Pay for Performance Efficiency Measurements (Audio Conference)

Pay for Performance Efficiency Measurements

AUDIOCONFERENCE ON CD OR AUDIO ARCHIVE

Sponsored by Managed Care Contracting and Reimbursement Advisor

presented on January 9, 2008

Much is at stake with the growing use of efficiency measurement standards in pay for performance programs. These tools go a long way in illustrating such issues as variation between doctors, and pricing transparency. Health plans are implementing these tools to accurately gauge their provider networks, but lingering questions remain: How will a practice be measured? What can you be doing to proactively prepare for their arrival? How will you be able to convince the physicians you work with that the standards are relevant and cost-effective, but that they are fair.

Listen to this 60-minute audioconference “Pay for Performance Efficiency Measurements: Tips and tools for successful preparation.” Physicians Michael van Duren, MD, and Mark Rattray, MDdiscuss how you can avoid mistakes in the implementation of these tools, and how you can prepare a response for whatever shortcomings they uncover. Poor attention to the details of these tools could alienate physicians from aligning with your plan in the future and damage your professional credibility. Our experts will help you navigate through the potential pitfalls and have you ready to establish a comprehensive quality improvement undertaking rather than just crunching numbers and throwing them out for the world to see.

At the end of this audioconference, you will be able to:

• Explain how the efficiency measurement tools are used
• Recognize that care-based efficiency measurement is being deployed as well as common episode based approaches
• Explain the pros and cons of measurement and improvement/pay for performance programs
• Identify what mistakes to avoid in order to maintain your relationship with physicians and your organization’s credibility

AGENDA

• Practice efficiency measurement using episodes of care                      
• The most commonly used tools
  • The strong and weak points
• The current controversies
• The challenges associated with them
• What is happening nationally
• How to use the results
  • Positively and constructively
• The pros and cons of using this in the real world
• Q&A

MEET THE SPEAKERS
Michael van Duren, MD, MBA. Dr. van Duren is the Vice President of Hill Physicians Medical Group, the largest IPA in Northern California. He oversees automation and innovation in all areas of medical management and leads project teams that are improving PCP and specialist performance through new uses of coaching, performance metrics and financial incentives. Dr. van Duren has over 10 years experience as a managed care executive serving at hospitals, health plans, and physician groups in roles that include Chief Medical Officer for the San Francisco Health Plan, Regional Medical Director for PacifiCare, and Medical Director for the Contra Costa Health Plan.

Mark C. Rattray, MD. Dr. Rattray is the Executive Advisor for Booz|Allen|Hamilton. He offers consulting services in clinical informatics with a focus on clinical performance measurement and improvement. After 12 years of private practice he began a career in medical and health plan management serving as medical director, vice president of informatics, chief medical officer, and chief executive officer. He developed measurement systems for provider cost and quality and web-published seminal articles on quality and cost correlations. He also coauthored a white paper for The LeapFrog Group / Bridges to Excellence on the measurement of provider efficiency.

BONUS TOOLS
In addition to the expertise and advice presented during this audioconference, you'll also receive a slide presentation of the program materials and:

• AHIP white paper

These materials are provided with PDF links.

WHO SHOULD LISTEN?

• Executives at health plans
• Medical officers
• Contracting professionals
• Employees of medical groups and hospitals/health systems
• Employer representatives
• Human resource professionals
• Consultants
• Information technology and data analysis staff who are tasked with managing the provider profiling software within organizations.

Purchase a CD or audio archive of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.

Publisher :  HCPro, Inc
 
Product Types :

• Audio Conferences

Departments :

• Other Managed Care Products

ORDER CLASS: G_01-09-2008
SOURCE CODE: EHCM