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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.

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

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

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

Broaden and deepen health systems’ leadership awareness of the prospects for and from a continuously learning health system.
Foster the development of a shared commitment, vision, and strategy among health system leaders for building and maintaining the networked capacity.
Identify common applications in meeting health systems responsibilities for science, technology, ethics, regulatory oversight, business, and governance.
Consider and learn from models and examples of productive integration of research with care delivery programs.

Page 156 Cite

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.

Explore strategic opportunities for executive, clinical, and research leaders to forge working partnerships for progress.
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

Page 157 Cite

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.

	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: How do you describe your project/network to the CEO of your organization? 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? 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

Page 158 Cite

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

Page 159 Cite

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

Page 160 Cite

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

Page 161 Cite

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

Page 162 Cite

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)

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

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

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?
Aligning continuous improvement and knowledge generation. What infrastructure commonalities exist in aligning executive agendas and knowledge generation priorities and driving continuous improvement through learning?
Institutional opportunities. Consider common principles and strategies for participants to move priorities forward in their own institutions.
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

Page 163 Cite

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

Page 164 Cite

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.

Page 165 Cite

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

Page 166 Cite

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.