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Coordination of Care:
Missed Opportunity?
The 2007 ABIM Foundation Summer Forum Illustrated




          The 2007 ABIM Foundation Summer Forum,
          August 4 – 7, 2007, convened more than 130
          healthcare leaders who addressed the topic
          Coordination of Care: Missed Opportunity?
          Presented here are illustrations to each of the
          Forum’s sessions. The illustrations graphically
          capture the key insights, observations and
          commentary shared by facilitators, moderators
          and participants during each of the Forum’s
          sessions.
Menu
 Day 1 - August 5, 2007                     Day 2 - August 6, 2007                       Day 3 - August 7, 2007
 Welcome and Goals for Forum                How Is Care Coordinated Between Inpatient    Implications Of Strengthened Coordination
 Christine Cassel, MD                       and Outpatient Settings?                     For Payers, Purchasers and Policymakers
 James Naughton, MD                         •Facilitator: Wendy Levinson, MD              Facilitator: Richard Baron, MD
                                            •Robert Wachter                               Joseph Stankaitis, MD, MPH
 The Kimball Lecture                        •Mark Wright                                  Martin-J. Sepulveda, MD
 Thomas Bodenheimer, MD, MPH                •Janet Williams                               Barry Straube, MD
                                                                                          John Iglehart
 The Voices of the Patient, Caregiver and   Do You Need Physicians To Do Care
 Their Physician                            Coordination? Disease Management By          Measurement Of Care Coordination
 Facilitator: Holly Humphrey, MD            Independent Companies, Health Systems        •Moderator: Debra Ness
 Carolyn Jordan Alexander, MSW                                                           •Carolyn Clancy, MD
                                            And Health Plans                             •Eric Holmboe, MD
 Abraham Verghese, MD                        Facilitator: Barry Egener, MD
 Carol Levine, MA                                                                        •Elizabeth McGlynn, PhD
                                             Christobel Selecky, MA
                                             Barry Straube, MD
 How Are Primary Care Practices              Douglas Wood, MD                            Organizational Initiatives To Advance Care
 Coordinating Care?                          Troyen Brennan, MD, MPH                     Coordination
 Facilitator: Richard Baron, MD                                                           Facilitator: Wendy Levinson, MD
 Edward Wagner, MD, MPH                     Lessons From Coordinating Care for            Richard Antonelli, MD, MS
 Charles Kilo, MD, MPH                                                                    Mary Naylor, PhD, RN
                                            Medically Marginalized Patients               Diane Meier, MD
 Bertha Safford, MD                          Facilitator: Daniel Duffy, MD
 David Reuben, MD                                                                         Gregory Rouan, MD
                                             Robert Master, MD
                                             Susan Fleischman, MD
 How Would Proposed Patient-Centered         Tine Hansen-Turton, MGA                     Reflections On The Forum: View From the
 Medical Home Models Coordinate Care?                                                    Patient, Physician, Payer, Purchaser and
 Moderator: Glenn Hackbarth, JD             Understanding International Models of Care   Policy Perspectives
 Hoangmai Pham, MD, MPH                     Coordination – A Comparison of                Facilitator: Richard Baron
 John Tooker, MD, MBA                                                                     Nettie Engels
 Douglas Henley, MD
                                            Performance                                   Donald Wesson, MD
                                             Moderator: Donald Wesson, MD                 Lewis Sandy, MD, MBA
                                             Karen Davis, PhD                             Peter Lee, JD
 Reflections on Day One's Discussion         Thomas Marrie, MD
 •James Naughton, MD                                                                      Harvey Fineberg, MD, PhD
                                             Stephen Schoenbaum, MD, MPH

                                            Reflections On Day Two’s Discussion
                                             James Naughton, MD
Return to Menu




       Coordination of Care:
       Missed Opportunity?
       The 2007 ABIM Foundation Summer Forum Illustrated




                 Welcome and Goals for the Forum
                                             •Christine Cassel, MD
                                             •James Naughton, MD
Return to Menu




Welcome and Goals
Return to Menu




       Coordination of Care:
       Missed Opportunity?
       The 2007 ABIM Foundation Summer Forum Illustrated




                            The Kimball Lecture
                                              Thomas Bodenheimer, MD, MPH
Return to Menu




The Kimball Lecture
Return to Menu




The Kimball Lecture
Return to Menu




The Kimball Lecture
Return to Menu
Return to Menu




       Coordination of Care:
       Missed Opportunity?
       The 2007 ABIM Foundation Summer Forum Illustrated




                 The Voices of the Patient, Caregiver
                        and Their Physician
                                             •Facilitator: Holly Humphrey, MD
                                             •Carolyn Jordan Alexander, MSW
                                             •Abraham Verghese, MD
                                             •Carol Levine, MA
Return to Menu
Return to Menu




The Voices of the Patient, Caregiver and Their
Physician
Return to Menu




       Coordination of Care:
       Missed Opportunity?
       The 2007 ABIM Foundation Summer Forum Illustrated




                   How Are Primary Care Practices
                        Coordinating Care?
                                             •Facilitator: Richard Baron, MD
                                             •Edward Wagner, MD, MPH
                                             •Charles Kilo, MD, MPH
                                             •Bertha Safford, MD
                                             •David Reuben, MD
Return to Menu




How Are Primary Care Practices Coordinating
Care?
Return to Menu




How Are Primary Care Practices Coordinating
Care?
Return to Menu




       Coordination of Care:
       Missed Opportunity?
       The 2007 ABIM Foundation Summer Forum Illustrated




                    How Would Proposed Patient-
                   Centered Medical Home Models
                         Coordinate Care?
                                             •Moderator: Glenn Hackbarth, JD
                                             •Hoangmai Pham, MD, MPH
                                             •John Tooker, MD, MBA
                                             •Douglas Henley, MD
Return to Menu




How Would Proposed Patient-Centered Medical
Home Models Coordinate Care?
Return to Menu




How Would Proposed Patient-Centered Medical
Home Models Coordinate Care?
Return to Menu




       Coordination of Care:
       Missed Opportunity?
       The 2007 ABIM Foundation Summer Forum Illustrated




                 Reflections on Day One's Discussion
                                             •James Naughton, MD
Return to Menu




Reflections on Day One's Discussion
Return to Menu




Reflections on Day One's Discussion
Return to Menu




       Coordination of Care:
       Missed Opportunity?
       The 2007 ABIM Foundation Summer Forum Illustrated




                 How Is Care Coordinated Between
                 Inpatient and Outpatient Settings?
                                             •Facilitator: Wendy Levinson, MD
                                             •Robert Wachter
                                             •Mark Wright
                                             •Janet Williams
Return to Menu




How Is Care Coordinated Between Inpatient and
Outpatient Settings?
Return to Menu




How Is Care Coordinated Between Inpatient and
Outpatient Settings?
Return to Menu




       Coordination of Care:
       Missed Opportunity?
       The 2007 ABIM Foundation Summer Forum Illustrated




                  Do You Need Physicians To Do Care
                            Coordination?
                  Disease Management By Independent
                 Companies, Health Systems And Health
                                Plans
                                             •Facilitator: Barry Egener, MD
                                             •Christobel Selecky, MA
                                             •Barry Straube, MD
                                             •Douglas Wood, MD
                                             •Troyen Brennan, MD, MPH
Return to Menu




Do You Need Physicians To Do Care Coordination?
Disease Management By Independent Companies,
Health Systems And Health Plans
Return to Menu




Do You Need Physicians To Do Care Coordination?
Disease Management By Independent Companies,
Health Systems And Health Plans
Return to Menu




       Coordination of Care:
       Missed Opportunity?
       The 2007 ABIM Foundation Summer Forum Illustrated




                 Lessons From Coordinating Care for
                   Medically Marginalized Patients
                                             •Facilitator: Daniel Duffy, MD
                                             •Robert Master, MD
                                             •Susan Fleischman, MD
                                             •Tine Hansen-Turton, MGA
Return to Menu




Lessons From Coordinating Care for Medically
Marginalized Patients
Return to Menu




Lessons From Coordinating Care for Medically
Marginalized Patients
Return to Menu




       Coordination of Care:
       Missed Opportunity?
       The 2007 ABIM Foundation Summer Forum Illustrated




                 Understanding International Models of
                 Care Coordination – A Comparison of
                            Performance
                                             •Moderator: Donald Wesson, MD
                                             •Karen Davis, PhD
                                             •Thomas Marrie, MD
                                             •Stephen Schoenbaum, MD, MPH
Return to Menu




Understanding International Models of Care
Coordination – A Comparison of Performance
Return to Menu




Understanding International Models of Care
Coordination – A Comparison of Performance
Return to Menu




       Coordination of Care:
       Missed Opportunity?
       The 2007 ABIM Foundation Summer Forum Illustrated




                 Reflections On Day Two’s Discussion
                                             •James Naughton, MD
Return to Menu




Reflections On Day Two’s Discussion
Return to Menu




Reflections On Day Two’s Discussion
Return to Menu




       Coordination of Care:
       Missed Opportunity?
       The 2007 ABIM Foundation Summer Forum Illustrated




                    Implications Of Strengthened
                 Coordination For Payers, Purchasers
                          and Policymakers
                                             •Facilitator: Richard Baron, MD
                                             •Joseph Stankaitis, MD, MPH
                                             •Martin-J. Sepulveda, MD
                                             •Barry Straube, MD
                                             •John Iglehart
Return to Menu




Implications Of Strengthened Coordination For Payers,
Purchasers and Policymakers
Return to Menu




Implications Of Strengthened Coordination For Payers,
Purchasers and Policymakers
Return to Menu




       Coordination of Care:
       Missed Opportunity?
       The 2007 ABIM Foundation Summer Forum Illustrated




                 Measurement Of Care Coordination
                                             •Carolyn Clancy, MD
                                             •Eric Holmboe, MD
                                             •Elizabeth McGlynn, PhD
Return to Menu




Measurement Of Care Coordination
Return to Menu




Measurement Of Care Coordination
Return to Menu




       Coordination of Care:
       Missed Opportunity?
       The 2007 ABIM Foundation Summer Forum Illustrated




                 Organizational Initiatives To Advance
                         Care Coordination
                                             •Facilitator: Wendy Levinson, MD
                                             •Richard Antonelli, MD, MS
                                             •Mary Naylor, PhD, RN
                                             •Diane Meier, MD
                                             •Gregory Rouan, MD
Return to Menu




Organizational Initiatives To Advance Care
Coordination
Return to Menu




Organizational Initiatives To Advance Care
Coordination
Return to Menu




       Coordination of Care:
       Missed Opportunity?
       The 2007 ABIM Foundation Summer Forum Illustrated




                 Reflections On The Forum: View From
                     the Patient, Physician, Payer,
                  Purchaser and Policy Perspectives
                                             •Facilitator: Richard Baron
                                             •Nettie Engels
                                             •Donald Wesson, MD
                                             •Lewis Sandy, MD, MBA
                                             •Peter Lee, JD
                                             •Harvey Fineberg, MD, PhD
Return to Menu




Reflections On The Forum: View From the Patient,
Physician, Payer, Purchaser and Policy Perspectives
Return to Menu




Reflections On The Forum: View From the Patient,
Physician, Payer, Purchaser and Policy Perspectives

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Coordination of Care: Missed Opportunity?

  • 1. Coordination of Care: Missed Opportunity? The 2007 ABIM Foundation Summer Forum Illustrated The 2007 ABIM Foundation Summer Forum, August 4 – 7, 2007, convened more than 130 healthcare leaders who addressed the topic Coordination of Care: Missed Opportunity? Presented here are illustrations to each of the Forum’s sessions. The illustrations graphically capture the key insights, observations and commentary shared by facilitators, moderators and participants during each of the Forum’s sessions.
  • 2. Menu Day 1 - August 5, 2007 Day 2 - August 6, 2007 Day 3 - August 7, 2007 Welcome and Goals for Forum How Is Care Coordinated Between Inpatient Implications Of Strengthened Coordination Christine Cassel, MD and Outpatient Settings? For Payers, Purchasers and Policymakers James Naughton, MD •Facilitator: Wendy Levinson, MD Facilitator: Richard Baron, MD •Robert Wachter Joseph Stankaitis, MD, MPH The Kimball Lecture •Mark Wright Martin-J. Sepulveda, MD Thomas Bodenheimer, MD, MPH •Janet Williams Barry Straube, MD John Iglehart The Voices of the Patient, Caregiver and Do You Need Physicians To Do Care Their Physician Coordination? Disease Management By Measurement Of Care Coordination Facilitator: Holly Humphrey, MD Independent Companies, Health Systems •Moderator: Debra Ness Carolyn Jordan Alexander, MSW •Carolyn Clancy, MD And Health Plans •Eric Holmboe, MD Abraham Verghese, MD Facilitator: Barry Egener, MD Carol Levine, MA •Elizabeth McGlynn, PhD Christobel Selecky, MA Barry Straube, MD How Are Primary Care Practices Douglas Wood, MD Organizational Initiatives To Advance Care Coordinating Care? Troyen Brennan, MD, MPH Coordination Facilitator: Richard Baron, MD Facilitator: Wendy Levinson, MD Edward Wagner, MD, MPH Lessons From Coordinating Care for Richard Antonelli, MD, MS Charles Kilo, MD, MPH Mary Naylor, PhD, RN Medically Marginalized Patients Diane Meier, MD Bertha Safford, MD Facilitator: Daniel Duffy, MD David Reuben, MD Gregory Rouan, MD Robert Master, MD Susan Fleischman, MD How Would Proposed Patient-Centered Tine Hansen-Turton, MGA Reflections On The Forum: View From the Medical Home Models Coordinate Care? Patient, Physician, Payer, Purchaser and Moderator: Glenn Hackbarth, JD Understanding International Models of Care Policy Perspectives Hoangmai Pham, MD, MPH Coordination – A Comparison of Facilitator: Richard Baron John Tooker, MD, MBA Nettie Engels Douglas Henley, MD Performance Donald Wesson, MD Moderator: Donald Wesson, MD Lewis Sandy, MD, MBA Karen Davis, PhD Peter Lee, JD Reflections on Day One's Discussion Thomas Marrie, MD •James Naughton, MD Harvey Fineberg, MD, PhD Stephen Schoenbaum, MD, MPH Reflections On Day Two’s Discussion James Naughton, MD
  • 3. Return to Menu Coordination of Care: Missed Opportunity? The 2007 ABIM Foundation Summer Forum Illustrated Welcome and Goals for the Forum •Christine Cassel, MD •James Naughton, MD
  • 5. Return to Menu Coordination of Care: Missed Opportunity? The 2007 ABIM Foundation Summer Forum Illustrated The Kimball Lecture Thomas Bodenheimer, MD, MPH
  • 6. Return to Menu The Kimball Lecture
  • 7. Return to Menu The Kimball Lecture
  • 8. Return to Menu The Kimball Lecture
  • 10. Return to Menu Coordination of Care: Missed Opportunity? The 2007 ABIM Foundation Summer Forum Illustrated The Voices of the Patient, Caregiver and Their Physician •Facilitator: Holly Humphrey, MD •Carolyn Jordan Alexander, MSW •Abraham Verghese, MD •Carol Levine, MA
  • 12. Return to Menu The Voices of the Patient, Caregiver and Their Physician
  • 13. Return to Menu Coordination of Care: Missed Opportunity? The 2007 ABIM Foundation Summer Forum Illustrated How Are Primary Care Practices Coordinating Care? •Facilitator: Richard Baron, MD •Edward Wagner, MD, MPH •Charles Kilo, MD, MPH •Bertha Safford, MD •David Reuben, MD
  • 14. Return to Menu How Are Primary Care Practices Coordinating Care?
  • 15. Return to Menu How Are Primary Care Practices Coordinating Care?
  • 16. Return to Menu Coordination of Care: Missed Opportunity? The 2007 ABIM Foundation Summer Forum Illustrated How Would Proposed Patient- Centered Medical Home Models Coordinate Care? •Moderator: Glenn Hackbarth, JD •Hoangmai Pham, MD, MPH •John Tooker, MD, MBA •Douglas Henley, MD
  • 17. Return to Menu How Would Proposed Patient-Centered Medical Home Models Coordinate Care?
  • 18. Return to Menu How Would Proposed Patient-Centered Medical Home Models Coordinate Care?
  • 19. Return to Menu Coordination of Care: Missed Opportunity? The 2007 ABIM Foundation Summer Forum Illustrated Reflections on Day One's Discussion •James Naughton, MD
  • 20. Return to Menu Reflections on Day One's Discussion
  • 21. Return to Menu Reflections on Day One's Discussion
  • 22. Return to Menu Coordination of Care: Missed Opportunity? The 2007 ABIM Foundation Summer Forum Illustrated How Is Care Coordinated Between Inpatient and Outpatient Settings? •Facilitator: Wendy Levinson, MD •Robert Wachter •Mark Wright •Janet Williams
  • 23. Return to Menu How Is Care Coordinated Between Inpatient and Outpatient Settings?
  • 24. Return to Menu How Is Care Coordinated Between Inpatient and Outpatient Settings?
  • 25. Return to Menu Coordination of Care: Missed Opportunity? The 2007 ABIM Foundation Summer Forum Illustrated Do You Need Physicians To Do Care Coordination? Disease Management By Independent Companies, Health Systems And Health Plans •Facilitator: Barry Egener, MD •Christobel Selecky, MA •Barry Straube, MD •Douglas Wood, MD •Troyen Brennan, MD, MPH
  • 26. Return to Menu Do You Need Physicians To Do Care Coordination? Disease Management By Independent Companies, Health Systems And Health Plans
  • 27. Return to Menu Do You Need Physicians To Do Care Coordination? Disease Management By Independent Companies, Health Systems And Health Plans
  • 28. Return to Menu Coordination of Care: Missed Opportunity? The 2007 ABIM Foundation Summer Forum Illustrated Lessons From Coordinating Care for Medically Marginalized Patients •Facilitator: Daniel Duffy, MD •Robert Master, MD •Susan Fleischman, MD •Tine Hansen-Turton, MGA
  • 29. Return to Menu Lessons From Coordinating Care for Medically Marginalized Patients
  • 30. Return to Menu Lessons From Coordinating Care for Medically Marginalized Patients
  • 31. Return to Menu Coordination of Care: Missed Opportunity? The 2007 ABIM Foundation Summer Forum Illustrated Understanding International Models of Care Coordination – A Comparison of Performance •Moderator: Donald Wesson, MD •Karen Davis, PhD •Thomas Marrie, MD •Stephen Schoenbaum, MD, MPH
  • 32. Return to Menu Understanding International Models of Care Coordination – A Comparison of Performance
  • 33. Return to Menu Understanding International Models of Care Coordination – A Comparison of Performance
  • 34. Return to Menu Coordination of Care: Missed Opportunity? The 2007 ABIM Foundation Summer Forum Illustrated Reflections On Day Two’s Discussion •James Naughton, MD
  • 35. Return to Menu Reflections On Day Two’s Discussion
  • 36. Return to Menu Reflections On Day Two’s Discussion
  • 37. Return to Menu Coordination of Care: Missed Opportunity? The 2007 ABIM Foundation Summer Forum Illustrated Implications Of Strengthened Coordination For Payers, Purchasers and Policymakers •Facilitator: Richard Baron, MD •Joseph Stankaitis, MD, MPH •Martin-J. Sepulveda, MD •Barry Straube, MD •John Iglehart
  • 38. Return to Menu Implications Of Strengthened Coordination For Payers, Purchasers and Policymakers
  • 39. Return to Menu Implications Of Strengthened Coordination For Payers, Purchasers and Policymakers
  • 40. Return to Menu Coordination of Care: Missed Opportunity? The 2007 ABIM Foundation Summer Forum Illustrated Measurement Of Care Coordination •Carolyn Clancy, MD •Eric Holmboe, MD •Elizabeth McGlynn, PhD
  • 41. Return to Menu Measurement Of Care Coordination
  • 42. Return to Menu Measurement Of Care Coordination
  • 43. Return to Menu Coordination of Care: Missed Opportunity? The 2007 ABIM Foundation Summer Forum Illustrated Organizational Initiatives To Advance Care Coordination •Facilitator: Wendy Levinson, MD •Richard Antonelli, MD, MS •Mary Naylor, PhD, RN •Diane Meier, MD •Gregory Rouan, MD
  • 44. Return to Menu Organizational Initiatives To Advance Care Coordination
  • 45. Return to Menu Organizational Initiatives To Advance Care Coordination
  • 46. Return to Menu Coordination of Care: Missed Opportunity? The 2007 ABIM Foundation Summer Forum Illustrated Reflections On The Forum: View From the Patient, Physician, Payer, Purchaser and Policy Perspectives •Facilitator: Richard Baron •Nettie Engels •Donald Wesson, MD •Lewis Sandy, MD, MBA •Peter Lee, JD •Harvey Fineberg, MD, PhD
  • 47. Return to Menu Reflections On The Forum: View From the Patient, Physician, Payer, Purchaser and Policy Perspectives
  • 48. Return to Menu Reflections On The Forum: View From the Patient, Physician, Payer, Purchaser and Policy Perspectives