Einstein/Montefiore Department of Medicine

Grand Rounds

Advancing the Twin Goals of Improving Quality While Reducing Costs: BCBSMA's Alternative Quality Contract

Einstein/Montefiore Department of Medicine Grand Rounds

Thursday, November 14, 2013

8:00 AM: Forchheimer Medical Science Building 3rd Floor Lecture Hall

Speaker & Info

Dana Gelb Safran, Sc.D
Senior Vice President for Performance Measurement and Improvement
Health Care Services Division
Blue Cross Blue Shield of Massachusetts
Associate Professor of Medicine
Tufts Medical Center

Repeated at 12:15 pm, Cherkasky Auditorium, Montefiore Medical Center.

In her role as Senior Vice President for Performance Measurement and Improvement at Blue Cross Blue Shield of Massachusetts (BCBSMA), Dr. Dana Gelb Safran leads the company's initiatives to measure and improve healthcare quality, safety and outcomes. Prior to joining BCBSMA, she was Director of The Health Institute at Tufts Medical Center.

Dr. Safran was among the lead developers of the BCBSMA Alternative Quality Contract (AQC), a provider contract model launched in 2009 with the twin goals of improving quality and outcomes while significantly slowing spending growth. The AQC includes robust performance incentives based on a broad set of validated clinical quality, outcome and patient experience measures. The model's strong incentives to improve quality and outcomes represent an important complement to the AQC global budget; and the AQC is widely viewed as real world Accountable Care Organization model - now with significant market penetration. Dr. Safran oversees the implementation of the performance incentives, related informatics and the company's ongoing engagement with its provider network to monitor and improve performance on all aspects of the contract.

Dr. Safran is widely recognized as having contributed to the empirical basis for our nation's push toward a more patient-centered health care system - and for developing measures of patient care experiences that are now used nationwide, accepted as a national standard for this area of measurement, and used by the Medical Boards as part of their recertification process for physicians. Dr. Safran's advisory roles on national and local quality measurement include work with the Office of the National Coordinator (ONC), the Centers for Medicare and Medicaid Services (CMS), the American Board of Internal Medicine (ABIM), the American Medical Association's Physician Consortium for Performance Improvement (PCPI), the National Committee for Quality Assurance (NCQA), and the Patient Centered Primary Care Collaborative (PCPCC). Dr. Safran co-chaired the Expert Panel on Performance Measurement (EPPM) convened by the Massachusetts Secretary of Health and Human Services and is a member of the Massachusetts Statewide Quality Advisory Council (SQAC).

Dr. Safran earned her masters and doctor of science degrees in Health Policy from the Harvard School of Public Health. She retains an active academic practice and is Associate Professor of Medicine at Tufts University School of Medicine.

After attending this activity, participants will be able to:

  1. Learn the components and results of BCBSMA's global budget model
  2. Learn how a payment model that asks physicians to assume accountability for quality, outcomes and total medical spending can elevate professionalism and autonomy.
  3. Learn how BCBSMA's global budget model relates to federal delivery system reforms and lessons from Massachusetts cost containment efforts.

Accreditation: Albert Einstein College of Medicine designates this educational activity for a maximum of 1 credit towards the AMA Physician's Recognition Award. Each physician should claim only those credits that he/she actually spent in the educational activity.

Host: Quality Improvement (Department of Medicine)

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