Archive for August, 2010

August 19, 2010

CCTWG Planning — further details

Healthcare Reform Bill

Thanks to all for the strong showing for the CCTWG conference call of August 12th.

Based on your feedback, planning for the 2010-2011 session is moving along quickly.

Following is a seminar outline prepared by lead faculty Dr. Allan Goroll reflecting the priorities you have indicated for areas of concentration.  We hope everyone will use this as a guide for thinking about what they want to get out of CCTWG in the coming year

Please keep your ideas and comments coming!

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Seminar Expectations, Approach, Themes, and Challenges for the 2010-2011 Seminar Series

–   Allan H. Goroll, Massachusetts General Hospital, Harvard Medical School

August 19, 2010

Expectations: The ultimate goal of the seminar is to stimulate development and piloting of technology solutions in support of collaborative care, focusing on the needs and challenges of transforming primary care practice.  While no specific outcome or project is being proposed from the outset, it is expected that seminar participants will use the seminar as a starting point for participating in innovation and piloting, taking advantage of the networking, high-level content, and piloting opportunities the seminar will make available.

Seminar Approach: There were 3 themes defined by the 7 or 8 topics that received votes of strong interest in last week’s organizational call.  By taking up these topics in the context of the 3 themes (see below), we will be able to spend considerable time on them and achieve the desired depth necessary for substantive discussion and idea formulation.  Each theme will be introduced with presentations of the key challenges it presents, a review of the state of the art and existing solutions, and opportunities for innovation and piloting.  Invited experts and key players will serve as visiting resource faculty.  No more that half of each seminar will be devoted to presentations, leaving at least half of time for group discussion, networking, and exploring possible innovations and collaborations.

Theme I: Information Management

  • Key information needs for collaborative care – including those of providers within and outside networks, patients, purchasers, and accrediting bodies.  Challenges will include maximizing practical, uniform data collection that is meaningful to all participants in collaborative care. Guest faculty to be drawn from the CMO, CIO communities as well as providers and patient advocates
  • Data collection for payment – Challenges include collection of reliable, standardized data on performance to support value-based payment as payment transitions from fee-for-service to payment for outcomes and best practices.  Guest faculty from payer community and payment reformers
  • Decision support – Challenges include ready access to real-time support that is validated (i.e., evidence-based), supports best practices, is regularly updated, and appropriate to providers and patients.  Guest faculty from provider and shared-decision-making communities

Theme II: Technology Challenges and Solutions

  • Technology gaps for collaborative care/the interoperability challenge – Barriers include current installed based of proprietary systems that are not interoperable; lack of uniform definitions and standards; concerns about protecting proprietary information, privacy, and confidentiality. Guest faculty to be drawn from leadership of national and regional efforts to achieve interoperability and ensure privacy and confidentiality.
  • Self- and home-monitoring – Challenges include defining what data are most meaningful to collect and how to collect them in cost-effective fashion; tying self-monitoring to care plans and achievement of desired outcomes; avoiding the collection and reporting of things that are easy to monitor but of low value; avoiding data overload. Guest faculty from labs working on monitoring solutions.

Theme III: Collaboration and Piloting

  • Examination of piloting efforts and national initiatives (e.g., Medicare’s Center for Innovation);  risks and benefits of collaborative innovation work and piloting; sharing of ideas at early stages while maintaining control of intellectual property; funding; best approaches to joining with providers and other stakeholders in piloting initiatives; how to start one’s own. Guest faculty from national and regional piloting initiatives and perhaps CMI.