10th Annual Right Care Initiative
Clinical Performance Improvement Leadership Summit
Thursday, April 5, 2018 – 9:00 a.m. to 5:30 p.m.
UC Berkeley Clark Kerr Conference Center, 2601 Warring Street, Berkeley 94720
Right Care Initiative Goal: Reduce the interval between scientific advances and practical implementation in high-yield areas to prevent disability and death, with current focus on the prevention and better management of heart disease, strokes and diabetic complications.
Achieve 75 % in good control, or “A Grade” (90th Percentile) HEDIS levels for Cardiovascular Disease and Diabetes, whichever is greater.
Performance Year 2018 priorities:
- 75% of hypertensive patients with blood pressure (BP) controlled: <140/90 mm Hg
- 75% of diabetic patients with blood sugar controlled: Hemoglobin A1c<8 (HEDIS Performance year 2016=67%)
In absence of HEDIS cardiovascular disease lipid control 90th percentile target, Right Care Initiative 2018 target: - 75% of patients with diabetes and/or cardiovascular conditions on appropriate cholesterol therapy (proxy, LDL controlled: LDL-C<100mg/dL)
Agenda
Download Agenda Here
Opening Welcome – (Video)
- Stefano Bertozzi, MD, PhD, Dean, University of California, Berkeley, School of Public Health
- Stephen M. Shortell, PhD, MBA, MPH, Chairman and Co-Founder, Right Care Initiative Technical Expert Group; Professor and Dean Emeritus UC Berkeley School of Public Health; Founder and Co-Director, Center for Health Organizational and Innovation Research (CHOIR)
- Janet Wright, MD, Director, Million Hearts, United States Health and Human Services Agency
- Hattie Rees Hanley, MPP, Co-Founder and Director, Right Care Initiative, UC Berkeley School of Public Health, Center for Health Organizational and Innovation Research (CHOIR) (Presentation)
Breakthroughs in Stroke Care & Activation for Improved Outcomes via Helsinki Model: Progress on 2013 Right Care Summit Dr. Milstein’s 20 Minute Door-to-Needle Time Challenge – (Video)
Moderator: Arnold Milstein, MD, MPH, Professor of Medicine & Founding Director, Stanford University Clinical Excellence Research Center; Medical Director, Pacific Business Group on Health; founding member, Right Care Initiative Technical Expert Group (Presentation)
- Chuck Toeniskoetter, MBA, Survivor & Patient Advocate; Founder, Stroke Awareness Foundation (Presentation)
- Jeffrey Klingman, MD, Chief, Kaiser Permanente Northern California Neurology & Stroke Innovation Leader (Presentation)
- Nirali Vora, MD, Clinical Assistant Professor, Neurology, Stanford Stroke Center, Director, Global Health Neurology Associate Program Director, Adult Neurology Residency
CA Progress & Challenges in Meeting the 90th Percentile Right Care Targets for Blood Pressure, Lipid, and Blood Sugar Control – Review of Performance Trends and National Top Performers – (Video)
- Hector P. Rodriguez, PhD, MPH, Henry J. Kaiser Endowed Chair in Organized Health Systems; Chair, Faculty Group in Health Policy; Co-Director, CHOIR; Professor of Health Policy and Management; Right Care Initiative Technical Expert Group; UC Berkeley School of Public Health (Presentation)
Million Hearts Champions; Progress & Challenge – (Video)
- Janet Wright, MD, Director, US HHS Million Hearts; Proven Strategies (Presentation)
- Michael Kanter, MD, Chief of Quality Improvement, Kaiser Permanente Medical Group So. Cal & National (Presentation)
- Parag Agnihotri, MD, Medical Director, Continuum of Care, Sharp Rees-Stealy Medical Group (Presentation)
Special Announcement from Blue Shield of California and UC Berkeley School of Public Health on Expanding the Right Care Initiative Get to Zero First Challenge – (Video)
AMGA’s Together 2 Goal® Campaign: A Diabetes Deep Dive – (Video) (Presentation)
Approach to Improving Care Nationwide:
- Jerry Penso, MD, MBA, President and CEO, AMGA, and Right Care Initiative University of Best Practices Co-founder, and 2009 Right Care Leadership Award Winner
- John W. Kennedy, MD, President, AMGA Foundation and Chief Medical Officer, AMGA
Medical Group
Panel Moderator: Professor Hector P. Rodriguez, PhD, MPH
- Beth Averbeck, MD, Senior Medical Director, Primary Care, HealthPartners Medical Group (Minneapolis, MN)
- Christopher Jones, MD, Chair, Diabetes Clinical Program, Intermountain Medical Group
(Salt Lake City, UT) - Phil Oravetz, MD, MPH, MBA, Medical Director, Accountable Care, Oschner Health System (New Orleans, LA)
A1c Control: The “Leaky Bucket”:
- John Cuddeback, MD, PhD, Chief Medical Informatics Officer, AMGA
- R. James (Jim) Dudl, MD, Diabetes Lead, Care Management Institute, Community Benefits, Kaiser Permanente, ALL Medication Bundle National Champion
Improving the Get to Zero Equation for Preventable Cardiovascular Disabilities & Deaths Right Care’s 1st 10 Years & Planning the Next 10 — Intensifying the Right Care Triangle – (Video)
Moderators: Parag Agnihotri, MD, Medical Director, Continuum of Care, Sharp Rees-Stealy Medical Group; co-founder Sacramento Capital Region University of Best Practices; Be There San Diego CMMI grant Health Care Teams Committee Chairman; and Hattie Rees Hanley, MPP
Econometric Analysis of Right Care Initiative’s 1st Demonstration Project– Acute Myocardial Infractions (Presentation)
- Susan L. Ivey, MD, MHSA, Adjunct Professor, School of Public Health, and Research Director, Health Research for Action, UC Berkeley (Presentation)
- Allen Fremont, MD, PhD, RAND; Right Care Initiative TEG & National Institutes of Health GO grant Co- Principal Investigator; Data Group Leader, Be There San Diego UBP, and LA UBP leadership team
Improving the Get to Zero Equation – Leaders from Three University of Best Practices
- William J. Bommer, MD, American College of Cardiology CA Chapter, Executive Board; UC Davis, Cardiology & Co-Chair Capitol Region Right Care Initiative University of Best Practices (UBP) (Presentation)
- Anthony DeMaria, MD, UCSD Cardiology, Co-founder & Chairman San Diego UBP& Be There Campaign
- Tony Kuo, MD, MSHS, Director of Senior Health and Chronic Disease and Injury Prevention, Department of Public Health, Los Angeles County Health Agency, and Co-Chair Los Angeles UBP
- Karol Watson, MD, PhD, Co-Director, UCLA Preventative Cardiology and Co-Chair LA UBP
Response and Insights on the Get to Zero Equation for Preventable Cardiovascular Events
- Janet Wright, MD, Director, Million Hearts
Patient and Family Engagement, Education and Activation – (Video)
- Victoria Dupuy, Founder & Executive Director, No More Broken Hearts (5 Minute Calls to Action) (Presentation)
- LaVonna Blair Lewis, PhD, MPH, Teaching Professor, USC School of Pharmacy, LA UBP Co-Chair (Presentation)
- Elizabeth Helms, President and CEO, California Chronic Care Coalition (Presentation Pending) (Presentation Video)
- Stephen M. Shortell, PhD, MBA, MPH, Right Care Initiative Technical Expert Group Chairman-Results
Insights to Get to Zero Preventable Heart Attacks, Strokes, Diabetic Complications – (Video)
Moderator: Stephen M. Shortell (Presentation)
- Carol Zaher, MD, Health Net Cardiologist & Medical Director
- Jeffrey Mason, MD, Retired Chief Medical Director, United Health Plan of California
- Joseph Sky, MD, LtCol, USAF, MC, FS, Chief of Cardiology, Medical Director, Heart Lung and Vascular Center, Travis Airforce Base
- Marcus Thygesson, MD, Retired Chief Medical Officer Blue Shield of California
- Marilyn Stebbins, PharmD, UCSF School of Pharmacy, Innovations Director
- Mathew P. Wonnacott, MD, (USAF Col. Retired) Medical Director, Barton Health Community Clinics, Co-Chair Capital Region University of Best Practices
Leaders & Innovators Awards – Dr. Janet Wright, Steve Shortell & Hattie Rees Hanley – (Video)
- Warren Barnes, JD, M.Div., Chief Lawyer, State of California Department of Managed Health Care, retired; Pastor, Grace Presbyterian Church- Right Care Lifetime Achievement Award
- Jose Alberto Arevalo, MD, Co-founder Capital Region University of Best Practices & Chief Medical Officer, Sutter Independent Practice Association; Community Leadership Award
- LaVonna Blair Lewis, PhD, MPH – Cardiovascular Public Policy Champion
- Jim Dudl, MD, High Impact Care Innovation Award – ALL Medication Bundle
- Elizabeth Helms, Patient Care Activist
- Jeff Klingman, MD, Innovation Award- Stroke Care Redesign
- Arnold Milstein, MD, Visionary Award- Stroke 20 Minute Door to Needle Time
- Chuck Toeniskoetter, MBA, Leadership Award Stroke Care Improvement
-Health Plan and Medical Group Awardees can be found on program here–