Module I – Refresher

David A. Shore, PhD, Associate Dean and Director, Forces of Change Program, Founding Director, Project Management in Health Care Certificate Program, Harvard School of Public Health

Project Activation Management System (PAMS)
Strategic Execution of Project Management in Health Insurance Plans
Now more than ever, new projects and new initiatives need to be completed on time, on budget, and to "spec." In the early stages, projects fail due to poor project selection and definition as well as lack of alignment among key stakeholders. Nothing is more frustrating than working hard and expending valuable resources only to have your project canceled, fail, or to hear, this isn't what we wanted. This familiar fate can be avoided through effective project management.

This session introduces the first stage of Dr. Shore's Project Activation Management System. Participants will learn the first phase in a step-by-step process for moving new ideas forward from project identification and development through to project vetting and approval. This process results in a dramatically higher likelihood of successfully achieving the project management metrics that matter most. This session will emphasize tools, tips, and techniques. Participants will actively engage in the material through discussion around a case study on project management.

David A. Shore, PhD, Associate Dean and Director, Forces of Change Program, Founding Director, Project Management in Health Care Certificate Program, Harvard School of Public Health

Continental Breakfast

Forces of Change in Health Insurance
Leadership Program

Developing a Quality Initiative (Case Study)
The objective of this session is to discuss organizational transformation in the context of a major initiative to focus on quality and patient safety improvement within a health care organization. In this session, we will discuss how health care insurance organizations can play an active role in partnering with health care providers to deliver improved quality of care to their members.

Case to be discussed:
- Sahney, Vinod K., "Mountain Medical Center", October 2002

Supplemental Readings:
- Zhan, Chinliu and Marlene R. Miller, "Excess Length of Stay. Charges and Mortality Attributable to Medical Injuries during Hospitalization." Journal of American Medical Association, October 8, 2003, pp. 1868 – 1874.

Vinod K. Sahney, PhD, Adjunct Professor of Health Policy and Management.
Harvard School of Public Health; and former Senior Vice President and Chief Strategy Officer Blue Cross Blue Shield of Massachusetts

Executing a Quality Strategy
The objective of this session is to discuss how an organization can execute a strategic plan to improve quality within a health care organization. In this session, we will discuss why transformation initiatives fail and what the role of leadership should be in ensuring that their organization can execute a successful quality improvement program.

Case to be discussed:
- Bohmer, Richard M.J. and Erika M. Furniss. "Virginia Mason Medical Center". Harvard Business School. September 7, 2006. Working Case. 9-606-044.

Supplemental Readings:
- Chakravorty, Satya. "Where Process-Improvement Projects Go Wrong." Wall Street Journal, Monday, January 25, 2010, pp. R6
- Spear, Steven and H. Kent Bowen. "Decoding the DNA of the Toyota Production System." Harvard Business Review, September – October 1999, pp. 97 – 106.

Vinod K. Sahney, PhD, Adjunct Professor of Health Policy and Management.
Harvard School of Public Health; and former Senior Vice President and Chief Strategy Officer Blue Cross Blue Shield of Massachusetts

Improving Organizational Performance
The objective of this session is to discuss the importance of creating a culture of operational excellence in a health care organization. What role can insurance companies play in reducing the cost of health care?

Supplemental Readings:
- Coye, Molly Joel. "No Toyotas in Health Care: Why Medical Care Has Not Evolved to Meet the Patient' Needs" Health Affairs. Vol. 20, No. 6, pp. 44-58.
- Mechanic, Robert E. and Stuart H. Altman. "Payment Reform Options: Episode Payment Is a Good Place to Start." Health Affairs, January 27, 2009.

Vinod K. Sahney, PhD, Adjunct Professor of Health Policy and Management.
Harvard School of Public Health; and former Senior Vice President and Chief Strategy Officer Blue Cross Blue Shield of Massachusetts

How Health Plans Will Drive Value-based Industry Transformation with Integrated Healthcare Management (IHM)
With the passage of healthcare reform, is it possible for health plans to simultaneously be short-term responsive to required changes resulting from legislation and to be long-term proactive in transforming the industry? This session will illustrate how payers can apply their substantial and unique information assets in a strategic and systematic way to accomplish both.

Jeffrey H. Margolis, Chairman & CEO, The TriZetto® Group, Inc.

Roadmap for Health Care Reform Implementation
What’s next for health insurance plans? What are the operational changes and opportunities that you need to be considering? What are the regulatory changes that will affect the health insurance benefits you provide? What questions do you need to be considering in your strategic planning? You’ll be able to better navigate through the changing environment by participating AHIP’s "Roadmap for Health Care Reform Implementation" workshop at Institute 2010.

Vishal Agrawal, MD, Principal, McKinsey & Company

Translating Evidence into Practice: A Practical Approach to Value-Based Insurance Design (VBID)
Value-based insurance design (VBID) continues to be heralded as one of the leading efforts to reduce costs and improve the nation’s health care system. Researchers, health insurance plans, and employers at the forefront of this effort will share their insights into designing and managing successful programs. You’ll learn about the challenges of driving behavior change and measuring outcomes that matter to the consumer and employer.

Exhibit Hall Preview

Institute Opening Night Reception

Continental Breakfast

Institute Welcome and General Address

A Way Forward: Next Steps for America’s Health Care System

David Cutler, PhD, Otto Eckstein Professor of Applied Economics at Harvard University

William H. Frist, MD, 18th Majority Leader, US Senate (2003-2007), U.S. Senator from Tennessee (1995-2007), and Heart-Lung Transplant Surgeon

Donna Shalala, President, University of Miami and Former Secretary, U.S. Department of Health and Human Services

Break

What Does Health Care Reform Mean for Health Care?
Health care reform as currently envisioned will be the most fundamental change in the structure and delivery of medicine in the past century. This session will highlight the ways that health reform will affect the various stakeholders in reform: insurers, hospitals, physicians' office, and device and pharmaceutical companies, and how that will translate into overall costs and quality of medical care.

Participants in this session will develop a better understanding the significant aspects of health reform legislation and be provided the opportunity to examine the implications for system costs and quality, and the operation of different actors.

David Cutler, PhD, Otto Eckstein Professor of Applied Economics at Harvard University

Embracing our Common Humanity

President Bill Clinton, Founder of the William J. Clinton Foundation, 42nd President of the United States of America

The Case For and Against the PMO (Case Study)
This case highlights some of the factors that bear heavily on the effectiveness of a project management office (PMO). In this session, participants will examine the project management office process and develop an understanding of the design and structure of a PMO in a health care organization.

Case to be discussed:
- McFarlan, F.W., M. Keil, and J. Huff, "The AtekPC Project Management Office," Harvard Business School, Case 9-308-049, (Oct. 11, 2007).

David A. Shore, PhD, Associate Dean and Director, Forces of Change Program, Founding Director, Project Management in Health Care Certificate Program, Harvard School of Public Health

A Re-engineered Health Care System: The Need for Innovative Management

Gary Hamel, Visiting Professor of Strategic and International Management at the London Business School, Co-founder of Strategos, Director of the Management Lab, and Author of The Future of Management (2007) and Leading the Revolution (2002)

Participant Reactor Panel

Registration and Information Desk Open

Institute Networking Breakfasts

Institute General Session

Putting it in Perspective: A Conversation with David Gergen

David Gergen, Professor of Public Service at John F. Kennedy School of Government and Director of the Center for Public Leadership at Harvard University, Editor-at-Large for U.S. News & World Report, and a Senior Political Analyst for CNN

Coffee Break in the Institute Exhibit Hall

Institute General Session

The U.S. Economy at a Crossroads: Restoring Fiscal Responsibility

Robert B. Reich, Professor of Public Policy at the University of California at Berkeley; Former U.S. Secretary of Labor; and Author of Supercapitalism (2007) and Aftershock: The Next Economy and America’s Future (September 2010)

Alice M. Rivlin, PhD, Senior Fellow, Economic Studies, and Director, Greater Washington Research at Brookings Institution, and Author of Restoring Fiscal Sanity: Meeting the Long-Run Challenge (2005)

David M. Walker, President and CEO of the Peter G. Peterson Foundation, Former Comptroller General of the United States Government Accountability Office (GAO), and Author of Comeback America: Turning the Country Around and Restoring Fiscal Responsibility (2010)

Advancing the National Conversation around Prevention and Wellness