Top 5 takeaways from the 2012 Pay for Performance Summit

I attended the 7th National Pay for Performance (P4P) summit last month. Below are my key takeaways.
1. I learned “New” buzz words:
a. Collaboration - Healthcare costs declines can only come through collaboration
“There is a growing recognition that our ability to control costs and improve quality will require an effective partnership with informed and engaged consumers.” – Dr. Judith Hibbard. From the presentation of Elizabeth Mitchell Chief Executive Officer, Maine Health Management Coalition, Portland, ME
b. Win-win game – The zero sum game just isn’t working.
“Would you rather have a small win you can get?  Or a “big win” that you can’t?” - Harold Miller, Executive Director, Center for Healthcare Quality and Payment Reform; President and Chief Executive Officer, Network for Regional Healthcare Improvement, Pittsburgh, PA
Read his presentation at http://www.ehcca.com/presentations/pfpsummit7/miller_2_1.pdf
c. Pioneer ACO – The CMS Innovation Center initiative designed to support organizations with experience operating as Accountable Care Organizations (ACOs) or in similar arrangements in providing more coordinated care to beneficiaries at a lower cost to Medicare. Read CMS’s info on Pioneer ACO at http://innovations.cms.gov/Files/fact-sheet/Pioneer-ACO-General-Fact-Sheet.pdf
Read the P4P Summit presentation at http://www.ehcca.com/presentations/pfpsummit7/thompson_ms4.pdf
2. “There isn’t a good or bad provider [in terms of cost]. Most docs are in the middle. Change is about moving the middle to a new middle” – Howard Beckman MD, FACP
Chief Medical Officer, Focused Medical Analytics, Pittsford, NY
Read one of his presentations at http://www.ehcca.com/presentations/pfpsummit7/2.3_2.pdf
3. “Motivation is human energy directed to a goal” - Arnold Milstein, MD, MPH
Professor of Medicine and Director of the Clinical Excellence Research Center, Stanford University, Stanford, CA
4. Tasks for the healthcare force:
a. Translational efficiency – providers need to copy what the “best of best” are doing which produce great patient outcomes at low costs.
b. Without slowing down quality gains, need to decrease 2% pmpm per capita per year
From Arnold Milstein, MD, MPH Professor of Medicine and Director of the Clinical Excellence Research Center, Stanford University, Stanford, CA
5. “Those who go fast, go alone. Those who go slow, go together” – Gail Amundson, MD
President and Chief Executive Officer, Quality Quest for Health of Illinois, Peoria, IL
Read her presentation at http://www.ehcca.com/presentations/pfpsummit7/1.5.pdf. I didn’t know that she co-authored the Evidenced Based Cervical Cancer screening measure used by NCQA and IHA.