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Winter 2005 Chicago, IL Sponsored by The Henry J. Kaiser Family Foundation
Wednesday, December 7
Additional Resources
Contact Information |
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A. Welcome, Introductions, and Overview
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Listen to Audio (Lyons) Listen to Audio (Ladenheim) |
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B. Opportunities and Challenges to Improving Access, Quality, and Affordability Thinking like an economist about costs, access, and quality: Ways to make what you want for less (better quality);ways to share costs more fairly (cost); and ways to afford new things, including paying early to save "late fees" for people without coverage (access). Director, Office of Health Policy, Statistics and Informatics, Minnesota Department of Health Moderator |
Listen to Audio |
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C. Things that Work to Cover More People
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Listen to Audio (Silow-Carroll) Listen to Audio (Baumgartner) Listen to Audio (Murphy) |
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D. From the Neck Up: Gaps in Dental Care |
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E. Things that Work to Improve Access to Care Some programs that provide care directly and may transform the delivery system.
School-Based Care
After TENNCare: Health Centers in the Gap
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Listen to Audio (Wright) Listen to Audio (Granstaff) |
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F. Access to Prescription Drugs: State Roles After MMA |
Listen to Audio |
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G. Long-Term Care: What Works for People with Cognitive Impairments |
Listen to Audio |
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H. Chairs Roundtable Discussion on Disparities
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Listen to Audio |
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A. Things that Work to Improve Quality and Lower Costs. The Willy Sutton Principle: Go Where the Money Is!
Drug Effectiveness Project
Information to Improve Quality and Reduce Errors
Community Collaboratives
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Listen to Audio (Santa) Listen to Audio (Block) Listen to Audio (Highsmith) |
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B. Breaking News on Medicaid Reform: What's the Plan? Will it Work? |
Listen to Audio (Milligan) Listen to Audio (Mann) |
C. Closing Roundtable and Meeting Evaluation  |
Listen to Audio |
Resources:
A. Welcome, Introductions, and Overview
The Health Chairs Project is chiefly funded through a generous grant from The Kaiser Family Foundation http://www.kff.org/. We also receive financial support from the AARP http://www.aarp.org/
B. Opportunities and Challenges to Improving Access, Quality, and Affordability
A recent paper by Scott Leitz on health cost drivers http://www.pophealth.wisc.edu/UWPHI/Forums/leitz.pdf
From Kaiser
- 2005 webcast on trends in health care spending with links to related resources http://www.kaisernetwork.org/health_cast/hcast_index.cfm?display=detail&hc=1365
From NCSL
- FAQ on health economics http://www.ncsl.org/programs/health/forum/FAQ_HealthEconomics.htm
- Speakers at NCSL’s 2004 meeting in Salt Lake City discussed health cost solutions.http://64.82.65.67/health/
C. Things that Work to Cover More People
Sharon Silow-Carroll’s research is often published by:
- The Commonwealth Fund. Papers on this topic include Expanding Health Insurance Coverage: Creative State Solutions for Challenging Times (January 2003); Toward Comprehensive Health Coverage for All: Summaries of 20 State Planning Grants from the U.S. Health Resources and Services Administration (November 2002); Expanding Employment-Based Health Coverage: Lessons from Six State and Local Programs (February 2001). These and other publications by her can be found at: http://www.cmwf.org/profiles/profiles_show.htm?doc_id=222489
- The Economic and Social Research Institute (ESRI). Research on access innovations includes reports on tax credits, health savings accounts, and Medicaid expansions. These can be found at http://www.esresearch.org/
Eric Baumgartner recommends the following links:
- Communities Joined in Action http://www.cjaonline.net/
- American Project Access Network http://www.apanonline.org/
- A report on a 2000 conference that Eric Baumgartner organized includes links and descriptions of many of these programs. http://www.conferencereports.com/innovations/
Anne Marie Murphy recommends the following links:
- Louisiana Public Health Institute http://www.lphi.org/home/
- Illinois AllKids link http://www.allkidscovered.com/
- Summary of AllKids program from Kaiser reports http://www.kaisernetwork.org/daily_reports/rep_index.cfm?hint=3&DR_ID=33766
- CMS Illinois page includes links to current Illinois waivers http://www.cms.hhs.gov/medicaid/state.asp?state=IL
D. From the Neck Up: Gaps in Dental Care
The Children’s Dental Health Project http://www.cdhp.org/
Rhode Island Oral Health Access Project http://www.rikidscount.org/matriarch/MultiPiecePage.asp_Q_PageID_E_219_A_PageName_E_dentalhealth
From NCSL
- Rural Health Brief: Where have all the dentists gone? http://www.ncsl.org/programs/health/ruraldent.htm
- Charts and other resources on Oral Health http://www.ncsl.org/programs/health/oralheacharts.htm
- Other resources http://www.ncsl.org/programs/health/oralheaother.htm
E. Things that Work to Improve Access to Care
W.K. Kellogg Foundation School-Based Health Care Policy Program http://www.schoolbasedhealthcare.org/
National Assembly on School-Based Health Care http://www.nasbhc.org/
Center for Health and Health Care in Schools http://www.healthinschools.org/home.asp
NCSL Resources http://www.ncsl.org/programs/health/SchoolHealth.htm
Tennessee Primary Care Association TennCare page http://www.tnpca.org/tenncare/tpca_tenncare.htm
Governor’s Task Force on Healthcare Safety Net http://www.tnpca.org/tenncare/documents/RecommendationsofGovernorsTaskForceOntheHealthcareSafetyNetMay2005.pdf
Tennessee’s TennCare page http://www.tennessee.gov/tenncare/
CMS Tenncare waiver and amendments http://www.cms.hhs.gov/medicaid/1115/tn1115tc.asp
F. Access to Prescription Drugs: State Roles After MMA
Kaiser Family Foundation
- Resources on Medicare Rx Benefit http://www.kff.org/medicare/rxdrugbenefit.cfm
- Other resources on prescription drugs http://www.kff.org/rxdrugs/index.cfm
From NCSL
- Tools for Legislatures Medicare Prescription Drug Coverage http://www.ncsl.org/programs/health/MedicareRx.htm
- Medicare Part D Resource Center http://www.ncsl.org/statefed/health/MedResPg.htm
- Other NCSL resources related to prescription drugs http://www.ncsl.org/programs/health/h-pharm.htm
G. Long-Term Care: What Works for People with Cognitive Impairments
Alzheimer’s Association http://www.alz.org/
Practice recommendations http://www.alfa.org/public/articles/details.cfm?id=760
Alzheimer's Disease Education & Referral Center http://www.alzheimers.org/index.html
H. Chairs Roundtable Discussion on Disparities
Marsha Lillie-Blanton recommends the following links:
Kaiser Family Foundation
- Compendium of Cultural Competence Initiatives in Health Care http://www.kff.org/uninsured/6067-index.cfm
- Key Facts: Race, Ethnicity and Medical Care http://www.kff.org/minorityhealth/6069-index.cfm
- State Health Facts Online http://www.statehealthfacts.org/cgi-bin/healthfacts.cgi
U.S. Department of Health and Human Services
- 2004 National Healthcare Disparities Report http://www.qualitytools.ahrq.gov/disparitiesreport/archive/2003/download/download_report.aspx
- 2004 National Healthcare Quality Report http://www.qualitytools.ahrq.gov/qualityreport/download/download_report.aspx
- Agency for Health Care Research and Quality: Addressing Health Care Disparities (Workshop for Senior State Policymakers), 2003 http://www.ahrq.gov/research/minorix.htm#workshop
- Health Resources and Services Administration: Health Disparities Collaborative http://www.healthdisparities.net/
- Office of Minority Health http://www.hrsa.gov/OMH/
Others
- A State Policy Agenda to Eliminate Racial and Ethnic Health Disparities, June 2004 http://www.cmwf.org/publications/publications_show.htm?doc_id=230645
- Health Affairs: Racial and Ethnic Disparities, March/April 2005 http://content.healthaffairs.org/content/vol24/issue2/
- Racial and Ethnic Minority Health Disparities in Kansas: A Data and Chartbook, 2005 http://www.khi.org/publications.htm
- State Legislative Activities Related to Elimination of Health Disparities, IN PRESS, Journal of Health Politics, Policy, and Law
- Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care, 2003 http://www.nap.edu/books/030908265X/html/
A. Things that Work to Improve Quality and Lower Costs. The Willy Sutton Principle: Go Where the Money Is!
- OHSU Drug effectiveness review project (DERP) www.ohsu.edu/drugeffectiveness.
- AARP Consumer guide based on DERP http://www.aarp.org/health/comparedrugs/ and another description http://www.cmwf.org/tools/tools_show.htm?doc_id=232254
- UHF Quality Strategies Initiative http://www.uhfnyc.org/pubs-stories3220/pubs-stories_list.htm?attrib_id=7509
- National Quality Forum: reports on consensus standards for health care quality and safety developed through the NQF process http://www.qualityforum.org/
- Connecting for Health (sponsored by the Markle Foundation and the Robert Wood Johnson Foundation): Linking Health Care Information, Proposed Methods for Improving Care and Protecting Privacy http://www.connectingforhealth.org/assets/reports/linking_report_2_2005.pdf
- Oregon Health Policy Commission Report to the Legislature: Electronic Health Records and Data Connectivityhttp://www.oregon.gov/DAS/OHPPR/HPC/docs/EHR_LegReport_March05.pdf See handout for more extensive list of resources on quality and HIT
- Center for Health Care Strategies http://www.chcs.org/
- Medicaid Value Program: Health Supports for Consumers with Chronic Conditions http://www.chcs.org/info-url_nocat3961/info-url_nocat_show.htm?doc_id=272035
- Environmental scan http://www.chcs.org/usr_doc/ESMVPFINAL.pdf
B. Breaking News on Medicaid Reform: What's the Plan? Will it Work?
Chuck Milligan
- Making Medicaid Work for Medicare and Medicaid Dual Eligibles http://hcbs.org/files/57/2818/IssueBrief6.pdf
- CMS Medicaid Commission
Chuck Milligan staffed the commission and his presentations to the commission are available through this page http://www.cms.hhs.gov/faca/mc/details.aspCindy Mann
- Attending to Medicaid http://www.georgetown.edu/research/ihcrp/pdfs/ASLME_Paper.pdf
- New Directions for Medicaid Section 1115 Waivers: Policy Implications of Recent Waiver Activity http://www.kff.org/medicaid/loader.cfm?url=/commonspot/security/getfile.cfm&PageID=52128
- Other Mann articles can be found at The Center for Budget and Policy Priorities conducts consumer-oriented research on Medicaid developments (and other public policies) http://www.cbpp.org/pubs/health.htm
The Kaiser Family Foundation http://www.kff.org/ has enormous resources on all aspects of Medicaid, especially through the Kaiser Commission on Medicaid and the Uninsured http://www.kff.org/about/kcmu.cfm
From NCSL
- State Medicaid Reforms includes information about and links to recent waivers in Vermont, Florida, Iowa, New Mexico and Oklahoma http://www.ncsl.org/programs/health/1115waivers.htm
- Medicaid and the states http://www.ncsl.org/programs/health/medicaid.htm
Additional Resources:
Selected Listing of Quality and Health Information Technology Web Resources
National Quality Activities:
Institute of Medicine Crossing the Quality Chasm Series:
To Err is Human (1999) examines patient safety in health care from a systems perspective
Crossing the Quality Chasm (2001) sets out broad goals for health care system redesign
Leadership by Example (2002) describes federal and state government roles in advancing health care quality
Fostering Rapid Advances in Health Care (2002) proposes several state and regional demonstration projects
Patient Safety: Achieving a New Standard of Care (2003) describes data and information systems requirements for patient safety reporting and research
Keeping Patients Safe (2004) evaluates evidence regarding nursing work environment and patient safety
Improving the Quality of Health Care for Mental and Substance Abuse Conditions (2005)All reports available for purchase at http://www.iom.edu/; individual chapters may be read online without purchase
National Quality Forum:
Numerous reports on consensus standards for health care quality and safety developed through the NQF process – http://www.qualityforum.org/
Agency for Health Care Research and Quality:
National Healthcare Quality Report and National Healthcare Disparities Report (2004) - http://www.qualitytools.ahrq.gov/
Guidance for Using the AHRQ Quality Indicators for Hospital-level Public Reporting or Payment (2004) - http://www.qualityindicators.ahrq.gov/
Centers for Medicare & Medicaid Services:
Fact sheets and technical information on Medicare quality initiatives - www.cms.hhs.gov/quality
National HIT Activities:
eHealth Initiative, “Emerging Trends and Issues in Health Information Exchange: Selected Findings from the Second Annual Survey of State, Regional and Community-Based Health Information Exchange Initiatives and Organizations – 2005” – this report can be accessed at http://www.ehealthinitiative.org/ (registration required, report is free)
Connecting for Health (sponsored by the Markle Foundation and the Robert Wood Johnson Foundation): Linking Health Care Information, Proposed Methods for Improving Care and Protecting Privacy (February 2005) http://www.connectingforhealth.org/assets/reports/linking_report_2_2005.pdf
Press Release on Prototypes for Nationwide Health Information Exchange (June 2005) http://www.connectingforhealth.org/news/pressrelease_060105.html
US Department of Health and Human Services, Office of the National Coordinator for Health Information Technology – HHS Strategic Plan and other reports and announcements available at www.hhs.gov/healthit
Selected State-Specific HIT Activities
New York:
eHealth Initiative Interim Report to the United Hospital Fund on the NYS HIT Policy Summit July 2005 http://www.uhfnyc.org/pubs-stories3220/pubs-stories_show.htm?doc_id=292260
Florida:
Governor’s Health Information Infrastructure Advisory Board Interim Report (http://ahca.myflorida.com/dhit/pdf/interim_rept_gov.pdf)
Florida Health Information Network Grants Program 2005 (http://ahca.myflorida.com/dhit/pdf/Florida%20HI_Network_Grants_Program.pdf)
Minnesota:
Report to the Minnesota Legislature, Minnesota e-Health Initiative: Roadmap and Preliminary Recommendations for Strategic Action (http://www.health.state.mn.us/e-health/legreport0105.pdf)
Oregon:
Health Policy Commission Report to the Legislature: Electronic Health Records and Data Connectivity (http://www.oregon.gov/DAS/OHPPR/HPC/docs/EHR_LegReport_March05.pdf)
Massachusetts:
Massachusetts Health Data Consortium MaSHARE website http://www.mahealthdata.org/ma-share/
Massachusetts eHealth Collaborative website http://www.maehc.org/
Rhode Island:
Rhode Island Quality Institute website http://www.riqi.org/
Information on RI AHRQ Grant – see Amy Zimmerman presentation at http://healthit.ahrq.gov/conf2005/tracks/hit_track2.html#3.%20Perspectives%20from%20the%20Front%20Lines
Contact Information:
For additional information please e-mail us at health.chairs@ncsl.org
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