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Health Professionals Roundtable
The Health Professionals Roundtable on Preventive Services (HPR) provides a venue for the leading primary care professional organizations to collaborate in addressing issues of common interest and concern in the delivery of clinical preventive services. The HPR also develops materials and policy solutions to improve delivery that can be implemented across organizations and disciplines. Payers, purchasers, government leaders, health systems, and others wishing to coordinate with the clinician community on issues related to clinical preventive care have a direct means for communication through the HPR rather than having to approach each organization individually.

Background

In 2004, Partnership established the Health Professionals Roundtable (HPR) on Preventive Services, made up of the leading primary care professional organizations, to facilitate collaboration in addressing issues of common interest and concern in the delivery of clinical preventive services.  Through multiple formats, HPR organizations work together to advance preventive care recommendations through
  • identification of barriers and solutions; to share knowledge and information about resources, contacts, programs, and tools; and development of common policy solutions for improving
  • delivery that can be implemented across organizations, presented at national meetings, and published as journal articles and policy statements issued by the HPR.

In addition, payers, purchasers, government leaders, Federal agencies, health systems, and others wishing to coordinate with the provider community on issues relating to clinical preventive care have a direct means for communication through the HPR rather than having to approach each individually, and the organizations have a venue through which to coordinate their responses.

The Roundtable is chaired by Dr. Samuel Nussbaum, executive vice president, clinical health policy and chief medical officer for WellPoint, Inc.

Members of the HPR

HPR Meetings

November 10, 2010—Immunization and Tobacco Cessation
This meeting focused on two topics (immunization and tobacco cessation) that were significant priorities for all member organizations and presented opportunity for members to take action (“move the needle”).  Dr. Lance Rodewald from CDC presented data on immunization, while Dr. Nancy Rigotti from Harvard Medical School spoke about tobacco cessation.   Both speakers discussed opportunities for providers to increase utilization of these high-value preventive services.

The HPR also discussed possible collaboration with the Office of Prevention Through Healthcare (OPTH) at CDC.  Dr. Chesley Richards, Director of the OPTH, presented an overview of the office and opened up a discussion of areas of collaboration.

The final topic addressed at the meeting was a preliminary outline of the white paper commissioned by the Task Force. Two representatives from the Center for Value-Based Insurance Design at the University of Michigan, Jenifer Martin and Tracy Swinburn, led a discussion with HPR members about the focus and scope of the white paper.  The primary focus of the paper will be on incentives for providers and patients to improve the delivery of clinical preventive services.  A draft of the paper will be discussed at the next HPR meeting in the spring of 2011.
June 28, 2010—Prevention Implementation in the new Health Reform Law
This meeting focused on implementation of the prevention components in the health reform legislation that was signed into law in March 2010.  The Roundtable was privileged to hear from two persons intimately involved in the development and implementation of the new health care law.  The first was Mayra Alvarez from the Department of Health and Human Services who discussed the new public health and prevention items in the law and how the HPR members can assist the Administration in their application. The second speaker was Dr. Robert Kocher from the National Economic Council.  Dr. Kocher presented on how the new law actually improves health and health care and answered many questions on the most significant elements of the legislation, including the prevention aspects.

Follow-up items included developing a process of coordination between HPR members for influencing and commenting on health reform regulations, and determining the best role that the HPR can play in advancing the implementation and delivery of preventive services.
 
June 17, 2009—Prevention in Health Reform Legislation
This meeting focused on the prevention aspects of health reform legislation, and featured Dr. Dora Hughes, Counselor for Public Health and Science at DHHS. Dr. Hughes detailed the administration’s support for clinical and community prevention and ways that HPR members can engage Congress.

HPR members designated the value of prevention, including utilization, coverage, and payment for preventive services, as the next major issue to be addressed. The initial focus will be on provider incentives to increase the delivery of clinical preventive services. A white paper will be commissioned and reviewed at a future meeting.

The HPR chose a new chair, Dr. Samuel Nussbaum. Dr. Nussbaum is the executive vice president, clinical health policy and chief medical officer for WellPoint, Inc, and has experience in advancing prevention and quality of care.

October 22, 2008—Preventive Services and the Medical/Healthcare Home
The HPR meeting examined the role of prevention and preventive services and the medical/healthcare home.  It provided examples in two states (Michigan and Pennsylvania) of how health systems integrate  prevention into the medical/healthcare home. It also discussed the development and function of quality standards in promoting preventive services within the medical/healthcare home model.

April 17, 2008—High Value Preventive Services and Cardiovascular Prevention
The latest HPR meeting focused on high-value preventive services and cardiovascular prevention.  It provided an update on smoking cessation interventions, particularly quitlines, and a discussion of the promotion of community and policy interventions for cessation. It also examined cardiovascular prevention interventions from a federal perspective (National Heart, Lung, and Blood Institute), including a focus on increasing aspirin utilization.

September 15, 2006—Financial and Other Incentives for Clinical Preventive Services
The topic of the HPR meeting was incentives to promote clinical preventive services, particularly among providers.  Discussion included reimbursement, pay-for-performance, and other incentives in the private health sector (HealthPartners) and the public health sector (Medicare). The meeting ended with a dialogue on incentive recommendations for increasing utilization of clinical preventive services.

March 13, 2006—Priorities among Clinical Preventive Services and Linkage with Community Programs
The HPR meeting focused on two important prevention issues: 1) priorities and value in clinical preventive services; and 2) linking clinical prevention practice to community programs.  The discussion of the first half of the meeting centered on the recent study by Partnership for Prevention and HealthPartners Research Foundation that evaluated and ranked clinical preventive services based on health impact and cost-effectiveness.  The second half of the meeting looked at a model and case study (in Seattle) for linking clinical and public health systems.

October 12, 2005—Electronic Medical Records and Prevention
The topic of the third HPR meeting was the utility and benefit of electronic medical records (EMR) to prevention and preventive services.  Representatives from the Veterans Administration and Kaiser Permanente Mid-Atlantic described their experiences with implementing EMR systems, including automated reminders, and how they improved integration of care and communication between patients and providers. The American Academy of Family Physicians explained the use of EMR systems among family physicians, and the Agency for Healthcare Research and Quality ended the presentations by summarizing the benefits of EMR, particularly with regard to quality and patient safety, and the barriers to adoption in health care practices.

June 2, 2005—Tobacco Cessation Quitlines
Following a successful first meeting of the HPR, the main issue of the next meeting was tobacco cessation, specifically quitlines.  Presentations included the results of the American Cancer Society Quitline clinical trial and the activities of the North American Quitline Consortium.  Dr. Steven Schroeder, who heads the Smoking Cessation Leadership Center at the University of California, San Francisco, concluded the presentations with a discussion on how different partners can collaborate to promote and market tobacco cessation quitlines and to increase their utilization.

November 12, 2004—Welcome to Medicare Visit
The initial Health Professionals Roundtable on Preventive Services (HPR) meeting focused on preventive services in the new Welcome to Medicare Visit, which was included in the recently passed Medicare Modernization Act.  The Centers of Medicare and Medicaid Services (CMS) Administrator, Dr. Mark McClellan, discussed Medicare’s overall prevention efforts, and Dr. Steve Phurrough, director of CMS’s Coverage and Analysis Group, described the specifics of the Welcome to Medicare Visit.  Dr. Stephen Woolf, the originator of the HPR, concluded the meeting proposing a potential campaign to communicate the Welcome to Medicare Visit and its prevention provisions to primary care providers.