2013 Leadership Summit

Right Care Initiative Leadership Summit Agenda and Presentations

Collaborating to Prevent Heart Attacks, Strokes, and Diabetic Complications

October 28th, 2013, 9:30 am to 5:00 pm

Stanford University—Clinical Excellence Research Center

Right Care Initiative Targets: 2012 Performance Year NCQA HEDIS National 90th Percentile

75% of hypertensivepatients with blood pressure controlled: <140/90 mm Hg

73% of patients with cardiovascularconditions with lipids controlled: LDL-C < 100 mg/dL

71% of diabeticpatients with blood sugarcontrolled: HbA1c <8

59% of diabeticpatients with lipids controlled: LDL-C < 100 mg/dL

(See all of the videos of the summit here)

Welcome and Introductions(Video)

• Brent Barnhart, JD, Director, Department of Managed Health Care
• Stephen Shortell, PhD, MPH, MBA, Professor of Health Policy and Management, and Dean Emeritus, UC Berkeley School of Public Health
• Arnold Milstein, MD, MPH, Professor of Medicine and Director, Stanford University Clinical Excellence Research Center; Medical Director, Pacific Business Group on Health
• Hattie Rees Hanley, MPP, Right Care Initiative Director, DMHC & UC Berkeley

Million Hearts Challenge & Opportunity Patients at High Risk for Stroke Due to Diabetes, Hypertension and Hyperlipidemia

• Message from Kathleen Sebelius, Secretary, US HHS (Video)
• Janet Wright, MD, Executive Director, US HHS Million Hearts (Wright – Million Hearts Challenge.pdf) (Video)

NIH Stroke Insights (by Video Streaming)

• Robert Kaplan, PhD, Associate Director, National Institutes of Health (Kaplan – NIH Stroke Insights.pdf) (Video)

Metrics Progress on Right Care Initiative Targets for Blood Pressure, Lipids and Blood Sugar Control

• Dean Emeritus Stephen Shortell (Shortell-Metrics Progress on RCI targets.pdf) (Video)

Trend-Bending Stroke Care: Reengineering Preventive and Hospital Care to Lower Healthcare Spending – Stanford University’s Clinical Excellence Research Center (CERC) (Stanford CERC-Trendbending Stroke Care Model.pdf)

• Arnold Milstein, MD, MPH– Professor of Medicine and Director, Stanford Clinical Excellence Research Center; Medical Director, Pacific Business Group on Health
• Waimei (Amy) Tai, MD, Clinical Assistant Professor, Stanford Stroke Center & CERC Fellow
• Jared Conley, MPH, MD/PhD Candidate, CERC Fellow
• Lucy Kalanithi, MD, CERC Fellow

Mechanical Thrombectomy for Stroke:  What happens when regulatory approval, reimbursement and clinical research collide?

• Gregory W. Albers, MD, Director, Stanford Stroke Center, Professor of Neurology and Neurological Sciences (Albers- Acute Stroke Therapy and Systems of Care for TIA.pdf) (Video)

Medical Group and Health Plan Awards (Video)

• Brent Barnhart, JD, Director, Department of Managed Health Care (Right Care Initiative Award Winners.pdf)
• Shelley Rouillard, Chief Deputy Director, DMHC

 Panel: Pharmacy Role in Stroke Prevention & Management (Video)

• Rebecca Cupp, RPh, Vice President, California Pharmacists Foundation, and Ralphs Groceries (Cupp -Sentate Bill 493 and Community Pharmacies.pdf)
• Anthony Morreale, PharmD, MBA, BCPS, Assistant Chief Consultant for Clinical Pharmacy Services and Healthcare Delivery Services Research, U.S. Department of Veterans Affairs (Morreale – Pharmacists Role in Stroke Prevention Management in an Integrated Medical Home Setting.pdf)
• Jennifer Polzin, PharmD, FCSHP, BCACP, SCPMG Clinical Operations; Kaiser team-based TPA process improvement (Polzin- Anticoagulation Quality and Safety Measures.pdf)
• Marilyn Stebbins, PharmD, UCSF School of Pharmacy; founder of Mercy Medical Group MTM Program & co-chair of the MTM Policy Action Work Group (Stebbins-Pharmacist in ACO and IPA Environment.pdf)

Archimedes Modeling of Stroke Prevention for Diabetic, CVD and Hypertension Patients- Costs, Lives and Disabilities Saved

• Don Morris, PhD, Vice President, Scientific Product & Technology Development, Archimedes (Morris-Arcchimedes Modeling of Stroke Prevention for Diabetic, CVD, and Hypertension.pdf) (Video)

Stroke Break-Out Groups – Co- facilitated by Stanford Stroke Squad & UC Right Care Team

1. Archimedes Modeling – Don Morris
2. Global Best Practices for improving appropriate use and timeliness of TPA – William P. Neil, MD, Vascular Neurologist, Southern California Permanente Medical Group, Regional Stroke Champion; Drew Levy, PhD, Director, Clinical Innovation, Genentech
3. Improving Access to Neurologists: Telehealth in the Acute and Chronic Setting – Jim Roxburgh, RN, MPA, Director, Mercy Telehealth Network, Mercy Neurological Institute of Greater Sacramento; Waimei (Amy) Tai, MD, Clinical Assistant Professor, Stanford Stroke Center & CERC Postdoctoral Fellow
4. Measure Up Pressure Down Blood Pressure Campaign – Jerry Penso, MD, Chief Medical Officer, American Medical Group Association & Co-Founder Right Care University of Best Practices & Hector P. Rodriguez, PhD, MPH, Associate Professor, UC Berkeley & Right Care Initiative research team.
5. Multi-ethnic Populations Stroke Prevention and Management Strategies– Michael Kanter, MD
6. Unrecognized Symptoms in Women- Gender Differences in Presentation, Treatment, Outcomes and Prevention of Stroke– Amytis Towfighi, MD, Assistant Professor of Neurology, USC Keck School of Medicine & Associate Chief Medical Officer, Rancho Los Amigos National Rehabilitation Center; Susan L. Ivey, MD, MHSA, Associate Professor & Director of Research, Center for Health Research for Action, UC Berkeley School of Public Health

University of Best Practices Regional leaders (UBPs):

1. Los Angeles UBP– Stephen Deutsch, Chief Medical Officer, Cedars Sinai Medical Foundation; Robin Clarke, MD MSHS, Medical Director for Quality, UCLA Faculty Practice Group, Assistant Clinical Professor, General Internal Medicine
2. Sacramento UBP– José Alberto Arévalo,MD, FAAFP,Senior Medical Director, Sutter Independent Practice Association;  Donald Hufford, MD, Chief Medical Officer, Western Health Advantage Health Plan  
3. San Diego UBP– Heart Attack and Stroke Free Zone Strategies– Scott Flinn, MD, Chief Medical Officer, Arch Medical Group; Jim Dudl, MD, Kaiser Care Management Champion

Breakout Groups Report Back:  Two Highest Priority Action Steps (Video)

Payor / Health System Roundtable:  Recommended Action Steps for Improved Stroke Prevention and Outcomes – Reaction to Stanford Clinical Excellence Research Center and work group recommendations (Video)

Moderator: Diane Stewart, MBA, Senior Director, Pacific Business Group on Health

• Amir Rubin, MBA, CEO, Stanford Hospitals and Clinics
• Betsy L. Thompson, MD, DrPH, Chief Medical Officer, San Francisco Regional Office, CAPT, US Public Health Service, Centers for Medicare and Medicaid Services
• Gary Greensweig, DO, FAAFP, Chief Physician Executive, Dignity Health, Bay Area Region
• Jeff Mason, MD, Chief Medical Officer, United Health Plan of California
• Michael Kanter, MD, KPMG Southern CA Medical Director of Quality & Clinical Analysis (Kanter- Kaiser Southern CA Stroke Prevention.pdf)

Engaging Patients and Families with Media & Wireless Advances (Video)

Panel Moderator: Kathryn McDonald, Stanford & UC Berkeley School of Public Health

• Richard Figueroa, California Endowment – Health Happens Here Disparities Campaign (Figueroa- Health Happens Here, Disparities Campaign (CA Endowment).pdf)
• Elizabeth Helms, President & CEO, California Chronic Care Coalition, and Coordinator,+ San Diego University of Best Practices and Be There – Patient Perspective
• David Lindeman, PhD, MSW, UC Berkeley Center for Information Technology Research in the Interest of Society (CITRIS)-  Wireless Solutions for Stroke Prevention (Lindeman- Technology Solutions for Stroke Prevention.pdf)
• Kevin Patrick, MD, MS, Prof. of Family & Preventive Medicine UCSD; Director, Qualcomm Institute’s Center for Wireless & Population Health; Editor-in-Chief, American Journal of Preventive Medicine – Engaging the whole health team through mobile and home technologies

Thank you to our partners and sponsors (Partners and Sponsors.pdf)