2018 Value in Cancer Care Summit

Hutchinson Institute for Cancer Outcomes Research

2018 Value in Cancer Care Summit

file

Patient panelists Bridgette Hempstead (right) and Diane Mapes (left) discuss metrics of interest to patients, including insurance denials and mental health services.

Photo by Robert Hood / Fred Hutch News Service

file

Dr. Eve Kerr of the University of Michigan presents the opportunities and pitfalls of performance measurement in health care.

Photo by Robert Hood / Fred Hutch News Service

file

Implementation workshop facilitator Dr. Sibel Blau (left), panelist Dr. Jennie Crews, and panelist Dr. Ted Conklin catch up during a break.

Photo by Robert Hood / Fred Hutch News Service

file

Marilyn Birchman, RN identifies several high-value attributes of The Everett Clinic's cancer care delivery program.

Photo by Robert Hood / Fred Hutch News Service

file

Nancy Davidson, MD and Keith Eaton, MD chat with attendees during the morning break.

Photo by Robert Hood / Fred Hutch News Service

file

Dr. Bryan Weiner of the University of Washington describes multi-level constructs and outcomes of implementation science as they relate to cancer care delivery.

Photo by Robert Hood / Fred Hutch News Service

file

Attendees chat during the afternoon break.

Photo by Robert Hood / Fred Hutch News Service

file

HICOR director Dr. Scott Ramsey highlights key findings from HICOR's Community Cancer Care Report.

Photo by Robert Hood / Fred Hutch News Service

On May 3, 2018, HICOR hosted the 5th Annual Value in Cancer Care Summit at Bell Harbor International Conference Center in Seattle. Over 200 participants representing providers, patients and patient advocates, payers, health system representatives, researchers and students engaged in discussion about “making measurement matter” in oncology. Over the course of presentations, interactive panels and small-group workshops, participants learned from experts about national trends and opportunities in performance measurement, as well as strategies for implementing practice change in the clinic setting.

Susie Dade, Deputy Director of the Washington Health Alliance, chronicled the Alliance's journey of performance measurement and reporting in primary care during the summit's opening remarks. Dr. Eve Kerr of the University of Michigan presented a brief history of US performance measurement, major pitfalls of current measurement approaches, and the way forward: how performance measurement can drive patient-centered, high value care. Next, HICOR director Dr. Scott Ramsey described HICOR's performance reporting process and highlighted key findings from HICOR's Community Cancer Care in Washington State: Quality and Cost Report 2018. This presentation was followed by a patient panel featuring Diane Mapes, Bridgette Hempstead and Janet Freeman-Daily (video) and facilitator Dr. Veena Shankaran, all of whom identified future directions of performance reporting from the patient perspective. After the panel, Dr. Bryan Weiner of the University of Washington presented the theory of implementation science and examples of intervention designs, multi-level constructs, and outcomes related to cancer care. The Everett Clinic team, led by Marilyn Birchman, RN, Renee Curtis, PharmD, and Kelly Mardesich, RN, described how their clinic achieved high value cancer care - specifically in the areas of hospitalization/ED use, end of life care, and recommended treatment for breast, lung and colorectal cancers - through targeted implementation efforts.

After lunch, attendees participated in small-group Implementation Workshops focusing on care coordination and behavioral health (Dr. Jeff Hummel, Qualis Health), change concepts for practice transformation (Bre Holt, Qualis Health), and cultural change in the clinic setting (Dr. Bryan Weiner and Dr. Sibel Blau, Northwest Medical Specialties). Dr. Ronald Walters of MD Anderson Cancer Center discussed value frameworks in cancer and reflected on the realities and challenges of value-based reimbursement using the MD Anderson and United Healthcare Pilot as a case study. The day culminated in an afternoon panel addressing value in cancer care featuring Dr. Eve Kerr (University of Michigan), Dr. Ronald Walters (MD Anderson), Dr. Jennie Crews (WSMOS; Seattle Cancer Care Alliance), Tim Lieb (Regence BlueShield), and Dr. Ted Conklin (Premera Blue Cross). 

The Hutch News Services article Fred Hutch and Microsoft partner for better cancer care delivery summarizes key concepts discussed at the summit. Presentations from the summit are available below.
 


Summit Presentations

Implementation Workshop Handouts


Agenda

   8:00am  -  8:30am
 
Registration, Coffee and Breakfast
 
   8:30am  -  9:00am


 
Promoting Health Care Transparency in Washington State: Getting Below the Surface, Susie Dade, MPA  Deputy Director, Washington Health
Alliance
 
   9:00am  -  9:45am Using Performance Measurement to Motivate Practice Change: Opportunities and Pitfalls, Eve Kerr, MD, MPH  Director, Ann Arbor VA Center for Clinical Management Research, University of Michigan; Director, Michigan Program on Value Enhancement (MPrOVE)
 
    9:45am - 10:00am
 
Break/Coffee
 
  10:00am - 10:30am
 
Key Findings from HICOR's Community Cancer Care in Washington State: Quality and Cost Report 2018, Scott Ramsey, MD, PhD  Director, Hutchinson Institute for Cancer Outcomes Research, Fred Hutch
 

  10:30am - 11:00am          

                 

 

 

Panel Discussion: Patient Perspectives of the Community Cancer Care Report  Veena Shankaran, MD (facilitator)  Medical oncologist, Seattle Cance Care Alliance; Associate Member, HICOR 
  • Janet Freeman-Daily, SM, Eng (video) Lung cancer patient & activist 
  • Bridgette Hempstead  Founder and CEO, Cierra Sisters
  • Diane Mapes   Cancer patient, advocate and writer for Fred Hutch

 11:00am  - 12:00pm                               

 

 

 

Advancing Cancer Care Delivery through Implementation Science  Co-presented by Bryan Weiner, PhD   Professor, Department of Global Health and Department of Health Services, University of Washington and The Everett Clinic:
  • Marilyn Birchman, RN, MSN, AOCNS  Regional Director of Cancer                      Services and Research, Providence Regional Medical Center Everett 
  • Renee Curtis, PharmD, BCOP, Oncology Pharmacist
  • Kelly Mardesich, RN, OCN, Clinical Practice Manager, Medical Oncology
  12:00pm  -   1:00pm Lunch
 
  1:00pm   -   2:00pm Breakout Sessions: Implementation Workshops
  • Culture Change in the Clinic Setting   Bryan Weiner, PhD and Sibel Blau, MD  Medical Director, Northwest Medical Specialties
  • Care Coordination for Whole-Person Care: Oncology and Behavioral Health   Jeffrey Hummel, MD, MPH  Medical Director for Health Informatics, Qualis Health
  • Change Concepts for Practice Transformation: Applications in Oncology   Bre Holt, MPH  Director, Practice Transformation Support Hub, Qualis Health   
   2:00pm  -    2:15pm Break

   2:15pm   -   3:00pm Value-Based Reimbursement: Realities and Challenges  Ronald Walters, MD, MBA, MHA  Associate VP of Medical Operations and Informatics, The University of Texas MD Anderson Cancer Center
 
   3:00pm   -   3:45pm Panel Discussion: Reflections on the Day facilitated by Scott Ramsey, MD, PhD    
  • Eve Kerr, MD, MPH
  • Ronald Walters, MD, MBA, MHA
  • Jennie Crews, MD, MMM, FACP, President-Elect of Washington Medical State Oncology Society (WSMOS); Medical oncologist, SCCA; Medical Director, SCCA Network and Research Integration
  • Tim Lieb, President of Regence BlueShield
  • Ted Conklin, MD, Vice President of Collaborative Healthcare Solutions, Premera Blue Cross
   3:45pm  -   4:00pm
 
Closing Remarks, Scott Ramsey and Gary Lyman, MD, MPH  HICOR Co-Directors
 
   4:00pm  -   5:00pm Cocktail Reception                                                                                       

GOLD

SILVER

BRONZE