Appendix B:

BUILDING THE EVIDENCE BASE FOR IMPROVING HEALTH CARE SYMPOSIUM AGENDA

BUILDING THE EVIDENCE BASE FOR IMPROVING HEALTH CARE
Contributions, opportunities, and priorities

A NATIONAL ACADEMY OF MEDICINE SYMPOSIUM

February 26-27, 2018
National Academy of Sciences Building
Lecture Room
2101 Constitution Avenue NW
Washington, DC 20001

NAM Leadership Consortium for a Value & Science-Driven Health System

Meeting focus: Contributions of health services research (HSR) to effectiveness and efficiency in health and health care, and key priorities for HSR as a means of generating the evidence required to guide transformative progress in the next two decades.

Core questions

1. Contributions: How has HSR contributed to improvement in health gains and health care access, delivery, and quality—at various levels: system, organization, practice, and health-health care interfaces?
2. Priorities: What are the challenges, opportunities, and priorities for HSR in the next decade, and beyond, for improving access, safety, quality, value,

2. and patient/family engagement in a changing health care environment, while reducing spending growth and advancing population health progress?
3. Support: What are the current public and private sources of support for HSR, what trends are in play, and do the metrics of decision-making and assessment vary by source and focus (e.g., technology assessment, clinical guidelines, care quality and safety, primary care, utilization and financing)? What should be the role of federal funding for HSR, now and in the long-term?
4. Organization: How are HSR opportunities identified? How is HSR funded, coordinated, and results disseminated? How might these processes be improved? What is or should be the profile of a governance structure for HSR?
5. Statutory mandate: What might be the consequences if current legislative mandates related to HSR priorities—(e.g., a Center on Primary Care Research and the Centers for Education and Research on Therapeutics [CERTS])—were eliminated? How might important emphases be sustained and nurtured?
6. Intended outcomes: Identify unique opportunities for the field of HSR to advance rigorous, timely, and relevant evidence, and inform national progress toward a health system that is person-centered, high performing, and continuously learning.

DAY 1

Welcome

Michael McGinnis, National Academy of Medicine

Opening remarks

Victor Dzau, National Academy of Medicine

Lisa Simpson, AcademyHealth

Focus: The nature of, and contributions from, health services research over the past two decades and its impact on health policy, health delivery systems, and health care efficiency and access.

David Blumenthal, The Commonwealth Fund

Leah Binder, The Leapfrog Group

Tim Ferris, Massachusetts General Physicians Organization

Q&A and Open Discussion

Focus: The state of current compelling issues impacting quality, value, and equity that require health services research insights; the data infrastructure required to accelerate these insights.

Moderator: Adaeze Enekwechi, McDermott+Consulting

Panelists:

Andrew Bazemore, Robert Graham Center

Karl Bilimoria, Northwestern Medicine

Niall Brennan, Health Care Cost Institute

Katie Martin, National Partnership for Women & Families

Q&A and Open Discussion: What are the areas in greatest need of new evidence or widespread implementation of existing evidence? What are the opportunities and challenges with the data infrastructure to support advances in these areas?

Focus: Emerging change dynamics affecting access to care; implications for the field of HSR.

Moderator: Alonzo Plough, Robert Wood Johnson Foundation

Panelists:

Sandro Galea, Boston University School of Health: Social determinants of health

Jack Westfall, Santa Clara Valley Medical Center: Linking primary care and social community services

Michael Chernew, Harvard Medical School: Innovations in consumer driven care

Gerard Anderson, Johns Hopkins University: Tiered networks, volume, and access to complex care

Q&A and Open Discussion: How is HSR meaningfully contributing to addressing these issues?

Focus: Emerging change dynamics impacting care quality and efficiency; implications for the field of HSR.

Moderator: Jay Want, Peterson Center on Healthcare

Panelists:

Dana Safran, Blue Cross Blue Shield of Massachusetts: Changing provider incentives by moving from fee-for-services to population-health payment model

Gary Kaplan, Virginia Mason Health System: Health systems engineering to improve patient, family, and clinician experience and outcomes

Rainu Kaushal, Weill Cornell Medicine: Identifying and Predicting High Need, High Cost Patients

Kevin Schulman, Duke University: Innovation models in health care

Q&A and Open Discussion: How is HSR meaning fully contributing to addressing these issues? What are the current challenges with leveraging health data to support HSR in these areas?

Focus: Stakeholders involved in actively supporting, conducting, and implementing HSR; their interactions.

Presenter: Overview of the different actors involved in funding, conducting, and disseminating and implementing the findings from HSR; the federal investment and the public interest in supporting this field of research.

Lisa Simpson, AcademyHealth

Key perspective reactor panel

Moderator: Atul Grover, Association of American Medical Colleges

Reactors:

Gopal Khanna, Agency for Healthcare Research and Quality

George Mensah, National Institutes of Health

Joe Selby, Patient Centered Outcomes Research Institute

Shari Ling, Centers for Medicare & Medicaid Services

David Atkins, US Department of Veterans Affairs

Q&A and Open Discussion: What are the unique roles of the federal government and private foundations in supporting HSR?

Closing remarks will outline the remaining challenges for the field of HSR in preparation for the day 2 discussions.

Carolyn Clancy, US Department of Veterans Affairs

Reception

End of day one

DAY 2

Michael McGinnis, National Academy of Medicine

Focus: Based on the impact to date, remaining gaps, and field dynamics, assess priorities for the next decade and relevant data needs.

Moderator: Arnie Milstein, Stanford University

Charles Kahn, Federation of American Hospitals

Mary Applegate, Ohio Department of Medicaid

William Bornstein, Emory Healthcare

Lina Walker, AARP

Q&A and Open Discussion

Focus: Strategy for engaging the opportunities and priorities including strengthening the case for public interest in supporting HSR through federal investments and ideas for coordinating efforts and ensuring appropriate governance.

Moderator: Jonathan Perlin, Hospital Corporation of America

Andrew Bindman, University of California San Francisco

Bob Phillips, American Board of Family Medicine

Lee Fleisher, University of Pennsylvania

Ellie Dehoney, Research!America

Q&A and Open Discussion

Presentation: The charge and charter for the field of HSR over the next two decades.

Richard Besser, Robert Wood Johnson Foundation

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