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Expert Panel Meeting Summary |
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WEST VIRGINIA HEALTH CARE AUTHORITY
WELCOME AND INTRODUCTION Parker Haddix, Chairman of the Health Care Authority and Chairman of the Quality Utilization Advisory Group, called the meeting to order at 9:05 a.m. Introductions were completed and Mr. Haddix provided the group with a review of the QUAG Mission and Plan, and highlights of the QUAG’s 1999 activities. PRESENT Cathy Chadwell, Dr. John Combs, Dr. Mary Emmett, Dr. James Forsythe, John Grey, Parker Haddix, Sallie Hunt, Sam Kapourales, James Kranz, Mike Madelena, Martha Morris, Greg Morris, Louie Paterno, Debbie Ruppert, Nancy Tolliver, Jessica Wright Nancy Tolliver, meeting facilitator, informed the group that the meeting objective was to educate the Health Care Authority/QUAG regarding Cardiovascular Disease quality initiatives, to assist the Authority in identifying potential members to assist in coordinating program structure, and to identify other publicly available reports and outcome data. Nancy Tolliver shared with the group the QUAG Implementation Plan and indicated that the meeting today would fulfill the actions identified in Phase One of the Implementation Plan. Robert Coffield, Assistant General Counsel, West Virginia Health Care Authority, provided an overview of the HCA’s position on the Proposed Privacy Rules under the Health Insurance Portability and Accountability Act of 1996. Jim Kranz with the West Virginia Hospital Association, informed the group that the estimated cost for implementing this bill would be two to three times that for Y2K. PRESENTATIONS Dr. Mary Emmett with Camcare Health Education and Research Institute, Charleston, WV, presented information regarding a collaborative study in CVD with St. Mary’s Hospital, Huntington, WV, The Prevention Center, WVU, Morgantown, WV, and Camcare. Dr. Emmett stated the data uses ACC guidelines which are essential for physician acceptance. She also indicated that a list of all the clinical trials for CVD is available for the group. Dr. James Forsythe, Director of Health Services Research at West Virginia Medical Institute, Charleston, WV, provided an overview of WVMI and its quality activities. He provided the group with handout materials describing HCFA’s Health Care Quality Improvement Program and a report/fact sheet of a HCQIP in Delaware for ACE Inhibitor Use in Congestive Heart Failure. Mike Madelena with Madelena Consulting, described a quality study he is involved in, in cooperation with the HCA using PEIA, Workers Comp and Medicaid data. He explained that the study is looking at Cardiac Catherizations and Coronary Artery Bypass Graphs with emphasis in the mapping aspect of access to care; looking at the general systems and evaluating the relationship between the incidence of CABG procedures and other known and measurable factors. Jessica Wright, with the Bureau for Public Health, Healthy People 2010, CVD Initiative provided an overview of the project. Ms. Wright indicated that this is a federally funded program with a staff of five. Their goal is to assess systems in WV, to include the healthcare, school and workplace systems. Ms. Wright stated they hope to learn from and mirror the WV Tobacco Coalition people. She indicated that the public is ready for policy change related to CVD and that the 2010 objectives will drive the program. Ms. Wright stated that it is sometimes hard to find data sources to measure. The data currently used is from the WV Death Certificates, the Behavioral Risk Factor Survey, and the BPH’s Wellness Program. Ms. Wright stated that WV’s State Plan is currently being developed and set for release to the public in September 2000. She identified the major objectives of the CVD program for 2010. Dr. John Combs with the West Virginia Quality Coalition provided an overview of the Dartmouth Atlas study in terms of CVD. Dr. Combs stated the WV Coalition is moving toward Physician Study Groups and is currently looking at breast cancer and TURP, with the state Urology Society focusing on TURP. The data is presented to the physicians and then they are asked to make recommendations regarding practice patterns. Dr. Greg Elmes with the Department of Geology and Geography at WVU, Morgantown, WV, provided an overview on the study entitled “Heart Disease Mortality: Issues of Marginalization through Ethnic Status, Gender, Social Environment, and Access to Care”. Dr. Elmes also informed the group of a new study entitled “Women and Heart Disease Atlas” done in cooperation with the CDC due to be released to the public next week. Nancy Tolliver asked the group to recommend experts to assist the QUAG with Phases II through VI of the QUAG Implementation Plan in the CVD area. Dr. Elmes recommended Beth Barnett with the Prevention Center at WVU. Jessica Wright and Dr. James Forsythe volunteered to assist the cardiovascular disease expert workgroup. ADJOURNMENT: 11:30 a.m.
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