8:55 am Patient Perspective (Patient Advocacy) Susan Sheridan, MBA, MIM 9:20 am Public Perspective (USA Today) Steve Sternberg 9:45 am Panel Discussion/Question and Answer Period 10:15 am Refreshment Break and Exhibits Session 2: Defining Quality in Health Care Part 2: View from the Inside Health Care Institutions Moderator: 12:45 pm Lunch and Keynote Address Health Care Financing Solutions and the Public Debate Stephen Swensen, MD, MMM, FACR Session 3: Defining Quality in Health Care Part 3: The View from the Payer Perspective Moderator: Michael McMillan 2:00 pm Introduction Michael McMillan 2:15 pm National Health Plan Richard Salmon, MD, PhD, Cigna 2:45 pm Self-Insured Employers Bob Ihrie, CCP, CBP, Lowe s 3:15 pm Regional Health Plan Teresa Koenig, MD, MBA, SummaCare 3:45 pm Health Care Innovation from Medicare Advantage: Case Study of Humana Tom James, MD, Humana 4:15 pm Panel Discussion/Question and Answer Period 4:45 pm Adjourn 5:00 7:00 pm Poster Session and Reception 3rd Floor Foyer 10:30 am Introduction 10:35 am Integrated Health Systems Catherine Keating, MD Andrew Proctor 11:00 am Challenges for Hospitals From Community Hospital to Tertiary Care Elliot Joseph 11:25 am County Hospitals Ron J. Anderson, MD 11:50 am Medical Education for the Future James B. Young, MD 12:15 pm Panel Discussion/Question and Answer Period

7 Thursday, May 12, 2011 Parallel Sessions: Maximizing Value and Preserving Innovation 6:30 am Continental Breakfast and Exhibits 3rd Floor Foyer 7:00 am Keynote Address: Quality and Patient Safety 101 Charles Denham, MD Group 4A: Musculoskeletal Care Amphitheater A Moderator: George F. Muschler, MD 8:00 am Introduction George F. Muschler, MD 8:05 am Where/How Can We Demonstrate the Objective J. Timothy Harrington, MD 8:30 am What are the Current Best Practice Models and Kevin Bozic, MD, MBA 8:55 am How Do We or Can We Identify INEFFECTIVE Marc F. Swiontkowski, MD 9:20 am How Do We Preserve and Stimulate INNOVATION in Regis O Keefe, MD, PhD 9:45 am Panel Discussion/Question and Answer Period 10:15 am Refreshment Break and Exhibits Group 4B: Endocrine and Metabolic Care Amphitheater B Co-Moderators: Philip Schauer, MD Sangeeta Kashyap, MD 8:00 am Introduction Philip Schauer, MD 8:05 am Where/How Can We Demonstrate the Objective Anne Peters, MD 8:30 am What are the Current Best Practice Models and Linda Siminerio, RN, PhD, CDE 8:55 am How Do We or Can We Identify INEFFECTIVE James W. Saxton, Esq. 9:20 am How Do We Preserve and Stimulate INNOVATION in Philip Schauer, MD 9:45 am Panel Discussion/Question and Answer Period 10:15 am Refreshment Break and Exhibits Group 5A: Cardiovascular Care Amphitheater A Moderator: Steven Nissen, MD 10:30 am Introduction Steven Nissen, MD 10:35 am Where/How Can We Demonstrate the Objective David J. Cohen, MD 11:00 am What are the Current Best Practice Models and Jack Lewin, MD 11:25 am How Do We or Can We Identify INEFFECTIVE Thomas Marwick, MD, PhD 11:50 am How Do We Preserve and Stimulate INNOVATION in David Cutler, PhD 12:15 pm Panel Discussion/Question and Answer Period Group 5B: Primary Care Amphitheater B Moderator: D. Scott Endsley, MD, MSc 10:30 am Introduction D. Scott Endsley, MD, MSc 10:35 am Where/How Can We Demonstrate the Objective Paul V. Miles, MD 11:00 am What are the Current Best Practice Models and Gerri Lamb, PhD, RN 11:25 am How Do We or Can We Identify INEFFECTIVE Michael Rabovsky, MD

8 Health Care Quality Innovation Summit Optimizing Value and Securing a Future of Innovation and Quality Thursday, May 12, 2011 (continued) 11:50 am How Do We Preserve and Stimulate INNOVATION in Bruce Bagley, MD 12:15 pm Panel Discussion/Question and Answer Period 12:45 pm Lunch and Panel Discussion: The Evolving Role of Midlevel Providers Where are We Headed? Is this a Quality or Cost-saving Trend? Sarah Sinclair, RN, BSN, MBA Shannon C. Phillips, MD, MPH Gerri Lamb, PhD, RN Josanne K. Pagel, MPAS, PA-C Janet Fuchs, MSN, MBA, NEA-BC Group 6A: Medical Imaging Services Amphitheater A Moderator: Mark Sands, MD 2:00 pm Introduction Mark Sands, MD 2:05 pm How Do We Preserve and Stimulate Innovation in an Environment of Active Management, Standardization, Michael Recht, MD 2:35 pm Are Current Imaging Practices Effective and Can We Identify Ineffective Practices and Reduce Them? Rebecca Smith-Bindman, MD 3:05 pm Clinical Care Paths and Outcomes Reporting: Impact of and Implications for Imaging Michael Modic, MD 3:35 pm Panel Discussion/Question and Answer Period 4:15 pm Adjourn Group 6B: Laboratory Medicine and Pathology Services Amphitheater B Moderator: Kandice Kottke-Marchant, MD, PhD 2:00 pm Introduction Kandice Kottke-Marchant, MD, PhD 2:05 pm Where/How Can We Demonstrate the Objective Franklin R. Cockerill, MD 2:30 pm What are the Current Best Practice Models and Lisa Yerian, MD 2:55 pm How Do We or Can We Identify INEFFECTIVE Jennifer Leigh Hunt, MD 3:20 pm How Do We Preserve and Stimulate INNOVATION in Gary Procop, MD 3:45 pm Panel Discussion/Question and Answer Period 4:15 5:30 pm Poster Session 6:00 7:00 pm SUMMIT RECEPTION 7:00 9:00 pm SUMMIT BANQUET Founders Ballroom Keynote Address: Health Care Quality and Cost from a National Perspective Jay Walker Friday, May 13, :00 am Continental Breakfast and Exhibits 3rd Floor Foyer Session 7: Defining Quality in Health Care Charting the Course: Is There a Common Point on the Horizon? Moderator: 8:00 am Opening Remarks 8:05 am Charting a Course to the Future: Meaningful Use Daphne Bascom, MD, PhD 8:50 am Charting a Course to the Future: A View from Blue Cross and Blue Shield Allan M. Korn, MD 9:35 am Charting a Course to the Future: A Clinician s View 10:20 am Refreshment Break and Exhibits 10:35 am Closing: Panel Discussion and Town Hall Meeting Delos M. Cosgrove, MD Allan M. Korn, MD Stephen Swensen, MD, MMM, FACR Charles Denham, MD 12:00 pm Adjourn

9 General Information Location InterContinental Hotel and Bank of America Conference Center 9801 Carnegie Avenue Cleveland, OH Phone: or Hotel Accommodations A block of rooms has been reserved at the InterContinental Hotel for a special rate of $189 single/double (plus tax) and at the InterContinental Suite Hotel, located at 8800 Euclid Avenue, for a special rate of $165 single/double (plus tax). The conference center is located on the campus of the Cleveland Clinic. The InterContinental Suite Hotel is within walking distance to the InterContinental Hotel and Bank of America Conference Center. To obtain these special rates, you must make your reservations by 5:00 pm ET April 17, To make your reservations, contact the Hotel Reservations Department at or Identify yourself as a course attendee for the Cleveland Clinic Health Care Quality Innovation Summit and refer to the following online booking codes: The InterContinental Hotel is MC6 and the InterContinental Suite Hotel is C39. Ground Transportation Taxi service is available from Cleveland Hopkins International Airport to the InterContinental Hotel and Bank of America Conference Center. Information For further information, contact the Cleveland Clinic Center for Continuing Education at: Local: Toll Free: Web Address: Registration and Cancellation Preregistrations are accepted until 4:00 pm ET May 9, Please register on-site after this date. In case of cancellation, a full refund will be made if canceled by May 2, After May 2, 2011, a $100 cancellation fee will be deducted from your refund. Written notification of your cancellation is required to process your refund. NO REFUNDS WILL BE ISSUED AFTER MAY 31, For questions about registration, please call or us at Parking Parking is available in the East 100th Street/Carnegie Avenue Visitor s Parking Garage at prevailing rates. Valet parking is available at the hotel for an additional charge. Americans with Disabilities Act The Cleveland Clinic Foundation Center for Continuing Education fully intends to comply with the legal requirements of the Americans with Disabilities Act. If you need assistance, please notify us at least two weeks prior to the activity. Accreditation The Cleveland Clinic Foundation Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The Cleveland Clinic Foundation Center for Continuing Education designates this educational activity for a maximum of AMA PRA Category 1 Credits. Physicians should only claim credit commensurate with the extent of their participation in the activity. Participants claiming CME credit from this activity may submit the credit hours to the American Osteopathic Association Council on Continuing Medical Education for Category 2 credit. The Ohio Board of Nursing will accept at face value the number of contact hours awarded for an educational activity that has been approved for CE by a nationally accredited system of CE approval. Therefore, the AMA PRA Category 1 Credits will be accepted for nursing credits. Faculty Disclosure The Cleveland Clinic Foundation Center for Continuing Education has implemented a policy to comply with the current Accreditation Council for Continuing Medical Education Standards for Commercial Support requiring resolution of all faculty conflicts of interest. Faculty declaring a relevant commercial interest will be identified in the activity syllabus. Registration Form Health Care Quality Innovation Summit May 11-13, 2011 InterContinental Hotel & Bank of America Conference Center, Cleveland, OH Course No Office Use Only Fee Date MOP CXL/Fee FEES: Fee includes: syllabus, continental breakfasts, two lunches, refreshment breaks, reception and banquet. Before March 1, 2011 After March 1, 2011 FEE: $ $1, PLEASE INDICATE: o Physician o Resident/Fellow o Nurse o Allied Health o Other ( ) PARALLEL SESSION SIGN UP, Thursday, May 12, 2011 Session 4: o 4A Musculoskeletal Care OR o 4B Endocrine and Metabolic Care Session 5: o 5A Cardiovascular Care OR o 5B Primary Care Session 6: o 6A Medical Imaging Services OR o 6B Laboratory Medicine & Pathology Services PLEASE PRINT: Complete the information below if registering by mail or fax: First Name: Last Name: MI: Degree: Specialty: Company Name: Address: City: State: Zip: Phone: Fax: Address: Practice Type: o Office Based o Hospital Staff o Resident/Fellow o Other REGISTER ONLINE GO TO: Once you register online, please do not mail or fax in a registration form. Cleveland Clinic employee fees and registration are available online only. o I will attend the Summit Banquet on Thursday, May 12, o I would like to purchase additional banquet $75 each. Number of additional tickets o I require vegetarian meals. Total amount enclosed or to be charged $ MAIL: Make check payable to: The Cleveland Clinic Educational Foundation or charge to the following account: o Visa o MasterCard o American Express o Discover Card Number: Expiration Date: 3/4 Digit Verification Number: Signature: Mailing Address: The Cleveland Clinic Education Foundation P.O. Box Cleveland, OH Local: Toll Free: Fax: For additional information,

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