| Plenary Sessions |
| Opening Plenary and Welcome |
| Welcome: Risk Adjustment and Predictive Modeling “State-of-the-Art” 2006 |
Speaker: Jonathan Weiner, the Johns Hopkins University
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Speaker: Barbara Starfield, The Johns Hopkins University
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| Plenary 2: Integrating Multiple Clinical Data Sources to Predict Future Costs and Improve Quality: Introducing “Patient Care Clusters” |
Speakers:
Chris Forrest, The Johns Hopkins Univerisity
Bruce Leff, The Johns Hopkins University
Cynthia Boyd, The Johns Hopkins University
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| Plenary 3: Thinking Two Moves Ahead: The Need for an Integrated Value Strategy in Healthcare |
Speaker: PeggyO’Kane, President, National Committee for Quality Assurance (NCQA)
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| Closing Plenary 4: Emerging Industry Trends |
-New National Standards for Physician-Level Performance Measurement
Speaker: Dave Knutson Park Nicollet Institute
-New Challenges Facing Medicare
Speaker: Stephen Jackson, Plan Data Management
-The Employers Perspective
Speaker: Richard Easley, VitalSpring Technology
-New Trends in Disease Management
Speaker: Don Hughes, Encompass Medical Management
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| Conference Closing and Synthesis |
Speaker: Jonathan Weiner, The Johns Hopkins University
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| Concurrent Sessions |
| ACG University” Pre-Conference Training Sessions |
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Session A: Introduction to the new Rx-PM Module and Summary of Other Enhancements in Release 8.0 (repeat of Day 1 Training Session 2) |
Speaker: Meg McGinn, DST Health Solutions
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Session B:
Care Management for Medicaid and Other Special Populations |
-ACG Applications for Oklahoma Medicaid
Speaker: Donald Libby, APS Healthcare
-CareOregon's Complex Care Case Management Program
Speaker: David Labby, CareOregon
-Predictive Modeling Strategies for Identifying Members for Disease Management Programs
Speaker: Steven Johnson, Mercer
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| Session C:
Risk Adjustment in Quality of Care and Pay for Performance |
-The Role of Risk Adjustment in the Assessment of Quality of Care
Speaker: David Bodycombe, The Johns Hopkins University
-ACG as a Tool to Improve Quality and Efficiency of Providers in Primary Care
Speaker: Antoni Arias, Iasis ( Spain)
-Quality Improvement with a Patient Focus
Speaker: Lennart Carlsson, CeFAM, Karolinska Institutet
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| Session D: Medicare and Case Management Application |
-A Pilot Study of Guided Care: Cost and Utilization Outcomes
Speaker: Martha Sylvia, Johns Hopkins HealthCare
-Primary Care Case Management - Risk Adjusting Physician Score Cards
Speaker: Jeff Smith, Mercer Human Resources Consulting
-Assessing the Effects of Hurricane Katrina on Medicare Enrollees
Speaker: Richard Lieberman, Health-Data Services
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| Session E: Applying the New Johns Hopkins ACG Rx-PM Tool |
-Field Test Results of Implementing the Johns Hopkins ACG PM Toolkit
Speaker: Klaus Lemke, The Johns Hopkins University
-Pharmacy Based Risk Adjustment - Better? Faster? How much do you Need?
Speaker: Meg McGinn, DST Health Solutions
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| Session F:
Actuarial/Underwriting Applications |
-Potential Applications of Risk Information to Small Group Underwriting
Speaker: Mike Salzillo, Blue Cross/Blue Shield, Rhode Island
-Preparing for Medicare Part D: An Update of Recent Predictive Modeling Efforts from the Medicare Perspective
Speaker: Chad Abrams, The Johns Hopkins University
-Using The Johns Hopkins ACG PM to Adjust DRG payments to Hospitals to Prevent ACS Re-admissions for the Disabled
Speaker: David Knutson, Park Nicollet
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| Session G:
Disease/Care Management and Return on Investment |
-A Comparison of Return on Investment Measures for Quantifying Financial and Clinical Effects of Integrated Medical Management Programs
Speaker: Don Hughes, Encompass Medical Management
-Improving the Efficiency of Care Management Programs Using Predictive Modeling Tools
Speaker: Mike Sjomeling, Medica
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| Session H:
Skills Workshop: The Interface of the Clinical Screener Role and the ACG System |
Moderators:
Linda Dunbar, Martha Sylvia, Maria Yu, Johns Hopkins Healthcare
David Bodycombe, The Johns Hopkins University
Amy Salls, DST Health Solutions
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| Session I:
Using ACG Risk Adjustment to Understand Resource Use |
-Risk Adjustment and Impact of Inclusion of Clinicians of Alternative Medicine Claims
Speaker: Bonnie Lind, Boise State
-Prediction of Costs Can be Improved by Incorporating Additional Socio-Demographic Indicators
Speaker: Anders Hallings, Sweden
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| Session J:
Performance Profiling: New Considerations |
-Episode-of-Care vs. Patient-Centric-Totality-of Care Risk Adjustment: Implications for Evaluating Physician Efficiency
Speaker: Jonathan Weiner & Klaus Lemke, The Johns Hopkins University
-Measuring the Quality of Care in a Primary Care Setting on the Basis of an Efficiency/Effectiveness Study
Speakers: Josep Serrat and Antoni Sicras, Badalona Serveis Assistencials
-Using The Johns Hopkins ACG PM to Adjust DRG payments to Hospitals to Prevent ACS Re-admissions for the Disabled
Speaker: David Knutson, Park Nicollet
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| Session K:
Comparing Pharmacy and Diagnosis Based Risk Adjustment |
-Risk Adjustment Strategies to Evaluate Encounter Data Completeness- Assessing the Link between ICD- & NDC-based Risk Adjustment
Speaker: Steve Johnson, Mercer Human Resource Consulting
-The Benefits of Pharmacy-Based Risk Adjustment: The Johns Hopkins ACG Rx-MGs for Tracking Morbidity
Speaker: Richard Lieberman, Health Data Services
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