National Meeting, November 2011 (Washington D.C.)
Select the links below to access presentation slides and resources.
Thursday, November 10th
	John Lumpkin, Robert Wood Johnson Foundation (RWJF), Anne Weiss, RWJF
	Bob Graham, George Washington University (GW)/Aligning Forces for Quality (AF4Q) National Program Office
	Thomas Goetz, executive editor of Wired and author of The Decision Tree: Taking Control of Your Health in the New Era of Personalized Medicine.
	For more information visit The Decision Tree blog
	Payment/Incentives Track:
	Aligning Payment Reform Agendas and Perspectives Across the Payment Landscape
	Bob Graham, GW (welcome and introduction) bio 
	Michael Bailit, Bailit Health Purchasing bio | presentation
	Bob Parrish, West Michigan Alliance bio 
	Kalahn Taylor-Clark, National Partnership for Women and Families bio 
	Jay Want, Improving Value in Healthcare bio | presentation
Payment reform affects stakeholders - providers, purchasers, consumers - in different ways. In this session, panelists discussed the pros and cons of different types of payment models and examples of existing models. The session focused on how to engage various stakeholders in a constructive dialogue and how to gain collective buy-in for payment reform efforts. In small groups, participants discussed which payment model(s) they have found most attractive and steps they could take in their communities to generate support for payment reform.
	Cost Track:
	Stakeholder Perspectives on Addressing Health Care Costs
	Mike Painter, RWJF (welcome and introduction) bio 
	Andrew Webber, National Business Group on Health (moderator) bio 
	Kathy Hutcheson, South Central Pennsylvania Alliance bio 
	Vince Kerr, United Health Care bio 
	Karthik Shyam, AIR bio | presentation
	Barbara Tobias, Cincinnati Alliance bio 
Panelists shared their different perspectives on why it is important to control costs and increase the value of health care spending. The session featured the strategies employers, health plans, and consumers use to reduce costs and promote the value of health care.
	
	
	Care Across Settings Track:
	Aligning Stakeholders: How to Connect the Dots
	Susan Mende, RWJF (welcome and introduction) bio 
	Jane Brock, Colorado Foundation (overview) bio | presentation
	
	This session focused on a community approach to improving care across settings. Participants heard examples of how principles of commons management have been applied to reduce readmissions in work done by quality improvement organizations (QIOs) around transitions in care. The goal of this session was to identify strategies to promote cooperation among stakeholders for quality improvement across multiple settings of care. Small group discussions focused on building relationships and potential solutions to resolve competing or conflicting agendas/perspectives.
	Payment/Incentives Track:
	Accelerating Your Work: Overcoming the Big Barriers to Payment Reform 
	Jay Want, Improving Value in Healthcare (welcome and overview)
	Facilitators: Chuck Alston, MSL
	Tanya Alteras, NPWF
	Michael Bailit, Bailit Health Purchasing
	Nikki Highsmith, CHCS
	Jennifer Stephens, AIR
	Kalahn Taylor-Clark, NPWF
	Jessica Waddell, AIR
MATERIALS: Case studies
Participants engaged in this interactive session with expert facilitators on case studies that allowed them to explore real world challenges to payment reform. Participants brainstormed potential strategies and solutions to the different scenarios in the case studies. The case studies spanned the continuum of situations found within communities and provided participants with opportunities to discuss a variety of strategies and approaches to planning and implementing payment reform efforts in their communities.
	Cost Track:
	Practical Solutions to Accelerating the Value Equation
	Francois de Brantes, HCI3 (welcome and overview)
	Facilitators: David Ahern, HITRC
	Elizabeth Bailey, HCI3
	Dianne Hasselman, CHCS
	David Schneider, AIR
	Karthik Shyam, AIR
	Kirsten Sloan, NPWF
	Jennifer Sweeney, NPWF
Materials: Case studies
This session offered a real opportunity to “roll up your sleeves” and puzzle through a complex problem that gets to the heart of the matter; that is, after you have identified the opportunities to reduce costs for a particular disease or condition, how do you address these opportunities? Attendees were seated at tables with people from different communities and stakeholder perspectives and participate in a facilitated discussion based on case studies designed to explore real world challenges to reducing costs.
	Care Across Settings Track:
	Moving to Action: Accelerating Your Work
	Jane Brock, Colorado Foundation (welcome and introduction)
	Chad Boult, Johns Hopkins Bloomberg School of Public Health (overview)
	Facilitators: Brian Austin, MacColl
	Kristin Carman, AIR
	Darren DeWalt, IPIP
	Jen Powell, IPIP
	Dale Shaller, Shaller Consulting Group
	Lee Thompson, AIR
Materials: Case studies
During this session, participants learned about a variety of approaches to improving care across settings. The goal of the session was for participants to understand the essential components of an intervention as well as practical issues around implementation. Small groups discussed possible care across settings efforts and how they would work in different communities, including considerations of targeted population, necessary data sources, possible performance measures and potential funding sources. Check out the case studies they used for their discussion.
Friday, November 11th
Success comes, of course, from hard work—the kind you do every day in your communities and the kind you have been doing here in Washington, DC with experts and your peers this week. As we heard from Switch author Chip Heath at the May meeting, success also comes from identifying and assessing “bright spots,” successful moments or movements that can shine light on things that work, offer ideas for overcoming hurdles in our own situations, and provide inspiration. As our keynote speakers yesterday touched upon, bright spots can come in the form of different ways of sending messages or using different tools to change behaviors. No other situation will be exactly like yours, but all can offer inspiration to help you on the path to align, accelerate, and achieve.
The Bright Spots featured in this final breakout session come from within and outside of AF4Q. They are stories that are intended to inspire questions, provide thoughtful dialogue, and spur change.
Should you have been featured here? Let us know … we are already planning for the May meeting and are always pleased to feature your stories on the AF4Q website.
	Payment/Incentives Track: Bright Spots 
	Katherine Browne, GW (welcome and introduction)
	Cristie Upshaw Travis, Memphis Alliance (moderator)
	Paul Brand, Employers’ Coalition on Health
	Jeff Kamil, Anthem Care Management
	Melinda Karp, Greater Boston Alliance
	Dana Safran, BCBS Mass
	Cost Track: Bright Spots
	Cindy Keltner, GW (welcome and introduction)
	Jim Chase, Minnesota Alliance (moderator)
	Chris Amy, South Central Pennsylvania Alliance
	Kelly Court, WCHQ
	Sarah Gardner, Prodigy Health Group
	Matthew Gigot, WCHQ
	Care Across Settings Track: Bright Spots
	Claire Gibbons, RWJF (welcome and introduction)
	David Shute, Oregon Alliance (moderator)
	Chad Boult, Johns Hopkins
	P.J. Brennan, UPenn
	Betsy Stapleton, Humboldt County Alliance
	Chuck Baumgart, Presbyterian Health Plan
	Mike Painter, RWJF (moderator)
	Susan Mende, RWF
	Jay Want (payment)
	Francois de Brantes (cost)
	Jane Brock (care across settings)
	e-Patient Dave deBronkart