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8:00 amWelcome, Introductions and Overview
J. Michael McGinnis, Institute of Medicine
David M. Walker, Peter G. Peterson Foundation
8:30 amKeynote Address
Glenn Steele, Jr., Geisinger Health System
What strategies have been demonstrated to lower cost expenditures and improve health outcomes? What are the key success elements and the near- and long-term changes necessary?
9:00 amReviewing the Targets
Chair: J. Michael McGinnis, Institute of Medicine
This session will review the analytics from the May workshop, which assessed the amount of potentially controllable waste and efficiency in five broad categories:
 Unnecessary services,
 Inefficiently delivered services,
 Excess administrative costs,
 Prices that are too high, and
 Missed prevention opportunities.
Panelists:
Len Nichols, The New America Foundation
Robert D. Reischauer, Urban Institute
OPEN DISCUSSION
10:30 amSession 1: Knowledge Enhancement-Based Strategies
Chair: Nancy H. Nielsen, American Medical Association
Discussion of knowledge-focused strategies for reducing waste and inefficiency, an assessment of their effectiveness and potential impact on health system efficiency, and a review of the specific opportunities for their implementation.

Peter K. Smith, Duke University
Enhancing clinical data as a knowledge utility

Lucy A. Savitz, Intermountain Healthcare
Evidence-based clinical protocols

Rainu Kaushal, Weill-Cornell Medical College
Electronic health records with decision support

Carolyn M. Clancy, Agency for Healthcare Research and Quality
Comparative effectiveness research
OPEN DISCUSSION
12:30 pmLunch
1:00 pmSession 2: Care Culture and System Redesign-Based Strategies
Chair: Reed V. Tuckson, UnitedHealth Group
Discussion of culture and system redesign-focused strategies for reducing waste and inefficiency, an assessment of their effectiveness and potential impact on health system efficiency, and a review of the specific opportunities for their implementation.

Michelle J. Lyn, Duke University
Caregiver profile, efficiency and team care

Kim R. Pittenger, Virginia Mason Medical Center
Care site efficiency and productivity initiatives and incentives

Timothy G. Ferris, Massachusetts General Hospital
Care site integration initiatives
BREAK
Roger Feldman, University of Minnesota
Antitrust interventions

Ashish Jha, Harvard University
Promoting information technology interoperability/connectivity

Frank A. Sloan, Duke University
Service capacity restrictions

Randall R. Bovbjerg, Urban Institute
Medical liability reform
OPEN DISCUSSION
3:30 pmSession 3: Transparency of Cost and Performance
Chair: Robert S. Galvin, Global Healthcare/General Electric
Discussion of transparency-based strategies for reducing waste and inefficiency, an assessment of their effectiveness and potential impact on health system efficiency, and a review of the specific opportunities for their implementation.

John Santa, Consumer’s Union
Transparency in prices

G. Scott Gazelle, Institute for Technology Assessment
Transparency in comparative value of treatment options

Paul B. Ginsburg, Center for Studying Health System Change
Transparency in comparative value of providers

Peter K. Lindenauer, Tufts University
Transparency in comparative value of hospitals and integrated systems

Margaret E. O’Kane, National Committee for Quality Assurance
Transparency in comparative value of health plans
OPEN DISCUSSION
5:30 pmWrap-up Comments for the Day
Arnold Milstein, Pacific Business Group on Health
J. Michael McGinnis, Institute of Medicine
5:45 pmReception

From: Appendix B, Workshop Agendas

Cover of The Healthcare Imperative
The Healthcare Imperative: Lowering Costs and Improving Outcomes: Workshop Series Summary.
Institute of Medicine (US) Roundtable on Evidence-Based Medicine; Yong PL, Saunders RS, Olsen LA, editors.
Washington (DC): National Academies Press (US); 2010.
Copyright © 2010, National Academy of Sciences.

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