Patient Centered Medical Home: Featuring the College of Public Health's Hansen Leadership Award and Distinguished Lecture

Marriott Hotel and Conference Center Coralville, Iowa
Friday, September 18th, 2009 8:45 AM to 3:20 PM

This symposium is a collaborative effort of the University of Iowa’s Public Policy Center Forkenbrock Series and the College of Public Health’s Hansen Award Lecture. It has been designed to bring together the Iowa health community to learn about, and discuss strategies to achieve, patient-centered medical homes. The one-day symposium will include background and national perspectives, as well as examples of current practice. Special attention will be focused on redesign, reimbursement and incentives in Iowa.

The Patient-Centered Medical Home concept is an attempt to improve health in the United States by providing comprehensive, high-quality health care. The model provides for a constellation of services provided by a ‘medical home,’ including a personal physician and coordinated and integrated care services.

     
     

Tuesday, March 10th, 2009
Session Details Speakers
7:30 PM Free Public Lecture--When will we ever learn? The challenge of dealing with frequent flooding
  1. Gregory B. Baecher
Friday, September 18th, 2009
Session Details Speakers
8:45 AM Welcome and Introductions
  1. Christopher Atchison
  2. Peter Damiano
9:00 AM Remarks about the Richard and Barbara Hansen Leadership Award
  1. Sue Curry
9:05 AM The Richard and Barbara Hansen Distinguished Lecture – The Patient-Centered Medical Home: Its Role in Health Care Reform
  1. Stephen M. Shortell
9:05 AM The Richard and Barbara Hansen Distinguished Lecture – The Patient-Centered Medical Home: Its Role in Health Care Reform
  1. Stephen M. Shortell
10:00 AM Panel 1: Developing the Concept- National Perspective
  1. Melinda Abrams
  2. Paul Grundy
  3. Jeffrey Lobas
  1. Jeffrey Lobas (Moderator)
11:20 AM Panel 2: Examples of Current Practice at the State Level
  1. Neva Kaye
  2. Joan Henneberry
  3. Thomas Evans
  1. Beth Jones (Moderator)
12:30 PM Lunch and Keynote Speakers
  1. Jack Hatch
  2. David Loebsack
  3. Linda Upmeyer
  1. Jeffrey Lobas (Moderator)
1:40 PM Panel 3: Implementation Issues for Iowa
  1. Wayne Ford
  2. Donald Klitgaard
  3. Daniel R. Kueter
  4. Nat Kongtahworn
  1. Peter Damiano (Moderator)
2:55 PM Discussion with Panel
3:10 PM Final Remarks and Adjournment
3:10 PM Co-sponsor Break Out Meetings
  • Melinda Abrams

    Assistant Vice President The Commonwealth Fund

    Melinda Abrams directs the Patient-Centered Coordinated Care program for The Commonwealth Fund. Since coming to the Fund in 1997, Ms. Abrams has worked on the Fund's Task Force on Academic Health Centers, Commission on Women's Health, and most recently, the Child Development and Preventive Care programs. Ms. Abrams played a lead role in conceptualizing and launching the Fund's Assuring Better Child Health and Development (ABCD) initiative, which awarded grants to state Medicaid programs (including Iowa) to encourage innovation in the financing and delivery of preventive and developmental services provided to low-income young children. Ms. Abrams is a member of the Board of Managers of TransforMED and the Board of Governors of the National Patient Safety Foundation. In addition, Ms. Abrams is a peer-reviewer for the Annals of Family Medicine. Ms. Abrams holds a B.A. in history from Cornell University and an M.S. in health policy and management from the Harvard School of Public Health.

  • Christopher Atchison

    Director, State Hygenic Lab

  • Gregory B. Baecher

    Professor of Engineering Glenn L. Martin Institute University of Maryland

    Dr. Baecher is a geological engineer by training but has spent much of his career working on risk and reliability of civil infrastructure and statistical methods for spatial sampling and data visualization. Immediately prior to joining UMD he was President of ConSolve Inc, an information technology company located in Lexington, MA. Dr. Baecher holds a B.S.C.E. from UC, Berkeley, and a Ph.D. from MIT, where he was also a Professor of Civil Engineering. He is the coauthor of four books and over 150 articles. In 2007, Dr. Baecher received the Commander's Award for Public Service from the US Army Corps of Engineers. He is an active consultant to government and industry on risk and reliability of constructed facilities, especially in water resources development, dam safety, and coastal protection; and a member of the National Academy of Engineering.

  • Sue Curry

    Dean, College of Public Health, and Distinguished Professor, Health Management and Policy

  • Peter Damiano

    Director, Public Policy Center Preventive and Community Dentistry University of Iowa

    Peter Damiano is the Director of the Public Policy Center (PPC) and Professor, Department of Preventive and Community Dentistry at the University of Iowa. He started the health policy research program at the PPC in 1990 and has been Director of the Center since July 2007. He is a health services researcher who investigates issues relating to access to care, quality, cost and outcomes of care. Dr. Damiano has authored over 100 peer-reviewed journal articles and research monographs and has been the principal investigator on over 50 research studies funded by federal, state and Foundation sources. He is a former staff intern in the US Senate, a Robert Wood Johnson Dental Health Services Research Scholar and HRSA Primary Care Policy Fellow. He is a graduate of the University of Iowa College of Dentistry (DDS) and UCLA School of Public Health (MPH).

  • Thomas Evans

    President and CEO, Iowa Medical Home Systems Advisory Council

    Tom Evans, M.D., is the President and CEO of the Iowa Healthcare Collaborative (IHC). The Collaborative focuses provider-led initiatives to promote transparency, improve clinical performance, improve patient safety and reduce cost. Dr. Evans received both BA and MA degrees from Drake University, and his MD from the University of Iowa. He completed his Family Medicine residency at Broadlawns Medical Center. Dr. Evans practiced family medicine for 13 years, and served as Chief Medical Officer for the Iowa Health System from 1999 to 2005. He has served as President of both the Iowa Medical Society and the Iowa Academy of Family Physicians. He has also served on the board for the National Patient Safety Foundation, and on the delegations for both the American Medical Association and the American Academy of Family Physicians. Dr. Evans currently serves as a faculty member with the Institute for Healthcare Improvement, Des Moines University, and the University of Iowa College of Public Health.

  • Wayne Ford

    Iowa State Representative

    Iowa State Representative Wayne Ford’s rise from Washington, D.C.’s inner city to the Iowa Capitol is truly an urban dream. Although he was a success on the football field in high school, he also earned the title “Most Likely Not to Succeed” due to his involvement in various juvenile crimes. Upon graduation he nevertheless received a football scholarship at Rochester Junior College in Minnesota. It’s a move he credits with saving his life. He continued his education and football career at Drake University, where he graduated with a BA in Education. Ford was first elected to the Iowa House in 1996 and has since become the state's longest-serving black legislator. As a result of his inspiring life story, he was profiled in Dan Rather’s 2001 book, The American Dream: Stories from the Heart of Our Nation. Ford chaired the Insurance Committee of the National Black Caucus of State Legislators in 2006 and has been First Vice-Chair of the NBCSL's Business, Finance, and Insurance Committee since 2007.

  • Paul Grundy

    Global Director of Healthcare Transformation IBM Corporation

    Paul Grundy develops and executes strategies that support IBM’s healthcare-industry transformation initiatives. His work is directed towards shifting healthcare delivery towards consumer-focused, primary-care based systems. Dr. Grundy also serves as the chairman of the Patient Centered Primary Care Collaborative. As an activist for global healthcare transformation, Dr. Grundy is driving comprehensive, linked, and integrated healthcare and the concept of the Patient Centered Medical Home. His work has been reported in the New York Times, the Economist, and the New England Journal of Medicine. Dr. Grundy’s numerous awards include the U.S. Department of State Superior Honor Award. Prior to joining IBM, Dr. Grundy worked as a senior diplomat in the US State Department. Dr. Grundy attended medical school at UC San Francisco and trained at Johns Hopkins University. He has worked extensively on International Aids Pandemic prevention, including writing the first piece of US legislation addressing AIDS Education in Africa.

  • Jack Hatch

    Iowa State Senator

    Senator Jack Hatch is serving his second term in the Iowa Senate. In June 2009, he was appointed Chair of the White House Working Group of State Legislators for Health Reform. He will lead state legislators who are health reform experts from around the country in advising the President on national proposals for health reform. Senator Hatch is an Assistant Majority Leader and chair of the Health & Human Services Budget Subcommittee. He also serves on the Economic Growth, Human Resources, State Government, Labor & Business Relations, and Appropriations committees. He is committed to affordable, quality health care for all Iowans. Since 2007, he has led the Legislature’s comprehensive health care reform effort including a commitment to health care coverage for all Iowa children by 2011. He has received several awards for his work in championing children’s issues, including the 2007 Outstanding Leadership Award by the Polk County Medical Society. Senator Hatch holds BA and MPA degrees from Drake University.

  • Joan Henneberry

    Executive Director Department of Health Care Policy and Financing

    Joan Henneberry leads the agency responsible for managing public health insurance programs including Medicaid and CHP+ in Colorado. She is a senior health policy advisor to the Governor of Colorado, developing and implementing health reform policies and initiatives. Prior to this cabinet appointment, she worked in the private sector, after spending seven years at the National Governors Association providing consultation to states on health care services and financing, cost containment, and emerging policy issues. Ms. Henneberry spent 13 years at the Colorado Department of Public Health and Environment, chairs the board of the Colorado Regional Health Information Organization, and serves on the Executive Committee for the National Academy for State Health Policy. She has a master’s degree in management, and completed the Senior Executives in State and Local Government program at the Harvard University, Kennedy School of Government in 2008.

  • Neva Kaye

    Senior Program Director National Academy for State Health Policy

    Neva Kaye is a Senior Program Director at the National Academy for State Health Policy (NASHP). She has 25 years of experience in state health policy. Ms. Kaye joined NASHP in 1994 as director of the organization’s Medicaid Resource Center. In her current position, she manages major programs on Medicaid, directs the Assuring Better Child Health and Development (ABCD) program, and the State Consortium to Advance Medical Homes for Medicaid and CHIP Program Participants. She provides technical assistance to states in such areas as children’s health, purchasing, quality improvement, eligibility, and reimbursement strategies. Before joining NASHP, Ms. Kaye served as director of Wisconsin’s Medicaid managed care program. She is the primary author of NASHP’s report, Charting SCHIP III: An Analysis of the Third Comprehensive Survey of State Children’s Health Insurance Programs. Ms. Kaye holds a BS in industrial engineering and psychology from the University of Wisconsin.

  • Donald Klitgaard

    Physician Myrtue Medical Center, Harlan

    Don Klitgaard graduated from the University of Iowa School of Medicine in 1996 and completed his Family Medicine residency at LMEF in Lincoln, Nebraska in 1999. He is the medical director of the Myrtue Medical Center clinics in Harlan, Iowa, where he has been the physician champion as their practice participated in the AAFP’s TransforMED National Demonstration Project. This two-year project was designed to support and study the implementation of the patient-centered medical home model of care in real-world practice settings. Dr. Klitgaard’s practice is actively evolving into a patient-centered medical home, having implemented advanced access scheduling, an EHR with e-prescribing, many office process redesigns, and chronic disease management with in-office health coaches and disease registries. He enjoys practicing primary care medicine including outpatient, inpatient, ER, OB, nursing home and procedural services. Dr. Klitgaard has served on the AAFP Board of Directors and is currently President of the Iowa Academy of Family Physicians.

  • Nat Kongtahworn

    Director, Clinical Integration Wellmark Blue Cross and Blue Shield

    As Director of Clinical Integration, Mr. Kongtahworn leads Wellmark Blue Cross and Blue Shield's collaboration with physicians and other healthcare entities on community-wide implementation of the Chronic Care Model and the patient-centered medical home. Previously, Mr. Kongtahworn was Managing Director of Operations for the Blue Cross and Blue Shield Association’s Technology Evaluation Center, which is recognized nationally for its leadership in producing systematic reviews of the available evidence on the diagnosis, treatment, management and prevention of disease. He has also worked with Blues Plans on implementing strategies that support improved quality and affordability of care provided by network physicians and hospitals. Mr. Kongtahworn’s background is in academic medical group practice administration where he was responsible for clinic operations, developing a primary care referral base, quality measurement, and clinical trials administration. He received a B.A. from Macalester College and an M.S. in healthcare administration from Rush University. Mr. Kongtahworn is a Fellow of the American College of Healthcare Executives. 

  • Daniel R. Kueter

    CEO UnitedHealthcare, Iowa and Central Illinois

    Dan Kueter is CEO of UnitedHealthcare, Iowa and Central Illinois, a position he has held since March 2008. He is responsible for UnitedHealthcare business results in the Iowa and Central Illinois markets. Mr. Kueter joined UnitedHealthcare in 2001. In 2006 he was named President, UnitedHealthcare, Iowa and Central Illinois headquartered in Moline, Illinois. Prior to joining UnitedHealthcare, he was Director of Planning and Operations for Ingenix, a sister company to UnitedHealthcare. Previous professional experience includes time with Johnson & Johnson, as well as several years as an Army officer. Mr. Kueter holds a BA from the United States Military Academy at West Point and an MBA from the Harvard Business School. He is a member of the Advisory Board of the College of Public Health, University of Iowa. He is also a Board member of the Quad Cities Chapter of the American Red Cross, Illinois Quad City Chamber of Commerce and Peoria, Illinois-based Quality Quest for Health.

  • Jeffrey Lobas

    Chief Medical Officer Cardon Children’s Medical Center

    Jeffrey Lobas is the Chief Medical Officer at Cardon Children’s Medical Center. Previously, Dr. Lobas was a Professor of Pediatrics at the University of Iowa, where he served as the Director of the Child Health Specialty Clinics, the Title V Program for Children with Special Health Care Needs for the State of Iowa, and as Medical Director for the IDPH’s Division of Health Promotion & Chronic Disease Prevention. He also served as the Principal Investigator for Iowa’s Medical Home project. From 2005-2007 he was the President of the Association of Maternal and Child Health Programs. Dr. Lobas holds an MD in Pediatrics from the Medical College of Ohio, and completed a fellowship in Pediatric Critical Care and Pediatric Pulmonology at the University of Wisconsin. He served on the faculty at Indiana University and the University of Minnesota. He holds an MPA from Ohio State University and a doctorate in Organization Development from the University of St. Thomas in Minneapolis. 

  • David Loebsack

    U.S. Congressman

    Congressman Dave Loebsack, who grew up in poverty and was raised by a single parent, is living proof of how community support can make a difference in people’s lives. He faced many challenges, but with hard work and help from teachers, friends, and mentors, he was able to overcome his many hardships. As a result, he has dedicated his adult life to helping people find opportunity and hope. Congressman Loebsack is currently serving his second term in the U.S. House of Representatives for Iowa’s Second Congressional District. He received a BA and MA from Iowa State University, and a PhD in Political Science from the University of California, Davis. Before running for office, Congressman Loebsack taught political science at Cornell College in Mt. Vernon, Iowa, where he continues to serve as a Professor Emeritus. He currently serves on the House Education and Labor Committee and the House Armed Services Committee.

  • Stephen M. Shortell

    Dean and Professor School of Public Health, UC Berkeley

    Stephen M. Shortell is the Blue Cross of California Distinguished Professor of Health Policy and Management and Professor of Organization Behavior at the School of Public Health and Haas School of Business at the University of California-Berkeley. He is also Dean of the School of Public Health at Berkeley. Dr. Shortell received his undergraduate degree from the University of Notre Dame, his M.P.H. from UCLA, and his Ph.D. from the University of Chicago. A leading health care scholar, Dr. Shortell has done extensive research identifying the organizational and managerial correlates of quality of care and of high performing health care organizations. He has received numerous awards including the distinguished Baxter-Allegiance Prize, the Gold Medal Award from the American College of Healthcare Executives, and the Distinguished Investigator Award from the Association for Health Services Research. His most recent book collaboration is entitled Remaking Health Care in America: The Evolution of Organized Delivery Systems. 

  • Stephen M. Shortell

    Dean and Professor School of Public Health, UC Berkeley

    Stephen M. Shortell is the Blue Cross of California Distinguished Professor of Health Policy and Management and Professor of Organization Behavior at the School of Public Health and Haas School of Business at the University of California-Berkeley. He is also Dean of the School of Public Health at Berkeley. Dr. Shortell received his undergraduate degree from the University of Notre Dame, his M.P.H. from UCLA, and his Ph.D. from the University of Chicago. A leading health care scholar, Dr. Shortell has done extensive research identifying the organizational and managerial correlates of quality of care and of high performing health care organizations. He has received numerous awards including the distinguished Baxter-Allegiance Prize, the Gold Medal Award from the American College of Healthcare Executives, and the Distinguished Investigator Award from the Association for Health Services Research. His most recent book collaboration is entitled Remaking Health Care in America: The Evolution of Organized Delivery Systems. 

  • Linda Upmeyer

    Iowa State Representative

    Rep. Linda Upmeyer is completing her fourth term as Iowa State Representative for HD 12. She also works as a Nurse Practitioner, at Mercy Medical Center North Iowa. Upmeyer is the House Minority Whip. Her committee assignments include Human Resources, Legislative Council, and Natural Resources. She also serves on the Economic Development Commission, and works on the Health Reform Commission and on Health IT issues. Nationally, she is on the Board of Directors and as the Public Sector Chair of the Health and Human Resources Task Force of the American Legislative Exchange Council (ALEC). She is a member of the Health Information Technology Champions in the National Council of State Legislators. Upmeyer received her ADN from North Iowa Area Community College, her BSN from the University of Iowa, and her MSN, FNP from Drake University. She is a Toll Fellow, and an Emerging Political Leader at the Darden School of Business, University of Virginia.

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