Agenda: September 9 - 11

Tuesday, September 11, 2012

7:00 a.m. - 12 noon Registration

8:00 a.m. - 9:30 a.m. Closed Business Sessions (by invitation)

• Academic Detailing Panel Expert Meeting.

8:00 a.m. - 9:30 a.m.

• Overcoming Practical Challenges in Spreading of Evidence-Based (EB) Practices.

  Session Number: 59
  Track ID: E
  Session Title: Overcoming Practical Challenges in Spreading of Evidence-Based (EB) Practices
  Session Track: Working With Communities to Promote Wide Use of Best Practices to Enable Healthy Living
  Session Description: In recognition of the need to accelerate the dissemination and translation of evidence-based findings into practice, AHRQ-funded grants support the spread of EB practices findings (a.k.a. CER). Grantees will share lessons from the field about the unique challenges and opportunities of several broad-based initiatives aimed at transforming care delivery. Discussion will focus on strategies for engaging and supporting diverse stakeholders whose support is critical to project success.

  Moderator:	Dina Moss, Agency for Healthcare Research and Quality
  Speakers:	Cheryl McDonnell, James Bell Associates

  
  
• Workshop and Panel Session: Facing Challenging Situations When Assessing the Strength of Evidence in Systematic Reviews.

  This session is being considered for 1.5 hours of continuing education.
  Session Number: 29
  Track ID: C
  Session Title: Workshop and Panel Session: Facing Challenging Situations When Assessing the Strength of Evidence in Systematic Reviews
  Session Track: Promoting Effective Communication and Coordination of Care
  Session Description: Assessing the strength of evidence is an important feature of any systematic review. It tells users of systematic reviews how much confidence they can have in the underlying evidence answering a particular question of interest. The advantage of systems used by AHRQ's Evidence-based Practice Centers (EPC) and Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approaches is the explicit presentation of the reasoning behind grading the strength of evidence. Nevertheless, the process involves subjective judgments and can be challenging. Based on hands-on examples, participants in this workshop will discuss challenging situations when grading the strength of evidence with representatives from GRADE and the EPC program. The session requires a basic understanding of assessing the strength of evidence.

  Moderator:	Nancy Berkman, RTI International
  Speakers:	Nancy Santesso, McMaster University
  	Nancy Berkman, RTI International

  
  
• Improving the Quality of Care for Children: AHRQ's Children's Health Insurance Program Reauthorization Act (CHIPRA).

  This session is being considered for 1.5 hours of continuing education.
  Session Number: 97
  Track ID: D
  Session Title: Improving the Quality of Care for Children: AHRQ's Children's Health Insurance Program Reauthorization Act (CHIPRA) Activities
  Session Track: Promoting Effective Prevention and Treatment Practices for Leading Causes of Mortality
  Session Description: This session will discuss identification of CHIPRA core quality measures, the Pediatric Quality Measures Program, the Model Children's EHR Format, and the CHIPRA Quality Demonstration Grant Program Evaluation.

  Moderator:	Erin Grace, Agency for Healthcare Research and Quality
  Speakers:	Denise Dougherty, Agency for Healthcare Research and Quality
  	Erin Grace, Agency for Healthcare Research and Quality
  	Henry Ireys, Mathematica Policy Research

  
  
• Engaging Stakeholders, Improving Research: Experience From the Effective Health Care Program.

  This session is being considered for 1.5 hours of continuing education.
  Session Number: 25
  Track ID: C
  Session Title: Engaging Stakeholders, Improving Research: Experience From the Effective Health Care Program
  Session Track: Promoting Effective Communication and Coordination of Care
  Session Description: Stakeholder input can improve the relevance, uptake, and quality of research findings. Under the Effective Health Care Program, the Evidence-based Practice Centers (EPC) and Developing Evidence to Inform Decisions about Effectiveness (DEcIDE) Network have increased expertise and experience through expanded stakeholder engagement activities. This session will describe approaches that have been used by the two programs to engage diverse stakeholders in their research, and the impact of stakeholder participation on the quality and relevance of products and outputs. Speakers will also identify challenges and future directions for improving the quality of engagement, focus on challenges related to including important and often underrepresented constituencies, and address obstacles to obtaining meaningful stakeholder input. Presenters will be EPC and DEcIDE colleagues.

  Moderator:	Lawrence Sadwin, Friends of the World Heart Federation Foundation
  Speakers:	Ebony Boulware, Johns Hopkins Medical Institutions
  	Jeanne-Marie Guise, Oregon Health & Science University

  
  
• Current State of the Validation Evidence of the AHRQ QI for Comparative Reporting and Quality Improvement.

  This session is being considered for 1.5 hours of continuing education.
  Session Number: 52
  Track ID: A
  Session Title: Current State of the Validation Evidence of the AHRQ QI for Comparative Reporting and Quality Improvement
  Session Track: Making Care Safer by Reducing Harm Caused in the Delivery of Care
  Session Description: The session will review current validation evidence for the AHRQ Quality Indicators (QIs) and discuss the implications of this evidence for use of the QIs in comparative reporting, quality improvement, and value-based purchasing. In addition, the session will introduce new validation tools that hospitals may use to review and assess cases flagged by the QIs and to identify cases that might have been flagged with improved coding practices. Finally, attendees will learn about new methodologies to incorporate this validity information into the calculation of hospital level rates.

  Speakers:	Leslie Prellwitz, University HealthSystem Consortium
  	Patrick S. Romano, University of California, Davis School of Medicine

  
  
• Key Issues in Updating Systematic Reviews: Lessons for the Field.

  Session Number: 27
  Track ID: C
  Session Title: Key Issues in Updating Systematic Reviews: Lessons for the Field
  Session Track: Promoting Effective Communication and Coordination of Care
  Session Description: Systematic reviews reflect the state of research, usually for a defined clinical question at the time they are completed. However, there is no consensus on determining when the reviews need to be updated. Based on the Evidence-based Practice Centers Program at AHRQ, this session will address questions such as the following: How frequently should a report be assessed for updating? What are the signals that indicate that a topic is in need of updating? Once updated, in what format should the updated information be presented and do different stakeholders (physicians and policymakers) prefer one over another?

  Moderator:	Alexander Tsertsvadze, Ottawa Hospital Research Institute
  Speakers:	Alexander Tsertsvadze, Ottawa Hospital Research Institute
  	Sydne Newberry, RAND
  	David Tovey, The Cochrane Library

  
  
• Improving Clinical Preventive Services: A Discussion With AHRQ Centers for Excellence.

  This session is being considered for 1.5 hours of continuing education.
  Session Number: 100
  Track ID: D
  Session Title: Improving Clinical Preventive Services: A Discussion With AHRQ Centers for Excellence
  Session Track: Promoting Effective Prevention and Treatment Practices for Leading Causes of Mortality
  Session Description: AHRQ has funded three Research Centers for Excellence in Clinical Preventive Services to determine how to achieve the Nation's prevention goals through rapid cycle research. Each Center has a unique focus—health care system implementation, patient safety, and health equity. Audience members will have an opportunity to hear about and, through discussion with representatives from each Center, inform the goals of the Centers related to issues such as dissemination and implementation of their findings.

  Moderator:	Iris Mabry-Hernandez, Agency for Healthcare Research and Quality
  Speakers:	David Baker, Northwestern University
  	Russ Harris, The University of North Carolina at Chapel Hill
  	Allison Kempe, University of Colorado

  
  
• Effective Models to Improve Patient Safety for Racial and Ethnic Minorities.

  This session is being considered for 1.5 hours of continuing education.
  Session Number: 20
  Track ID: A
  Session Title: Effective Models to Improve Patient Safety for Racial and Ethnic Minorities
  Session Track: Making Care Safer by Reducing Harm Caused in the Delivery of Care
  Session Description: The session will discuss policy implications to address patient safety and quality improvement at safety-net hospitals, where large numbers of racial/ethnic minority patients receive care.

  Moderator:	Cecilia Casale, Agency for Healthcare Research and Quality
  Speakers:	Joseph Betancourt, Massachusetts General Hospital
  	Ernest Moy, Agency for Healthcare Research and Quality
  	Deborah Washington, Partners Healthcare

  
  
• The Evidence Toolbox: Applying Patient-Centered Outcomes Research to Health Care Delivery and Practice.

  This session is being considered for 1.5 hours of continuing education.
  Session Number: 36
  Track ID: D
  Session Title: The Evidence Toolbox: Applying Patient-Centered Outcomes Research to Health Care Delivery and Practice
  Session Track: Promoting Effective Prevention and Treatment Practices for Leading Causes of Mortality
  Session Description: This two-member interactive session is designed to provide a lively interactive dialogue and independent survey of the past year of the health services and clinical research literature in comparative effectiveness and Patient-Centered Outcomes Research studies. Two academic emergency medicine and family physicians in practice will critically appraise the latest evidence-based medical literature, with particular focus on the research publications derived from the AHRQ Effective Healthcare Program-sponsored research exploring the translation, application, and implication of the research findings for clinical providers and patients at the point of health care delivery.

  Moderator:	Shilpa Amin, Agency for Healthcare Research and Quality
  Speakers:	Mark Graber, University of Iowa Carver College of Medicine
  	Christopher Hogrefe, University of Iowa

  
  
• Consumer Assessment of Healthcare Providers and Systems (CAHPS) Clinician and Group Survey: Development of the Survey and Summary Measures.

  Session Number: 76
  Track ID: C
  Session Title: Consumer Assessment of Healthcare Providers and Systems (CAHPS) Clinician and Group Survey: Development of the Survey and Summary Measures
  Session Track: Promoting Effective Communication and Coordination of Care
  Session Description: This session will discuss the psychometric properties of the CAHPS Clinician and Group-Adult Visit Survey and selection of final factors. The session will describe how items were developed to capture key aspects of patient-doctor communication.

  Speakers:	Naomi Dyer, Westat, Inc.
  	Ronald Hays, University of California, Los Angeles

  
  
• Toward Aggregation of National Data From Patient Safety Organizations.

  This session is being considered for 1.5 hours of continuing education.
  Session Number: 82
  Track ID: A
  Session Title: Toward Aggregation of National Data From Patient Safety Organizations
  Session Track: Making Care Safer by Reducing Harm Caused in the Delivery of Care
  Session Description: Patient Safety Organizations are now receiving data from health care providers using AHRQ's Common Formats. This session will present implementation and data analysis trends, findings, and lessons learned.

  Moderator:	Amy Helwig, Agency for Healthcare Research and Quality
  Speakers:	Jack L. Cronenwett, Dartmouth-Hitchcock Medical Center
  	Stephen Pavkovic, University HealthSystem Consortium

9:30 a.m. - 10:00 a.m. Break

10:00 a.m. - 12 noon Plenary Session

• Implementation, Engagement, and Use: Making Health Care More Patient-Centered, Reliable, and Safe.

  The time for action is now—pressure to deliver health care services as efficiently and effectively as possible continues to grow. There are many initiatives in place to serve as blueprints to success for stakeholders across the country. This session will feature Reed Tuckson, M.D., FACP, Executive Vice President and Chief of Medical Affairs, UnitedHealth Group, in a discussion with Carolyn M. Clancy, M.D., Director, Agency for Healthcare Research and Quality, about what can be done to encourage widespread implementation and use of the increasing body of evidence-based and proven resources. In addition, Dr. Clancy and Dr. Tuckson will be joined by Joseph Betancourt, M.D., M.P.H., from Massachusetts General Hospital, Kristin Carman, Ph.D., M.A., from the American Institutes for Research, and Pamela Hyde, J.D., administrator of the HHS Substance Abuse and Mental Health Services Administration, who will serve as panelists and add to the conversation based on their unique perspectives.

12 noon: Adjournment

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