Monday November 5, 2007
2:00 - 5:00 pm - Early Registration and Exhibit Hall Open

Tuesday, November 6, 2007
6:30 - 7:45 am - Registration - Continental Breakfast and Exhibit Hall Open

7:45 - 8:00 am - Announcements / Introductions / ABQAURP View
Arthur I. Broder, MD, ABQAURP Chairman of the Board
Joel V. Brill, MD, Conference Co-Chair
Garry Carneal, JD, Conference Co-Chair

Session I - Keynote Session
8:00 - 8:35 am - Value-Based Purchasing: Transforming Medicare from Passive Payor to Active Purchaser
Moderator: Joel Brill, MD
Thomas Valuck, MD, MHSA, JD, Medical Officer and Senior Advisor, Centers for Medicare and Medicaid Services

• Explain CMS' physician (PQRI) and hospital value-based purchasing initiatives (P4P)
• Explain CMS efforts to measure both quality and cost (efficiency)
• Summarize Secretary Leavitt's Value-Driven Health Care initiative

8:35 - 9:10 am - Is the Hospital System the Answer for Coordinating Care through Pay-for-Performance?
Pacific Business Group on Health

• Address what makes or breaks good care coordination plan
• Illustrate how to create a good care coordination plan with team work
• Identify tools to implement plan of action

9:10 - 9:45 am - Will Value-Based Insurance Design Improve Outcomes and Align Incentives?
A. Mark Fendrick, MD, Professor of Medicine, Department of Internal Medicine and Department of Health Management and Policy, University of Michigan; Editor, American Journal of Managed Care

• Show how Value-Based Insurance can give consumers the ability to be more cost-conscious
• Explain/demonstrate cost shifting of clinical intervention
• Show how Value-Based Insurance will work synergistically with other initiatives

9:45 - 10:05 am - Q & A Session

10:05 - 10:30 am - Networking Break in Exhibit Hall

Session II
10:30 - 11:05 am - Is the Patient-Centered Medical Home the Solution for Managing Patients & Improving Care?
Moderator: Garry Carneal, JD, MA
Michael S. Barr, MD, MBA, FACP, Vice President, Practice Advocacy and Improvement, American College of Physicians

• Demonstrate what is happening with Primary Care Practice and Physician interests
• Discuss preventative care service reimbursement issues
• Address how the best quality of care is provided

11:05 - 11:40 am - Transition and Coordination of Care: Opportunities for Improvement
Cheri Lattimer, RN, BSNExecutive Director, Case Management Society of America (CMSA)

• Discuss what is being done to address care coordination and collaboration
• Demonstrate how health care professionals have acknowledged the need for working together
• Share ideas of how clinicians can work together on behalf of patient safety and better health outcomes

11:40 - 12:00 pm - Q & A Session

12:00- 1:00 pm - Networking Lunch in Exhibit Hall

Session III
1:00 - 1:35 pm - Building the Country's Largest Health Information Exchange: Pitfalls and Lessons Learned
Moderator: Joel Brill, MD
Donald Holmquest, MD, PhD, JD, CEO and President, CalRHIO

• Review Health and Human Services' Request for Information
• Discuss states currently working on integrating a Health Information Exchange
• Demonstrate/explain challenges and benefits

1:35 - 2:10 pm - Pharmacy Benefits and Clinical Guideline Design: The Search for Evidence in Improving Care
C. Bernie Good, MD, MPH, FACP, Veterans Health Administration and University of Pittsburgh

• List pharmacy benefits in relation to overall health care costs
• Classify pharmacy benefit management
• Outline designs and implementing strategies

2:10 - 2:45 pm - The Quality Chasm: Current State, Transparency and Controversies
Louis H. Diamond, MD, Vice President and Medical Director, Thomson Healthcare and President, American College of Medical Quality

• Explore what resources are available
• Demonstrate how to implement use of data and show how your data will assist in better health care quality and patient safety

2:45 -3:05 pm - Q & A Session

3:05 - 3:30 pm - Networking Break in Exhibit Hall

Session IV
3:30 - 4:05 pm - Can Benchmarking Drive Practice Performance to Improve Outcomes?
Moderator: Garry Carneal, JD, MA
Douglas J. Moeller, MD, Medical Director, McKesson CACD

• Outline Benchmarking process
• Discuss implementing the process

4:05 - 4:40 pm - Is Now the Time for Predictive Modeling to Improve Medical Care and Control Costs?
Joel V. Brill, MD, Chief Medical Officer, Predictive Health, LLC

• Explain different models for predictive modeling
• Describe limitations of predictive modeling
• Identify steps needed to implement predictive modeling

4:40 - 5:15 pm - Reducing Risk and Coordinating Care through Quality Improvement Organizations (QIOs)
Nick Paslidis, MD, PhD, MHCM, President and Chief Executive Officer, Arkansas Foundation for Medical Care

• Explain why QIOs are necessary
• Describe who is effected by QIOs
• Illustrate implementation of a QIO

5:15 - 5:30 pm - Q & A Session

5:30 pm - Closing Comments

Wednesday, November 7, 2007
6:30 - 8:00 am - Continental Breakfast / Exhibit Hall Open

8:00 - 10:00 am - Panel Discussion - The Challenges of Medical Tourism: Ensuring Healthcare Quality When Patients Go Off-Shore
Cai Glushak, MD, FACEP, Chief Medical Officer, AXA Assistance
Kevin J. Ryan, Member, Epstein, Becker & Green, P.C.
James Killingsworth, PhD, MPH, Managing Director, International Relations, Joint Commission International
Rudy Rupak, CEO, Planet Hospital, Inc.
David Boucher, MPH, FACHE, Assistant Vice President of Health Care Services, Companion Global Healthcare

• Describe how International Joint Commission standards were developed
• Discuss how to determine which international health care providers should be utilized

10:00 - 10:30 am - Networking Break in Exhibit Hall & Prize Drawing

10:30 - 12:00 pm - URAC Roundtable Discussions
"Exploration of Outsourcing Healthcare Quality"

Select from the following Global Healthcare roundtable discussions:
1. Medical tourism
2. Global health support and coordination of international health care (support)
3. Skills set and credentialing of off shore providers/clinicians
4. Risk management and other legal (dispute) issues
5. HIPAA Compliance and Privacy in the age of outsourcing
6. Potential or actual changes in the US healthcare business model
due to globalization
7. Disclosure of international outsourcing
8. Directory of international Case Management service providers
9. Transition of care - Hand off of a case
    a. Patient safety
    b. Medication errors
    c. Miscommunications
10. Medical records and language gaps and barriers

ROUNDTABLE SEATING IS VERY LIMITED.
TABLE ASSIGNMENT IS FIRST-COME, FIRST-SERVE.

Observation seating available for those not participating, but wishing to obtain credit for the session.