2018 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(link is external).
Opening Welcome – (Video(link is external))
- 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(link is external))
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(link is external))
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(link is external))
- Chuck Toeniskoetter, MBA, Survivor & Patient Advocate; Founder, Stroke Awareness Foundation (Presentation(link is external))
- Jeffrey Klingman, MD, Chief, Kaiser Permanente Northern California Neurology & Stroke Innovation Leader (Presentation(link is external))
- 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(link is external))
- 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(link is external))
Million Hearts Champions; Progress & Challenge – (Video(link is external))
- Janet Wright, MD, Director, US HHS Million Hearts; Proven Strategies (Presentation(link is external))
- Michael Kanter, MD, Chief of Quality Improvement, Kaiser Permanente Medical Group So. Cal & National (Presentation(link is external))
- Parag Agnihotri, MD, Medical Director, Continuum of Care, Sharp Rees-Stealy Medical Group (Presentation(link is external))
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(link is external))
AMGA’s Together 2 Goal® Campaign: A Diabetes Deep Dive – (Video(link is external)) (Presentation(link is external))
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(link is external))
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(link is external))
- Susan L. Ivey, MD, MHSA, Adjunct Professor, School of Public Health, and Research Director, Health Research for Action, UC Berkeley (Presentation(link is external))
- 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(link is external))
- 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(link is external))
- Victoria Dupuy, Founder & Executive Director, No More Broken Hearts (5 Minute Calls to Action) (Presentation(link is external))
- LaVonna Blair Lewis, PhD, MPH, Teaching Professor, USC School of Pharmacy, LA UBP Co-Chair (Presentation(link is external))
- Elizabeth Helms, President and CEO, California Chronic Care Coalition (Presentation Pending) (Presentation(link is external) Video(link is external))
- 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(link is external))
Moderator: Stephen M. Shortell (Presentation(link is external))
- 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(link is external))
- 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 the program here(link is external).