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Clinical Effectiveness & Quality Improvement (Intranet Access Only)

Center for Evidence-based Practice
(Intranet Access Only)

Improving the Quality, Safety and Value of Patient Care through Evidence-based Practice:
A Multidisciplinary Regional Forum

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Program Sponsors / Organizers
Program Agenda
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Purpose
The University of Pennsylvania Health System (UPHS) Center for Evidence-based Practice is hosting a multidisciplinary forum to explore how payors, providers, researchers, policymakers and the biomedical industry can work together to improve the quality, safety and value of patient care in the Philadelphia region through evidence-based practice.

Objectives

  1. To explore how medical evidence is used in different sectors of our healthcare system (e.g., how payors use evidence in coverage decisions; how the biomedical industry uses evidence in decisions to conduct post-marketing studies; how policymakers use evidence in decisions regarding funding, publishing, and performance measure development).
  2. To explore how different healthcare system sectors might work together using evidence as a common basis to improve the quality and value of patient care.
  3. To brainstorm how we might start to develop a common agenda to accomplish this in the Philadelphia region.

Organization
The forum is organized into three sessions, each of which will address a separate conference objective. The first session "Finding Common Ground in Evidence" examines how different health care sectors incorporate evidence into their daily decisions and operations. The second session "Applying What Works and Measuring Success" examines how these different types of organizations might work with health care providers to improve patient care quality, safety and value through evidence-based practice. The final session "Moving Forward in Our Region" explores how the different sectors of our regional healthcare system can collaborate to advance evidence-based practice, using the issue of transitions of care as a focal point. Each session will open with a brief topic overview, followed by an interactive panel discussion addressing targeted questions, and ending with extensive audience participation through Q&A.

Audience
The audience of the forum will be limited to regional healthcare leaders, including executive and medical leaders in payor, purchaser, provider, policymaking and biomedical industry organizations. Panels will consist of national health care leaders who will serve as resources for ideas and discussion among the audience of regional healthcare leaders.

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Panelists

Policymakers
  • Carolyn Clancy, MD, Director, Agency for Healthcare Research and Quality
  • L. Gregory Pawlson, MD, MPH, Executive Vice President, National Committee for Quality Assurance
  • Stephen C. Schoenbaum, MD, MPH, Executive Vice President for Programs, The Commonwealth Fund
  • Donald F. Schwarz, MD, MPH, MBA, Deputy Mayor of Health and Opportunity and Health Commissioner for the City of Philadelphia
  • Harold C. Sox, MD, Editor, Annals of Internal Medicine
Payors
  • Barbara J. Connors, DO, MPH, Chief Medical Officer, Region III, The Centers for Medicare and Medicaid Services
  • Allan M Korn, MD, Chief Medical Officer, Blue Cross Blue Shield Association
  • Don Liss, MD, Medical Director for the Mid-Atlantic Region, Aetna
  • Catherine Scott, MEd, President, AFSCME District Council 47
  • I. Steven Udvarhelyi, MD, Senior Vice President and Chief Medical Officer, Independence Blue Cross
Biomedical Industry
  • Stephen J. Boccuzzi, PhD, MBA, Vice President, Evidence Based Medicine, Sanofi-Aventis
  • Peter Juhn, MD, MPH, President, Therapeutic Resource Centers, Medco Health Solutions
  • Newell McElwee, PharmD, MSPH, Vice President, Evidence-based Strategies, Medical Division, Pfizer Inc.
  • David Sugano, DrPH, Vice President, Health Outcomes and Economics, Schering-Plough
  • Steven Teutsch, MD, MPH, Executive Director, Outcomes Research and Management, Merck

Topic Presenters

  • Patrick J. Brennan, MD, Chief Medical Officer and Senior Vice President of the University of Pennsylvania Health System and Professor of Medicine, Perelman School of Medicine, will open the forum with a presentation on systematizing evidence-based practice at UPHS.
  • J. Sanford Schwartz, MD, Leon Hess Professor of Medicine and Health Management & Economics at the Perelman School of Medicine and The Wharton School will open the first session with a presentation on evidence-based medicine in health care.
  • Brent C. James, MD,MS, Executive Director, Institute for Healthcare Delivery Research, Intermountain Health Care will open the second session with a presentation on collaborative opportunities for applying evidence.
  • Mary D. Naylor, PhD, RN, Director, NewCourtland Center for Transitions and Health, and Marian S. Ware Professor in Gerontology at the University of Pennsylvania School of Nursing will provide a focal point for our discussion around collaboration by opening the third session with an overview of the topic "transitions of care."

Moderators

  • Patrick J. Brennan, MD, Chief Medical Officer and Senior Vice President of the University of Pennsylvania Health System and Professor of Medicine, Perelman School of Medicine
  • Mark V. Pauly, PhD, Bendheim Professor Health Care Systems, Insurance & Economics, The Wharton School
  • Richard P. Shannon, MD, Chair of the Department of Medicine and Frank Wistar Thomas Professor of Medicine, Perelman School of Medicine
  • Brian L. Strom, MD, MPH, Vice Dean for Institutional Affairs, Director, Center for Clinical Epidemiology and Biostatistics, Chair, Department of Biostatistics and Epidemiology, George S. Pepper Professor of Public Health and Preventive Medicine, Professor of Biostatistics and Epidemiology, Medicine, and Pharmacology, Perelman School of Medicine, and Senior Advisor to the Provost for Global Health Initiatives, University of Pennsylvania
  • Sankey V. Williams, MD, Chief of the Division of General Internal Medicine and Sol Katz Professor of Medicine, Perelman School of Medicine

Background / Rationale:
In the Philadelphia region, medical centers are at the hub of health care delivery, the biomedical industry supplies most of the tools used, and purchasers and payors finance the system. Though these stakeholders often differ in their goals and incentives, our regional healthcare system will improve only if these groups work collaboratively towards the common goal of improving the quality, safety and value of patient care through evidence-based practice. Evidence-based medical care provides a common foundation to promote collaboration.

By initiating a broad dialogue with all parties around evidence-based practice, medical centers can begin to build relationships and infrastructures to support and improve the quality, safety and value of patient care. In this vein, the UPHS Office of the CMO in July 2006 limited on-site industry marketing activities while increasing collaboration with industry on developing medical evidence and facilitating evidence based medical care. A newly developed UPHS Center for Evidence-Based Practice summarizes scientific evidence for UPHS decision making about high impact drugs, devices and processes of care, and is charged with building evidence-based collaborative enterprises with industry and payors.

Cost
There is no fee for conference registration.

Date and Location
Friday, June 6, 2008, 8:00 AM - 4:30 PM
Hall of Flags at Houston Hall
University of Pennsylvania
3417 Spruce Street
Philadelphia, PA 19104

Transportation to and from the University of Pennsylvania
The University of Pennsylvania campus is located in an area of West Philadelphia known as University City. Please refer to this page as a guide to using public and private transportation effectively.

From the Philadelphia International Airport:
SEPTA Airport Express Train: The Airport Express Train leaves 4 minutes after every half hour, and will take you to either the University City Station on Convention Ave or to 30th Street Station. The fare is $6 and the ride takes 20-22 minutes.  Fares and schedules are available at www.septa.com
Cars, Taxis and Limousines at the Airport: A metered taxicab costs about $25-30 including tip and the ride takes about 20 minutes. Limousines leave every 20 minutes for the Penn Tower Hotel. The fare is $8; the ride takes about 20 minutes.

Arriving by Amtrak or SEPTA trains:
30th Street Station: all Amtrak Northeast Corridor trains & SEPTA Regional trains stop here.
   * From there one can walk to campus in about 15 minutes.
   * A metered cab costs about $5 including tip and the ride takes about 5 minutes.
   * The No. 30 bus also runs from the station to campus.
Or from 30th St Station, one may take the R1, R2 or R3 railroad lines (service at least every 30 minutes) one stop to the University City Station (behind the Penn Tower Hotel)


Taxi cab companies:

CITY CAB COMPANY INCORPORATED, Phone: (215) 238-5000
CRESCENT CAB COMPANY, Phone: (215) 365-3500
LIBERTY CAB COMPANY, Phone: (215) 389-8000


Driving:

Driving directions are available at: http://www.facilities.upenn.edu/visitUs/

Parking*:

Parking lots are available at:
Lot #5: Palestra, east side of 33 rd St
Lot #7: South St. & Convention Ave.
Lot #8: Between 33 rd, 34 th and Spruce Sts.
Lot #30: NE Corner of 38 th and Walnut Sts.
Lot #37: E 34 th St. between Ludlow & Chestnut Sts
Lot #40: NW Corner of 40 th and Walnut Sts.
Lots 5, 7 and 8 are closest to Houston Hall.
Parking map:
http://www.business-services.upenn.edu/parking/map.html
Metered street parking is extremely limited. Whichever parking option you choose, please allow yourself extra time to unload and secure parking.

*Due to limited parking, we suggest that you take public transportation if possible.


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