Sessions and Themes
- Shifting the paradigm: Vikas Saini
- Magical thinking and Modern medicine: Harvey Fineberg
- What makes us do it?
- What will it take to get us there?: Don Berwick
- What are the knowledge gaps in avoiding avoidable care?
- Case discussions
- What are the ethical issues?
- Medical journals and the issue of avoidable care
- The schizophrenic life of the hospital CEO
- A reason to change: Shannon Brownlee
- Social responsibility of physicians: Bernard Lown
- Behavior-changing Best practices
- Global dimensions of unnecessary care: Julio Frenk
- Payment mechanisms and the Culture of medicine
- Choosing wisely and beyond: What are the next steps?
- How can patients help drive the needed change?
Hospital CEO Panel Overview – David Wennberg
This informal panel aims to be a relaxed but provocative conversation with three hospital executives who are experiencing and managing a transition from fee-for-service and volume-based goals to focusing on value and effectiveness. We’ll hear about their worries and frustrations, as well as their successes, hopes and goals for the future as they push for a high-value delivery system.
We have three excellent members of the panel:
• Nancy Howell Agee, President and CEO, Carilion Clinic
• Jeanette Clough, CEO, Mount Auburn Hospital
• Peter Slavin, MD, President, Massachusetts General Hospital
Mount Auburn and MGH are both early adopters in population based care – both are CMMI Pioneer ACOs and both participate in BCBSMA’s Alternative Quality Contract. However, while early adopters they are both referral systems for Massachusetts and beyond meaning that they are in a high stakes transition from fee-for-service to population based value reimbursement models.
Carilion Clinic has chosen an different path. Deciding not to participate in CMS’s ACO efforts they are focusing on the private payer side to change the reimbursement model while continuing to develop their multi-specialty clinic model to meet the care demands of the future.
While I will use the moderator’s prerogative to probe the risks and benefits of this transition if needed, I would prefer to have this panel be an open forum with the discussion driven primarily by members of the audience.
I look forward to seeing you all this week.