Chronic Disease Care: Better Ideas in Action

November 6 and 7, 2008
San Francisco, California

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Pre-conference check-in will be from 6:00 to 8:00 p.m. on Wednesday, November 5, in the Grand Ballroom Foyer on the third floor of the Intercontinental Hotel.

Agenda Day One

7:00 a.m. Check-in and Breakfast
8:30 a.m. Welcome and Conference Overview

Sophia Chang, MD, MPH
California HealthCare Foundation

Opening Remarks/Call to Action: Making Better Ideas Transform Care

Mark Smith, MD, MBA
California HealthCare Foundation
9:15 a.m. Networking Exercise
9:45 a.m. Transition Break
10:00 a.m. Discussion Group Series 1
Organizational Approaches to Quality: Real Ideas in Action

1.01 Transforming Care Using Lean Techniques: Stopping to Observe and Listen

Facilitator: Susan Hogeland, CAE
California Academy of Family Physicians

Shirl Diaz
Virginia Mason Kirkland Clinic

David McCulloch, MD, FRCP
Group Health

Jerry Penso, MD, MBA
Sharp Healthcare

1.02 Activating and Involving Patients: Going Beyond Lip Service

Facilitator: Mary Cain, MPH
LifeMasters Supported SelfCare

Kate Christensen, MD
Kaiser Permanente

Fran Mills, Patient Advisor
Palo Alto Medical Foundation

Diane McNally, Patient Advisor
Kaiser Permanente

Kelly Reilly, RN, MS, CDE
Palo Alto Medical Foundation

1.03 Creating a Culture of Quality: Becoming a Learning Organization

Facilitator: Brian Austin
MacColl Institute for Healthcare Innovation

Laurie Francis, RN, MPH
Community Health Partners

Zeev Neuwirth, MD
Harvard Vanguard Medical Associates

Nancy Oswald, PhD
Redwood Community Health Coalition

1.04 Incentivizing and Rewarding Improvement: Beyond California's Pay for Performance

Facilitator: Len Finocchio, DrPH
California HealthCare Foundation

Ralph Silber, MPH
Community Health Center Network

Stuart Levine, MD, MHA
HealthCare Partners

Melissa Welch, MD, MPH
Aetna, Inc.

1.05 Spreading Improvement: After the Innovators/Early Adopters

Facilitator: Marie Schall, MS
Institute for Healthcare Improvement

Hunter Gatewood, MSW
Safety Net Institute

Lisa Johnson, MD
San Francisco Department of Public Health

Christy Mokrohisky, MBA
St. Joseph Heritage Medical Group

Diane Stewart, MBA
California Quality Collaborative

1.06 Supporting Small Practices in Population Management: Strategies that Work

Facilitator: Neil Solomon, MD
Health Net and California Quality Collaborative

Chris Cammisa, MD
Partnership HealthPlan of California

Khalid Saeed, MD
Lakewood Primary Medical Group

Michael Weiss, DO, FAAP
Monarch Healthcare

1.07 The Road to EHR Adoption: How to Avoid Becoming Roadkill

Facilitator: Anne Tillery
Pyramid Communications

Ken Bernstein, MD, FAAFP
Darin M. Camarena Health Centers

Dean Germano, MHSc, FACHE
Shasta Community Health Center

Fiona Wilson, MD
Brown and Toland

1.08 Streamlining Care: Smoothing Primary and Specialty Care Handoffs

Facilitator: Tom Bodenheimer, MD
Department of Family and Community Medicine, UCSF

Doug Allen, MD
CareMore Health Plan

Alice Chen, MD, MPH
San Francisco General Hospital

Brian Prestwich, MD
Camino de Salud
11:15 a.m. Transition Break
11:30 p.m. Luncheon
12:15 p.m. Patient Voices
Managing Chronic Conditions: Living our Lives


Nancy Ortiz, Patient Advisor and
Peer Outreach Education Team Member

Ardes Gardener, Patient Advisor

Alan Glaseroff, MD
Humboldt IPA

Suzy Menjivar, MPA, Patient Advisor
1:15 p.m. Transition to Discussion Groups
1:30 p.m. Discussion Group Series 2
Practice Level Changes and Tactics

2.01 Team Care: Key Roles for Medical Assistants

Facilitator: Susan Hogeland, CAE
California Academy of Family Physicians

Kwabena Adubofour, MD
East Main Clinic and Stockton Diabetes Intervention Center

Elizabeth Castillo
San Francisco General Hospital

Ellen Chen, MD
San Francisco General Hospital

Shari Gioimo, CMA
Providence St. Peter Family Medicine

Betty Therik
East Main Clinic and Stockton Diabetes Intervention Center

2.02 Care Transitions: Making Care Seamless for Patients

Facilitator: Mary Cain, MPH
LifeMasters Supported SelfCare

Michael Kern, MD
John Muir Medical Center

Oralia Madera, MSN, RN, PHN, CDE
CenCal Health

Diane McNally, Patient Advisor

John Mendenhall, Patient Advisor

Mini Swift, MD
Alameda County Medical Center

2.03 E-prescribing: What Value Does It Add?

Facilitator: Anne Tillery
Pyramid Communications

Lisa Ashton, PharmD
Mercy Medical Group and UCSF School of Pharmacy

Patricia Bellas, MD, MPH
The Children's Clinic

Patricia Ostrander, MD
Mercy Medical Group

Vigen Zargarian, MD, MPH, FAAP
Vigen Zargarian Incorporated

2.04 Sharing Medical Records with Patients: Why It Supports Better Care

Facilitator: Brian Austin
MacColl Institute for Healthcare Innovation

Ted Eytan, MD

Pam Hellen
Caregiver and PHR User

Heidi Stovall
Follow Me, Inc.

Sal Volpe, MD, FAAP, FACP
Oakwood Medical Consulting

2.05 Self Management Support: Ways to Make It Work

Facilitator: Tom Bodenheimer, MD
Department of Family and Community Medicine, UCSF

Grace Floutsis, MD
Clínica Msr. Oscar A. Romero

Antoinette Martin, Patient Advisor and Peer Outreach Education Team Member

Devin Sawyer, MD
Providence St. Peter Family Medicine

Jeanie Taylor, RN, MSN, CDE
Kaiser Permanente

2.06 Making the Care Experience Patient Centered: Whose Time Is It?

Facilitator: Neil Solomon, MD
Health Net and California Quality Collaborative

Julie Day, MD
The University of Utah Community Clinics

Shirl Diaz
Virginia Mason Kirkland Clinic

Susan Ehrlich, MD, MPP
San Mateo Medical Center

2.07 Redesigned Clinics: Back to the Future

Facilitator: Len Finocchio, DrPH
California HealthCare Foundation

LaZell Hammons, RN, BSN, CMC
Southcentral Foundation

Marcie Levine, MD
Silver Creek Clinic

Thomas Mohr, MD
Pediatric Partners

Tamara Pickett, MD
Southcentral Foundation

2.08 Virtual Outreach Using Everyday Technology

Facilitator: Marie Schall, MS
Institute for Healthcare Improvement

Dean Nickles, MD
Associated Internal Medicine Medical Group

Phil Oravetz, MD, MBA, MPH
Mills-Peninsula Medical Group

Dean Schillinger, MD
University of California, San Francisco

Elisa Stomski, MPH
Wellpoint

2:45 p.m. Networking Break
3:15 p.m. Discussion Group Series 3
Bringing Better Care to a Population of Patients

3.01 Engaging Diverse Populations in Self Management: Beyond "Cultural Competence"

Facilitator: Susan Hogeland, CAE
California Academy of Family Physicians

Mindy Benson, MSN, PNP
Children's Hospital and Research Center Oakland

America Bracho, MD, MPH, CDE
Latino Health Access

Lisa Golden, MD
Ocean Park Health Center

Lilia Zheltova, Patient Advisor

3.02 Mass Customization: Assuring Care Meets Evidence-Based Standards

Facilitator: Len Finocchio, DrPH
California HealthCare Foundation

Jeff Guterman, MD, MS
Los Angeles County Department of Health Services

Jeff Phan, MD
Kaiser Permanente

Athena Philis-Tsimikas, MD
Scripps Whittier Institute for Diabetes

3.03 Turning Data into Action: Guiding Improvement Efforts

Facilitator: Brian Austin
MacColl Institute for Healthcare Innovation

Alan Glaseroff, MD
Humboldt IPA

Claire Horton, MD, MPH
San Francisco General Hospital

Joel Hyatt, MD
Kaiser Permanente

3.04 Using Disease Registries: Smarter Panel Management

Facilitator: Tom Bodenheimer, MD
Department of Family and Community Medicine, UCSF

Silvia Diego, MD
Golden Valley Health Centers

Robert Moore, MD, MPH
Clinic Ole

Michael Zimmerman, MD
Affinity Medical Group

3.05 Managing Multiple Chronic Illnesses: The Next Horizon

Facilitator: Mary Cain, MPH
LifeMasters Supported SelfCare

Connie Davis, RN, MN
Fraser Health

Coleen Kivlahan, MD, MPH
Schaller Anderson

Cheryl Phillips, MD, AGSF
On Lok, Inc

3.06 Addressing End of Life Care: Having Meaningful Conversations Across Cultures

Facilitator: Marie Schall, MS
Institute for Healthcare Improvement

Gary Lee, MD
Santa Clara Valley Medical Center

Brad Stuart, MD
Sutter Health

Susan Stone, MD, MPH
LAC+USC

3.07 Telemedicine: Opportunities and Limitations to Expanding Access

Facilitator: Neil Solomon, MD
Health Net and California Quality Collaborative

Bill Hunter, MD
Open Door Community Health Centers

Christine Noguera, MS
Golden Valley Health Centers

Frank Puglisi
Health Care Interpreter Network

3.08 Honoring Patients' End of Life Wishes through POLST

Facilitator: Anne Tillery
Pyramid Communications

Tarek Mahdi, MD
Riverside Medical Center

Jim Mittelberger, MD, MPH
Ovations

Jeff Yee, MD
Woodland Health Care
4:30 p.m. Adjournment and Reception Begins
5:45 p.m. Banquet and Speaker

Chip Heath, PhD
Co-author of Made to Stick: Why Some Ideas Survive and Others Die
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