| Available Speeches and Presentations We
are available to do presentations on a wide variety of topics and
frequently do so to a range of organizations whose stakeholders are
interested in down to earth, practical, expert educational sessions
including but not limited to:
- Professional societies and organizations
- Health systems and hospitals
- Medical group practices
- Health plans and MCOs
- Employer and business coalitions
Presentations can take a wide variety of formats from a half an
hour keynote address, to a full day program of seven hours on fraud
and abuse, or managed care, or moving meaningfully and practically
to improve quality. All can be customized for specific purposes and
contexts.
The following are timely, popular topics:
Quality in Today’s World
- Physician Compensation for Quality: State of the Art and Implications
- The Patient Safety and Quality Improvement Act: Applications
and Implications.
- Performance Measurement for Quality and Efficiency: What,
Why and How To Succeed With It
- Clinical Integration for Quality: How Much Is Enough?
- Quality and Clinical Culture: The Critical Role of Physicians
in Accountable Health Care Organizations
- A Unified Field Theory Applied: The Role of Clinical
Practice Guidelines in the Business Case for Quality
- The Health Care Compliance Association (www.hcca-info.org)
is selling a CD-ROM of a 2003 version of this speech
entitled “Alice
Gosfield Unplugged.”
- Report Cards, Performance Measurement and Transparency: Challenges
and Implications
- Clinical Practice Guidelines: Applications and Implications
Fraud and Abuse
- Gainsharing, Compliance Training and More: How Hospitals Can
Help Physicians and Stay Safe.
- The Stark Truth About Stark (all issues including compensation
formulas, the hospital investment moratorium, and creative
problem-solving)
- Antikickback Statute including the safe harbors, how it differs
from Stark, structuring useful business relationships
- Avoiding False Claims Liability
- Quality as a Fraud and Abuse Issue: The OIG’s Work Plans
and More
- The Real Deal on Compliance: Lowering the Hysteria and Debunking
the Myths
- Fraud and Abuse Implications in Physician Employment
Contracts
- Walking the Walk and Not Just Talking the Talk of Compliance
Reimbursement and Payment
- Physician Compensation for Quality: State of the Art and Implications
- PROMETHEUS Payment: A New Model of Provider Payment, Beyond
P4P
- Clinical Integration and Better Payment: The Antitrust Opportunity
- Part B Reimbursement for Physicians (all issues)
- Understanding and Negotiating Managed Care Contracts
- Non-Physician Practitioners and Physicians: ‘Incident to’ and
More
- Diagnostic Services and Supervision: Metaphysics and Practicalities
- ‘Pay for Performance’: Its Meaning, Boundaries
and Contractual Realities
Other Issues
- The 100,000 Lives Campaign and The Standard of Care: Avoiding
Trouble By Doing the Right Thing
- Understanding Contracts: The Glue of Business Relationships
- Being a Fiduciary in the Post-Enron and Allegheny Era: What
Does It Really Mean to Board Members
- Understanding The Privacy Regulations: Breathe Deeply and Stay
Calm
Alice G. Gosfield is available with James L. Reinertsen MD FACP to provide
presentations and working sessions ranging from two hours to two
and a half days, for varied audiences
including health systems and their boards, health plans, employer coalitions,
physician and other provider groups, collaborating representatives
of multiple stakeholders within a
market and others on a range of issues associated with making
quality happen. From addressing clinical process changes, to engaging
physicians meaningfully, to organizing for better payment opportunities,
the synergies in their approaches are more timely and powerful than
ever.
Their work reflects their collaboration on the white
paper “Doing
Well by Doing Good: Improving the Business Case for Quality” which
itself picks up on themes from the Institute of Medicine study “Crossing
the Quality Chasm”. They have
developed a ‘unified field theory-applied’ (UFT-A) to
health care in broad and deep ways. Their presentations can be both
didactic
and interactive, helping audiences to translate understanding into
changed behavior and results. As can be seen here and at Dr. Reinertsen’s website,
Alice Gosfield and Dr. Reinertsen are frequently invited speakers independent
of each other. Still, as the forces to be brought to bear to advance
quality multiply, many of the presentations they do separately are
also complementary when presented together. For example, Dr. Reinertsen's
presentations on patient safety often raise questions about the kind
of gainsharing programs the fraud and abuse laws now allow, a topic
Ms. Gosfield discusses. Ms. Gosfield's presentations on clinical integration
under the antitrust laws necessarily involve the types of clinical
initiatives Dr. Reinertsen elucidates. We encourage your review of
the topics on which they present separately in order to customize an
effective program for your group. In addition to these increasingly
popular synergies, they also offer formally structured joint presentations.
Dr. Reinertsen and Ms. Gosfield jointly address implementation
of the five principles of UFT-A for
- physician groups,
- integrated systems,
- hospitals,
- PHOs, and
- health plans.
Among other issues, they present the advantages of UFT-A
in comparison with pay for performance programs, including an elucidation
of existing and developing models, pitfalls and implications.
Alice Gosfield is available to do presentations on the new PROMETHEUS
Payment Model, (Provider Payment Reform for Outcomes, Margins, Evidence,
Transparency, Hassle-reduction, Excellence, Understandability and Sustainability)—what
it is and how it will work. She and Dr. Reinertsen are available to
speak together on the internal provider processes and cross-provider
collaborations which can make this payment model work for hospitals,
physicians and physician groups, integrated delivery systems and others
as part of their implementation of quality relevant initiatives
As the pressures on hospitals and physicians increase
for demonstrated high quality performance, which increasingly is reported
publicly and the failure of which can create legal liability as well,
hospitals and physicians have no choice but to find creative,
practical ways to work together to improve quality using UFT-A principles
and
more. We have always believed that hospitals and physicians
will have to find ways to collaborate more deeply to truly advance
quality . How to work together to improve quality and advance both
hospitals’ and physicians’ positions economically without
fear of legal reprisal, is a particular focus of our new presentations,
reflecting the work in “In Common
Cause for Quality”.
These offerings address
- How to consider a business case for quality
- The quality demands on hospitals which cannot be met without the
full engagement of physicians
- Debunking the myths of the law as a barrier to hospitals helping
physicians economically
- Six ways physicians can help hospitals advance their work
while benefiting the physicians directly
- Six ways that hospitals can directly benefit physicians
while advancing the hospitals’ business case.
Particularly for hospitals, finding ways to successfully engage physicians
in a shared quality agenda is a critical ongoing challenge. Jim has
been lead and Alice one of four faculty for the Institute for Healthcare
Improvement (IHI) in presenting a two full-day program on these issues.
Alice and Jim are available to do a shorter version of the program
which presents a contextual framework and a way to develop a practical,
focused, customized plan for physician engagement. The framework includes
six specific issues which must be addressed, techniques for success,
and tools for the implementation of an engagement plan.
In addition, based on their Health Affairs
article they
are available to address how the 100,000 Lives Campaign
has changed
the standard
of care for hospitals and its meaning to boards, administration,
medical staff members and hospitalists and intensivists
in particular. Issues
include:
- How is it the standard of care?
- What forms will liability take?
- What does it mean to the respective stakeholders in the hospital
in terms of their own liability as well as their accountability
for quality?
- How can this change be marshaled to improve care?
After their success as the highest rated presentation in June, 2003
to the national Organized Medical Staff Section of the AMA dealing
with new ways to think about medical
staff activities and board relationships
as well as Dr. Reinertsen’s work on the role of
trustees as fiduciaries responsible for the quality of care provided
by the organization, as set forth in his article, “Understanding
and Improving Clinical Quality: The Role of Trustees”,
they are linking this work more explicitly to principles of UFT-A in
order
to further
strengthen the connection between physicians, their business significant
others and improved quality. These presentations are appropriate for
- medical staff and board retreats,
- strategic planning meetings,
- medical society meetings
- hospital association meetings, and
- joint meetings of medical societies and hospital associations.
Meeting the quality challenge turns, in
part, on the need to change the current disjointed systems for payment,
clinical processes, information reporting,
performance measurement, liability, and organizational design to a system
based on a unitary platform of evidence-based medicine and clinical
practice guidelines. Individually both Dr. Reinertsen and Ms. Gosfield
are internationally sought after, dynamic presenters. Their unique
offerings here bring to bear a deep appreciation
of
the challenges of evidence-based medicine, complex adaptive systems
theory, and regulatory and legal barriers and constraints into practical
approaches to making genuine
change by recognizing the fundamental role of the doctor-patient relationship
and how it drives other aspects of the system.
Their presentations can be custom designed to meet the needs and
interests of the specific audience. |