THECOMMONWEALTH    FUND               The Commonwealth Fund                          &               The Harkness Fellowsh...
2           The Commonwealth FundEstablished in 1918, the Commonwealth Fund is aprivate, independent foundation based in N...
The Commonwealth Fund Commission on a                                                                       3  High Perfor...
4                    Examples of Fund Projects A New Era in American Health Care:             National Scorecard on U.S. H...
5      WhyNotTheBest.orgHospital Quality Comparison Site • Hospital rating and comparison website on measures of evidence-...
Patient Protection and Affordable Care Act                                                 6              March 23, 2010  ...
7     The Commonwealth FundInternational Program in Health Care         Policy and Practice                               ...
8International Health Policy & Innovation Program             Participating Countries                                     ...
9The Harkness Fellowships inHealth CH lth Care Policy & P           P li     Practice                        ti           ...
10              Harkness Fellowships in           Health Care Policy and PracticeOriginally established in 1925, the Harkn...
11         Harkness Fellows can expect to:•   Conduct research on a key health care delivery or policy issue•   Gain an in...
Relationship with The Commonwealth Fund                                                                           12      ...
13         The Harkness Fellowship AwardThe Harkness Fellowship awards up to U.S. $107,000which covers the following:•   R...
14Partnerships to Expand Harkness Fellowships • Canada: Health Services Research Foundation • G   Germany: B. B           ...
Examples of Harkness Fellows’ Projects                                                                                  15...
16Examples of Harkness Fellows’ Placements •   Harvard University, Boston •   Stanford University, San Francisco          ...
17     2010-11 Harkness Fellowships Seminars•   September: Five-Day Orientation Seminar at the Fund in NYC•   October: Two...
18                2010–11 Harkness Orientation    Karen Davis, The  Commonwealth Fund                 Fund,Antoinette De B...
Harkness Fellows Breakfast with Health Ministers                                                                          ...
Harkness Fellows                                                                                                          ...
21  Washington Policy Briefing       February 2007              y2006-07 Class of Harkness Fellows with        Senator Bar...
Harkness Fellows’ Canadian Policy Briefing,                                                         22                May ...
23    Harkness Fellowship Leadership Seminar Series                                                                       ...
24          Harkness Fellows’ Publications• Over 250 peer-reviewed publications, 1998-2010           p             p      ...
25         Harkness Fellows Having a Policy Impact                  •   Julia Kreis (2009 10) invited to write the IOM rep...
Highlighted Harkness Fellows’ Promotions                                                                                  ...
27        6-Year Review of International Program                by Harvard UniversityRatings of Fellowship:•   97% of Fell...
28  2012-13 Harkness Fellowships in  Health C  H lth Care Policy and P              P li     d Practice                   ...
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Robin Osborn: The commonwealth fund

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Robin Osborn: The commonwealth fund

  1. 1. THECOMMONWEALTH FUND The Commonwealth Fund & The Harkness Fellowships Robin Osborn Vice President and Director International Program in Health Policy & Practice
  2. 2. 2 The Commonwealth FundEstablished in 1918, the Commonwealth Fund is aprivate, independent foundation based in New YorkThe mission of The Commonwealth Fund is to promote ahigh performing health care system that achieves betteraccess, improved quality, and greater efficiency,particularly for societys most vulnerable, including low-income people, the uninsured, minority Americans,young children, and elderly adults. THE COMMONWEALTH FUND
  3. 3. The Commonwealth Fund Commission on a 3 High Performance Health Care System Path to a High Performance U.S. Health System, 2009 • Recommends comprehensive set of insurance, payment, and system reforms that would generate $3.0 trillion in savings by 2020 and ensure affordable coverage for all Americans • Featured in briefings for Members of Congress and Congressional staff Bending the Curve, 2008 B di th C • Recommends strategies to expand coverage and save $1.5 trillion over 10 years by payment reform, health promotion, IT quality improvement and efficiency • New York Times Editorial THE COMMONWEALTH FUND
  4. 4. 4 Examples of Fund Projects A New Era in American Health Care: National Scorecard on U.S. Health Realizing the Potential of Reform System Performance, 2008• Series of reports on expansion of • 37 Indicators • U.S. compared to benchmarks coverage, health insurance exchanges, and delivery system innovations• Series of reports on implications of U.S. health reform for specific populations, including women, young adults, and small businesses• Detailed online descriptions of health reform provisions with links to further information Medical Homes Grants• Technical assistance to 8 states to create patient-centered medical homes for low income populations (Medicaid and SCHIP) IHI/Hospital Readmissions p• 5-year program to transform 65 safety-net • Grant to Institute for Healthcare primary care clinics into patient-centered Improvement (IHI) for 5-year STAAR medical homes demonstration project to reduce• Support to the National Committee for p preventable rehospitalizations in three p Quality Assurance (NCQA) to develop a set to five states or regions THE of 18 measures for patient-centered care in COMMONWEALTH physician practices FUND
  5. 5. 5 WhyNotTheBest.orgHospital Quality Comparison Site • Hospital rating and comparison website on measures of evidence-based care, patient experience, readmission and mortality rates, and costs • Over 25 case studies and improvement tools featured on topics ranging among p p g g g health care quality, pneumonia care, surgical care improvement, patient experiences, and health systems • Over 6,000 registered users THE COMMONWEALTH FUND
  6. 6. Patient Protection and Affordable Care Act 6 March 23, 2010 THE COMMONWEALTH FUND
  7. 7. 7 The Commonwealth FundInternational Program in Health Care Policy and Practice THE COMMONWEALTH FUND
  8. 8. 8International Health Policy & Innovation Program Participating Countries Canada Germany Australia New N Denmark Zealand (Under discussion) United Netherlands N th l d States States* Switzerland Norway y United Kingdom Sweden** France** Participate in International Symposium and International Health Policy Survey, but do not have a Harkness Fellowships program THE COMMONWEALTH** Harkness Fellowship beginning 2012-13 FUND
  9. 9. 9The Harkness Fellowships inHealth CH lth Care Policy & P P li Practice ti THE COMMONWEALTH FUND
  10. 10. 10 Harkness Fellowships in Health Care Policy and PracticeOriginally established in 1925, the Harkness Fellowships weremodeled after the Rhodes Scholarship and are the Fund’s longest p grunning program.The Harkness Fellowships provide a unique opportunity forresearchers and practitioners from Australia, Canada, Germany, theNetherlands, New Zealand, Norway, Switzerland, the UnitedKingdom, and, beginning in 2012-13, Sweden to spend up to 12months in the United States conducting original research andworking with leading health policy experts. g g p y p THE COMMONWEALTH FUND
  11. 11. 11 Harkness Fellows can expect to:• Conduct research on a key health care delivery or policy issue• Gain an in depth understanding of the U.S. health care system in-depth• Learn about the Australian, Canadian, Dutch, German, N.Z., Norwegian, Swedish, Swiss, and U.K. health care systems• Work ith leading US policy experts and senior policymakers W k with l di li t d i li k• Get a firsthand look at innovative U.S. programs• Enhance methodological skills• Develop networks of valuable contacts for ongoing cross- national exchange and collaboration A chance to Think Big about some of the most important challenges in health care policy and practice THE COMMONWEALTH FUND
  12. 12. Relationship with The Commonwealth Fund 12 Adds Value to the Fellowship • Nationally and internationally renowned Fund staff provide expertise across a range of fields in health policy and practice • Through the Fund’s grants, Fellows can connect to many of the country’s most innovative projects and research • Fund’s name-recognition and network of health leaders and experts opens doors for Fellows THE COMMONWEALTH FUND
  13. 13. 13 The Harkness Fellowship AwardThe Harkness Fellowship awards up to U.S. $107,000which covers the following:• Roundtrip airfare to the United States• Living allowance• Funds for project-related travel research and conferences project related travel, research,• Travel to attend the Harkness Fellowship seminars• Health insurance• U.S. d t t t U S and state taxes• PLUS: a family supplement up to U.S. $45,000 (including airfare, living allowance, and health insurance) for Fellows accompanied by a partner and/or children up to age 18 THE COMMONWEALTH FUND
  14. 14. 14Partnerships to Expand Harkness Fellowships • Canada: Health Services Research Foundation • G Germany: B. B B Braun–Stiftung; Robert Bosch Stiftung Stift R b tB h Stift • Netherlands: Ministry for Health, Welfare, and Sport • Norway: Research Council of Norway • Switzerland: Careum Foundation • Sweden: Ministry of Health and Social Affairs • United Kingdom: The Nuffield Trust; NHS National Institute for Health Research/SDO THE COMMONWEALTH FUND
  15. 15. Examples of Harkness Fellows’ Projects 15Health Care Financing and Regulation• Designing Value-Based Insurance Plans to Expand Coverage• The Impact of Regulation on the Performance of Health Care OrganizationsImproving Quality of Care• Public Disclosure of Hospital Performance Data: The U.S. Experience• Consumer Involvement in Comparison Effective Research• The Impact of Financial Incentives on Quality in Primary Health CareInformation Technology• Use of Computers for Clinical Care—5 Case Studies of Advanced US Sites Care 5Pharmaceutical Policy• Comparing Cost, Coverage and Access to Pharmaceuticals in Aus. vs U.S.• Reference Pricing for Drugs: Is it Compatible with U.S. Health Care?Chronic Illness & the Elderly• Chronic Disease Self Management Programs: Scope of Programs and What g g p g Works for Whom? THE COMMONWEALTH• Improving the Emergency Care Experience for the Elderly FUND
  16. 16. 16Examples of Harkness Fellows’ Placements • Harvard University, Boston • Stanford University, San Francisco y, • University of California, San Francisco • Johns Hopkins University, Baltimore p y, • RAND/University of California, Los Angeles • Agency for Healthcare Research and Quality ( g y y (AHRQ), Wash DC ), • Veterans Health Administration, Wash DC • Kaiser Permanente, San Francisco , • Institute for Healthcare Improvement (IHI), Boston THE COMMONWEALTH FUND
  17. 17. 17 2010-11 Harkness Fellowships Seminars• September: Five-Day Orientation Seminar at the Fund in NYC• October: Two-Day Qualitative Research Methods Workshop in NYC• November: International Symposium on Health Care Policy in Washington, D.C.• February: Institute for Healthcare Improvement (IHI) Quality Seminar in Boston• March: Washington Policy Briefing• May: Canadian Policy Briefing in Montreal and Toronto• June: Final Reporting Seminar; Farewell Dinner for Fellows and Families• June: AcademyHealth Annual Meeting• Throughout the Year: Leadership Seminar Series THE COMMONWEALTH FUND
  18. 18. 18 2010–11 Harkness Orientation Karen Davis, The Commonwealth Fund Fund,Antoinette De Bont (NETH) Diane Gray (UK), Berit Bringedal (NOR) 2010–11 Harkness Fellows Thomas H. Lee, MD CEO of Partners Community Healthcare, Inc. Ansgar Gerhardus (GER) Iren Bischofberger (SWITZ), THE Sara Kreindler (CAN) COMMONWEALTH FUND
  19. 19. Harkness Fellows Breakfast with Health Ministers 19 at 2010 International Symposium Swiss Minister Pascal StruplerU.K. Minister of State for Health Simon Burns with Fellow Iren Bischofberger with Fellows Sarah Garner, Emma Stanton, Harald Schmidt and Diane Gray THE Berit Bringedal with Norwegian COMMONWEALTH Dutch Fellows with Ministry of Health FUND Ministry of Health delegation delegation
  20. 20. Harkness Fellows 20 Washington Policy Briefing, March 2010 An “Inside the Beltway” Look at Policymaking and Health Reform with Multiple Stakeholders and a Wide Range of Viewpoints: •Perspectives from the Administration, Members of Congress, Washington Post journalists, Pharma and other Lobbyists, Health Insurers, States, and Democratic versus Republican Political Pollsters Breakfast Meeting with • Site Visit to the Veterans Health Administration Ezekiel Emanuel, White HouseCongressman Tom Price Office of Management and (R-Ga) Budget •Fellows attend historic vote in Congress on Fellows health reform passage on March 21, 2010 Haynes Johnson, Eleanor Dehoney, Legislative Pulitzer Prize Winning Journalist Director, Senator Sherrod Brown THE COMMONWEALTH FUNDKaren Ignagni, president of U.S. Congressman John Lewis (D-GA,America’s Health Insurance Plans 2009–10 Harkness Fellows
  21. 21. 21 Washington Policy Briefing February 2007 y2006-07 Class of Harkness Fellows with Senator Barack Obama THE COMMONWEALTH FUND
  22. 22. Harkness Fellows’ Canadian Policy Briefing, 22 May 2010 Presentation on pharmaceutical policy with Helen Stevenson, Assistant Deputy Minister, Ontario Dinner with Philippe Couillard, former Quebec Minister of Health Dinner with Brian Postl, former President and THEBriefing on St. Michael’s Hospital’s Program for CEO of Winnipeg Regional Health Authority and COMMONWEALTH FUND Vulnerable Populations, Toronto Federal Advisor on Wait Times
  23. 23. 23 Harkness Fellowship Leadership Seminar Series Past Leadership Speakers p p 2010 L d Leadership S hi Speakers k Don Berwick, MD Mark McClellan, MD, PhD Administrator for Former Administrator for Centers for Medicare Centers for Medicare and Thomas H. Lee, MD , Ron Paterson Thomas Zeltner and Medicaid Services Medicaid ServicesCEO of Partners Community NZ Health and Former Swiss Secretary Healthcare, Inc. Disability of State for Health Commissioner A seminar series designed to provide Harkness Fellows with:  Understanding of the principles of effective Karen Davis Martin Marshall, CBE, MD leadership President of the Former Deputy Chief Medical Commonwealth Fund Officer, Officer Department of Health  Opportunity for candid discussion with influential U.S. policy leaders and guest policymakers from Fellows’ home countries  Focus on ‘lessons learned’ from real world John Rowe, MD THE COMMONWEALTH Carolyn Clancy, MD FUND experience Former Chairman Agency for Healthcare & CEO of Aetna Research and Quality
  24. 24. 24 Harkness Fellows’ Publications• Over 250 peer-reviewed publications, 1998-2010 p p ,• Health Affairs, British Medical Journal, JAMA, Lancet, Health Policy New England Journal of Medicine, Quality Policy, Medicine and Safety in Health Care, Journal of Health Politics, Policy and Law, Canadian Medical Association Journal, Health S H lth Services Journal i J l• Reports to Health Ministers and Congress THE COMMONWEALTH FUND
  25. 25. 25 Harkness Fellows Having a Policy Impact • Julia Kreis (2009 10) invited to write the IOM report on (2009–10) consumer involvement in comparative effectiveness research • Stephanie Stock (2007–08) presented findings from Harkness Fellowship on strategies for implementing best practices in p g p g p home health care to the German Ministry of Health Julia Kreis• Robin Gauld (2008-09) won the British Medical Association Book Award in Health and Social Care for Th New Health P li A d i H lth d S i l C f The N H lth Policy• Vidhya Alakeson (2006–07) helped shape Medicaid mental health policy at U.S. Dept of Health and Human Services• Bert Vrijhoef (2008–09) B t V ijh f (2008 09) appointed by the Dutch Minister to an i t d b th D t h Mi i t t Bert Vrijhoef advisory commission on bundled payment systems for chronic care• John Hobbs (2001-02) appointed as senior health advisor to the Honorable Tony Ryall, Ryall New Zealand Minister of Health• Geraint Lewis (2007-08) received Veterans Health Administration award and recognized in U.S. and Canada for “virtual ward” innovation• Peter Broadhead (2002 03) and Sharon Willcox (1999 00) appointed by the (2002–03) (1999–00) Prime Minister to the Australia National Health and Hospitals Reform THE COMMONWEALTH Commission FUND
  26. 26. Highlighted Harkness Fellows’ Promotions 26Martin Marshall (1998-99 United Kingdom)• Deputy Chief Medical Officer U.K. Department of Health, 2006 Officer, U K Health• Director of Clinical Quality, The Health Foundation, 2007Derek Feeley (2005-06 United Kingdom)• Acting Director General Health & Chief Executive, Scottish NHS, 2010 Director-GeneralRon Paterson (1998-99 New Zealand)• New Zealand Health and Disability Commissioner, 2000 and reappointment in 2005Peter Sprivulis (2004-05 Australia)• Project Leader, National E-Health Authority, 2006Rachel Elli tt (2004 05 U it d Ki dR h l Elliott (2004-05 United Kingdom) )• Lord Trent Chair in Medicines and Health, School of Pharmacy, University of Nottingham, 2007Jonas Schreyögg (2006-07 Germany)• Professor for Health Services Management, Munich UniversityAndreas Gerber (2007–08 Germany)• Head, Department of Health Economics, IQWiG, Cologne , p , Q , g THEKatharina Janus (2006-07 Germany) COMMONWEALTH FUND• Professor (with tenure), Ulm University, Germany, 2010.
  27. 27. 27 6-Year Review of International Program by Harvard UniversityRatings of Fellowship:• 97% of Fellows said it was an excellent or very good one-year investment• Majority had a promotion or significant change in position following the Harkness Fellowship• 2 of 3 changed career objectives or research (all said Harkness contributed to change)• The majority reported ongoing collaboration with other fellows or their mentors• 97% would recommend highly to a colleague THE COMMONWEALTH FUND
  28. 28. 28 2012-13 Harkness Fellowships in Health C H lth Care Policy and P P li d Practice tiDEADLINE FOR RECEIPT OF APPLICATIONS IS SEPTEMBER 12 2011 12,For more details and an application form, please visit: form www.commonwealthfund.org/fellowships THE COMMONWEALTH FUND

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