701 Pennsylvania Ave. N.W.
Suite 700
Washington, DC 20004
(202) 737-5980
dmaa@dmaa.org
www.dmaa.org

Sunday, Sept. 7, 1:30 - 2 p.m.
PACESETTERS SERIES

Hear results from the first randomized population trial comparing the reach of three relatively low-cost additive recruitment strategies and the impact of three of the most popular interventions in worksite health management: health risk assessment and intervention (HRI) only; online HRI plus Transtheoretical Model tailored communications; and online HRI plus motivational interviewing-based health coaching. Of the nearly 12,000 employees from Oregon Health Science University available at the start of the study, 5,994 received one of the three recruitment interventions. Gain a better understanding of impact versus efficacy of worksite interventions plus be able to identify the attributes of two successful health promotion interventions that significantly lower risk factors and increase productivity at the worksite.

Susan W. Butterworth, PhD, is the director and founder of OHSU Health Management Services. Her doctorate from Virginia Commonwealth University is in adult education and training, with a health promotion cognate. She holds the position of associate professor at Oregon Health and Science University and is the president of Q-Consult.

Disease management programs often overlook the importance of strategies needed for successful engagement and retention of members. This presentation will describe a new model in which member demographics and behavior profiling data are analyzed to segment and target different approaches for successful engagement and retention. Understand how communications technologies, coupled with behavioralist trained staff, can augment a program's reach and effectiveness. Promising results from a recent statewide program monitoring heart failure in a Medicaid population, which utilized this approach, reveal a 60 percent to 65 percent engagement and retention rate, as well as significant reductions in hospitalizations and increases in operating efficiencies. Learn about the key results and program hurdles faced in dealing with this Medicaid population in a largely rural setting.

Thomas Kline, DO, serves as medical services director for Iowa Medicaid Enterprises, where he is responsible for the state's disease and care management programs. Dr. Kline has more than 15 years experience with commercial managed care positions. He participates in policy development and benefit determination, and is a consultant for the entire Enterprise.

Randall E. Williams, MD, is CEO of Pharos Innovations, a patient behavioral change technology company. He received his doctorate and training as a cardiologist specializing in heart failure care from Johns Hopkins. He also is an assistant professor at Northwestern University's School of Medicine.

Even in programs with high opt-in rates for contacted participants, it remains important to understand how to increase participation, as well as profile members who say "yes." This session features developed models of population health engagement processes to understand which attributes lead to successful operational outcomes. Hear about the three binomial logistic regression models used to comprehend the drivers of member engagement. Understand the barriers to enrolling participants and the incorporation of an analytical approach to maximize the engagement opportunity of enrolled participants. The most successful engagement was for those with significant barriers to care. These results of the engagement models are generalizable to significant populations.

Rebecca Bremer Booth, MA, PAHM, is a senior metrics advisor at HMC (Health Management Corporation). She earned her master's in economics from Virginia Commonwealth University and bachelor's in economics and theater from the University of Richmond. Before her current role, Ms. Booth was a lead operations analyst at HMC.

Peter C. Dandalides, MD, is regional vice president and national medical director for Anthem National Accounts, where he overseas clinical consulting teams and ensures benefit designs and operations meet customers' goals. He received his doctorate from The Ohio State University and completed postgraduate work at the University of Pittsburgh and the University of North Carolina.

Healthy People 2010, a U.S. Department of Health and Human Services initiative, identified the elimination of health disparities as one of its two overarching goals. Using a champion/challenger approach, this study examined outreach and engagement rates over a two-year period to create a multicultural outreach program. The first year, 2006, represents the traditional outreach approach (champion), while 2007 represents the change to a community-based outreach focus (challenger). Overall year-over-year reach and engagement rates were compared, as well as rates by key ethnic communities, particularly those for African Americans and Hispanics. Learn how to establish a multicultural program using a community segment framework; integrate third party information, claims or health risk assessment-generated data to identify targeted populations; and develop performance metrics that measures member reach and engage rates and will help enhance future outreach efforts.

KheSahn Barker is the senior manager of cultural competence for Blue Cross Blue Shield of Florida. Her responsibilities include, but are not limited to, providing culturally relevant materials, products and services to its customers. She has 20-plus years experience in health care.

David Costello, PhD, is senior vice president of consumer segmentation and engagement strategies for Health Dialog. He has 20 years of experience in developing innovative, data-driven marketing communication programs. Previously, he worked for Hill, Holliday, a national marketing and advertising company; and Epsilon, a database marketing company. He received his doctorate in sociology from the University of Delaware.

Monday, Sept. 8, 1:30 - 2:30 p.m.
SPECIAL INTEREST SESSION

Integrating new programs and processes into provider workflows is often challenging. Learn about an innovative approach to integrating an outside disease management program with providers that uses provider referrals for health coaching and health coach referrals to providers. The provider referrals offer insights into the patient's condition or social concerns at the beginning of the disease management relationship, while referrals from health coaches can alert providers to specific changes in the patient's condition, barriers that the patient has faced in reaching the provider or urgent situations. Outcomes include a comparison of reach and impact rates between individuals identified through claims versus provider referral, and patient satisfaction (and medical cost savings) results. In addition, the presentation will address the challenges and successes of implementing disease management strategies in the Medicaid population.

Rebecca J. Cunningham, MD, is medical director of the BIMA Health Partnership Program for Brigham and Women's Hospital. She also is the deputy director of the primary care clerkship for Harvard Medical School, where she works to improve curriculum and the evaluation process for the clerkship. She received her doctorate from Harvard University, as well.

Allison McDonough, MD, is medical director of Partners Chronic Care Management for Partners Community Health Care. She works on a variety of disease management strategies aimed at chronically ill, high-cost patients, and is a site coordinator for a Centers for Medicare and Medicaid Services demonstration pilot program.

Responding to the need for a statistically validated, industry-accepted approach to measuring participant satisfaction in disease management, DMAA created the DMAA Participant Satisfaction Survey and Usage Guidelines. Developed with support from J.D. Power and Associates, it comprises modules that evaluate various aspects of disease management programs. A de-identified database was built from survey results and allows analysis of aggregate data for quality improvement efforts. From the unique perspectives of corporate and public users, hear about the survey background and overview, guidance on target population and sampling, methodology and response rate information.

Samuel Cramer, MD, MBA, serves as vice president of clinical programs comprehensive health solutions with WellPoint Inc., as well as chief medical officer for HMC, a wholly owned subsidiary of WellPoint Inc. He is responsible for clinical oversight of all care management programs and quality improvement programming, including NCQA and URAC accreditation. Previously, Dr. Cramer served as medical director for a large hospital system and primary care physician organization.

Rachel La Croix, PhD, PMP, serves as program administrator of Medicaid disease management programs for Florida's Agency for Health Care Administration. She is responsible for disease management programs, serves on the Agency's Quality and Performance Standards Team and oversees the Provider Network Validation project for Medicaid managed care plans. Previously, Dr. La Croix served as a research associate for the Florida Department of Juvenile Justice.

Amy Neftzger, MA is director of surveys and assessments for Healthways Inc. An internationally published author, she has published research in APA journals, such as Group Dynamics, and written for professional organizations, such as the Society for Human Resource Management. She holds a master's in industrial and organizational psychology from Middle Tennessee State University, with an emphasis in research design and statistics.

Claudia L. Schur, PhD, is vice president and deputy director of the Center for Health Research and Policy at Social & Scientific Systems. Dr. Schur has more than 20 years of experience in designing surveys and analyzing health care data sets to improve the information available to policymakers.