Dialogue4Health

Web Forum

Partners in Health: How Physicians and
Hospitals Can Be Accountable Together
Monday, September 27, 2010 | 3:30 to 5:00 PM Pacific

With the passage of the Patient Protection and Affordable Care Act (ACA) and the coming expansion of insurance coverage, delivery system reform is more critical than ever. If we hope to ensure high-quality, affordable care for all, and decrease the burden of chronic illness, we must drastically improve the efficiency and value of our health care delivery system. To do this, physicians and hospitals - the core of any delivery system - must work together to share accountability. The ACA encourages this type of accountability through the creation of accountable care organizations in Medicare, and the establishment of an innovation center within the Centers for Medicare & Medicaid Services, with broad authority to experiment with payment reforms.

In this web forum, speakers will share the latest thinking regarding organizational structures and payment reforms designed to improve physician/hospital collaboration and accountability. They will also discuss the roles that various stakeholders - policymakers, payers, regulators, and providers themselves - must play in delivery system transformation.

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    PRESENTERS

    Stephen M. Shortell, PhD, MPH
    Dean
    Blue Cross of California Distinguished Professor of Health Policy & Management
    School of Public Health
    University of California, Berkeley

    Stephen M. Shortell, PhD, MPHStephen M. Shortell, Ph.D., is the Blue Cross of California Distinguished Professor of Health Policy and Management and Professor of Organization Behavior at the School of Public Health and Haas School of Business at the University of California-Berkeley. He is also the Dean of the School of Public Health at Berkeley. Dr. Shortell also holds appointments in the Department of Sociology at UC-Berkeley and at the Institute for Health Policy Research, UC-San Francisco.

    A leading health care scholar, Dr. Shortell, has been the recipient of many awards including the distinguished Baxter-Allegiance Prize for his contributions to health services research. He is an elected member of the Institute of Medicine of the National Academy of Sciences.

    He is currently conducting research on the evaluation of quality improvement initiatives and on the implementation of evidence-based medicine practices in physician organizations. (sph.berkeley.edu)

    Stuart Guterman
    Vice President
    Payment and System Reform
    The Commonwealth Fund
    Washington, DC

    Stuart GuttermanStuart Guterman is vice president for Payment and System Reform at the Commonwealth Fund, based in Washington, D.C. He is responsible for the Fund’s research agenda on the use of payment incentives to elicit changes in health care delivery that can achieve high performance; the development, management, and review of grants to be funded under the program; and analyses related to the current performance and future improvements in the payment system and the health system overall. Mr. Guterman was director of the Office of Research, Development, and Information at the Centers for Medicare and Medicaid Services from 2002 to 2005. Prior to that, he was a senior analyst at the Congressional Budget Office, a principal research associate in the health policy center at the Urban Institute, and deputy director of the Medicare Payment Advisory Commission (and its predecessor, the Prospective Payment Assessment Commission) from 1988 through 1999. Previously, Mr. Guterman was chief of institutional studies in the Health Care Financing Administration’s Office of Research, where he directed the evaluation of the Medicare Prospective Payment System for inpatient hospital services and other intramural and extramural research on hospital payment. He holds an A.B. in Economics from Rutgers College and an M.A. in Economics from Brown University, and did further work toward the Ph.D. in Economics at the State University of New York at Stony Brook. (www.commonwealthfund.org)

    Francis J. Crosson, MDFrancis J. Crosson, MD
    Senior Fellow
    Kaiser Permanente Institute for Health Policy
    Chairman
    Council of Accountable Physician Practices
    Oakland, CA

    Dr. Crosson is a Senior Fellow in the Kaiser Permanente Institute for Health Policy. He was the founding Executive Director of The Permanente Federation. The Federation is the national organization of the Permanente Medical Groups, the physician component of Kaiser Permanente. From 1997 to 2007 Dr. Crosson served as the Executive Director of the Federation and co-chair, with Mr. George Halvorson, CEO of Kaiser Foundation Health Plan and Hospitals, of the Kaiser Permanente Partnership Group (KPPG), the Kaiser Permanente joint management body. Dr. Crosson also served as the CEO and President of The Permanente Company, which carries out the Federation’s business functions. He also currently serves as a consulting senior executive of the Permanente Medical Group.

    In 2002, Dr. Crosson founded and now chairs the Council of Accountable Physician Practices (CAPP), an affiliate of the American Medical Group Association. CAPP is an alliance of 34 of the nation’s largest multi-specialty group practices which promotes delivery system improvement in the United States.

    Dr. Crosson is Past Chair of the Governing Board of the American Medical Group Association. He recently served for nine years on the California Medical Association Board of Trustees. In 2007, Dr. Crosson was re-appointed to a second three-year term on the congressional Medicare Payment Advisory Commission (MedPAC). He was appointed Vice-Chairman of MedPAC from 2009-2010.

    He is a graduate of the Kaiser Permanente Executive Program at Stanford Business School.

    Dr. Crosson received an undergraduate degree in Political Science and, in 1970, a medical degree from Georgetown University. He completed a residency in Pediatrics at the New England Medical Center Hospitals and a fellowship in Infectious Diseases at the Johns Hopkins University Medical School. He is certified by the American Board of Pediatrics. He served in the U.S. Navy for two years at Bethesda Naval Hospital before joining The Permanente Medical Group in 1977, where he practiced pediatrics and served in numerous leadership and administrative positions, until he assumed the leadership of The Permanente Federation in 1997. (www.kpihp.org)

    MODERATOR

    Laura Tollen, MPHLaura Tollen, MPH
    Senior Health Policy Leader
    Kaiser Permanente Institute for Health Policy
    Oakland, CA

    Laura Tollen is Senior Policy Consultant with the Kaiser Permanente Institute for Health Policy. Her recent work has focused on the potential of organized delivery systems – particularly those in which physicians and hospitals collaborate effectively – to mitigate health care cost increases and improve the quality, safety, and accountability of care.

    Other projects have examined trends in benefit design and the implications of increased consumer cost-sharing. She is the author of numerous journal articles and policy briefs and co-editor of two books, “Toward a 21st Century Health System: The Contributions and Promise of Prepaid Group Practice” (San Francisco, Jossey Bass: 2004), and “Partners in Health: How Physicians and Hospitals can be Accountable Together” (San Francisco, Jossey Bass: 2010).

    Prior to joining the Institute, Laura was Senior Analyst and Project Director at the Institute for Health Policy Solutions, a DC-based think tank. Laura's other experience includes work as a Policy Analyst in the Colorado Department of Health Care Policy and Financing.

    Laura received a bachelor's degree in anthropology from the University of California, Berkeley and a master of public health with an emphasis in health policy, also from UC Berkeley. (www.kpihp.org)

PRESENTATIONS

Partners in Health Presentations

How Physicians and Hospitals Can Be Accountable Together