Presentation on theme: "The Commonwealth Fund and The Harkness Fellowships in Health Care Policy and Practice International Forum on Quality and Safety in Healthcare Paris,"— Presentation transcript:
1The Commonwealth Fund and The Harkness Fellowships in Health Care Policy and Practice International Forum on Quality and Safety in Healthcare Paris, France April 11, 2014Robin OsbornVice President and DirectorInternational Health Policy and Practice Innovations
2Harkness Alumni Panelists Dale Bramley, M.B., Ch.B., M.P.H., FAFPHM Harkness Fellow (New Zealand) Placement: Mount Sinai-New York University Medical Center and Health System Project: “Indigenous Disparities in Health Status: A Cross-Country Comparison of New Zealand, Australia, Canada and the United States” Current Position: Chief Executive Officer, Waitemata District Health Board Derek Feeley Harkness/Health Foundation Fellow (United Kingdom) Placement: Kaiser Permanente, Veterans Health Administration Project: “Developing Health Services fit for 2020 – Improving the Management of Complexity in Chronic Disease” Current Position: Executive Vice President, Institute for Healthcare Improvement Martin Hefford, P.G.dip, M.A. Placement: Kaiser Permanente Project: “Using Financial Incentives to Promote Evidence Based Interventions in Primary Healthcare: Early Results from the California Pay for Performance Program” Current Position: Chief Executive Officer, Compass Health
3The Commonwealth FundEstablished by Anna M. Harkness in 1918, the mission of The Commonwealth Fund is to promote a high performing health care system that achieves better access, improved quality, and greater efficiency, particularly for society's most vulnerable, including low-income people, the uninsured, minority Americans, young children, and elderly adults.The Fund carries out this mandate by supporting independent research on health care issues and making grants to improve health care practice and policy.An international program in health policy is designed to stimulate innovative policies and practices in the United States and other industrialized countries.
4Patient Protection and Affordable Care Act March 23, 2010
5Examples of Fund Projects Realizing the Potential of Health ReformScorecard on Local Health System Performance, 2012Series of reports on expansion of coverage, health insurance exchanges, and delivery system innovationsSeries of reports on implications of U.S. health reform for specific populations, including women, young adults, and small businessesSeries of longitudinal surveys of young adults, low-income adults, and older adults between 2011 and 2015 to measure changes and trends in insurance coverageAnnual Congressional RetreatIntegrated Care and Accountable Care Organizations (ACOs)3-day Briefing for Members of CongressTopics: payment reform, insurance exchanges, price variation, ACOs, public healthTracking the development of ACOs through case studies and national surveys, and evaluating their impact on quality, cost, and reducing disparitiesGrants to analyze models for integrating care, including through multi-payer initiatives, “hybrid” integrated systems, and coordinating care for patients dually covered by Medicaid and MedicareHigh Need/High Cost PatientsIdentifying promising models of health care delivery for better managing patients with high needs.Grants to define subpopulations to proactively identify those at high risk of becoming high cost.
6International Program in Health Policy & Practice Innovations The Commonwealth Fund’s international program in health policy is designed to stimulate innovative policies and practices in the United States and other industrialized countries.Adults, 2013Easy getting after-hours care without going to the ERInternational Symposium on Health Policy: Ministers’ Policy RoundtablePercentThe Hon. Daniel Bahr (Minister of Health, Germany)John K. Iglehart (Health Affairs)The Hon. Una O’Brien CB (Permanent Secretary, Dept. of Health, England)Base: Needed care after hours.
7Harkness Fellowships in Health Care Policy and Practice CanadaGermanyAustraliaSwitzerland(under discussion)New ZealandUnited StatesUnited KingdomNetherlandsFrance(being launched )NorwaySweden
8Harkness Fellows can expect to: Spend 12 months in the United StatesConduct research on a key health care delivery or policy issueGain an in depth understanding of the U.S. health care systemLearn about the Australian, Canadian, Dutch, French, German, New Zealand, Norwegian, Swedish, Swiss, and U.K. health care systemsWork with leading policy experts and senior policymakersGet a firsthand look at innovative U.S. programsEnhance methodological skillsDevelop networks of valuable contacts for ongoing cross-national exchange and collaborationA chance to Think Big about some of the most important challenges in health care policy and practice
9Relationship with The Commonwealth Fund Adds Value to the Fellowship Nationally recognized Fund staff provide expertise across a range of fields in health policy and practiceThrough the Fund’s grants, Fellows can connect to many of the country’s most innovative projects and researchThe Fund opens doors and provides entrée to its networks of health leaders and experts for Fellows
10The Harkness Fellowship Award The Harkness Fellowship awards up to U.S. $119,000which covers the following:Roundtrip airfare to the United StatesLiving allowanceFunds for project-related travel, research, and conferencesTravel to attend the Harkness Fellowship seminarsHealth insuranceU.S. and state taxesPLUS: a family supplement up to U.S. $55,000 (including airfare, living allowance, and health insurance) for Fellows accompanied by a partner and/or children up to age 18
11Partnerships to Expand Harkness Fellowships Canada: Canadian Foundation for Healthcare ImprovementGermany: B. Braun–StiftungNetherlands: Ministry for Health, Welfare, and SportNorway: Research Council of NorwaySweden: Ministry of Health and Social AffairsUnited Kingdom: The Nuffield Trust and NHS National Institute for Health Research
12Examples of Harkness Fellows’ Placements Harvard University, BostonStanford University, San FranciscoUniversity of California, San FranciscoJohns Hopkins University, BaltimoreColumbia University, New York CityRAND/University of California, Los AngelesVeterans Health Administration, Washington, D.C.Kaiser Permanente, San FranciscoGroup Health Cooperative, Puget SoundInstitute for Healthcare Improvement (IHI), BostonAgency for Healthcare Research and Quality (AHRQ), U.S. Department of Health & Human Services, Washington, D.C.Assistant Secretary for Planning and Evaluation (ASPE), U.S. Department of Health & Human Services, Washington, D.C.
13Prominent U.S. Mentors are a Key Feature of the Program John Hobbs (NZ)Tom Marshall (UK)Emma Stanton (UK)Jonny Taitz (AUS)Alexandra Norrish (UK)Nikola Biller-Andorno (SWIZ)Mirella Cacace (GER)Katharina Janus (GER)Adam Oliver (UK)Robin Gauld (NZ)James Mountford (UK)Russell Gruen (AUS)Stephen Davies (UK)Katharina Janus (GER)David Blumenthal, MDMassachusetts General Hospital/ Harvard Medical SchoolThomas H. Lee, MDPartners Community Healthcare, Inc.Sherry Glied, PhDMailman School of Public Health, Columbia UniversityChristopher Millett (UK)Peter McNair (AUS)Bruce Guthrie (UK)Elana Taipapaki Curtis (NZ)Colin Tukuitonga (NZ)Julia Murphy (UK)Bert Vrijhoef (NETH)Rhiannon Edwards (UK)Malcolm Battersby(AUS)Richard Hamblin (UK)Ngaire Kerse (NZ)Linda Gask (UK)Peter Sprivulis (AUS)Rae Lamb (NZ)Timothy Wilson (UK)Donald Berwick, MDInstitute for Healthcare ImprovementAndrew Bindman, MDUCSF/San Francisco General HospitalEdward Wagner, MDGroup Health Cooperative at Puget SoundDiane Gray (UK)Antoinette De Bont(NETH)Dawn Dowding (UK)Derek Feeley (UK)Richard Gleave (UK)Martin Hefford (NZ)Daniela Koller (GER)Sara Kreindler (CAN)Kimberlyn McGrail (CAN)Michael Schull (CAN)Adam Elshaug (AUS)Ansgar Gerhardus(GER)Sonj Hall (AUS)Kathryn Rowan (UK)Cynthia Farquhar (NZ)Carolyn Clancy, MDAgency for Healthcare Research and QualityBenjamin Chu, MD/Murray Ross, PhD Kaiser Permanente Southern California/Kaiser Foundation Health PlanElliott S. Fisher, MDDartmouth Institute for Health Policy & Clinical Practice13
142013–14 Harkness Orientation at the Fund Imogen Mitchell (AUS), Jan Frich (NOR)Aziz Sheikh (UK), Beatrice Podtschaske (GER)Keynote Speaker2013–14 Harkness FellowsHarkness MentorsSite Visits to Walgreens and Montefiore Medical CenterElizabeth Bradley (Yale), Tom Delbanco (Beth Israel Deaconess Medical Center), Joseph Newhouse (Harvard)Sherry Glied (former Assistant Secretary for Planning and Evaluation)14
15Harkness Fellows Breakfast with Health Ministers at the International Symposium The Hon. Daniel Bahr, Minister of Health, Germany, with Tobias EschUna O’Brien CB, Permanent Secretary, Department of Health, England, withFelix GreavesThe Hon. Lena Furmark, State Secretary, Ministry of Health and Social Affairs, Sweden, with Charlotta LevayThe Hon. Tony Ryall, Minister of Health, New Zealand, with Sue Wells15
16Harkness/IHI Fellows Summit Visit to the Institute for Healthcare Improvement in BostonBriefing on IHI’s world-renowned programs and pioneering techniques to improve quality, outcomes and efficiencyNetworking with IHI Quality Improvement Fellows and StaffMaureen Bisognano, President and CEO, Institute for Healthcare Improvement (IHI) with Harkness Fellows16
17Harkness Fellows Washington Policy Briefing, March 2014 An “Inside the Beltway” Look at Policymaking with Multiple Stakeholders, and a Wide Range of Viewpoints, including:Democratic vs. Republican perspectives on health reformPerspectives from government agencies, members of Congress, industry lobbyists, States, and political strategistsSite Visit to VA Hospital, Kaiser Center for Total HealthKaren B. DeSalvoOffice of the National Coordinator for Health Information TechnologyCongressman Tom Price (R-Georgia)Robert A. PetzelU.S. Department of Veterans AffairsJoe V. SelbyPatient-Centered Outcomes Research InstituteRichard KronickAgency for Healthcare Research and QualityKaren IgnagniAmerica’s Health Insurance PlansRobert Reischauer Urban Institute17
18Harkness Fellows’ Canadian Policy Briefing, May 2013 Keynote Speech:“A National Strategy for Improving Mental Health Services in Canada: The Plan and its Prospects”David Goldbloom, Chairman, Mental Health Commission of CanadaSite visit to Seaton House Men's Shelter (associated with St. Michael’s Hospital), TorontoHelen Angus, Associate Deputy Minister, Ontario Ministry of Health and Long-Term CareVickie Kaminski, President & CEO, Eastern Health, Newfoundland and LabradorAndré Picard, The Globe and MailMichael Nashat, Board Member, Pharmacy Council, Ontario Ministry of Health and Long- Term Care; Director, OnPharm18
19Harkness Fellowship Leadership Seminar Series Past Leadership SpeakersLeadership SpeakersDon Berwick, MDFormer Administrator, Centers for Medicare and Medicaid ServicesMark McClellan, MD, PhDFormer Administrator for Centers for Medicare and Medicaid ServicesThomas Lee, MDCEO of Partners Community Healthcare, Inc.David Blumenthal, MDPresident of the Commonwealth Fund/ Former National Coordinator for Health Information TechnologyKenneth Kizer, MDFormer Under Secretary, Veterans Health AdministrationJulio Frenk, MD,Former Minister of Health, MexicoA seminar series designed to provide Harkness Fellows with:Understanding of the principles of effective leadershipOpportunity for candid discussion with influential U.S. policy leaders and guest policymakers from Fellows’ home countriesFocus on ‘lessons learned’ from real world experienceThomas ZeltnerFormer Swiss Secretary of State for HealthKaren DavisPresident of the Commonwealth FundJohn Rowe, MDFormer Chairman& CEO of AetnaCarolyn Clancy, MDAgency for Healthcare Research and Quality19
20Harkness Fellows’ Publications Over 2,300 peer-reviewed publications,Health Affairs, British Medical Journal, JAMA, Lancet, Health Policy, New England Journal of Medicine, Quality and Safety in Health Care, Journal of Health Politics, Policy and Law, Canadian Medical Association Journal, Health Services JournalReports to Health Ministers and Congress
21Examples of Harkness Fellows in Leadership Positions Mark Booth ( AUS), First Assistant Secretary, Primary and Ambulatory Care Division, Australian Department of Health and AgeingDale Bramley ( NZ), Chief Executive Officer, Waitemata District Health BoardDerek Feeley ( UK), Executive Vice President, Institute for Healthcare ImprovementAndreas Gerber ( GER), Head, Department of Health Economics, IQWiGRichard Gleave ( UK), Chief Operating Officer, Public Health EnglandMartin Hefford ( NZ), Chief Executive Officer, Compass HealthRae Lamb ( NZ), Aged Care Commissioner, Australian Department of Health and AgeingGeraint Lewis ( UK), Chief Data Officer, NHS EnglandMartin Marshall ( UK), Chair, Health Care Improvement, University College LondonStephanie Stock ( GER), Professor, Department of Health Economics and Clinical Epidemiology, University of CologneDiane E. Watson ( CAN), Chief Executive, National Health Performance Authority, AustraliaJennifer Zelmer ( CAN), Executive Vice President for Clinical Adoption and Innovation, Canada Health Infoway
22Robin Osborn, Donald M. Berwick (CMS), Karen Davis Reaching a Washington Policy Audience Harkness Alumni Washington Policy Forum, May 201124 Harkness alumni from AUS, GER, NETH, NZ, CAN, and UK, highlighted health care policy and delivery system innovations for key US policymakersAlumni produced 14 research papers (10 co-authored)Robin Osborn, Donald M. Berwick (CMS), Karen DavisDavid Blumenthal (formerly ONCHIT), Elizabeth Fowler (National Economic Council), Sherry Glied (ASPE)Martin Marshall (UK),Stephanie Stock (GER),Jako Burgers (NETH)International innovations included: individual financial incentives, shared services/networks for primary care, after-hours care arrangements, medical home models, mobile health interventions, translating research into practice, and patient safety in primary care“I was so glad I could make it. It was a joy to see once again the energy and brilliance of the Harkness Fellows. What a gift to us all that program is!”-- Donald Berwick , Administrator, Centers for Medicare and Medicaid Services
2310-Year Review of Harkness Fellowships: Almost All Fellows (91%) Regard the Harkness Fellowship as Extremely or Very Valuable to their Career AdvancementSource: Harkness Impact Survey (n=75)
24How Do The Harkness Fellowships Work For Families? “I was a bit concerned that my daughter would not make friends easily - how wrong I was! We all had a great time. Also many fellows tended to have young children - I would encourage prospective fellows with older children to also take up the opportunity.”Mark Booth (New Zealand), a Commonwealth Fund Harkness Fellow, Assistant Secretary, Department of Health and Ageing, Australia.Family: Spouse, two children ages 14 and 18.“Loved the school and the whole experience. They really grew through it. The school drove them academically and in every other way (very focused on high performance!). My daughter made wonderful friends (first grade), and had a strong American accent by the time we departed for home (lost it in two weeks). The transition home was very smooth, back into our house which was rented to visiting academics on sabbaticalhomes.com.”Robin Gauld, Ph.D. (New Zealand), a Harkness Fellow, is associate professor of health policy in the Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand, and director of the newly-formed Centre for Health Systems, Otago Medical and Business Schools.Family: Spouse, two children ages 6 and 10.
25Who Should Apply?Academic researchers, government policymakers and analysts, clinical leaders, health care and insurance industry managers, and journalistsApplicants should be mid-career and Fellows are typically between late 20’s and mid-40’sApplicants must be citizens of Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, or the United Kingdom, or have permanent residency and lived in that country for at least three years.All applicants must submit a formal application that includes a research proposal which falls within the scope of The Commonwealth Fund’s principal areas of interest
26Applying for the 2015-16 Harkness Fellowships in Health Policy and Practice For applicants from Australia and New Zealand – the deadline is September 15, 2014For applicants from Canada, Germany, the Netherlands, Norway, Sweden, and the U.K. – the deadline is November 17, 2014For applicants from France – the deadline is December 15, 2014For more details and application form, please visit:For questions about the program, eligibility, and proposed projects, please contact:Robin OsbornVice President and DirectorInternational Health Policy and Practice InnovationsThe Commonwealth Fund