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Diverse Strategies, Innovative Solutions 2009 ANNUAL REPORT DIVERSE STRATEGIES, INNOVATIVE SOLUTIONS DMAA: The Care Continuum Alliance 701 Pennsylvania Ave. N.W. • Suite 700 • Washington, D.C. 20004-2694 (202) 737-5980 • (202) 478-5113 fax • [email protected] • www.dmaa.org OFFICERS CHAIR Gordon K. Norman, MD, MBA Chief Innovation Officer, Health Improvement Alere CHAIR-ELECT Christopher Coloian Senior Vice President, Global Business Health Dialog TREASURER ABOUT DMAA: Rose Maljanian, RN, MBA President and CEO THE CARE CONTINUUM ALLIANCE Strategic Health Equations, LLC SECRETARY DMAA: The Care Continuum Alliance convenes all stakeholders provid- Jerome V. Vaccaro, MD ing services along the care continuum toward the goal of population President and Chief Operating Officer APS Healthcare health improvement. These care continuum services include strategies, such as health and wellness promotion, disease management, and care CHAIR: GOVERNMENT AFFAIRS Jan E. Berger, MD coordination. DMAA: The Care Continuum Alliance promotes the role President and CEO of population health improvement in raising the quality of care, im- Health Intelligence Partners proving health outcomes and reducing preventable health care costs CHAIR: QUALITY & RESEARCH for individuals with chronic conditions and those at risk of developing Tehseen Salimi, MD, MHA VP, Customer Medical Synergies chronic conditions. DMAA activities in support of these efforts include Global Medical & Regulatory Affairs advocacy, original research and the promotion of best practices in care sanofi-aventis management. AT-LARGE Susan B. Riley DMAA: The Care Continuum Alliance represents more than 200 cor- Tracey Moorhead porate and individual stakeholders—including wellness, disease and President & CEO, Ex Officio care management organizations, pharmaceutical manufacturers and benefits managers, health information technology innovators, biotech- nology innovators, employers, physicians, nurses and other health care DIRECTORS professionals, and researchers and academicians. Visit DMAA online at www.dmaa.org. Chris Behling President Hooper Holmes Inc. Katie Brookler Strategic Projects Colorado Department of Health Care Policy and Financing Gail Borgatti Croall, MD Chief Medical Officer OptumHealth Inc. D.W. Edington, PhD Director, Health Management Research Center University of Michigan Jeffery Gruen, MD Director PRTM Management Consultants A MESSAGE FROM DMAA LEadERSHIP Rajendra Pratap Gupta An increasingly diverse mix of organizations and individuals within DMAA and President the broader industry in 2009 heightened the role of population health management Disease Management Association of India in health care and in efforts to reform the nation’s health care system. The indus- Joseph Kvedar, MD try’s expertise in many of the common elements of leading reform models – data Founder and Director Center for Connected Health, use and analytics, health information technology, care coordination and coaching, Partners Healthcare outcomes measures – positioned population health as an essential component of a reformed system, regardless of the care models that prevail. Gregg Lehman, PhD President and CEO HealthFitness Inc. The past year also saw a strong consensus on the importance of prevention and Jeffrey Levin-Scherz, MD, MBA, FACP wellness, both in the context of reform and, more broadly, in employers’ continued Principal strong support of workplace health promotion programs. DMAA demonstrated Towers Watson leadership here, through its partnerships with prevention and wellness advocates, Patricia P. Mueller, MD research focus on quality and outcomes and role as a strong industry representative SVP and Chief Medical Officer in Washington and elsewhere. DMAA bolstered its advocacy presence in 2009 and Coventry Health Care launched a grassroots campaign to add a consumer voice to the value proposition Jeremy J. Nobel, MD, MPH for population health management. Faculty Member Harvard School of Public Health Our research efforts in 2009 maintained a focus on outcomes evaluation and qual- Emad Rizk, MD ity improvement. DMAA produced a fourth volume of its Outcomes Guidelines President McKesson Health Solutions Report and made the document freely available online – an association first that demonstrates our commitment to consensus measures of value. DMAA launched Seth Serxner, PhD, MPH multiple quality initiatives, including a Web site portal, an online case studies reg- Principal and Senior Consultant Total Health Management specialty group istry and an annual Quality Impact awards program, which made its debut at The Mercer Forum 09, our 11th annual meeting. The Sept. 21 to 22 Forum, the March 29 to Vicki Shepard MSW, ACSW, MPA 31 Integrated Care Summit and several Web-based seminars in 2009 fulfilled the Senior Vice President, Strategic and DMAA mission to “convene, education and communicate” to advance the practice Government Relations of population health improvement. Healthways Dexter W. Shurney, MD, MBA, MPH In the end, though, the proof of the pudding is in the eating. In that spirit, DMAA Medical Director Employee Healthcare Plan, Vanderbilt includes in this report an enhanced research section: case studies culled from pre- University and Medical Center sentations at DMAA events and a review of noteworthy literature of the past year. Assistant Professor, Vanderbilt School This resource demonstrates, through real-world accounts, how population health of Medicine management improves lives and lowers costs. John Sory Senior Vice President, Health Care Solutions DMAA recognizes the commitment of its members to quality and value, and to ERT advancing evidence-based care for the well, at-risk and chronically ill. Learn more about their work and the benefits of DMAA membership at www.dmaa.org. Sue Willette Senior Vice President and Chief Growth Officer Staywell Health Management Randall E. Williams, MD, FACC CEO Pharos Innovations LLC Tracey Moorhead Gordon K. Norman, MD, MBA David B. Nash, MD, MBA President and CEO Chair, Board of Directors Dean Jefferson School of Population Health Honorary, Non-Voting 1 ADVOcacY A Respected Voice for Population Health A Strong Response to Regulatory Threats Politics and policy framed the past year like no other topic of In October, DMAA took the lead in an industry response to concern for population health management and the broader interim final regulations for the Genetic Information Non- care community. The year started with a new administration discrimination Act (GINA). The GINA rule, published joint- and Congress eager to revitalize the economy and reform the ly by the departments of Health and Human Services, Labor nation’s health care system. Both initiatives harbored op- and the Treasury, threatened to severely restrict workplace portunities and challenges for chronic disease prevention and wellness and disease management programs with prohibitions care. on the collection of family medical history – defined as genet- ic information – and the provision of participation incentives. As the year progressed, DMAA assumed an industry leader- DMAA rallied opposition to the new rule with support from ship role through vigorous efforts to advocate legislative rec- prominent allied organizations, provided well-documented ognition of population health management and to challenge arguments to regulators about the new rule’s potential harm- burdensome regulatory measures that threatened workplace ful effects and generated media coverage of the issue through health promotion programs. DMAA also made its members’ strategic communications. voice heard in policy-making for health information technol- ogy standards, Medicare special needs plans, state prevention In other advocacy accomplishments in 2009, DMAA: and health promotion programs, employer-sponsored well- ( Launched a multistate grassroots campaign to collect ness programs – and, of course, health care reform. personal accounts from patients, case managers, physi- cians and family caregivers about the value of population DMAA Advocacy and the Reform Debate health programs. The resulting “Voices of Wellness & DMAA advocacy on reform, in fact, started in late 2008, Care Coordination” story bank, on the DMAA Web site, with publication of its “Principles for Health Care Reform.” supported advocacy around health care reform and other DMAA remained faithful to this roadmap as reform moved important issues. through 2009 from broad concepts to detailed legislative ( Participated in a White House Regional Health Care language. The Obama administration’s “down payment” Reform Summit in Des Moines, Iowa. on reform – the American Recovery and Reinvestment Act (ARRA), or economic stimulus package – aligned, generally, ( Established a Board-level Health Information Technology to DMAA advocacy for prevention and wellness and, directly, (HIT) Committee to promote the important role of HIT in its exception for population health under new provisions to in chronic condition care. tighten HIPAA data use standards. ( Successfully communicated to federal officials the associa- tion’s positions on regulations arising from the ARRA, As debate shifted to an almost exclusive focus on reform, including the definition of “meaningful use” of HIT and DMAA took an active role individually and in concert with notification requirements for breaches of protected health other chronic disease care advocates, including the Partner- information. ship to Fight Chronic Disease (PFCD). Through Capitol ( Conducted complimentary member Webinars on ARRA Hill briefings and the establishment
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