Health Workforce Innovations to Support Delivery System Transformation

Houston Texas

September 12 & 13, 2016

FINAL AGENDA

Directed by:

Arthur (Tim) Garson, Jr., MD, MPH, Director, Health Policy Institute, Texas Medical Center

Edward Salsberg MPA, Director, Health Workforce Studies, Health Workforce Institute, George Washington University

Goal: To identify promising health workforce innovations that support delivery system transformation and develop recommendations for their implementation.

Objectives:

1.Review promising innovations in the use of health workers; this includes expanded scopes of practice and/or new roles for existing workers and new occupations in the context of health care teams, integrated delivery systems and increased coordination of care.

2.Review the evidence on the impact of these innovations on effectiveness, efficiency and quality of care.

3.Identify barriers to wide scale implementation; including regulatory, financial, cultural, organizational and educational; and

4.Make recommendations as to specific actions and strategies to remove barriers and to implement more widely. The recommendations will be based upon data to the greatest extent possible and on consensus of the participants.

This will be a working meeting. Participants will be expected to be actively engaged in reviewing the innovations and exploring next steps with white papers and publications to follow.

AGENDA

Monday, September 12, 2016

7:45 AMBuses depart Marriott for TMCX

**Please gather in lobby by 7:30 am for a 7:45 am, sharp,departure

8:00 to 8:45 Breakfast at TMCX

8:45 to 9:00 Opening

Welcome: Robert C. Robbins, MD, President and CEO, Texas Medical Center

Goals for the Meeting:Arthur(Tim) Garson, Jr., MD, MPH

Director, Health Policy Institute, Texas Medical Center

Framing the Discussion: Edward Salsberg, MPA, Health Workforce Institute, George Washington University

9:00 to 10:30: The Primary Care Team: New Roles and Relationships

As teams and medical homes have developed, numerous health systems have been exploring new relationships between primary and specialty physicians. In some cases, this has meant primary care practices taking on more responsibility with the help of specialists via telehealth. In other cases, it has meant building comprehensive health care teams including care coordinators and expanded roles for RNs taking on more management of patients with chronic illnesses. This session will explore what has been learned with recent projects.

  • Scott Shipman, MD, MPH,Director, Primary Care Affairs & Workforce Analysis, AAMC
  • Sanjeev Arora, MD, FACP, FACG, Professor and Director, Project ECHO, University of New Mexico Health Sciences Center
  • Kathy Kerscher, Team Leader of Operations, Bellin Memorial Hospital

10:45 to 12:15 Expanding Roles for Pharmacists:

There is a growing recognition that pharmacists can make an important contribution to improved care and outcomes, especially as part of a care team. There have been a number of demonstrations using pharmacists in an expanded role; others are exploring services that a pharmacist can provide consistent with their education and training.

  • Joanne Spetz, PhD, Professor, Phillip R. Lee Institute for Health Policy Studies, UCSF,

Associate Director of Research, Healthforce Center at UCSF

  • Mary Roth McClurg, PharmD, MHS, Associate Director for Academic Innovation, Eshelman Institute for Innovation, Eshelman School of Pharmacy, UNC
  • Linda Maclean, BPharm, RPh, FACA,Vice Dean for External Relations, Clinical Professor, College of Pharmacy, Washington State University

12:15 pm to 1:00 pmLunch

1:00 to 2:20Community Paramedics

A number of projects and programs around the country have been testing out the use of paramedics beyond emergency medicine in an effort to bothimprove care and make effective use of paramedics.

  • Patricia (Polly)Polly Pittman, PhD, Associate Professor, Health Policy and Management, Co-Director, GW Health Workforce Institute, Milken Institute School of Public Health, George Washington University
  • Dan Swayze, DrPH, MBA, MEMS, Vice President & Chief Operating Officer, Center for Emergency Medicine of Western Pennsylvania, Inc.
  • Peter Carlson, North Memorial Health Care; Community Paramedic group

2:35 to 4:00

Grand-Aidesand Community Health Workers

There is growing recognition of the importance of communicating with and engaging patients and assisting them to be more involved in their care. Grand Aides and community health workers are two new types of workers that are being used more extensively in different settings in the US.

  • Susan Chapman, PhD, MPH, RN, FAAN,Healthforce Center and Phillip R. Lee Institute for Health Policy Studies, UCSF
  • S. Craig Thomas, MSN, ACNP-BC, CHFN, University of Virginia Health System(Grand-Aides)
  • Geoff Wilkinson, MSW, Clinical Associate Professor, Boston University School of Social Work,

4:15 to 5:45

Dental Therapists/hygienists

Responding to concerns with a lack of access to basic oral health services, several projects have been developed using dental therapists and/or dental hygienists in expanded roles.

  • Jane Koppelman, MPA, Research Director, Pew Dental Campaign
  • Sarah Wovcha, JD, MPH, Executive Director, Children’s Dental Services, Minneapolis
  • Mark Schoenbaum, MSW,Director, Office of Rural Health and Primary Care, Minnesota Department of Health

6:00 Buses depart TMCX for Marriott

Please note: there will be a short tour of the Texas Medical Center during the return ride

6:15 to 6:45Break

6:50 PMPlease gather in the lobby for 7:00 pm sharp departure

7:00 Buses Depart Marriott for El Tiempo Cantina

7:30 Dinner: El Tiempo Cantina

322 Westheimer Road

Houston, Texas 77006

9:30Buses return to Marriott

Tuesday, September 13, 2016

7:30 AMBuses depart for TMCX

7:45 – 8:20 Breakfast at TMCX

8:30 -10:00“Health Workforce Innovations: View from the states, a health plan, an insurer and Canada”

  • Frederick Isasi, JD, MPH, Director, Health Division, National Governors Association
  • David Milich, CEO, UnitedHealthcare, South Texans
  • Derrick Stratman, Vice President, OptumCare Corporate Development & Strategy
  • A. David B. James, MD, JD, CPE,CEO, Memorial Hermann Medical Group, Houston, TX

Houston, Texas

10:00 – 11:15Barriers to Implementing Health Workforce Innovations and the Use of Teamsand Expanded Scope of Practice: Regulatory, Financing, Organizational, Cultural, and Educational

  • Clese Erikson, M.P.Aff, Deputy Director, Health Workforce Research Center, George Washington University
  • Jean Moore, DrPH, MSN, Director, New York Center for Health Workforce Studies
  • Catherine M Dower, JD, Kaiser Permanente, Director, National Nursing Research and Policy
  • Ivy Bourgeault, PhD, Professor, Telfer School of Management, CIHR Chair in Gender, Health Human Resources, Lead, Canadian Health Human Resources Network

11:30--12:30 Next steps to implementing workforce innovations;

Priorities for actions/strategies: recommendations and implementation

12:30 Lunch (Optional)

12:30 pmFirst bus departs TMCX for Marriott Medical Center and then to George Bush Airport (IAH) – should arrive airport by 1:45 PM

1:00 pmSecond Busdeparts TMCX for Marriott Medical Center