final la ubp evaluation for april 17 2017 · tony kuo, md, mshs , ubp co-chair ... dr. tony kuo is...

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AGENDA Monday, April 17, 2017 | 12 noon to 2:00 p.m. (networking lunch served at 11:30 a.m.) The California Endowment | Mojave Room 1000 N. Alameda Street, Los Angeles, CA 90012 CME/CE Learning Objectives: 1. Evaluate current data on hypertension management and review current guidelines. 2. Discuss the role of PCSK9 inhibitors and other nonstatin lipid lowering agents in the management of dyslipidemia and cardiac risk. 3. Review current ACC recommendations for the addition of nonstatin medications to statin therapy. 12:00 to 12:15 p.m. Welcome and Introductions around the Room Carol Peden, MBChB, MD, MPH, UBP Co-Chair, Right Care Initiative; Executive Director, University of Southern California (USC) Center for Health System Innovation, Keck School of Medicine, USC Tony Kuo, MD, MSHS, UBP Co-Chair, Right Care Initiative; Director, Office of Senior Health, Acting Director for the Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health Hattie Rees Hanley, MPP, Director, Right Care Initiative, University of California, Berkeley 12:15 to 1:30 p.m. Prevention of Cardiovascular Disease: What's New in Hypertension and Dyslipidemia Karol E. Watson, MD, PhD, FNLA, FACC - UBP Co-Chair, Right Care Initiative; Co-Director, UCLA Program in Preventive Cardiology Director, UCLA Barbra Streisand Women's Heart Health Program, Professor of Medicine Division of Cardiology, Geffen School of Medicine at UCLA 1:30 to 2:00 p.m. Discussion, Announcements and Evaluations Right Care University of Best Practices Care Management Goals: Prevention and High-Quality Management of Heart Attacks, Strokes, and Diabetes Metrics targets : 75% of cardiovascular disease and/or diabetes patients meeting the following targets (or national 90th percentile of performance on these HEDIS measures, whichever is greater): ! Blood pressure (BP) controlled: <140/90 mm Hg ! Diabetic patients with blood sugar controlled: HbA1c <8 ! Consistently taking intensive statin appropriate to clinical targets

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AGENDAMonday,April17,2017| 12noonto2:00p.m.

(networkinglunchservedat11:30a.m.)

TheCaliforniaEndowment|MojaveRoom1000N.AlamedaStreet,LosAngeles,CA90012

CME/CELearningObjectives:1. Evaluate current data on hypertension management and review current guidelines.2. Discuss the role of PCSK9 inhibitors and other nonstatin lipid lowering agents in the management of dyslipidemia and cardiac risk.3. Review current ACC recommendations for the addition of nonstatin medications to statin therapy.

12:00to12:15p.m. WelcomeandIntroductionsaroundtheRoomCarolPeden,MBChB,MD,MPH,UBPCo-Chair,RightCareInitiative;ExecutiveDirector,UniversityofSouthernCalifornia(USC)CenterforHealthSystemInnovation,KeckSchoolofMedicine,USCTonyKuo,MD,MSHS,UBPCo-Chair,RightCareInitiative;Director,OfficeofSeniorHealth,ActingDirectorfortheDivisionofChronicDiseaseandInjuryPrevention,LosAngelesCountyDepartmentofPublicHealthHattieReesHanley,MPP,Director,RightCareInitiative,UniversityofCalifornia,Berkeley

12:15to1:30p.m. PreventionofCardiovascularDisease:What'sNewinHypertensionandDyslipidemiaKarolE.Watson,MD,PhD,FNLA,FACC-UBPCo-Chair,RightCareInitiative;Co-Director,UCLAPrograminPreventiveCardiologyDirector,UCLABarbraStreisandWomen'sHeartHealthProgram,ProfessorofMedicineDivisionofCardiology,GeffenSchoolofMedicineatUCLA

1:30to2:00p.m. Discussion,AnnouncementsandEvaluations

RightCareUniversityofBestPracticesCareManagementGoals:PreventionandHigh-QualityManagementofHeartAttacks,Strokes,andDiabetes

Metricstargets:75%ofcardiovasculardiseaseand/ordiabetespatientsmeetingthefollowingtargets(ornational90thpercentileofperformanceontheseHEDISmeasures,whicheverisgreater):! Bloodpressure(BP)controlled:<140/90mmHg! Diabeticpatientswithbloodsugarcontrolled:HbA1c<8! Consistentlytakingintensivestatinappropriatetoclinicaltargets

PleasesubmityourevaluationformattheendofthemeetingtoqualifyforCME/CEcredits.

CMECreditsforMDs,DOsandPAs

L.A.CareHealthPlanisaccreditedbytheInstituteforMedicalQuality/CaliforniaMedicalAssociation(IMQ/CMA)toprovidecontinuingmedicaleducationforphysicians.L.A.CareHealthPlandesignatesthisliveeducationalactivityforamaximumof1.50AMAPRACategory1Credit(s)TM.Physiciansshouldclaimonlythecreditcommensuratewiththeextentoftheirparticipationintheactivity.L.A.CareHealthPlantakesresponsibilityforthecontent,qualityandscientificintegrityofthisCME/CEliveactivity.

ThisactivityhasbeenplannedandimplementedinaccordancewiththeaccreditationstandardsandpoliciesofIMQ/CMAInstituteforMedicalQuality,asubsidiaryoftheCaliforniaMedicalAssociation,throughthejointprovidershipofL.A.CareHealthPlanandTheRightCareInitiative.

CECreditsforRNsandNPsL.A.CareHealthPlanisanapprovedContinuingEducationProviderbytheCaliforniaBoardofRegisteredNursing,CEP13731.Thisprogramisapprovedfor1.50CEcredits.

DisclosuresThefollowingplannersandfacultydonothaverelevantfinancialrelationshipswithcommercialinterests.

Planners:HattieReesHanley,MPP,RightCareInitiativeDirector,UniversityofCalifornia,BerkeleyCarlaPollock,RightCareInitiativeAssistant,UniversityofCalifornia,BerkeleyHieuNguyen,LCSW,ManagerofStrategicInitiatives,L.A.CareHealthPlanLeilanieMercurio,SeniorProgramSpecialist,ProviderContinuingEducationProgram,L.A.CareHealthPlan

Faculty:CarolPeden,MBChB,MD,MPH,UBPCo-Chair,RightCareInitiative;ExecutiveDirector,UniversityofSouthernCalifornia(USC)CenterforHealthSystemInnovation,KeckSchoolofMedicine,USCKarolEWatson,MD,PhD,FNLA,FACC-UBPCo-Chair,RightCareInitiative;Co-Director,UCLAPrograminPreventiveCardiologyDirector,UCLABarbraStreisandWomen'sHeartHealthProgram,ProfessorofMedicineDivisionofCardiology,GeffenSchoolofMedicineatUCLA

ThankyouCaliforniaEndowmentforhostingTheRightCareInitiativeLosAngelesUniversityofBestPractices(LAUBP)

Therewasnocommercialsupportprovidedforthisactivity.

RightCareInitiativeLosAngelesUniversityofBestPractices—April17,2017

Karol E Watson, MD, PhD, FNLA, FACC UBP Co-Chair, Right Care Initiative; Co-Director, UCLA Program in Preventive Cardiology Director, UCLA Barbra Streisand Women's Heart Health Program, Professor of Medicine Division of Cardiology, Geffen School of Medicine at UCLA Dr. Watson is an attending cardiologist and a Professor of

Medicine - Cardiology at the David Geffen School of Medicine at UCLA. Dr. Watson is Director of the UCLA Women’s Cardiovascular Health Center, the UCLA-Barbra Streisand Women’s Heart Health Program, Co-Director of the UCLA Program in Preventive Cardiology, and Director of the UCLA Fellowship Program in Cardiovascular Diseases. Dr. Watson is a principal investigator for several large National Institutes of Health research studies including the Diabetes Prevention Program Outcomes Study and the Multi-ethnic Study of Atherosclerosis. She is a Fellow of the American College of Cardiology and a member of the American Heart Association. She is also a Board member of the American Heart Association, Western States Affiliate, and Chairperson of the Scientific Advisory Board for Womenheart, the largest national organization for women survivors of heart disease.

Carol Peden, MB ChB, MD, FRCA, FFICM, FFMLM, MPH Executive Director, USC Center for Health System Innovation, Professor, Department of Anesthesiology, USC Keck School of Medicine; Co-Chair, Right Care Initiative/University of Best Practices-Los Angeles

Dr. Carol Peden, MB ChB, MD, FRCA, FFICM, FFMLM, MPH is a Professor of Anesthesiology and Executive Director of the Center for Heath System Innovation at University of Southern California. Previously she was a Consultant in Anaesthesia and Intensive Care at the Royal United Hospitals, Bath,UK and Associate Medical Director for Clinical Quality for NHS England. Carol gained her quality improvement expertise as a Fellow at the Institute for Healthcare Improvement (IHI) and has helped design and lead quality improvement projects around the world, including the UK, Scandinavia and the Middle East. Her research interests include improving clinical outcomes, perioperative medicine and patient safety. Recent awards include the 2016 Ellis Gillespie Professor of the Australia and New Zealand College of Anaesthetists, the 2014 Royal College of Anaesthetists Macintosh Professorship and the Harvard T. Chan School of Public Health Alumni of the Year Award 2016 for Innovation in Public Health.

Tony Kuo, MD, MSHS Director, Office of Senior Health, Los Angeles County Department of Public Health; Co-Chair, Right Care Initiative/University of Best Practices-Los Angeles Dr. Tony Kuo is Director of the Office of Senior Health in the County of Los Angeles and Deputy Director for the

Division of Chronic Disease and Injury Prevention in the Los Angeles County Department of Public Health. Dr. Kuo's academic interests and work have included federally funded research/evaluation studies, peer-reviewed publications, and other efforts in chronic disease prevention and control; patient-centered care; nutrition and physical activity promotion; tobacco control policy; and senior health.

LaVonna Blair Lewis, PhD, MPH Teaching Professor of Public Policy and Diversity Liaison, USC Sol Price School of Public Policy Dr. LaVonna Blair Lewis is a Teaching Professor of Public Policy and the Diversity Liaison at the USC Sol

Price School of Public Policy and the Director of the USC Diversity in Healthcare Leadership Initiative. Dr. Lewis joined the USC faculty in 1996 from Rice University where she received her PhD in Political Science. Dr. Lewis’ areas of research and professional interests consistently focus on cultural competency and health disparities, both targeting the health status and health care needs of underrepresented groups. As such, she feels she has a two-fold mission in life—to make the invisible, visible (if people are blind or unaware of problems for a particular group or in a particular community, you have to find ways to get these problems on their radar screen) and to make people uncomfortable. (She believes that if people are always comfortable, they aren’t being challenged or they have quit learning and growing.) She is currently involved in multiple projects that address racial and ethnic health disparities in cardiovascular disease (CVD), diabetes, and infant mortality. Her work has appeared in the American Journal of Public Health, Family and Community Health, the Journal of General Internal Medicine, and other health management and policy journals. All of the work to date has employed a community based participatory research framework that partners with the relevant stakeholder groups in developing the research questions. Dr. Lewis is a long time Right Care Initaitve champion and leader.

Hattie Rees Hanley, MPP Director, Right Care Initiative Ms. Hanley co-conceived of and launched the Right Care Initiative in 2008 with the deans of the University of California, Berkeley and UCLA’s Schools of Public Health, clinical experts, and State of California leadership

to improve patient outcomes in high yield areas for preventing disability and death, where the science is clear, but the uptake is uneven. The Right Care Initiative is a public-private, charitably-funded collaborative effort that has thus far worked in the areas of prevention and better management of Hospital Acquired Infections (HAI), heart attacks, strokes, and diabetic complications. Ms. Hanley has co-led the initiative since its inception, co-creating the intellectual framework through close collaboration with leading academics and experts in the field. The hallmark of her public policy career is bridging across the disparate arenas of business, government, health care delivery, and academia. Ms. Hanley received her Masters of Public Policy from Harvard University’s John F. Kennedy School of Government, after studying health economics and pre-medical coursework at UC Davis. Since that time, she has applied her background in science and public policy in the areas of clinical quality improvement, public health preparedness and improving laws to protect patients. She was instrumental in the negotiations and passage of the set of California laws known as the Patient Bill of Rights, which includes the right to a 2nd opinion and independent medical review. The Right Care Initiative is a program within the UC Berkeley School of Public Health’s Center for Health Organization and Innovation Research (CHOIR).