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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.


Alice G. Gosfield and Associates, P.C.
2309 Delancey Pl., Philadelphia, PA 19103
(215) 735-2384
Fax (215) 735-4778
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