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Members Meeting

Members Meeting. National Academy of Sciences Building. September 30, 2019. Looking ahead: next 12 months. Science & Technology Portfolio Big data: NAM WG on health data and the medical commons Interoperability procurement: HCO executive conversation Value & Culture Portfolio

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Members Meeting

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  1. Members Meeting National Academy of Sciences Building September 30, 2019

  2. Looking ahead: next 12 months • Science & Technology Portfolio • Big data: NAM WG on health data and the medical commons • Interoperability procurement: HCO executive conversation • Value & Culture Portfolio • Payment for population health: NAM DP  Special Pub • Risk adjustment for social needs: Exploratory meeting • Cross-cutting • Stakeholder reference principles: in draft • Dashboard indicators: to be developed by Collaboratives • Communication strategy • Pulse of the Nation: NAM Special Publication

  3. Highlights from past 12 months • NAM Special Publications • Effective Care for High-Need Patients • Procuring Interoperability • The Future of Health Services Research • Caring for the Individual Patient • Artificial Intelligence and Health Care • Other ongoing projects • Building stakeholder demand for learning from health data (with PCORI) • NAM-GAO joint case studies on application of AI/ML in health and health care • Measuring community engagement (with RWJF) • WG on technology to advance individual and community health engagement • WG on principles and practices for community needs assessments

  4. Starting Points: Crossing the Quality Chasm 2000 • Health care that is: • Effective • Patient-centered • Timely • Efficient • Safe • Equitable

  5. Our approach • Value & Science-Driven Health System • Starting with evidence-based medicine • Adapting to the need and opportunity for continuous learning • Integrative • Futility of working in siloes • Need for attention to inter-relationships • Providing context and framework • Touchstone reference points for decision-makers • Collaboration around common purposes • Gap-filling • Choosing carefully, within sizable domains • Attention to advantage • Both proactive and responsive • Shepherding the commons • Addressing problems

  6. A brief retrospective: our criteria • Importance of the problem targeted • Gapin strategic initiative • Clarity of NAM advantage • Practical utility of the planned deliverable • Advantage of collaborative effort • Communicationpotential

  7. Learning Health System Series Two dozen assessments Complexity Best Care Data Utility Costs Learning Health System

  8. Related policy developments HITECH (2009) Affordable Care Act (2010) MACRA (2015) CMS Innovation Center (2015) Diagnostic Errors Report (2015) Alternative Payment Model Program (2016) 21st Century Cures (2016) Chronic Care Act (2018)

  9. Knowledge and levers which are… poised for transformation on interoperability poised for transformation on real-world data poised for transformation in health financing poised for innovation in linking medical/social services

  10. Stakeholder opportunities Consortium operative model 2019 • Collaborative networks • First principles • Collaborative projects • Dashboard indicators • Communication strategy

  11. First principles of stewardship Activities grounded in: • Validity • Utility • Convenience • Accessibility • Transparency • Security • Equity A Value & Science-Driven Learning Health System

  12. Stewardship

  13. Looking ahead: next 12 months • Science & Technology Portfolio • Big data: NAM WG on health data and the medical commons • Interoperability procurement: HCO executive conversation • Value & Culture Portfolio • Payment for population health: NAM DP  Special Pub • Risk adjustment for social needs: Exploratory meeting • Cross-cutting • Stakeholder reference principles: in draft • Dashboard indicators: to be developed by Collaboratives • Communication strategy • Pulse of the Nation: NAM Special Publication

  14. Today’s Agenda • Objectives • Assess activities and priorities • Explore approaches to strategic traction • Set stage for follow-on working groups • Flow • Clinical effectiveness research: progress and projects • Value and health financing: progress and projects • Initial consideration of principles throughout • Follow-up • Engage Collaboratives in dashboard indicators • Launch data project • Launch health financing project • Market test first principles • Develop communication strategy

  15. A preview of post-meeting “asks” • What suggestions might you have for any of the collaborative projects currently under way? • What additional collaborative NAM contribution(s) do you feel might add particular value? • How do the draft principles map onto your stakeholder group(s)? • What small set of indicators might best reflect progress in your primary domain(s) of activity? • How might the communication be approached?

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